This document provides an orientation on Minimum Service Delivery Standards (MSDS) in Punjab, Pakistan. It introduces the promulgation of the Punjab Healthcare Commission Act of 2010. It outlines 10 thematic areas, 30 standards, and 162 indicators for evaluating healthcare facilities. The standards cover areas like access to care, patient care, medication management, patient rights, infection control, quality improvement, facility management, human resources, and medical records. The document provides an overview of the standards and indicators within each thematic area to guide facilities in meeting the minimum service delivery requirements.

1. 1
GOVERNMENT OF PUNJAB

2. ORIENTATION ON
MSDS
(Minimum Service Delivery Standards)
SYED NASIR ABBAS SHAH
(QAO)
THQ Hospital KotAddu

3. Introduction
 Promulgation of Punjab Healthcare commission act 2010
 Stake Holders
 Surveyors ( Health Experts and Subject Specialists)
 SOPs (Development)

4. Introduction
 Thematic Analysis 10
 Standards 30
 Indicators 162

5. 1- Access, Assessment and Continuity Of Care
(ACC)
 Standard 1 : Indicators 1-6 ( Laboratory Services )
 Standard 2 : Indicators 7-15 (Radiology Services)

6. 2- Care of Patients (COP)
 Standard 3: Indicators 15-20 (COP1-Emergency Services)
 Standard 4: Indicators 21-25 (COP2- Blood Bank and Blood Products)
 Standard 5: Indicators 26-30 (COP3- High Risk Obstetrical Patients)
 Standard 6: Indicators 31-40 (COP4- Administration of Anesthesia)
 Standard 7: Indicators 41-50 (COP5-Surgical Procedures)

7. 3- Management of Medication (MOM)
 Standard 8: Indicators 51-57 (MOM1- Prescription of Medicine)
 Standard 9: Indicators 58-61 (MOM2- Safe Dispensing of Medicine)
 Standard 10: Indicators 62-71 (MOM3- Defined Procedures for Administration of
Medicine)

8. 4- Patients Rights and Education (PRE)
 Standard 11: Indicators 72-75 (PRE1- Patient or Family Consent)
 Standard 12: Indicators 76-79 (PRE2- Right to information on Expected Costs)
 Standard 13: Indicators 80-83 (PRE3- Patient Rights to Complain)

9. 5-Hospital Infection Control (HIC)
 Standard 14: Indicators 84-89 (HIC1- Infection Control Programme)
 Standard 15: Indicators 90-92 (HIC2- Sterilization Activities)

10. 6- Continuous Quality Improvement (CQI)
 Standard 16: Indicators 93-98 (CQI-1- Quality Improvement and Continuous
Monitoring )
 Standard 17: Indicators 99-105 (CQI-2-KPI)
 Standard 18: Indicators 106-107 (CQI-3- Sentinel Events)

11. 7- Responsibilities of Management (ROM)
 Standard 19: Indicators 108-116 (ROM1-Defined Responsibilities)
 Standard 20: Indicator 117(ROM2-Qualified and Experienced Individual Heads the
Organization)

12. 8-Facility Management and Safety (FMS)
 Standard 21: Indicators 118-121 (FMS1- Rules and Regulations)
 Standard 22: Indicators 122-125 (FMS2- Equipment Management)
 Standard 23: Indicators 126-129 (FMS3- Fire and Non-Fire Emergency Plan)

13. 9-Human Resource Management
 Standard 24: Indicators 130-133 (HRM1- Orientation)
 Standard 25: Indicators 134-137 (HRM2- Appraisal System)
 Standard 26: Indicators 138-140 (HRM3- Documented Personal Record)
 Standard 27: Indicators 142-143 (HRM4- Collecting, Verifying and Evaluating the
Credentials)

14. 10- Information Management System
(IMS)
 Standard 28: Indicators 144-148 (IMS1- Complete and Accurate Medical Record)
 Standard 29: Indicators 149-155 (IMS2- Medical Record Reflects Continuity of
Care)
 Standard 30: Indicators 156-162 (IMS3- Review of Medical Record)