Dr AK Pandey
E-Mail: akpandey_in@hotmail.com ~ Mobile- 09810986268/ Skype :ID anil.pandey10
07542028285
Senior to Top Level assignments as Medical Director / Head Medical Operations / Medical
Superintendent in Corporate Hospitals and Consultant in Planning Hospital Services.
Career Overview
A Qualified Medical Professional with MBBS(Allahabad University) and MD in Hospital
Administration from AFMC Pune,
DNB in Hospital and Health care Administration from DNB Delhi.
MBA and Postgraduate Diploma in Financial Management
One year Advanced Course training in Path at AFMC .
17 years’ experience in Hospital Administration after Post graduate qualification.
NABH trained in Quality.
Certification from Harvard School of Public Health , Health in Numbers: Quantitative Methods in
Clinical Public Health Research.
Certification from University of California , Berkley in Statistics.
Certification in Strategy from Institute for Strategy, Technology and Organization
Munich School of Management, LMU Munich
Certificate from MIT (US) in Data Analytics.
Certificate in Financial Programming and Policies, Macroeconomics Accounts and Analysis
a course of study offered by IMFx, an online learning initiative of the International Monetary Fund
through edX.
Six Sigma green belt.
Trained on SPSS, Minitab , STATA and 'R' statistical software.
Currently working as MS of All India Institute of Medical Sciences (AIIMS) Patna
Worked as Quality expert at King Fahad Hospital ,Saudi Arabia
Worked as Director Fortis –Dena Hospital Almora.
Worked with Sahara India Medical Institute Limited, Lucknow as Project Coordinator and
Medical Superintendent.
 Worked as Medical Superintendent of Dharamshila cancer hospital accreditated by NABH for
three years.
 Experience of working in large Super speciality Hospitals at Chandigarh, Pune , Ranchi ,
Jodhpur, Srinagar
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Skills
in the
following areas
Strategic Planning based on core competencies of organisation and market structure
with development of options on the basis of payoff to the Company and to select
appropriate strategy i.e. growth strategy, Revenue maximization strategy etc.
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Planning and implementation of Medical Operations
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Evaluation of Clinical care including Nursing care
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Recruitment of consultants and their Management.
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Quality Management and Improvement of internal operational processes
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Planning and improvement of Hospital support services i.e Registration scheduling and
reception, Billing credit collection and
TPAs, Laboratory services, Radiology services
Housekeeping, Laundry, Dietary services, Procurement of Materials ,Legal compliances and
services, Development of schedule of charges and payment to consultants, Facility
Management including Maintenance, Heat Ventilation Air Conditioning services, Electrical,
Water, Lift operation ,Waste management etc
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Assessment and improvement of Patients and Employee satisfaction
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Development of Detailed Project report (DPR) , Planning of Hospital facilities,
Supervision of Construction, Commissioning of Hospital and its operationalisation .
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Equipment planning and procurement
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Hospital Finance with focus on Top line as well as bottom line.
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Contributions to the organisations served
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SAHARA India
Commissioning and operationalisation of
Medical Limited at Lucknow .
a 300 crore Project of Sahara India
Development of Strategic plan, Safety plan, Quality Plan, and Internal policies and
procedures .
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Development of
systems and procedures for hospital services including flow of
operations and indictors for assessment of performance .
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Monitoring of performance in OPD,IPD,ICU,OR, Hospital Engineering ,Bio medicals,
IT with regards to Quality and safety of operation and Operational activities in the
light of accreditation standards.
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Education and Training of staff on International Patient safety goals, Quality
Management issues such as Patients and Family rights, Medication, Infection control,
Sentinel events, Root cause analysis, Fish bone diagram, FMEA, standards in Facility
Management, customer complaints, patient satisfaction and development of Internal
policies and procedures in their respective areas of operations.
o
Worked on financial statements in liaison with Finance Dept of Hospital and Sahara
India i.e. P&L account, Balance sheet, Cash flow statement etc to develop plans to
increase contribution margin, EBDITA and Net margin.
o Dharamshila Hospital
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Consultants management, their credentialing and privileging, coordination and
cooperation with each other ,remuneration etc
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Ensured quality and patient safety through Clinical Monitoring and measurement of
medication errors , surgical care, Nosocomial infection, patient falls etc and
developing better processes and their implementation
o
Monitored the work of Anaesthesiologist, Oncosurgeon., Medical and Radiation
Oncologists, Surgeons, Urologists, Gynaecologists, Physicians and Cardiologists,
Gastroenterologists and other staff
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Monitored day to day maintenance and engineering services .
