C.V Curriculum Vitae
Dr. Bahie El Din El Hosiny Metwally
Msc, Hospital Management, Msc, Int.Medicine.MD
FAIHQ, Fellowship, the American Institute for Health Quality
Hospital Accreditation Surveyor, AIHQ, USA certified
Patient health Safety officer, USA, certified
CBAHI, KSA, Quality leadership Trainer certified


Dr. Bahie El Din El Hosiny Metwally
Msc, Hospital Management, Msc, Int.Medicine.MD
FAIHQ, Fellowship, the American Institute for Health Quality
Hospital Accreditation Surveyor, AIHQ, USA certified
Patient health Safety officer, USA, certified
CBAHI, KSA, Quality leadership Trainer certified









· Personal Data:
o Name: Bahie El Din El Hosiny Metwally
o Nationality: Egyptian.
o Date of Birth: 7/9/1950.
o Current Job: Quality Management Department Director, Dhahran Eye Specialist Hospital.
o Social St.: Married.

· Education &Qualification:
§ Hospital Accreditation Surveyor, AIHQ Certified 2009 ~2012.
§ Quality (leadership) trainer, CBAHI Certified. , CBAHI, KSA 2007.
§ AIHQ, USA, Fellowship.2009 ~ 2012.
§ Patient health Safety officer and Risk management, AIHQ, USA, certified 2009
§ Master (Diploma, 2Years) Hospital management, Ein Shams University, Egypt 2004.
§ MD,Int.Med.
§ Master (Diploma) Medicine Zagazig University Egypt 2004.
§ Master Medicine, 1st part Cairo University Egypt 1979.
§ MBBS, Cairo University Egypt. 1974.

HOSPITAL ACCREDITATION SURVEYOR EXPERIENCE:
Hospital Accreditation Surveyor, certified by the American Institute of Health Quality (AIHQ), 2009.
* Accreditation Team, Invited member, Saudi German Hospital, Al Madina 2009.
* Mock Survey Invited member for Accreditation of the Saudi German Hospital, Jeddah 2009.
* Hospital Accreditation Team leader, Preparing for accreditation, Dhahran Eye Specialist H.
* Certified Trainer, Quality Leadership by CBAHI.
* Risk management, and health Safety officer C., AIHQ, USA, 2009.
* Attended intensive 10 days course for hospital surveyor and tracer activities in Al Madina, both theoretical, practical and workshops, trained at the Saudi German Hospital, 2008 Instructed by Professor Dr.Assaf Al Assaf, with special Recommendation for my active participitation in the course activities.
* Dhahran Eye Specialist Hospital, Accreditation Team leader.
APPOINTMENTS AND POSITIONS:
Quality Department Director , Dhahran Eye Specialist Hospital, Saudi Arabia from 2006.till now
Accreditation surveyor, AIHQ, USA, certified 2009~2012.
CBAHI Trainer, Quality (leadership) Certified by the Saudi Council for Accreditation of Health Institutes from 2007.till now.
Medical Director, Nairyah General Hospital, 100Beds Hospital, From 2003.till 2005.
Pre-marriage and genetic counseling officer,Nairyah General Hospital, 2003.till 2005
Chief of Medical Education, Nairyah General Hospital, 2003.till 2005.
Head of Quality Department, Nairyah General Hospital, 2003.till 2005.
Medical Doctor at Pre- hospitalization Department, Dhahran Eye Specialist Hospital .
Medical Doctor, M.O.H .Hospitals, Egypt from1976 till 1982.
Haemodialysis Medical Doctor at, M.O.H, Buraydah Central Hospital (B.C.H), Qassim, K.Saudia Arabia from 1982 till 1999 .
Quality Management Coordinator and Supervisor, Buraydah Central Hospital, 300 Beds Qassim, from 1985 till 1999.
Medical Doctor, and Haemodialysis Doctor, M.O.H, Egypt from 1999 till 2003.


