- The clinic had issues with patient file documentation, with the TB intensive case finding form being completed for only 2% of active patients and medical data forms only 40% complete. - A "name and shame" project was implemented where the staff person responsible for incomplete or outdated files would be announced each day. This continued for six months. - The approach was successful, reducing incomplete files mentioned each day from an average of 25 to only 1-2 files within three months. TB screening and medical data collection improved to 95% of files.

2. ABSTRACT
TOPIC:ROUTINE DATA ANALYSIS TO IMPROVE PATIENT FILE DOCUMENTATION
PREPARED BY: VALENTINE MARIWA
SI MATER HOSPITAL

3. BACKGROUND
• Documentation is a process of providing evidence. Nine Quarters that is 24 months back to be precise the clinic had a big
problem with documentation. Patients’ files were not being well updated and it was a challenge in tracing patients. the main
areas focused on include:
• TB intensive case finding form the percentage was at 2% out of the total active patients on care.
• The Medical data form for active patients was at 40%.This made the medical Officer to come up with a way forward of
dividing all active files to staffs to update the medical data. This was a tiring exercise especially for old files, there were a lot
of forms to be updated.
• It took staffs three months to update the forms.
• This was discussed during one of the CQI meeting, and a strategy was invented. It was called “NAME AND SHAME
PROJECT’
OBJECTIVES
• To get the TB Intensive case finding from 2% to 95%
• Patients medical data form updated after every patients visit from 40% to 95%

4. • During routine data entry , the SI Person does file evaluation in each file.
• Files which are not fully documented or updated mostly the three areas, are put aside.
• The SI person analyses the files and makes a list of staffs responsible.
• During daily meetings, the SI person announces the staffs responsible in documenting a specific file.
For example. Kioko had 3 files TB ICF not documented. After the meeting ,the responsible staffs collects files from the Data
Office to document or note the file during patients’ next visit. This happened on daily basis for six months. The first
month an average of about 25 files were seen, this reduced to two, one or zero files in a day by third month of the exercise.
METHODOLOGY

5. Figure:1
TB-ICF documentation became almost perfect. Patients were being screened for TB during
every visit. This is as shown below:
RESULTS

6. • Data summary form is currently updated for all active patients on care. This is from 60% to 95% by
March 2014 it was 94%:
Figure: 2
0
500
1000
1500
2000
2500
3000
3500 Files documented out of Total Active files
No.of files documented
Total active patients

7. CONCLUSION
• The aim for these findings was to ensure that all HIV positive patients on care are screened for TB during every visit they
make to the clinic.
• To ensure that patients file documentation is up to date so as to help monitor the progress of the patients. This will easen in
follow ups for priority patients.
RECOMMENDATION
• Make sure all staffs understand the reason for various documentation and necessity for documentation.
• The SI person ‘s responsibility to feedback the staffs on documentation progress on DAILY basis because doing it
daily is manageable.