7. DR MOHAMED ELFAIOMY
IDENTIFY
WE have to choose the most relevant indicators
according to our :
Scope
of service
Complaint
Problem prone
Budget
High risk areas
KPIs
8. DR MOHAMED ELFAIOMY
Structure
indicators:
•Supplies
•Man power
•Medications
•………
Process
indicators:
Outcome
indicators
•Medical
record
completion
•Site marking
policy
compliance
•Hand hygiene
compliance
•Mortality rate
•Patients
satisfaction
rate
•……
10. DR MOHAMED ELFAIOMY
STEP 2: DESCRIBTION
We use what we call: Indicator Information Set
It describes what data will be collected:
Name
of indicator
Indicator definition
Data elements
Who will collect the data
When?
To whom data will be reported
11. INDICATOR
INFORMATION
DR MOHAMED ELFAIOMY
SET
No.
1
Title :
2
Domain:
3
Definition of the Indicator:
4
Rationale:
5
Type of measure: □ Structure
6
Numerator Definition:
7
Denominator Definition:
8
Include Population:
9
Excluded Population:
10
Data Source (s)
11
Sampling method and size:
12
Reporting frequency:
13
Performance target and Benchmark value ( if available) and source (local or international:
14
Department or committee responsible:
15
Person/s Responsible for collecting data:
16
Dimension of Quality:
17
List of departments, services, committees, or individuals who should receive reports:
□ Process
□ Outcome
□ Process & Outcome
12. DR MOHAMED ELFAIOMY
Quality indicator
3
/
Percentage of the availability of essential supplies and equipment in the dental room / 3 months
,
)
3
(
The indicator determines Percentage of availability of the essential supplies and
equipment in the dental room in the health center, as there will be periodic
checking (every 3 months) on the availability of the essential supplies and
equipment.
Structure indicator
Indicator's definition
Indicator's type
How to measure the indicator
Dental assistant
3
Every 3 Months
Essential supplies and equipment list registry in the dental room
.
At the end of every 3 Hijri months, The dental assistant will calculate the
number of the available essential supplies and equipment in the dental room in
the center to the number of them in the dental supplies and equipment list.
Responsible person for measuring
Frequency
Source of data collection
How to collect data
100 ×
× 100
No. of the available essential supplies& equipment in the dental room
No. of the essential supplies & equipment in the dental manual
%100
Utility utilization committee - Quality Coordinator
Utility utilization committee chairman - Quality Coordinator
Formula
The Target
Responsible Committee or person
To whom reporting
1424
Approved essential supplies and equipment list in emergency services manual.
Primary Health Care manual 1424 H.
Standards of the central board of accreditation for health institutions.
References
14. DR MOHAMED ELFAIOMY
operational
variable
defenition
data
source
data collection
method
who will when data
collect
will be
data
collected
the medical record clerck
register the time when the
parent ask for the file and
record it in the collection
it starts since the parent waiting time sheet
the
waiting time ask for his child's medical data
vaccination nurse record the nurse
in file room record till the file reaches collection
time when the child enters
supervisor
the well baby room
sheet
the room and before he takes
the vaccination
the nurse supervisor collect
the data from data collection
sheet
the medical record clerck register
the time when the parent ask for
the file and record it in the
collection sheet
the
vaccination nurse record the time
it starts since the file reach
waiting time when the child enters the room
nurse
the room till the child name is data collection and before he takes the
supervisor
called in well baby room
sheet
vaccination
the
nurse supervisor collect the data
from data collection sheet
waiting time in
between 21
march and 28
march
between 21
march and 28
march
15. DR MOHAMED ELFAIOMY
Data collection sheet
Title: Waiting time for vaccination room
indicator definition: Waiting time for vaccination from ordering the file till entering vaccination room
sample size:
sample methodology:
Target:
Month:
Responsible person: nurse supervisor
Data Source:
E: Nominator, D: Dominator, B: Exclusion
No.
Chart No.
Time of Request
Time of vaccination
D, E, B
18. DR MOHAMED ELFAIOMY
GROUP ACTIVITY
Find mean , mode and median : 2, 3, 3, 5, 7,
and 10
Mean: sum them then divided by their NO.
30/
6= 5
Median which is the middle number of a
group of numbers
(3+5)
/ 2= 4
Mode which is the most frequently occurring
number in a group
=3
20. DR MOHAMED ELFAIOMY
الرسوم البيانية
•الرسم البياني المؤثر يجب أن يكون بسيطاً و واضحاً.
حً
.
• ب
•يجب أن يعطى رقم مسلسل للرسم البياني.
•يجب أن يكون له عنوان وصفي مكتمل.
•يجب عنونة محاوره مع توضيح الوحدات المستخدمة.
• يجب أن يتم اختيار الرسم البياني المناسب لنوع
البيانات المعروضة.
27. DR MOHAMED ELFAIOMY
The FOCUS PDCA Methodology
“You can’t improve what you can’t
measure.”
F
C
IND AN OPPORTUNITY
O
RGANIZE A TEAM
4. Act
1. Plan
Institutionalize
improvement;
continue cycle.
Identify
problem and
develop plan
for
improvement.
LARIFY THE PROCESS
U
S
NDERSTAND THE
PROBLEM
ELECT A DESIRED
OUTCOME
3. Study/Check
2. Do
Assess plan; is it
working?
Implement
plan on a test
basis.
