Advisor
Dr. Subhashree Jena
Advisor
Areas of Expertise
- Healthcare Quality
- Hospital Administration
- Clinical Audits
- NABH Accreditation Support
Dr. Subhashree Jena is a healthcare quality and hospital administration professional with qualifications in Bachelor of Homoeopathic Medicine and Surgery (BHMS) and Master of Hospital Administration (MHA), backed by six years of experience in hospital operations, clinical coordination, and quality management.
Professional Profile
She brings practical expertise in clinical audits, medical record documentation, quality improvement initiatives, clinical governance, and hospital quality-management systems. Her professional focus is on helping hospitals and nursing homes strengthen clinical documentation, improve compliance, enhance patient safety, and develop sustainable quality practices.
She offers structured, implementation-oriented support for NABH accreditation preparation, quality gap assessments, internal audits, policy and procedure review, Root Cause Analysis (RCA), Corrective and Preventive Action (CAPA) planning, and quality indicator monitoring.
Available for project-based assignments, part-time consultancy, and ongoing hospital quality-management support, Dr. Jena aims to help healthcare organizations translate quality standards into practical improvements in everyday clinical practice.
Areas of Expertise
1. NABH Accreditation Support
- Accreditation readiness assessments and gap identification
- Review and preparation of hospital policies and procedures
- Support for implementation of applicable NABH standards
- Quality indicator monitoring and compliance tracking
- Internal audits and accreditation preparedness
2. Clinical Audit and Documentation
- IPD and OPD clinical audits
- Emergency department documentation audits
- Prescription and medical-record audits
- Disease-specific and procedure-specific audits
- Audit data analysis, reporting, and recommendations
3. Quality Improvement and Patient Safety
- Root Cause Analysis (RCA)
- Corrective and Preventive Action (CAPA) planning
- Quality Improvement Projects (QIPs)
- Clinical audit action plans and follow-up
- Corrective-action monitoring and effectiveness assessment
4. Clinical Governance and Coordination
- Mortality meeting documentation and coordination
- Clinico-pathological and clinico-radiological meeting coordination
- Clinical documentation compliance monitoring
- Coordination with consultants and clinical departments
- Preparation of quality reports and audit presentations
Consultancy Services Offered
- NABH accreditation readiness and gap assessment
- Clinical audit projects for hospitals and nursing homes
- IPD, OPD, and emergency medical-record audits
- RCA and CAPA documentation support
- Quality indicator analysis and reporting
- Hospital policy, procedure, and documentation review
- Quality improvement project development
- Part-time hospital quality-coordinator services
Professional Objective
To partner with healthcare organizations in strengthening clinical governance, patient safety, documentation quality, and accreditation readiness through systematic audits, evidence-based gap analysis, and practical, measurable quality-improvement initiatives.
Contact for Consultancy