MeetingJune 24, 2015, 9:45 amRoderics Recort

Prayer: Dr. SueCall to Order: Dr. Leda Claros-AlegataReading of Minutes of the Previous Meeting: AWL

Recommendations from Dr. Joson: Review customer feedback for the whole hospital as basis for the Maternal Death Control Management feedback form (separate) as has been started since 2013 as per PHIC bench-book. Identify OB cases from the OPD Customer care form separate from OPD Interpret the feedback Customer satisfaction rating form use for in-patient specifically for OB for the purpose Systematic way of getting the feedback (go for discharges per day) average 10/day Make sure 5 of the discharged patient to answer the customer satisfaction rating form Collate monthly Make another survey form separate for out patient In-charge for gathering the survey result : OPD staff, in patient - billing

(see changes on previous minutes table from IT rep)

25% this year, 50% for 2016, 75% for 2017, 100% onwards Allowed: 2015: 3, 2016: Avoid DOA by networking: training MHOs, integration and not over-lapping Reaching out (scope: whole Sibugay) Starting this day, a representative from DOH should be present and from the PHO should be present during maternal death control meeting. Include in recording incidents of DOA Submit table today with complete data

Assignment for Dr. Leda adverse events (refer to OCIL)

No questions on the previous minutes of the meeting.

Presentation on the Asian Hospital Award: Dr. Joson

Under the category on COMMUNITY HOSPITAL IMPROVEMENT NBB and No out of pocket Create figures comparing 2013 and 2015

CURRENT AGENDA: The refining of our Task/Action Plans

Preventive and Mitigating Plans

Pharmacy list of meds are put on the website by DJ Six month supply thru consignment Edit the inputs on the website Provide guidelines on the use of medicines

Attach activities/meetings as part of documenting in the website Manual/procedures and policies Project data requirements specifically on the OB Make all data structured Attach ordinances which will serve as proof Practice independent auditing Ensure docs to be in place

Remind everyone for the timeline of finalization of all documents

Diagnostic EquipmentNiel Esquillo - chairmanFundaCombistaAnchetaSantos Include all laboratory equipment used for maternal usage In case UTZ is unavailable, refer to higher or RHUs trained in utz

Start answering from below

Blood Combista Use dextran as blood substitute Explore Jehovahs witness practices Create plans and innovate Consultants must discuss on hemoglobin level on administering/transfusing of blood Provide Practice guidelines

Adequate Health Professionals Dr. OlmoguezCompetent Involves everybody The need for clinical pathways Try to communicate with Dr. Joson Use the membership of the committee as a guide in identifying of staff who needs higher levels of knowledge and skills Methods of training either from inside training or from outside Come up with learning curriculum Dr. Joson will communicate with Dr. Olmoguez Mr. Rejas must be included in the task force to cater those personnel other than the medical personnel

How to develop practice guidelines within work place

LATE REFERRAL Dr. Marial Include in the team of Educating/Mind set Formulate an education program Coordination with the RHUs Request the assistance of Ms. Shirley Alde HEPO is needed in the hospital (for postpartum) Designate a permanent HEPO for the hospital (Ms. Vergara), alternate HEPO shall be from PPW Come up with networking system

Networking/Educating Vergara Advisory of WHERE TO GO Establishing communication line

Document the information dissemination of MDCMS to all ZSPH personnel Come out with statistics with how much a normal delivery and caesarian section cost (range and average) in a week as baseline data (for sampling) to trim down the cost Include all OB cases, eclamptic patients

Deployment Make sure there is communication in everything we do With trainings, there must be orientation

Evaluation There must be a review every month Contents of evaluation shall be recorded Summarize everything

Documentation Must be recorded and documented and included in the website Attach also pictures taken in every activity Fill-up the statistical aspect on agenda 5

Ms. Shirley Alde Asked for a link in giving way for sources in addressing expenditures for training and higher education processes for the team

Dr. Joson OCIL is free

Dr. Sue Has already committed Identify what kind of training then make a proposal

Dr. Bastero Refer to CME, Dr. Sahi

CommitmentCollaborate

Available