KALPANA DEVI SILVARAJ

Hospital-Wide Clinical & Operational Leadership

• Lead the Emergency Department (ED), Mortuary, and Ambulance Services, overseeing operations across 3 critical units, managing 39 staff (medical officers, nurses, assistants, ambulance drivers, and admin), with 24/7 coverage and zero service disruption.
• Increased patient throughput through workflow redesign and manpower reallocation without additional budget.
• Reduced average ED patient waiting time by 50% via triage optimization and introduction of pediatric evening clinics.
• Directed hospital's Mass Casualty & Code Yellow operations, managing over 4 simulated drills and 1 live incident, improving team response time & flow.
• Plan & lead medical team including budgeting, manpower planning, drugs & consumable planning, logistic planning for external events medical support (largest event will be Seremban Marathon Event, in 2023 by providing medical support services in for total of 5000 participants)
• ACLS/PALS/MTLS certified
• Fostered interdisciplinary cooperation among physicians nursing staff other healthcare professionals which resulted more holistic approach patient care
• BLS instructor
• Code blue assessor across the organization, training team on ground on high performance team during a code blue

Occupational Health

• Certified in 2019, trained in occupational related illnesses and injuries, conducting health surveillance programs
• Work closely with industrial Safety officers in advising on workplace safety and health practices, including reviewing HIRARC & CHRA
• Medical surveillance for radiation workers, chemical exposure, noise exposure, confine space workers.
• Conducts return to work assessment for those who have been on medical removal protection (MRP)
• Work closely with DOSH

Health Screening & Preventive Medicine

• Review and perform full medical examination in executive health screening department
• Function as a lifestyle counselling doctor
• Conducts pre-employment screening with fit to work assessment
• Counsel on vaccines, sexual health & mental health

Accreditation Excellence

• Trained & well versed in MSQH 6th edition across all standards
• MSQH Champion in Emergency, Ambulance and Mortuary Service.
• Achieved rating of 4 in MSQH 5th edition for Emergency Services, Ambulance Services and Mortuary services. Successfully contributed to 4-year accreditation to the hospital
• Trained & well versed in JCI 7th edition across all chapters & measurable elements
• Championed JCI in the organization along with QA team to manage multidepartment issues and requirements. Accredited as a JCI accredited hospital
• Successfully lead the Emergency Department to obtain ISO 9001/2015 Quality Management System certification yearly

Healthcare quality

• Well trained on incident reporting management system/root cause analysis/Enterprise Risk Register
• Work closely with the QA team in conducting RCA & implementation of improvement action plan
• Internal auditor for interdepartmental cross audits/IPSG compliance audit/medical records audit
• Auditor of clinical practise guideline (CPG) compliance monitoring in major diagnosis in the hospital (Acute ischemic stroke, STEMI, CAP, Dengue fever & UTI to ensure CPGs are adhered & followed.
• Created workflow / protocol on clinical pathways
• Review clinical SOPs & Work instructions before implementation across the organisation

Financial Management & Cost Optimization

• Managed and monitored departmental CAPEX/OPEX
• Introduced manpower and shift planning that cut overtime expenses
• Guided ED nursing to establish procedure-based packaged billing, reducing underbilling cases and increasing ED revenue contribution.
• Monitored operational efficiency and profitability by tracking cash flow and aligning departmental strategies with hospital-wide EBITDA targets and P&L benchmarks.
• QII on cost saving initiatives like reducing clinical waste
• Efficiently manage the stock / par level in the department to ensure minimal variance during stock take

