HOSPITAALA WALIIGALAA DADAR

DASH BOORDII HORDOOFFII FI TO'ANNOO RAAWWII HOJII GAREE KEENNA TAJAAJILA FAYYAA BALAA TASAA

2016
Bara
Bara

Ji'a
Indicators 1 2 3 4 5 6 7 8 9

10

11

12

13

14

15
S.N

Target

Period
1. Insurance D
Galii argame Kafaltiin/cash D
Duubee D
2. Number of EOPD Visited D
3. Emergency room patients triaged within 5 D
minutes of arrival
4. Number of cases stayed >24 hours D
5. Number of emergency pt.referral Out D
6. Number of Death in the last 24 hours D
7. Medical record Completeness D
8. Chart completeness D
9. Number of charts with WHO BEC toolkit D
10. Number of participatory MDT round conducted D
11. Adherence to MDT Round protocol D
12. Number of Cases admitted After morning MDT D
Round
13. No of clinical audit done for all newly admitted cases D
14. Adherence to clinical guidelines D
15. Incidence of unnecessary Laboratory and Imaging D
Request &/or repeat
16. Percentage of nursing care plan conducted D
with 8 hrs of admission
17. Pain scored and managed as protocol D
18. Patient handover practices as protocol nurses 2X D
to nurses
19. Patient handover practices as protocol 1X D
physician to physician
D= Daily
 HOSPITAALA WALIIGALAA DADAR
DASH BOORDII TO'ANNOO FI HORDOOFFII RAAWWII HOJII GAREE KEENNA TAJAAJILA FAYYAA CIBSANII YAALUU DAA,IMMANII
2016

Targe Ji’a
Bar
a

Period
Indicators 1 2 3 4 5 6 7 8 9

10

11

12

13

14

15
S.N

t
Insurance D
Galii argame Kafaltiin/cash D
Duubee D
1. Number of Admission D
2. Number of Discharge D
3. Number of Death D
4. Number of Transfer D
5. Number of stays >35 days M
6. Percentage of Medical record Completeness D
7. Percentage of Chart completeness D
8. Number of free Bed D
9. ALOS W
10. Number of children GM Is conducted D
11. Number of SAM Death D
12. Number of SAM Defaulter D
13. Number of SAM D/C D
14. Multi-chart completeness D
15. Number of MDT Round Conducted D
16. Adherence to MDT Round protocol D
17. No of Cases admitted After morning MDT Round D
18. Number of DTP identified D
19. No of clinical audit for all newly admitted cases D
20. Adherence to clinical guidelines D
21. Incidence of unnecessary Laboratory and Imaging D
Request &/or repeat
22. Pain scored and managed as protocol D
23. Patients’ knowledge score W
24. Adherence to scope of practice protocol D
25. Number of clinical forums conducted D
26. Patient handover practices as protocol nurses to 2X D
nurses
27. Patient handover practices as protocol physician 1X D
to physician
28. Number of nurses D
29. Number of physicians D
D= Daily, W= weekly, M=monthly
 HOSPITAALA WALIGALAA DADADR
DASH BOORDII TO'ANNOO FI HORDOOFFII RAAWWII HOJII GAREE KEENNA TAJAAJILA FAYYAA CIBSANII BAQAQSANII
YAALUU
2016
Bara

