A practitioner first, a consultant second.
I did not come to this work from a training room. I have run diagnostic laboratory operations, led CAP peer inspections, and built quality systems inside institutions that could not afford to fail an audit.
That shapes every engagement. I know where quality systems break, because I have stood in the gap-closure room the night before a mock inspection.
Today I work independently, helping diagnostic laboratories, hospitals and healthcare networks earn and sustain accreditation. Institutional engagements run through Process & Quality Improvement Consultants (PQIC).
- Where Remote and on-site, worldwide
- For Diagnostic labs, hospitals, healthcare networks
- Expertise CAP, ISO 15189, ISO 7101, JCIA readiness, regulatory compliance, LIS/HMIS advisory, training, business growth consulting
Six disciplines, one aim: accreditation that holds.
Every engagement is scoped to your stage: first-time applicant, re-accreditation, or continuous readiness.
CAP accreditation
Gap assessment, CAPA architecture, mock inspections and inspection-day readiness, led by a CAP peer inspector who knows how the inspection team thinks.
- Gap analysis against CAP checklists
- CAPA closure and evidence documentation
- Mock inspection in the team leader role
- Post-inspection remediation
ISO 15189 implementation
Full QMS design for medical laboratories under ISO 15189:2022, from policy architecture to competency assessment, technical records and internal audit.
- QMS documentation framework
- Risk management integration
- Competency and training programs
- Internal audit program design
JCIA and regulatory compliance
Hospital accreditation readiness under Joint Commission International standards, alongside local frameworks including HCC, DRAP and PHRL.
- JCIA standards gap analysis
- Survey preparation and mock surveys
- Regulatory registration support
- Governance and policy review
LIS and HMIS advisory
Assessment of laboratory and hospital information systems, workflow integration design, and requirement specification for digital projects.
- Requirements and vendor evaluation
- Workflow mapping and integration design
- Data integrity and validation planning
- Implementation oversight
Healthcare data analytics
KPI frameworks, Power BI dashboards, turnaround time analysis and quality indicator reporting built around accreditation requirements.
- KPI architecture and metric design
- Power BI dashboard development
- TAT analysis and benchmarking
- Quality indicator reporting
Training and capacity building
Programs for laboratory staff, quality officers and management, from QMS fundamentals to internal auditor preparation and leadership coaching.
- QMS awareness and implementation
- Internal auditor training
- Coaching for quality managers
- Custom workshops
Four phases. No shortcuts.
The same structure every time, because sustainable quality systems are not built by improvising.
Diagnostic audit
A structured gap assessment against the target standard: CAP checklist, ISO 15189:2022 or JCIA. Each finding is documented, ranked by risk and effort, and turned into a remediation map with named owners.
Architecture and roadmap
Design of the quality system: policies, procedures, forms and governance. A phased roadmap with milestones and owners, tied to your accreditation calendar.
Implementation
Hands-on support for documentation, staff training, process change and system integration, with regular checkpoints, CAPA tracking and mock audits before the real inspection.
Readiness and handover
Final inspection preparation, team briefing and a handover that leaves your team able to maintain the system without a consultant holding it together.
Beyond consulting: a digital quality management system.
Most quality systems live in binders and spreadsheets. They are hard to maintain, invisible to management, and forgotten between audits.
The digital quality management system was built at QatalystCore LLP, our healthcare ecosystem development venture, and is live at client sites. It covers the compliance lifecycle from the first gap assessment through continuous monitoring and re-accreditation.
- Standards-mapped tracking (ISO 15189, CAP, JCIA)
- Document control and versioning
- CAPA lifecycle management
- Internal audit scheduling
- Quality indicators dashboard
- Training and competency records
Let us talk about your accreditation.
Starting a CAP application, preparing for an ISO 15189 surveillance audit, or evaluating a new LIS: write to me and I will tell you plainly what I can do.