District Ranking based on performance on 4 indicators (Clinical attendance,

Non-clinical Attendance, Dispensation, Cleanliness)

March2018
Number of indicators where target was met
Rawalpindi 4
Faisalabad 4
Toba Tek Singh 4
Jhelum 4
Bhakkar 4
Layyah 4
Bahawalnagar 4
Rajanpur 3
Chiniot 3
Sargodha 3
Sahiwal 3
Pakpattan 3
Multan 3
Okara 3
Nankana Sahib 3
Attock 3
Sialkot 3
Mandi Bahauddin 3
Khushab 3
Vehari 3
Gujrat 3
Lodhran 3
Chakwal 3
Mianwali 3
Rahim yar Khan 2
Dera Ghazi Khan 2
Jhang 2
Hafizabad 2
Sheikhupura 2
Bahawalpur 2
Narowal 2
Muzaffargarh 2
Khanewal 2
Kasur 2
Gujranwala 2
Lahore 0
Secondary Roadmap indicators are close to Chief Minister’s
targets, clinical attendance need a final push to reach the
target

Indicators Jan‘18 Feb‘18 Mar‘18 Target Status

Clinical attendance 80% 79% 84% 85%

Nonclinical attendance 88% 87% 90% 85%

Medicine Dispensation 84% 87% 84% 80%

Cleanliness score 77% 80% 80% 80%

Source: MEA, CFM and Biometric data, Jan 2018 – Mar 2018 2
 Clinical Attendance
Clinical attendance ranked for March2018

Change since
≥ 85%
Clinical staff attendance, Mar 2018, % Feb’ 18
80- 85%
Jhelum 89% 6%
Faisalabad 88% 4% 70 - 79%
Rahim Yar Khan 88% 2% < 70%
Rawalpindi 88% 11%
Sialkot 87% 6%
Chiniot 87% 4%
Toba Tek Singh 87% 4%
Rajanpur 87% 12% Attock
Attock 86% 7% Rawalpindi
Bhakkar 86% 6%
5% Chakwal Jhelum
Bahawalnagar 86%
Layyah 85% 5% Mianwali Gujrat
Khushab 85% 7% M.B. Din
Chakwal 85% 8% Sialkot
4% Khushab Sargodha Narowal
Pakpattan 85% HafizabadGujranwala
Sahiwal 84% 0%
Gujrat 84% 8% Bhakkar Chiniot Sheikhupura
Nankana
Mianwali 84% 3% Lahore
Sahib
Mandi Bahauddin 84% 1% Jhang
Faisalabad
Vehari 84% 2% Layyah Kasur
Narowal 83% 2% TT
-1% Singh Okara
Hafizabad 83% Muzaff-
Sheikhupura 83% 13% D.G. Khan Khanewal Sahiwal Pakpattan
argarh
Dera Ghazi Khan 82% -3%
Khanewal 82% 0 Vehari
Multan 82% 5%
Sargodha 81% 3% Multan
Lodhran
Okara 80% 7% Bahawalnagar
Muzaffargarh 80% 11%
Bahawalpur 80% 1% Rajanpur
Kasur 80% 1%
5% Bahawalpur
Nankana Sahib 79%
Jhang 78% -2%
Rahimyar Khan
Gujranwala 78% 6%
Lodhran 77% 1%
Lahore 73% 0
Average 84%
3
All CEOs and MSs need to ensure certain key actions are
taken to improve clinical and non-clinical attendance scores
(1/2)
Problem area Actions to be taken by each MS

Failure to mark 1 Roster must be updated every week

attendance ‘against
roster’ 2 Assigned roster must be communicated to staff

3 It must be ensured that all staff mark attendance against

rosters only

4 Roster swap changes should be made in the electronic

system and not just on registers

Mistakes in 5 All staff must both check-in and check-out for the system
checking-in and out to register their attendance
on BMS
6 It must be emphasized that missing either of the two will
result in attendance not being recorded

7 Staff must press down thumb and ensure that the

machine records their check in/out until the notification
shows up
All CEOs and MSs need to ensure certain key actions are
taken to improve clinical and non-clinical attendance scores
(2/2)

Problem area Actions to be taken by each MS

Machines internet 8 Check heartbeat information sent to server of

package fully each device. It should be “yes”
consumed
9 If it is “no”, email the picture of the screen of the
device to bms@punjab.gov.pk

10 Ensure no device’s hotspot is turned “on”

Machines are not 11 Report malfunctioning devices on roster portal and send
functional and need the devices to the support center
repair
12 Email HISDU about the non-functional devices
20 Districts have biometric devices that require repair