Ji'a
a

SN indicators 1 2 3 4 5 6 7 8 9

10

11

12

13

14

15
Target

Period
1. Insurance D
Galii argame Kafaltiin/cash D
Duubee D
2. Number of Admission D
3. Number of Discharge D
4. Number of Death D
5. Number of Transfer D
6. Number of stays >35 days M
7. Registration Completeness D
8. Registration consistency D
9. Chart completeness D
10. Number of free Bed D
11. ALOS W
12. Average days of Pre- Operation stay M
13. Number of Identified SSI D
14. Number of MDT Round Conducted D
15. Adherence to MDT Round protocol D
16. No of Cases admitted After morning MDT Round D
17. Number of DTP identified D
18. Number of clinical audit Conducted by senior D
19. Adherence to clinical guidelines D
20. Incidence of unnecessary Laboratory and Imaging D
Request &/or repeat
21. Pain scored and managed as protocol D
22. Patients’ knowledge score D
23. Adherence to scope of practice protocol D
24. Number of clinical forums conducted D
25. Number of nurses D
26. Number of physicians D
27. Patient handover practices as protocol 2X D
nurses to nurses
28. Patient handover practices as protocol 1X D
physician to physician
D= Daily, W= weekly, M=monthly
 HOSPITAALA WALIGALAA DADADAR
DASH BOORDII TO'ANNOO FI HORDOOFFII RAAWWII HOJII GAREE KEENNA TAJAAJILA FAYYAA BAQAQSANII YAALUU
Bara 2016 Ji'a
S.N Indicators 1 2 3 4 5 6 7 8 9

10

11

12

13

14

15
Target

Period
1. Insurance D
Galii argame Kafaltiin/cash D
Duubee D
2. Number of table D
3. Number of functional table D
4. Clinical forum conducted w
5. TAT D
6. Number of cases per day 6 M
7. number of cases cancelled D
8. Incision time <8:00PM D
9. SSC utilization D
10. Number of cases in the backlog D
11. Number of Preventive maintaince done for OR table W
12. No of Preventive maintaince done for Anes/ machine W
13. No of Preventive maintaince done for suction machine D
14. No of Preventive maintaince done for OR light D
D= Daily, W= weekly, M=monthly
 HOSPITAALA WALIGALAA DADADR
DASH BOORDII TO'ANNOO FI HORDOOFFII RAAWWII HOJII GAREE KEENNA TAJAAJILA FAYYAA CIBSANII YAALUU GA’EESSOOTAA
Bar 2016

Target Ji’a
S. N Indicators 1 2 3 4 5 6 7 8 9

10

11

12

13

14

15
Period
1. Insurance D

Galii argame Kafaltiin/cash D

Duubee D

Number of Admission D

2. Number of Discharge D

3. Number of Death D

4. Number of Transfer D

5. Number of stays >35 days M

6. Medical record Completeness D

7. Chart completeness D

8. Number of free Bed D

9. ALOS W

10. Adherence to MDT D

 Round protocol
11. Number of Cases admitted D

After morning MDT Round

12. Number of DTP identified D

13. Number of clinical audits Conducted by senior D

14. Adherence to clinical guidelines D

15. Incidence of unnecessary Laboratory and Imaging D

Request &/or repeat

16. Pain scored and managed as protocol D

17. Patients’ knowledge score D

18. Adherence to scope of practice protocol D

19. Number of clinical forums conducted D

20. Patient handover practices as protocol nurses 2X D
to nurses
21. Patient handover practices as protocol 1X D
physician to physician
22. Number of nurses W
23. Number of physicians D
D= Daily, W= weekly, M=monthly
 HOSPITAALA WALIGALAA DADAR

