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QO HO 1st Quarter 2016

The document discusses the quarterly performance of a psychiatry department in a Philippine hospital. It evaluates the department's achievement of targets for quality of service, compliance with regulatory requirements, improvement of internal performance, quality of training, and quality of research. The department met or exceeded most of its targets for the quarter.

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JP Ocampo
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20 views5 pages

QO HO 1st Quarter 2016

The document discusses the quarterly performance of a psychiatry department in a Philippine hospital. It evaluates the department's achievement of targets for quality of service, compliance with regulatory requirements, improvement of internal performance, quality of training, and quality of research. The department met or exceeded most of its targets for the quarter.

Uploaded by

JP Ocampo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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PGH Form No.

Q-010001 PHILIPPINE GENERAL HOSPITAL


The National University Hospital
University of the Philippines Manila
Taft Avenue, Manila
PHIC-Accredited Health Care Provider
ISO 9001: 2008 Certified

MEASUREMENT, ANALYSIS AND IMPROVEMENT FOR QUALITY OBJECTIVES

Department: Psychiatry and Behavioral Medicine Period Covered: January to March 2016

Opportunities for
Department Objective/Target Attainment Analysis Corrective Action Remarks
improvement (OFI)

QUALITY SERVICE

Customer Satisfaction

Did you unit/department achieve


the following this quarter?

A rating of 3 or above in 80% or


more of your Client Satisfaction Yes (95.3%) during 4th quarter Rating for 1st quarter
Survey respondents? of 2015 of 2016 not yet
available from IRPD
Reduction of patient/client
complaints by 10% or more this Yes There were no
quarter? complaints received

Attain at least a satisfactory


overall rating or its equivalent for Yes
its training program from
trainees?
Compliance with Regulatory
Requirements

Did your unit/department


achieve the following?

100% compliance with all Yes


regulatory requirements
(licenses) for all personnel?

100% compliance with the Yes


requirements of accreditation
bodies for residency training
programs?

100% compliance with the Yes


requirements of accreditation
bodies for fellowship training
programs?

100% compliance with the Yes


requirements of accreditation
bodies for specialty boards
certification?
Improvement of Internal
Performance

Did your unit achieve at least 10% These parameters


improvement on the following were not included in
health care indicators? the Departments
MAI
Patient load? N/A

Mortality? N/A

Morbidity? N/A

Length of stay? N/A

Bed occupancy? N/A

Nosocomial infection rates? N/A

Incidence of adverse/sentinel N/A


events?

Incident reports? N/A

Did your unit provide health care Yes


management within the
established/set turnaround time
in at least 80% of your services?

Were you able to respond to at Yes


least 80% of referrals within the
set time?

Were you able to complete at Yes


least 80% of patients
charts/medical records within 48
hours after discharge of patients?
QUALITY TRAINING

Development of Competencies

Did you unit/department


achieve the following?

The stipulated terminal Yes


competencies in at least 80% of
resident trainees?

Did at least 60% of your Yes (100% for 2015) Specialty boards for
graduates pass the specialty 2016 will be held on
board examinations? September

Did at least 80% of your Yes Didactics, case


trainees complete the conferences and
prescribed learning activities? supervision are
implemented, with
regular monitoring.

QUALITY RESEARCH
Did each of your Yes
residents/fellows complete at
least one (1) research during
the duration of his training? For
paramedical units, did you
complete at least one (1)
research annually?

Did your unit publish at least Yes


one (1) research paper per year
in a peer-reviewed journal?

Did your unit present at least Yes Two (2) researches


one (1) research paper per year were presented
in local/international during the World
conventions/symposia? Psychiatric
Association Annual
Convention held last
February 2016
Did at least 80% of your units Yes
research papers get approved
by ERB?

Prepared by Approved by:

MARIA ARLA ANDREA G. CARASCO, MD ANSELMO T. TRONCO, MD, FPPA


Chief Resident Chair
Date: March 2016 Date: March 2016

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