VPD analysis
description
Transcript of VPD analysis
VPD ANALYSISLucena City
STEP-I
Inadequate reports from both hospitals and field areas
Low specimen collection Inadequate logistic support from LGU Irregular surveillance activities No feedback report fro NEC to
hospital level
Themes Impact Need to improve
overall
Inadequate reports from both hospitals and field areas
5 5 25
Low specimen collection 5 5 25Inadequate logistic support from LGU
3 5 15
Irregular surveillance activities 4 4 16
No feedback report from NEC to hospital level
4 3 12
Scale; 1 none 2- somewhat 3 –moderate 4- very 5- extreme
THEME SELECTION MATRIX
PROBLEM STATEMENT: Lucena City had incomplete VPD reports from hospitals in the past 6 months attributed to lack of trained/committed personnel resulting to delayed/no report & missed cases that may lead to an outbreak of VPD cases in the CITY.
Target:
By the of the year 2009, CESU will be able to generate complete reports from all hospitals
Incomplete data/report
from hospitals
Late
re
port
No re
port
Missed
cases
Incomplete data/report
from hospitals
Late
re
port
Delayed encoding
Delay
ed d
ata
colle
ction
Not a priority
Not c
omm
ittedNo
incentiveNo sanctionLim
ited
train
ed
pers
onne
l for
DENo designated
alternate staff
Limite
d sta
ff/ite
m
Limite
d log
istic
reso
urce
s
Shared computer
Incomplete data/report
from hospitals
No re
port
No data collected/encoded
Traine
d sta
ff of
ten
not a
vaila
ble
Other personal concerns
Attending seminars/trainings/meetings
Not committed…
No in
cent
ive
No su
nctio
n
No d
esign
ated
alt
erna
te st
aff
Limited staff/item
No a
dmini
strat
ive
supp
ort
Look warm attitude
No in
cent
iveNo
sanc
tion
inadequate visit by CESU
Not a
prio
rityLess cases
Small hospitals/less pts
Limite
d sta
ffOther concerns
Ah1n
1/de
ngue
On le
ave
Incomplete data/report
from hospitals
Missed
cases
Pt not well assess/failure to recognize the sx
not all RN are oriented
in PIDSR Newly hired staff
Look warm attitude
PIDSR policy not included in the hosp
protocol
Failure to reecho PIDSR policy
Not committed…
Hospital admin did not accept and im
plement
the policy
no legal basis/implication (sunction)
Inad
equa
te d
ata/
rep
orts
from
ho
spit
als
Complacency of
hospitals
Advocacy to hospitals administrat
ors
Conduct monitoring
Dialogue to medical director/
administratorSet
reorientation on PIDSR to concerned
staff Make an agreement
on Surveillance
ActivitiesProvide AO
95/ Philhealth
policies
Regular visits
Regular meetings to all hospitals
Records review
EFF FEA OAS ACT
5 4 20
5 5 25 y
5 3 15
5 5 25 y
5 5 25 y
5 4 20
5 5 25 y
Inad
equa
te d
ata/
rep
orts
from
ho
spit
als
s FEA OAS ACT
5 4 20 y
5 4 20 y
5 4 20 y
5 4 20 y
5 3 15
5 4 20 y
5 3 15
5 3 15
Absence/ limited
committed/ trained
DSO
Assist in the
Organization of DS team
Dialogue to medical director/
administratorHosp. admin
designate capable staff
CHO facilitates trainingConduct actual
trainingConduct post
training evaluation
Monitor implementati
on
Assist in the Formulate protocol
Assist in the Role
identification and
scheduling
Training of additional/ alternate
DSO
Root cause
Counter measure
Practical Method
Effective-ness
Feasibility
Score (E x F)
ACTION PLANProblem statement: Lucena City had incomplete VPD reports from hospitals in the past 6 months attributed to lack of trained/committed personnel resulting to delayed/no report & missed cases that may lead to an outbreak of VPD cases in the CITY. Improvement Target: By the of the year 2009, CESU will be able to generate complete reports from all hospitalsCounter Measure: Conduct monitoringPractical Method: Regular Visit
TASK RESOURCES
WHO DOES
START DATE
END DATE HOW DONE
Prepare itinerary of travel
Planner lala October 03, 09
December 31, 09
Accomplish itinerary of travel weekly
Prepare travel order of the DSO
Forms, TEV Dr Martinez
October 03, 09
Accomplish TO
Conduct actual visit upon schedule
TEV, forms DSO October 03, 09
December 31, 09
- Courtesy call- Records review- pts interview-Accomplish forms- identify missed cases (if there is any)- prepare summary report- feedback to hosp DSO
ACTION PLANTASK RESOURCE
SWHO DOES
START DATE
END DATE HOW DONE
Prepare Consolidated Report from all hospitals
Accomplished forms
DSO Weekly basis
Every Friday
-Collate all reports from hospitals - Prepare Weekly Accomplishment Report- Submit to CESO