This document outlines various metrics and issues that a ward incharge should monitor on a daily, quarterly, and yearly basis. For daily monitoring, it identifies patient volume, wait times, and service issues at ambulatory areas, as well as conducting rounds, domestic management, and service issues at inpatient areas. Quarterly, the ward incharge should monitor quality metrics, staff satisfaction rates, turnover rates, and hold staff forums. Annually, the ward incharge should conduct a leadership assessment and audit their employee evaluation system.

1. Musa Abu Sbeih
Nursing Affairs Department
The Ward Incharges: What to Check
Daily, Quarterly and Yearly

2. The job of a ward Incharge can be
overwhelming. There are so many
areas to oversee, decisions to
make and problems to solve. If
you aren't careful, you'll spend
your whole day responding and
reacting instead of laser-focusing
on the issues that drive results.

3. Ward Incharge at Ambulatory Area

4. Metrics and Issues to Monitor Daily
1. Outpatient no-shows
2. Clinics starting times
3. Patient volume

5. Metrics and Issues to Monitor Daily
4. "Door-to-doc" time in the Triage
5. "Decision to admit to wards"
time in the Triage
6. Number of patients who leave
without being seen in the
Triage (LWBS)

6. Metrics and Issues to Monitor
Daily
7. Major service issues
8. Major engagement issues

7. Ward Incharge at Inpatients’ Areas

8. Metrics and Issues to Monitor
Daily
1. Major service issues
2. Major engagement issues
3. Preparations for Round
4. Conducting Round

9. Metrics and Issues to Monitor Daily
5. After the ward Round
6. Domestic Management

10. Metrics and Issues to Monitor
Quarterly
1. Quality metrics
1. Process of care measures?
2. Outcome measures?

11. Metrics and Issues to Monitor
Quarterly
2. Staff metrics
1. Are staff satisfied?
2. How are turnover rates?
3. Employee engagement is essential to high-
performance organizations. I suggest
holding staff forums quarterly to give
employees a chance to be heard.
3. Nursing Office Communication.

12. Steps to Take Annually
1. Hold an intensive leadership
Assessment
2. Audit your evaluation system

13. Steps to take Annually
How well do key nurses assessments match up to
the results they're responsible for? If most of your
key nurses receive a "substantially exceeds
expectations" rating, your ward needs to be hitting
most, if not all, of its goals. I find this is often not the
case. If you're using a subjective evaluation tool,
rather than an objective one linked to hard goals, it
may be time to re-think your approach.