John Hopkins Description Quoted

Dr. Mohamed Talaat Abdelhakeem ElKholy join work on April 18, 1993. He was licensed by the Ministry of Health as Internal Medicine Consultant. He was appointed in the Quality Assurance board. Saudi Aramco took the ownership and responsibility on April 1993, after the Royal Order of merging SMARC company under Saudi Aramco. he continued doing his duties under Continores Quality Improvement program that represented an upgrade to Quality assurance board. He was hired as a regular Aramco employee on November 1, 1997 after spending this period as Short term Contacting (STC) with continuous service since April 18th, His job title was Quality improvement physician/performance improvement physician. Also, he was the team leader for hospital’s based Quality improvement team. The mission was to assure providing Quality medical care for Saudi Aramco Employee and their dependent, this was through major contracts with Hospitals that made a network of private hospitals all over the Kingdom. His duties were mainly in the Eastern Province.Saudi Arabia. This system, of work aimed optimal assessment, monitoring, following up, and upgrading the medical care to beneficiaries through this extensive network of medical providers. The scope of work was challenging and dynamic. To realize the goals sincere work, knowledge, training and innovation were mandatory. 

  • Patient care clinical and managed care in JHAH/Medical designated facilities, and JHAH primary care, inpatient care, intensive care and critical care units( ICU & CCU), long term care (LTC). 
  • Multi disciplinary patient assessment to assure optimal care upon international standards. 
  • Medical contracts administration, as per capita contracts, special contracts, outsourcing medical services, fee for service contracts approval and authorization of services referred to DRG and ICD coding. Also review of prices special priced services and non contracted services and the release for pilling. 
  • Monitoring care and F.U of hemodialysis patients and long term carepod (LTC)
  • Development, implementation and follow up quality improvement programs, and protocols with the medical care providers. Special experience in quality improvement tool and measurements. 
  • Guidelines of safety and loss prevention in a Major Industrial Company “Saudi Aramco” upon GCI safety goals. 
  • Also, justifying sick leaves, injury reports, financial compensation of self-referred medical conditions. 
  • He has specific experience to deal with different parties in the program: MCMD organization staff, the contracted facilities which are major private general and speciality hospitals. Saudi Aramco employees and their deponents, aiming customer satisfaction and quality medical care. 
He had an excellent ability for self-development and training to build up his background, CME, and administrative experiences. 
He is known with his excellent reputation and professionalism to his colleague administrative authority, medical management in JHAH and private hospitals. 
Also, he worked as a surveyor of the medical facilities with the tracer methodology that used by JCI surveyors to evaluate the compliance of medical care providers with their standards. These standards were the international standard (upon JCIA) and Saudi Ministry of Health standards, Two types of tracers were performed with many details, first the individual patient tracer. This incorporates assessment of care, communication, credentialing and privileging. These included and was not limited to Access of cave and continuity of care; this is for improved patient care outcomes and more efficient use of available resources. It is multidisciplinary patient care planning. 
  • Patients and family rights, ambulatory care, in patient care and emergency medical services.
  • Patients to be protected from harm. 
  • Handling ethical issues. 
  • Informal consent. 
  • Confidentiality. 
  • Patients right to have a second opinion. 
  • Patients spiritual needs, compassionate end of life care, pain management, guidelines for refusal or withdrawal of medical care. 
Assessment of patients (AOP) and care of patients (COP)
Medication management and use multiple measure (MMU), Computerized PrescribedOrder Entry (CPOE)
Implementation of an automated drug dispensing system (PYXIS)
Electronic Medication Administration Record (eMar)
Patient and family education (PFE)
Quality improvement and patients safety (QPS)
The concept was QPS processes provide the framework for the organization and its leaders to provide quality patient care in a safe, well managed environment and reduce the risk to the patients, staff and visitors. QI is everyone’s business. The QI programs included usage of: 
  • “Plan-Do-Study-Act” (PDSA) improvement model.
  • Risk management and proactive measures.
  • Near miss and occurrence of variance reporting
  • Failure mode and effective analysis (FMEA)
  • Root Cause Analysis (RCA)
  • Sentinel Event
  • QI Projects
  • JCI library of measures
  • Clinical pathways
  • Service committees included and not limited to drug and therapeutic committee, blood and products transfusion committee and mortality-morbidity M-M Committee
  • Prevention and control of infection included, infection control program, prevention and control of infection committee
  • Governance, leadership and direction: providing excellent patient care requires effective leadership. 
  • Facility Management and Safety (FMS)
  • Staff qualification and education medical staff structure ad responsibilities. Documentation requirement and medical record
  • Management of information and confidentiality of patient information, use of equipment, infection control, medication management, organizational structure, orientation and training, patient safety (IPSGs), Q.I., patients education, staffing, patients rights and ethics. The system of theme-based tracers that focuses on issues that are system-based hospital wide; medication management, infection control, department and source quality measurement, facility management and safety system.  
Dr. Mohamed Talaat ElKholy has opted to have early retirement for Saudi Aramco on December 31st, 2015.