Reponses
o Quality Trainer, Course, Saudi Quality Council, Western Region KSA.2006.
o Accreditation surveyor ,course in Saudi German Hospital ,AIHQ, Al Medina
Al Munawra 2008,KSA.
o Risk management, and health Safety Officer, AIHQ, USA, certified 2009
o CPHQ and FAIHQ,..
o Total Quality Team Facilitator ,KKESH, Riyadh 2006.
o Quality Management,Buraydah and Eastern Province since 1415.H.
o Haemodialysis, king Saud University, Riyadh. 1418 H.
o Haemodialysis,Riyadh in 2004H.
o Genetic Counseling,Riyadh in 2004H.


Fellowship:
Saudi Quality Association
FAIHQ,USA,Fellowship 2008,
Canadian Quality Association 2006.
Saudi Nephrology Club 2003.
Quality Forum National Guard Hospital, Eastern Region.

Trainer activities and projects:
DHAHRAN EYE SPECIALIST HOSPITAL, KSA (DESH), Accreditation preparation Work up Team Leader (CBAHI).
MOH, General Hospital Quality Prize for prince Mohammed Bin Fahd Awarded for the year 2006.
Health Quality CBAHI, Quality Leadership Standards Trainer.
Hospitals CBAHI, and JCIA, Accreditation preparation and assessment.
VIP, Quality Health Service Programme Supervisor.
Skills:
Hospital accreditation surveyor, AIHQ, Certified.
MOCK Survey Skills.
Quality tracer skills and activities for the different departments.
Quality (leadership) trainer CBAHI, Certified.
Performance compliance to mission, vision, values, Scope of service, job description, standards, Policies and procedures.
Incidents, OVR, FMEA, Near Miss, Sentinel events, RCA, and SAC code Analysis skills.
Risk management, safety plans, and disaster plan.
Quality tools applications, and scoring skills.
Quality plans assessment and implementation verification skills.
Strategic goals and monitoring of the performance improvement plans.
Quality standards trainer and compliance assessment.
Resources care assessment, and equipments quality control.
Cost effect analysis and cost reduction strategies assessment.
Risk analysis, health care safety program assessment.
Privileges committee and Peer review skills.
Team leader and facilitation skills.
Hospital and performance improvement sustaining plans.
Resources and utilities care plans.
Medical Records organization and monitoring.
Hospital score card monitoring.
Management of sentinel events, OVR, and immediate resolving actions for Complaints.
Developing an improvement program , encouraging the culture of Honesty,trust,creation
, compassion and loyalty to the institution.
Continuous educational plans.
Patient health education plan.
Friendly, respectable personality, actively communicating, accommodating and self confidence attitude.
Fluent English language spoken and written.

COMPUTER SKILLS:
 Experience on using origin software of data analysis.
 Experience on using the different versions of Microsoft Windows.
 Experience on using Microsoft office.
 Experience on using different graphical software's such as Adobe Photoshop an Adobe illustrator.
 Experience on programming using Visual basic, java script and C++ programming languages.
 Experience on using database programs.
Skills in the application of:
1. QUALITY METHODOLOGIES & MEASUREMENTS
2. SAC CODE
3. PRIORITY SCORING
4. FLOW CHARTS
5. SWOT ANALYSIS
6. FORCE FIELD ANALYSIS
7. SCORE CARDS
8. RCA, OVR, FMEA.
9. FISH BONE
10. PARETO H.GRAMS
11. PLANING
12. FOCUS PDCA ,
13. Classification table ,Confusion matrix ,Sensitivity (true negative rate). ,Specificity (true positive rate).

Lectures ,Workshops and educational activities:
.
Quality Requirements
Quality goals
Team work
Quality strategic plans
Quality tools
Quality monitoring
Quality dimensions
Patients rights
FOCUS –PDCA.
Work Plans ,Strategic and Operational
Successful Meetings and Decisions.
Quality Tools Applications.
Resistance in implementing policies in health sectors.
Safety and Risk management in Health Sectors.
§ Hospital Accreditation and mock survey.
§ OVR, RCA and FMEA, Analysis.

Contact, Data:
Tel. NO:
Hospital Tel. and Fax : 0389182222 -
Cell Phone: 0560212195
Address: K.S.A, Dhahran 31942 - P.O.box 39455 –
Email:drbahie@hotmail.com.