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Handled staff and patients complaints in a time bound manner with planned action by staff at
their respective level in terms of their scope of work and authority.
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Formulated plan for further development of Facility Management services based on statutory
requirement and needs of the hospital.
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Ensured use of menu card for each patient according to diet prescribed , generation of diet
sheet for each ward and weekly menu planning, proper storage and cleaning .
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Coordinated with TPAs , to increase revenue and further empanelment.
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Ensured legal and statutory compliance including preparation of draft for legal cases
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Almora Hospital(Fortis-Dena)
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Developed Business Plan, Quality Plan
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Recruited Consultants for the hospital.
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Implemented quality as per National
providers.
Accreditation Board for Hospital and Health care
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King Fahad Specialist
ongoing activities)
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Review and development of Hospital Mission ,vision ,goals ,scope of services,
Quality plans in line with the needs of the community and resource
availability,
as also
of
the departments by providing guidance to
Department Heads.
Guiding Departmental Heads in development of policies and their
implementation.
Planning and implementation of Medical Staff Operations in the provision of
care.
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Hospital,
Saudi
Arabia(current
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Providing feedback to Consultants and Nursing staff on their performance
with respect to benchmarks for improvement of quality.
Review and development of Hospital Quality plan.
Review and updating of Medical Staff Bylaws.
Supervision of Implementation of JACHO/JCI Standards in Hospital.
Monitoring the work of Hospital committees and developing strategies to
rectify shortcomings including detailment of task force to further analyse the
problem and make recommendations to improve functioning of hospital.
Setting Agenda for Quality committee.
Redesigning the processes as per functional and statutory requirements with
reframing of policies and procedures accordingly.
Guiding Medical and Nursing staff in development of patient care pathways
using the analytical and statistical techniques.
Steering Medical Staff towards adoption of International protocols with
regards to diagnostic investigation and management as per the
recommendations of International bodies and authorities on the subject.
Use of Quality techniques for evaluation of day to day problems like Fish
bone charting ,Process charting etc.
Performing evaluation of clinical quality based upon indicators already in
public domain and developing new ones as required.
Assessing trends in quality indicators such as nosocomial infection, patients
fall, bed sores, medication errors by statistical process control chart.
Monitoring of incidents report for adverse events, their analysis
and
ensuring corrections in the systems and procedures.
Developing a “Patient Centred environment” and a “Culture of patient
safety” .
Planning and Organising training sessions for all category of staff with focus
on Hospital Mission, Vision, Values and quality.
Monitoring of
compliance with training schedules including orientation
training of Medical and Nursing staff.
Managerial monitoring of services such as registration, billing, and better
organisation of flow of Patient towards Doctors, Diagnostic services, timely
accessibility of records
Use of lean and six sigma techniques for elimination of waste and reduction
of variation in the processes
Development of Model to Anticipate potential errors through failure mode
effect Analysis.
Evaluation of consultants, specialist paramedical staff as per predefined
criteria.
Assessment of Patients and staff satisfaction, analysis of data and
development of Action plan to improve the operations.
Ensuring Statutory compliance
Designed evaluation through brainstorming and
organising information
through Affinity diagram, flow chart, matrix.
Improved Discharge services with timely discharge by way of activating and
monitoring the processes such as discharge alert, pharmacy discharge,
billing discharge, and physical discharge and handing over of discharge
summary in time to patients.
Improved communication with patients at the time of discharge through
development of standardised communication for different category of
patients in order to have better understanding of care plan ,avoidance of
medication error and complications of disease.
Developed Risk Adjustment model for mortality in cardiac surgery and
morbidity in Percutaneous intervention through logistic regression
techniques.
Miscellaneous knowledge
and experience
 Thorough knowledge of Insurance sector ,TPAs both Public and private, their methodology of
working, current problems with hospitals, the opportunities for improvements e.t.c
 Selection of medical and paramedical staff ,their training both on technical and soft skills
 Extensive experience in management by objectives and using the principles of convergence of work.
 Leading team with a broad conceptual understanding of the dynamics of group, members interaction in
team, their role in team and their judgement of situation.
 Experienced in implementing principles of organization development to improve organization capabilities
and effectiveness.
 Demonstrated business acumen in leading and managing the operations, effectively discharging the
functions and achieving higher rate of organic growth.
 Extensive experience in conceptualizing and implementing SOP’s, Work instructions, process
improvement, resource allocation, assessing outcomes including costing and utilization in hospital
operations.
 Marketing of hospital services to TPAs, Corporate, PSUs and local referrals with or without the support of
media including Radio, TV, Print media and so on.
