Janhavi Shah

A seasoned professional with nearly 14 years of experience in the space of healthcare across different areas of Clinical practice, Medical Service Administration and Quality Management.

Nurtured a culture of continuous up skilling and commitment to quality, working with top rated hospitals of Mumbai.

Excellent communicator, communicating equally well with Management and on-field team.

Expertise in Change Management, leveraging core clinical and quality experience, helping hospitals reach desired goals with minimal operational impact.

A self-motivated person with hunger to excel and a practitioner of Learn– Implement- Share Ideology. Team-based management style coupled with the zeal to drive visions into reality; possess leadership skills for balancing limitations of resources without compromising on organizational and accreditation mandate.

A Technology enthusiast, with close involvement in MIS implementations for hospitals.

NABH External Assessor

Hospital Inspector Member for TAU University for certifying Post Graduate Education Programs for Hospitals.

Content contributor, course design, teacher for CAHO & ASTRON; faculty for workshop at CAHOCON.

Trainer in healthcare communication by IHI Internal surveyor by AACI.

• Leading the clinical operations with maximum efficiency
• Empanelment of consultants and privileging of the same
• Developing clinical departments and functional and marketing Strategy
• Planning of newer clinical services for the organization
• Coordination with support departments to achieve organizational goals
• Ensuring adherence to clinical-legal compliances of the hospital
• Ensuring adherence to all the clinical protocols of the hospital and analyze the variance if any.
• Ensuring and framing in association with HR, the training calendar for doctors, nurses and paramedical staff
• Framework design and implementation of Clinical Governance
• Plan and monitor and supervise Clinical Audits as well as Nursing Audit
• Co-Head the infection control and surveillance program and liaise with multiple departments to ensure protocols are adhered to
• Chairing and Member of various committees of the organization.
• Responsible for credentialing and privileging of Consultants, Junior doctor and paramedical and nursing staff.
• Work in liaison with IT team to implementation of EMR and digital documentation
• Monitoring clinical outcomes, KPI and oversight of quality implementation.
• Responsible for implementing quality standards and development of KPIs for monitoring operations.
• Part of the business growth strategy and planning.
• Academics planning and inspection coordination and monitoring adherence to academic body compliances.
• Played an active role and lead the clinical team during accreditation journeys.
• Part of clinical research, scientific committee and ethics committee.

• QIMPRO – Level 2 Qualitist badge (2021)
• Commonwealth Excellence award- Special recognition (Healthcare category) (2022)
• Recognized as Womens’ Leader in Healthcare by Medgate Today(2023)

• Indian Society of Anesthesiologist
• European Society of Regional anesthesia
• Indian Association of Palliative Care
• Indian Medical Association
• International society for Quality (ISQua)
• Lifetime Member of CAHO (Consortium of Accredited Healthcare Organisations)
• Rotary Club of Mumbai Queens Necklace
• Bombay Gymkhana

• Attended training conducted by NABH on implementation of NABH standards for Pre-Accreditation Entry level hospital in Nov 2017
• Attended a training on clinical audit by NABH in Jan 2018
• Attended training on Documentation for Entry level hospitals in Pune in April 2018
• Attended POI for NABH standards at Hyderabad, Dec 2018
• Underwent NABH assessors training and was selected as an assessor for NABH accreditation since Jan 2019
• Attended the JCI Way training held by Joint Commission International Mumbai in August 2018
• Was part of the workshop on NC closures for NABH accreditation held at Bharti Vidyapeeth university, Navi Mumbai in Oct 2018
• NABH training for ethics committees held in September 2019 at Pune
• NABH Assessors training for 5th edition, NABH standards
• Quality Tools and Techniques - CAHO