Performance Management, Organizational Development & Talent Strategy

• Conduct yearly appraisals for medical officers & staffs reporting under me
• Credential & privilege Medical Officers for their core procedures
• Credential & Privilege all nursing staff across the hospital for monitoring of sedated patients
• Overlook staff competency program with nurse educators / clinical instructors
• Contribute to departmental / organisational training & continued nursing educations
• Ensure all ED staffs including medical officers are 100% BLS & ACLS trained, ongoing 100% achievement for PALS
• Ensure medical officers are trained, credentialed & privileged by anaesthetist for moderate sedation administration.
• Initiated & lead stroke management program, pathway & protocol to thrombolysis eligible patient with acute ischemic stroke with stringent control of door to needle time of 60minites or less.
• Working towards achieving World Stroke Organization (WSO) Angels Awards for Stroke Care Program

Digital Health Innovation & System Improvement

• Served as Clinical Lead in HIS and EMR implementation—developed business requirements, collaborated directly with the HIS vendor post-award, and led the User Acceptance Testing (UAT) and Go-Live across departments.
• Created interim solutions for complex patients summary as per JCI requirement into the EMR as it is not supported by current HIS used.
• Partnered with the IT department to optimize clinical information and reduce documentation errors.
• Oversaw system improvements aligned with JCI & MSQH standards for medical documentation and reporting.

Clinical Innovation & Pandemic Response

• Successfully planned and executed Quit Smoking Clinic within the organisation.
• Successfully planned & executed Mental Health support for staffs with complete adherence to anonymity with due respect to protect the confidentiality
• Working with CKAPS in starting home visit service
• Initiated paediatric evening clinics to ease the load & waiting time in Emergency Department
• Completed QIP on improving patient waiting time
• Initiated and regularly organising blood donation drive within the hospitals
• Led Emergency Department during COVID-19 pandemic by restructuring thedepartment, providing additional services that includes, screening, drive-thru swabbing, on-site swabbing.
• Formulated policy & workflow during COVID-19 pandemic in handling inpatients & outpatients.

Stakeholder & Government Engagement

• Collaborated with CKAPS, Jabatan Kesihatan Negeri, DOSH and other regulatory bodies to ensure continuous compliance and successful expansion.
• Represent the hospital in Regional Steering Committee for Stroke Care, contributing to guideline refinement at the district level.
• Delivered multiple corporate health talks, working towards establishing medical concierge services, and successfully increased GP referrals to the hospital
• Liaised with government agencies for annual licensing, home-care service expansion, and public health inspections.

Community Engagement & Branding

• Organized and led blood donation campaigns; contributed to 10% increase in donor participation year-on-year.
• Introduced free ambulance service for referring GPs, increasing hospital inbound cases by 30% from targeted clinics.
• Conducted community BLS/first aid training sessions and participated in healthcare outreach around the hospital's catchment area.
• Involved in international care coordination strategies, including early planning for cross-border patient acquisition and international patient packages to support medical tourism potential as well as medical evacuation advise & planning.

Advisory Roles & M&A Leadership

• Managed clinical knowledge transfer and integration for 3 management transitions during hospital M&A phases.
• Provided advisory services to 2 newly acquired sister hospitals, supporting setup of Emergency, Screening, and Occupational Health units.
• Acted as clinical SME during group-level strategic initiatives and cross-site standardization efforts.

Cross-Functional Collaborations

• Human Resources: Led staff health clinic, sat on DI panels, performed pre-employment screening for all new hires.
• IT Department: HIS Subject Matter Expert; advised and co-developed clinical modules for EMR
• Safety & Facilities: Contributed to ESH committee inspections, fire drill management, and code red leadership.
• Bed Management: Prioritized admissions during peak hours alongside duty administrators, optimizing resource use.
• Procurement: Experienced in preparing tender documentation and presenting CAPEX justifications for approval
• Client Relation: Trained in addressing customer dissatisfaction, investigating complaints, implementation of immediate & definitive corrective actions to prevent recurrence

Awards and accolades

• Awarded as excellent clinical leader in year 2023
• Has been rated 5 (topmost rating) consecutively by Medical Director during yearly appraisals
• Multiple accolades / recognition within the organization for job done well & for excellent service rendered to patient care.