 Experience on designing Hospital information systems including networking of three hundred bedded
hospitals at Chandigarh and Lucknow.
 Vast experience in advanced statistics including one way Anova, two way Anova, Multivariate
Anova, Factor Analysis, Linear Regression, Multiple regression ,Multivariate regression Logistic
regression, Cox regression, Structured Equation Modelling etc particularly its application in
assessing causes for particular
outcome such as surgical complication, ICU morbidity,
employee productivity, employee turnover and so on.
 Hands in experience in overall management, supervision and implementation of health programs.
 Proficient in establishing communication with patients and their relatives with the ability to respond to
their needs.
 Possess diagnostic / decision-making / problem-solving & people management skills.
Employment Chronicle
Tenure
Organization
Designation
Nov 2012 till date
All India Institute of Medical Sciences(AIIMS) Patna
MS
A Premier Institute
Jan 2012 till Nov 2012
Arpana Hosp
MS
Dec 11 to till Dec 12
King Fahad Hosp, Kingdom of Saudi Arabia
Quality Specialist
King Fahad Specialist Hospital Al Quassim,Buraydah, a tertiary care regional hospital in the Capital of Al
Quassim State
Hospital has specialised
Cardiac centre doing
More than 200 CABGs including High risk cases with Acute MI in cardiogenic
shock with renal impairement ,less than 30% EF,Diabetics, Extracardiac
Arteriopathy, rest Angina, Pul Htn with almost nil mortality.
DVR,SVR, Double procedures
150 paediatric cardiac surgeries-ASD,VSD,TOF,DCRV repair ,TGA,PA Banding, PDA
Ligation PAPVD, Pul valvuloplasty, COA repair,
2500, Primary PCI ,PCIs and CAGs per year,
EPS,RFAs
Transcathetor valve replacement,Percutaneous closure of PFO etc
A Cancer Centre,
Nephrology, Centre,
IVF Centre,
Orthopaedic, Reconstructive Surgery Centre
A Psychiatry and Rehablitation Centre
Trauma centre
All superspecialities and specialities.
10- 11
09 - 10
Dec’07-Jun 09
Dena Hospital at Almora
Dharamshila Cancer Hosp Research Centre Delhi.
Sahara India Medical Inst. Ltd., Lucknow
Director
Medical Superintendent
Project Coordinator &
Medical Superintendent
A 350 crore project ,implemented by AHEL, Archimedes, Architect and Engineers of Sahara Hospital.
Project included a 15 storey building with centralised AC, FCUs, 9 OTS with hermetically sealed
doors , Labour room, Gyn OT ,NICU , 75 bedded ICU, Most sophisticated CSSD unit with three zones
with pneumatic control and gas driven sterlizers and ETO Plant , Blood transfusion Dept,
Standalone Endoscopy and ERCP Unit, 1.5 texla MRI, 64 slice CT, Digital X ray units, Mammography,
US units, 350 beds of all types on centralised ACs of 1500 tonnes, OPD on three floors on VRVs,
Centralised medical gas pipelines, a UPS of 1500 KVAs, two boilers of 2 tonne each, structured
cabling with bus coupling with LT transformers, three Generator of 1500 KVA each, A Laundry,
Dietary service Dept on gas pipelines, Building Management System, ETP, Underground parking
with exhaust system, LAN connecting entire hospital with exclusively designed server on Precision
AC, Emergency Dept, A nursing college and so on.
Jun’06-Dec’07
Dharamsila Cancer Hospital & Research Centre
Medical Superintendent
Responsible for the delivery of entire medical care, compliance with statutory authorities, implementation of
ISO and NABH standards and their proper documentation. Managements of contracts with service providers
such as, housekeeping, , waste handling agency and diagnostic services. Handling of medico legal cases.
Feb 1983
Services Hospitals
Hospital Administrator
Core Competencies
Strategic Planning
 Formulating long term / short term strategic plans and SOPs to enhance operations.
 Developing functional strategies .
 Developing systems and ensuring behaviour of the staff conform to system requirements.
 Conceptualizing measures in operating procedures to monitor quality, optimize resource/capacity
utilization. Spearheading cost saving and improvement initiatives in processes.
 Giving recommendations for scientific inventory control and measures to streamline & strengthen the drug
supply system.
 Executing new projects and collaborating with hospitals and other agencies.
 Special interest in organisation behaviour and its application for achieving the objectives of organisation
particularly developing a climate for patient safety, customer orientation and quality in care through
training of people both formally and informally.
Hospital Administration
 Handling administrative matters in Multi-Specialty Hospitals.
 Supervising a large staff of doctors, nursing staff and paramedicals.