DASH BOORDII TO'ANNOO FI HORDOOFFII RAAWWII HOJII GAREE KENNA TAJAAJILA FAYYAA DAHUMSA HAADHOLII

2016
Bara

Ji'a
S/N Indicators 1 2 3 4 5 6 7 8 9

10

11

12

13

14

15
Target

Period
1. Tilmaama galii tajaajila bilisaa D

2. Number of Admission D

3. Number of Discharge D

4. Number of Death D

5. Number of Transfer D

6. Medical record Completeness D

7. Number of deliveries (SVD) D

8. Percentage of partograph completeness D

9. No of delivered mother received PNC D

for24hrs

10. Number of IPPFP provided D

11. Number of MDT Round Conducted D

12. Adherence to MDT Round protocol D

13. Number of Cases admitted After morning MDT D

Round

14. Number of DTP identified D

15. No of clinical audit conducted for all newly D

admitted cases
16. Adherence to clinical guidelines D

17. Incidence of unnecessary Laboratory and Imaging D

Request &/or repeat

18. Pain scored and managed as protocol D

19. Patients’ knowledge score D

20. Number of clinical forum conducted D

21. Number of midwives D

22. Number of physicians D

D= Daily, W= weekly, M=monthly

 HOSPITAALA WALIGALAA DADADR
DASH BOORDII TO'ANNOO FI HORDOOFFII RAAWWII HOJII GAREE KEENNA TAJAAJILA FAYYAA CIBSANII YAALUU HAWWANII

Target Ji’ a
Bara 2016

S.N Indicators 1 2 3 4 5 6 7 8 9

10

11

12

13

14

15
Period
1. Insurance D
Galii argame Kafaltiin/cash D
Duubee D

2. Number of Admission D
3. Number of C/section deliveries D
4. Number of IPPFP provided D
5. No of comprehensive abortion care provided D
7 Number of Discharge D
1. Number of Death D
2. Number of Transfer D
3. Number of stays >35 days M
4. Medical record Completeness D
5. Chart completeness D
6. Number of free Bed D
7. ALOS W
8. Average days of Pre- Operation stay D
9. Number of Identified SSI D
10. Number of MDT Round Conducted D
11. Adherence to MDT Round protocol D
12. No of cases admitted after morning MDT Round D
13. No of DTP identified D
14. No of clinical audit done for all newly D
admitted cases
15. Adherence to clinical guidelines D
16. Incidence of unnecessary Laboratory and Imaging D
Request &/or repeat
17. Pain scored and managed as protocol D
18. Patients’ knowledge score D
19. Adherence to scope of practice protocol D
20. No of clinical forum conducted D
21. Patient handover practices as protocol D
nurses to nurses
22. Patient handover practices as protocol D
physician to physician
23. No of nurses/Midwives D
24. No of physician D
D= Daily, W= weekly, M=monthly
 HOSPITAALA WALIGALAA DADADR
DASH BOORDII TO'ANNOO FI HORDOOFFII RAAWWII HOJII GAREE KEENNA TAJAAJILA FAYYAA DEDEBI’AANII YAALUU
2016
Bara

Ji'a
Indicators 1 2 3 4 5 6 7 8 9

10

11

12

13

14

15
Target

Period
S/N

1. Insurance D
Galii argame Kafaltiin/cash D
Duubee D
2. Number of OPD Visit D
3. Waiting time to consultation D
4. Number of cases not seen within the same day D
5. Number new HTN D
6. Number of new DM M
7. Number of new SAM D
8. Number of MAM D
9. Number of Adolescents with D
10. Number of HTN cases with controlled BP D
11. Number of DM with Controlled FBS W
12. Adherence to scope based clinical practice protocol
13. Number of audit done (TB, HIV, HIV/AIDS, NCD, W
FP, ANC, EPI, ca screening
14. Adherence to PFHI Protocol D
15. Number of clients with chronic disease linked to D
HLU
16. Number of focused group discussion for selected D
NCD
17. Number of clients received HE materials from HLU D
18. Medical record Completeness D
19. Chart completeness D
20. Number of HRST utilized D
21. Number of eligible cases identified D
22. Noof new HIV+ identified and linked to ART D
clinic
23. Number of cases screened for TB D
24. Number of presumptive TB cases D
25. Number of confirmed TB cases D
26. Number of DTP identified D
27. Number of clinical audits Conducted by senior D
28. Adherence to clinical guidelines D
29. Incidence of unnecessary Laboratory and Imaging D
Request &/or repeat
30. Patients knowledge score D
31. Adherence to scope of practice protocol D
32. Number of clinical forums conducted D
33. Number of nurses D
34. Number of physicians D
D= Daily, W= weekly, M=monthly