Kasur
Sargodha
Rahim Yar Khan
Narowal
Layyah
Rajanpur
Okara
Mianwali
Khanewal
Jhelum
Hafizabad
Toba Tek Singh
Sheikhupura
Muzaffargarh
Mandi Bahauddin
Lodhran
Khushab
Gujranwala
Faisalabad
Dera Ghazi Khan

0 1 2 3 4 5 6
 Attendance

CEOs should send the repair needing devices to nearest repair centers

Sr.
STC Zonal Offices Address Vendor POC
#
Secure Tech Consultancy , 1st
Atif Khan (STC) - +92 301
1 Islamabad Floor, Plot 45, Street No.10, Sector
8540347
I-9/2, Islamabad
Secure Tech Consultancy SHC
Building, 2nd Floor 1/13 Lake Road Atif shahzad (STC) - cell #
2 Lahore
Near PSO Pump Chowk Jain 0300 0562145
Mandir Lahore
Secure Tech Consultancy, P-38
Irfan Aslam (STC) - Mob:
3 Faisalabad Chanab market, susan road,
03000562161
Madina town, Faisalabad

Secure Tech Consultancy, Office #

104 Masoom shah road Gulistan
chowk, Multan, M Hammad Office Muhammad Asif (STC) - 0301-
4 Multan
# 104 Zoom Square Gulistan 8514412
Chowk Near Masoom Shah Road
Multan 03018514408

Secure Tech Consultancy, Shop #

Mr. AMAN ULLAH Cell No.
5 Sahiwal 294, Ground Floor, Hussaini
0300-0723422
Chowk, High street, Sahiwal.
 Attendance
As directed by PMU, customized shift timings are live in roster system
from 30th Jan, 2018

Category Morning Shift Evening Shift Night Shift

• EMOs,
• AHPs,
08:00AM-04:00PM 04:00PM-12:00AM 12:00AM-08:00AM
• MEP-
Outsourced

03:00PM-
Janitorial- 07:00AM-03:00PM 11:00PM-07:00AM
11:00PM
(Outsourced)

• Security &
Parking Staff-
08:00AM-08:00PM 08:00PM-08:00AM
(Outsourced) --
• Generators-
(Outsourced)
 Attendance

• CEO to make sure MS’s are assigning rosters to staff every week,
and monitoring attendance for their hospital

• All hospital MS’s should regularly update roster

• All hospital MS’s to ensure that staff performs duties against

assigned rosters

• Please report any issues immediately to the Secretary’s Internal

Delivery Unit (IDU) at <idu.pshealth@punjab.gov.pk>
 Medicine Dispensation
Medicine Dispensation scores

Jan‘18 Feb‘18 Mar’18 Target Status

Outdoor 71% 74% 72% 80%

Indoor 89% 91% 89% 85%

Emergency 93% 97% 91% 90%

The Medicine indicator is based on number of patients who received all prescribed medicines from the
hospital they visited
 Medicine Dispensation
Medicine dispensation ranked for March 2018

Emergency Indoor Outdoor

% of patients getting all medicines % of patients getting all medicines % of patients getting all medicines

