OBEID SPECIALIZED HOSPITAL

QUALITY INDICATOR FORM-2019

1 Measure Category : Individual Department/ Services

Hospital Wide
Strategic Priority Improvement
Others

2 Area Monitored : Radiology Department

3 Indicator Name : STAT Report TAT Compliance Rate

4 Rationale :
To evaluate performance of radiology Services
To utilize data collected to improve services
To ensure timeliness in reporting results

5 Dimensions of Quality:
Safe Timely Effective Efficient
Equitable Patient-centered Respect Continuity
Appropriateness Availability Accessibility

6 Numerator : Number of STAT Reports TAT completed within 60 Minutes in a month X 100

· Inclusion Criteria All STAT complete

· Exclusion Criteria None

7 Denominator : Total Number of STAT Reports TAT requested in the same month

· Inclusion Criteria All STAT Requested

· Exclusion Criteria None

8 Selection Criteria "Prioritization Mechanism"

High Risk High Cost High Volume Problem Prone

CBAHI

9 Type of Measure/Indicator:

Structure Process Outcome Process and outcome

10 Sample Size: As per the statistical sample size policy

11 Data Collection Methodology : Retrospective Concurrent

12 Target : 100%

13 Benchmark: (if applicable)

14 Indicator Frequency : Daily Weekly Monthly Quarterly

Semi-annual Annual

15 Source of Data : Radiology Log Book

16 Responsibility : Chief Technologist

(Ownership)

17 Reporting to : Medical Director, QPS Committee

 OBEID SPECIALIZED HOSPITAL

QUALITY INDICATOR FORM-2019

18 Aggregation & Analysis :

Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Numerator
Denominator
Compliance #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! ### ###

Stat Reports TAT Compliance Rate

100 Target = 100%
80
Compliance
60 Linear (Compliance)
40
20
0.00
0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Jan Feb0.00Mar Apr May Jun Jul Aug Sep Oct Nov Dec

19 Actions Taken/Sustainability mechanism:

20 Comments/Remark:

Prepared by:
Quality Designee

Reviewed by: Approved by:

Management of Information Quality Director