 Managing the Hospital operations including, budgeting, personnel, HR, PR, technology & spearheading
teams for excelling business targets & service delivery metrics
 Complying with regulatory authorities
 Developing schedule of charges with a view to optimise revenue for the hospital.
 Developing Procedures ,methods and systems for medical and non medical operations
 Ensuring proper implementation of policies towards promoting & protecting health & safety and
environment & organisational effectiveness.
 Ensuring compliance with the standards of JCI/NABH.
 Scrutinizing working / performance of other functional groups; providing them assistance to improve their
functioning & processes.
 Overseeing the services operations & maintenance of hospital building, components, including interior
utilities & equipments.
 Planning Hospital Projects and their implementation.
 Recruiting, selection and management of medical staff including consultants.
 Planning, procurement and management of Hospital equipment including equipment like double modality
scanners, MRI, Ventilator, Anaesthesia Machine, Monitors, etc.
 Ensuring delivery of quality care.
 Leading the team for achievement of Financial and non financial objectives.
Medical Operations
 Directing the medical operations and activities in the Hospital including assessment of performance of
consultants in terms of conduction of OPDs, IPD care, medical and surgical complication rate , Hospital
infection, documentation of care ,dealing with patients , patient retention and holding capacity, academic
activities, cooperation coordination with medical and nonmedical staff
 Assessment of quality of care through constant monitoring of care and use of indicators including
indicators developed by international bodies like JACHO ,American College of cardiology,American Heart
Association, National comprehensive cancer Network.
 Developing brand by ensuring each important operation including reception , flow within the hospital,
diagnostic services, hospital stay, discharge process becomes a brand by itself
Healthcare Services
 Organising Screening programmes and Medical Camps in liaison with Medical Professionals
Notable Attainments
 Medical Superintendent of All India Institute of Medical Sciences Patna.
 Quality expert with Ministry of Health Saudi Arabia.
 Director of Hospital in Almora
 Medical Superintendent of two Large Private Hospital including a corporate hospital Sahara Hospital at
Lucknow
 Holds the distinction for the successful execution of various projects like Dialysis Centre , Installation of
LAN at Chandigarh, , and a 400 Crore Hospital Project at Lucknow.
 Development of manuals for NABH at Dharamshila Cancer Hospital and Research Center
 Coordinated the launch of Asia’s largest Hospital at Lucknow in Feb 09 and its subsequent successful
operations .
Papers Published
 Published papers in National / International Journals on:
– PREDICTORS OF IN HOSPITAL CARDIAC ARREST AND IT’S PREVENTION IN A CARDIAC UNIT -A paper
presented in 2nd International conference on innovation & Entrepreneurship in Health care (IEH2013)
and Abstract Published in Australian Medical journal ,issue 2,volume 7,2014.
-Mortality Prediction Model in Hospital Outcome Evaluation: A contribution to assess effectiveness of
care in Cardiac care Unit at International forum on quality and safety in Health care at Le
Palais des Congres at Paris on 9th April 2014.
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Purchasing Medical Equipment - an example of CT Scan and Ultrasound
Plastic Medical Waste and its Management.
Trend analysis of hospital inpatient admission for Tuberculosis at MH Namkum.
A Study of Service quality and its relationship with Inpatient satisfaction.
Hospitals in India - the next challenges.
Important issues in Accreditation of Health Services in India.
IT Skills
 Exposure in C+, UNIX, Oracle.
 Experience in LAN - both hardware and soft ware & Tele Medicine Projects.
 Well versed with computer and software application including all aspects of statistics and financial
planning.
Scholastics
2003
Post Graduate Diploma in Financial Management from IGNOU.
2002
MBA (Personnel Management) from Ranchi University.
1999
DNB (Health & Hospital Administration) from Diplomate of National Board.
1996
M.D (Hospital Administration – 3 years) from AFMC Pune.
1982
M.B.B.S from MLN Medical College, Allahabad.
2012
NABH certification course
Certification from Harvard University in Clinical Public Health Research and Berkeley University in Statistics.
Certfication from MIT on Data Analytics
Certifications and Membership
Life Member of Indian Society of Hospital Waste Management.
Member of Academy of Hospital Administration.
BLS provider Certified by Saudi Heart Association and American Heart Association.
Registered with MCI, UP Medical Council, Delhi Medical Council and Saudi SCHS.
Date
of
Birth:
29th June 1958
References
Dr HP Kumar -Director Sahara Institute of Medical Limited and Sahara Hospital Lucknow-09839277500
Dr R Bhalla Dean IIHMR Delhi