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ST. DOMINIC HOSPITAL, AKWATIA 2019 1 ST QUARTER REVIEW

ST. DOMINIC HOSPITAL, AKWATIA 2019 1 ST QUARTER REVIEW. APRIL 12 TH , 2019. DASHBOARD. Purpose of Work Overview Clinical Indicators HR Current State 2018 Constraints/2019 Strategies Achievements Conclusions. PURPOSE OF WORK.

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ST. DOMINIC HOSPITAL, AKWATIA 2019 1 ST QUARTER REVIEW

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  1. ST. DOMINIC HOSPITAL, AKWATIA 2019 1ST QUARTER REVIEW APRIL 12TH, 2019

  2. DASHBOARD • Purpose of Work • Overview • Clinical Indicators • HR Current State • 2018 Constraints/2019 Strategies • Achievements • Conclusions

  3. PURPOSE OF WORK • To examine the performance of the first quarter in comparative analysis with previous performances • To establish the leverage of the Hospital’s current state of affairs • To delineate the conclusions and the way forward

  4. OVERVIEW • Established in July 1960 • 60yrs celebration May 15th, 2020 • Launch of 60th Anniversary April 30th, 2019/Commission of Oxygen Plant • It’s a 357 bed capacity facility

  5. . • Provides about 15 Medical, 8 Diagnostic, 1 Therapeutic and 4 Supportive Services • Certified by HeFra as Secondary Facility • SDH contributes more than 70% share of Denkyembour District health service provision • SDH is the only referral facility in the District

  6. . • Makes relevant contributions towards the achievement of the Sustainable Development Goals (SDG’s) namely Access, Affordability & Quality • Striving by the minute to end preventable deaths at the Hospital • Stigma free HIV/AIDS treatment at the Hospital

  7. CLINICAL INDICATORS • The year 2019 has begun very well and the indicators are quite promising • Awareness of staff towards the achievement of set goals is commendable although staff are still encouraged to maximize this spirit and attitude • The culture of mutual correction and affability to accept and move on for the common good is ever more required

  8. 8%

  9. HR CURRENT STATE • Nominal Roll - 539 • Mechanized Staff -385 (33 newly posted) • Local Payroll -154 __________________________________________ • Resignation - 2 • Dismissal - 1 • Vacation of Post - 2 • Death - 1

  10. . • Retirement - 2 • Transfer – 2 • 12 employees have received institutional approval to further train in HR priority areas • 34 employees already in school for further training in various programs of approval by HMT

  11. . • 2018 CONSTRAINTS • Maternal Deaths (MMR above 100/100,000LBs) • Stillbirth Rate above 1% of WHO standard • High Neonatal Mortality Rate (NNMR above 10/1000 Live birth) • 2019 STRATEGIES • Leaders retreat - Action plan 2018 • ANC School • Improve Service at NICU/Equipment • Holding In-charges/HOD Responsible • Categorization of caesarean Section by the O & G Team • Quarterly Performance Reporting (Awareness) . .

  12. . • Small Reserves • Poor NHIS Reimbursement Culture • High Overhead Cost • IGF for Salaries • Invest about 10% of Monthly Revenue • Intro of MOMO at Pay Point • Washing bay • Prudent Applications of IGF • Cut Down on Expenditure • No Hiring unless Vital . .

  13. . • Ambulance involved Accident • Oxygen Plant @ 25L/M • Top Up Insurance Claim to Procure New Toyota branded ambulance • Finish all outstanding works on a 150L/M Oxygen Plant . .

  14. . • Unregistered Lands • 3 Boreholes broken down • Involve the Estates Department to get all our Lands Registered • Engage our External Partners in this matter . .

  15. ACHIEVEMENTS • Admission Rate is up by 17.3% • Death Rate has reduced from 3.4% to 2.9% • OPD has increase by 17.2% (4,443) • New Patients increased by 30.6%

  16. . • Reduction in Neonatal Deaths below the 12 per 1000 Live Births • Under five deaths under the 25 per 1000 Admissions • Increases in Antenatal Care Coverage to 145% above the 95% target mark • Maternal Death Rate less than 700 per 10000 Live Births

  17. . • Renovation of Hse 12 & 34 • Painting of 9 Bungalows • Procurement of Surgical Equipment • Colposcopy (Cervical Cancer) Unit Ready for Use • Payment made for a New Ambulance • Equipment for the Physiotherapy Unit

  18. . • 150L/M Oxygen Plant • 25 New Oxygen Outlets making a total of 60 Outlets • Protective Equipment • 64G Server • 5 Air Conditioners • 15 New Computers • Garbage Cans • Introduction of Momo @ Cash Point

  19. CONCLUSIONS • Very Impressive Performance • Length of Stay above 7 days • MM/NNM/DR and all other Deaths • Awareness • Mutual Correction and acceptance to move ahead together

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