≥ 90% 80- 89% 70-79% < 70% ≥ 85% 80- 85% 70-79% < 70% ≥ 80% 70- 79% 60-69% < 60%
Sargodha 100% Sahiwal 100% Vehari 84%
Sahiwal 100% Nankana Sahib 100% Khanewal 83%
Rawalpindi Mianwali 100% Jhelum 83%
100%
Multan Kasur 100% Nankana Sahib 82%
100% Chiniot 81%
Jhelum D.G Khan 100%
100% Khushab 81%
D.G Khan Bhakkar 100%
100% Bhakkar 79%
Chakwal Bahawalpur 100%
100% Rawalpindi 79%
Jhang
Khushab 96%
97% Sargodha 78%
Khanewal 96%
Muzaffargarh 96% Sahiwal 78%
Toba Tek Singh 95%
Bhakkar 96% Gujranwala 77%
Sheikhupura 95%
Toba Tek Singh 96% Faisalabad 77%
Gujranwala 95%
Sialkot 95% Sialkot 76%
Gujrat 95%
Pakpattan 95% Muzaffargarh 75%
Layyah 95%
Rahimyar Khan 94% Rajanpur 74%
Jhelum 95%
Faisalabad 92% Chiniot Mandi Bahauddin 73%
95%
Okara 91% Vehari Layyah 72%
95%
Bahawalpur 91% Sialkot Sheikhupura 72%
95%
Narowal 90% Mandi… D.G Khan 71%
94%
Khanewal 90% Bahawalnagar 94% Pakpattan 71%
Hafizabad 90% Multan 93% Bahawalpur 71%
Sheikhupura 90% Chakwal 91% Lodhran 70%
Vehari 89% Sargodha 89% Attock 70%
Gujrat 88% Narowal 89% Bahawalnagar 69%
Bahawalnagar 88% Rawalpindi 85% Hafizabad 68%
Kasur 86% Rajanpur 85% Multan 68%
Lodhran 86% Pakpattan 84% Kasur 67%
Rajanpur 84% Okara 83% Rahimyar Khan 66%
Layyah 83% Faisalabad 81% Narowal 64%
Gujranwala 83% Attock 80% Chakwal 64%
Mandi Bahauddin 82% Hafizabad 79% Okara 63%
Attock 82% Lodhran 75% Jhang 63%
Mianwali 77% Rahimyar Khan 52% Gujrat 63%
Khushab 61% Jhang 33% Toba Tek Singh 60%
Lahore Muzaffargarh Mianwali 57%
Chiniot Lahore Lahore
Nankana Sahib
Avg. 91% Avg. 89% Avg. 74%
 Cleanliness
Cleanliness ranked for March 2018
80%-100%
Change since 70%-79%
Clinical staff attendance, Mar 2018, % Feb’ 18
60%-69%
Multan 96% 12%
60% or less
Gujrat 95% 6%
Okara 94% 9%
Muzaffargarh 93% 13% Attock
Jhang 90% -1% Rawalpindi
Faisalabad 89% -6%
Chakwal Jhelum
Sargodha 88% 3%
Mandi Bahauddin 87% 14% Mianwali Gujrat
Bahawalnagar 87% 4% M.B. Din
Sialkot
Nankana Sahib 86% 6% Khushab Sargodha Narowal
Layyah 84% 12% HafizabadGujranwala
Jhelum 84% 0% Bhakkar Chiniot Sheikhupura
Mianwali 83% 22% Nankana
Sahib Lahore
Sahiwal 83% -11% Jhang
Faisalabad
TT Singh 83% -4% Layyah Kasur
Rawalpindi 82% -3% TT
Singh Okara
Vehari 82% 6% Muzaff- Sahiwal
Lodhran 81% 5% D.G. Khan argarh Khanewal Pakpattan
Bhakkar 80% 4%
Vehari
Chiniot 79% -4%
Khanewal 78% 8% Lodhran
Multan
Sheikhupura 78% 14% Bahawalnagar
Gujranwala 78% -1%
Khushab 77% -13% Rajanpur
Attock 77% -4% Bahawalpur
Narowal 76% -3%
Sialkot 76% -6% Rahimyar Khan
Pakpattan 74% -5%
Chakwal 69% -6%
Rahim Yar Khan 68% -13%
Bahawalpur 57% -11%
Kasur 49% -16%
D.G. Khan 25% -73%
 Cleanliness
Hospitals are instructed to pay special attention to the
areas listed below

Hospital items with unsatisfactory cleanliness

Hospital item Possible corrective actions

1 Washroom - Atmosphere  Ensure proper ventilation in washrooms

(exhaust fans, open windows)
 Use air fresheners regularly
 Ensure proper lighting

2 Washroom – Floor (cubicle)  Ensure washroom floor is dry and mopped

frequently
 Clean litter from the floor

3 Emergency - Floor  Ensure emergency floor is dry and mopped

frequently
 Rapidly clean any litter / blood after an
emergency case

13
 Cleanliness

All MS can improve cleanliness scores by focusing on each hospital item

and being clear on the scoring criteria (1/2)

Improving hospital item level cleanliness

Hospital item Relevant area Requirements for high cleanliness score

Floor Emergency  Floor should be clean and dry at all times

Room & Wards  No litter on the floor

Floor Patient  Floor should be clean and dry at all times

washroom  No dust/mud/litter/filth on the floor

Floor OT & LR  No trace of blood, medical waste or dust

Windows and ER, Wards, LR,  All windows and vents are clean (no dust)
vents (glass, net Patient
and window sill) Washrooms

Fans ER, Wards, LR  All fans are clean (no dust)

Bed sheets Wards  All bed sheets are clean and present (no stain of
vomit, blood, motion, other spillage)
 Cleanliness

All MS can improve cleanliness scores by focusing on each hospital item

and being clear on the scoring criteria (2/2)

Improving hospital item level cleanliness

Hospital item Relevant area Requirements for high cleanliness score

Side tables Wards, ER  All side tables are clean (no dust)

Atmosphere Wards, ER, OT,  No smell

LR  Not humid

Atmosphere Patient  Pleasant smell

washrooms  Bulbs installed (well lit)

Macintosh ER, LR  No stains

Operation table OT  No stains

Toilet cubicle Patient  Feet place/commode clean

washrooms  Inside of toilet clean
 Flush/tanky clean

Wash basin Patient  Sink is clean

washrooms  Soap is present