Healthcare Quality, Patient Safety, Accreditation Consultant


Building hospitals and healthcare organizations quality management and patient safety structures and systems to guide the continuous performance improvement activities.
Help, lead and guide hospitals and healthcare organizations in achieving national and international accreditation, e.g. JCIA

Work History

TQM Manager, SGH Madinah

Saud Al Babtain Cardiac Center

From February 2013

Sept 3003 - Aug 2009

I was responsible for the Total Quality Management department and the hospital wide quality management activities in SGH Madinah for 6 years started since the opining of SGH Madinah in 2003 ended by promotion as a SGH group Quality and patient Safety Director in 2009

Sheraton Dammam

From February 2012

o Medical Record workshop - Taif - March 2012
o JCI Preparation lecture - Quality week, Taif Military Hospital Marh 2012.
o Using Data for Improvement workshop - Jubail
o The Quality Day with MOH Madinah,
o Quality Symposium with MOH Madinah, Intercontinintal Hotel
o How to Develop Policies and Procedures with MOH Madinah
o Quality Symposium, SGH Jeddah
o Using Data for Improvement workshop - Obroy, Madianh
o International day for civil defense, Madinah
o Haj Symposium, SGH Madinah
o Leadership and Communication skills, SGH Sanaa
o Using Data for Improvement workshop, SGH Sanaa
o Your Role in JCI Accreditation, JUH, Jordon

Quality and Strategic Planning Director

Jubail, June

June 2011 - May 2013

Royal Commission Health Services Program for Jubail Industrial City managing one hospital (220 Beds) and 3 primary healthcare centers.

I was responsible for managing quality and patient safety activities including performance improvement projects, risk management, accreditation preparation activities as well as coordinating and monitoring the hospital and departmental strategic and operational plans.

I started the hospital journey towards the JCI accreditation through building the hospital mandatory Policies, procedures, plans and Medical records forms and prepared the infrastructure for the full implementation of the standards, so, I almost finished the design phase, and left the hospital ready for the full implementation in which the plan is to get the accreditation by 2015

SGH Group Quality and Patient Safety Director

Saudi German Hospitals Group

September 2009 - April 2011

Saudi German Hospitals Group is a group of 5 hospitals, in Jeddah, Aseer, Riyadh, Madinah and Sana'a Yemen.
I was the group quality and patient safety director, in which I was responsible in running, managing and coordinating all quality and patient safety functions all over the group.
I was managing, coaching, coordinating and supervising the quality and patient safety activities for each hospital through each hospital quality manager and teams, receiving, analyzing and comparing all the hospitals data including the key performance indicators and used it for bench-marking and improving the whole performance of the group.

With my active participation and coaching, the 5 hospitals got the JCIA accreditation by 2009.
I also lead SGH Madinah to successfully pass the JCI for cause Focus survey in May 2010
I was responsible to maintain the quality standards all national and international Standards all over the group and to maintain the JCI accreditation status for all hospitals as well as sharing the plans for the new hospitals especially SGH Dubai

I Was Also responsible in assisting and monitoring the full implementation of CBAHI standards in all SGH hospitals inside KSA

Accreditation Consultant


May 2009 - March 2013

AGI Consultant:
I'm also working as a part time AGI consultant in which I shared the AGI Consulting Co in successfully achieving JCIA for 2 hospitals:

A) Saud Al Babtain Cardiac Center in Dammam to get the JCIA accreditation in Jan 2010.
B) Jordon University hospital that also got the JCI accreditation in March 2010
I shared AGI in as a surveyor in many mock surveys, as well as giving on site consultations, document review, and email and telephone follow up activities

Quality and Patient Safety Manager

Saudi German Hospital - Sanaa- Yemen

June 2006 - April 2011

I was selected by the group corporate office to set up the SGH group system there, I joined SGH Sana'a from 15 June to 7 Oct 2007 in which I successfully set up all the applicable policies and procedures, protocols and guidelines to standardize the care, as well as setting up the quality management system as well as conducted a comprehensive training and education program given to all the staff there, and then trained the new TQM Manager there about SGH group system.

Deputy Director

El Serw Central Hospital

Up to September 2003

Pediatric specialist

3003 in El Serw Central Hospital -90- Beds

Resident of Pediatrics

Zarka Central Hospital


General Practitioner

Internship, "House Officer

March 1991 - February 1992

Qualifications & Certifications

Quality Management

American University in Cairo


Mansoura University


Cairo University

Healthcare Quality

Hospital Accreditation Surveyor/American Institute of Healthcare Quality

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Khaled Abou Ali provides the following services:

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