GROUP 7

QUALITY IMPROVEMENT DISCUSSION

10 SEPT 2022
FELICIA SETIAWAN, 01615220013.
RENATE PARLENE MARSAULINA, 01616220037.
VALENCIA HADINATA, 01616220044.
ARIF LAKSONO UTOMO, 01616220024.
TIFFANY HARTONO, 01616220039.
CLAUDIA ALEXANDRA 01616220033.
PUSPA HARYANI WIDYOWATI 01616210040.
RIZKY RAMADHANA 01616220028
CATHARINA 01616220014
 STEP 1: IDENTIFYING A PROBLEM, FORMING A TEAM AND WRITING AN AIM
STATEMENT

PROBLEM :
• Response Time for Medical Check Up patients are more than 3 hours.
• Response time definition : starting from MCU admission until patient went
home

We will reduce the response time for Medical Check Up patient from currently 70% more
than 3 hours to 25% within 3 months (from 10 Sept 2022 to 31 Des 2022)
• Who : MCU patients
• What : response time >3 hours
• How Much : from currently 70% more than 3 hours to 25%
• By When : within 3 months (from 10 Sept 2022 to 31 Des 2022)
TEAM INVOLVED WITHIN DISCUSSION
• Admission team
• Medical doctor for MCU Team
• Specialized Doctor for MCU Team
• Laboratory Team
• Radiology Team
• Nursing Team
• Quality Team
DATA USED FOR ANALYSIS

• Numerator : Number of MCU patients with response time > 3 hours

• Denominator : Number of MCU patients
• Source : Register patient MCU
• Person responsible : MCU Head Department
• Frequency : reviewed monthly
STEP 2: ANALYZING THE PROBLEM AND
MEASURING QUALITY OF CARE
PROBLEM :
• Response Time for Medical Check Up patients are more than 3 hours

We use method FIVE WHY

• Most of MCU Patients (70%) finished whole MCU process for more than 3 hours  WHY?
• Patient has multiple queued time for each procedure. Not all procedure can be done at MCU dept.  WHY?
• Patient from MCU, outpatient, and emergency dept. conducted radiology queue line at the same place 
WHY?
• MCU Patients must queue separately on Radiology for procedure  WHY?
• Radiology prioritize outpatient and emergency dept. patient for procedure.