cqisample
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Transcript of cqisample
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Improving Documentation
of Medicines Administered
to Phil health Patients
at the Medical Wardof Davao Medical Center
Team members(write the names of members)
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Introduction
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STEP 1 Reason for Improvement
MULTIVOTING
Theme 1stVote 2ndvote 3rdVote
A.
B.
C.
D.
E.
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Theme Selection Matrix
THEMES CUSTOMER(S)IMPACT ONCUSTOMERS
NEED TOIMPROVE
OVERALL RANK
Nurses
Documentation
Internal:
Nursing personnel,Doctors, Medical recordspersonnel,
External:
Patients, PHIC Audit Team,
Trainees and affiliates
5 5 25 1
Staffing Internal: HealthPersonnel
External:
Patients
4 5 20 2
Knowledge onHospital Policy
Internal: HealthPersonnel
External:
Patients
3 4 12 3
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Step 2 Current SituationProportion of Completeness of Medication sheet of Phil
health charts at Medical Ward forFirst Quarter of 2007
0%
10%
20%30%
40%
50%
60%
70%
80%
90%
100%
Jan Feb March
Complete
Incomplete
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Problem Statement:
From January 1 to March 31, 2007, 66% of
medication sheet of Phil Health patientscharts at the Medical Ward of Davao Medical
Center were incomplete; thus causing delays in
PHIC claims and reimbursement.Target for Improvement:
By the end of December 31, 2007,
Incomplete medication sheet at the MedicalWard will be reduced to 30%.
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IncompleteMedication
sheet
Nurse
Process
Materials
Step 3: Analysis
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Step 5 Results
Proportion of Completeness of Medication sheet
of Phil health charts at Medical ward in 2007
0%10%
20%30%
40%50%
60%70%80%90%
100%
JAN
MA
RCH
MAY
JULY
AUG
OCT
DEC
COMPLETE
INCOMPLETE
I
N
T
E
R
V
EN
T
I
O
N
BEFORE AFTER
----------------------------------------------
Target 30%
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Step 6 Standardization
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Step 7 Future Plans