DEDER GENERAL HOSPITAL

SBFR DASHBOARDS FOR ALL RESPECTIVE CASE TEAMS

PRERAED BY: MEDICAL DIRECTOR AND SBFR TASK FORCE TEAM

2016 E. C
HOSPITAALA WALIIGALAA DADAR
DASH BOORDII HORDOOFFII FI TO'ANNOO RAAWWII HOJII GAREE KEENNA TAJAAJILA FAYYAA BALAA TASAA
2016

Ji'a
Indicators 1 2 3 4 5 6 7 8 9

10

11

12

13

14

15
Period
Target
S.N

1. Insurance D
Galii argame Kafaltiin/cash D
Duubee D

2. Number of EOPD Visited D

3. Emergency room patients triaged within 5 D

minutes of arrival
4. Number of cases stayed >24 hours D
5. Number of emergency pt.referral Out D

6. Number of Death in the last 24 hours D

7. Percentage of Medical record Completeness D

8. Registration Completeness

9. Registration consistency

10. Number of charts with WHO BEC toolkit D

11. Number of participatory MDT round conducted D

12. Adherence to MDT Round protocol D

13. Number of Cases admitted After morning MDT D

Round
14. No of clinical audit done by senior for all newly D
kept cases

15. Adherence to clinical guidelines D

16. Incidence of unnecessary Laboratory and D

Imaging
Request &/or repeat
17. Percentage of nursing care plan conducted with 8 D
hrs of admission
18. Pain scored and managed as protocol D

19. Patient handover practices as protocol nurses to 2X D

nurses
20. Patient handover practices as protocol physician 1X D
to physician
21. Number of nurses D

22. Number of physicians D

D= Daily, W= weekly, M=monthly

HOSPITAALA WALIIGALAA DADAR
DASH BOORDII TO'ANNOO FI HORDOOFFII RAAWWII HOJII GAREE KEENNA TAJAAJILA FAYYAA CIBSANII YAALUU
DAA,IMMANII
2016

Target Ji’a
Bar

Period
Indicators 1 2 3 4 5 6 7 8 9

10

11

12

13

14

15
S.N

Insurance D
Galii argame Kafaltiin/cash D
Duubee D
1. Number of Admission D

2. Number of Discharge D

3. Number of Death D

4. Number of Transfer D

5. Number of stays >35 days M

6. Percentage of Medical record Completeness D

7. Percentage of Chart completeness D

8. Number of free Bed D

9. ALOS W

10. Number of children GM Is conducted D

11. Number of SAM Death D

12. Number of SAM Defaulter D

13. Number of SAM D/C D

14. Multi-chart completeness D

15. Registration Completeness

16. Registration consistency

17. Number of MDT Round Conducted D

18. Adherence to MDT Round protocol D

19. No of Cases admitted After morning MDT D

Round
20. Number of DTP identified D

21. No of clinical audit done by senior for all newly D

admitted cases
22. Adherence to clinical guidelines D

23. Incidence of unnecessary Laboratory and D

Imaging Request &/or repeat
24. Pain scored and managed as protocol D

25. Patients’ knowledge score W

26. Adherence to scope of practice protocol D

27. Number of clinical forums conducted W

28. Patient handover practices as protocol nurses to 2X D

nurses
29. Patient handover practices as protocol physician 1X D
to physician
30. Number of nurses D

31. Number of physicians D

D= Daily, W= weekly, M=monthly

HOSPITAALA WALIGALAA DADADR

DASH BOORDII TO'ANNOO FI HORDOOFFII RAAWWII HOJII GAREE KEENNA TAJAAJILA FAYYAA CIBSANII
BAQAQSANII YAALUU
2016
Bara

Ji'a

S indicators 1 2 3 4 5 6 7 8 9

10

11

12

13

14
15
Target
Period

1. Insurance D
Galii argame Kafaltiin/cash D
Duubee D
2. Number of Admission D
3. Number of Discharge D

4. Number of Death D

5. Number of Transfer D

6. Number of stays >35 days M

7. Percentage of Medical record Completeness D

8. Registration Completeness D

9. Registration consistency

10. Number of free Bed D

11. ALOS W

12. Average days of Pre- Operation stay M

13. Number of Identified SSI D

14. Number of MDT Round Conducted D

15. Adherence to MDT Round protocol D

16. No of Cases admitted After morning MDT D

Round
17. Number of DTP identified D

18. No of clinical audit done for all newly D

admitted cases of the day
19. Adherence to clinical guidelines D

20. Incidence of unnecessary Laboratory and D

Imaging
Request &/or repeat
21. Pain scored and managed as protocol D

22. Patients’ knowledge score W

23. Adherence to scope of practice protocol D

24. Number of clinical forums conducted W

25. Patient handover practices as protocol nurses to 2 D

nurses X
26. Patient handover practices as protocol 1 D
physician to physician X
27. Number of nurses D

28. Number of physicians D

D= Daily, W= weekly, M=monthly

HOSPITAALA WALIGALAA DADADAR
DASH BOORDII TO'ANNOO FI HORDOOFFII RAAWWII HOJII GAREE KEENNA TAJAAJILA FAYYAA BAQAQSANII YAALUU
Bar 2016 Ji'a
a
S. Indicators 1 2 3 4 5 6 7 8 9

10

11

12

13

14
15
Target

Period

1. Insurance D
Galii argame Kafaltiin/cash D
Duubee D
2. Number of table D
3. Number of functional table D

4. Clinical forum conducted w

5. TAT D

6. Number of cases per day 6 M

7. Number of cases cancelled D

8. Registration Completeness

9. Registration consistency

10. Incision time <8:00P D

M
11. Percentage of SSC utilization D

12. Number of cases in the backlog D

13. Number of Preventive maintaince done for W

OR table
14. No of Preventive maintaince done for Anes/ W
machine
15. No of Preventive maintaince done for suction D
machine
16. No of Preventive maintaince done for OR D
light

HOSPITAALA WALIGALAA DADADR

DASH BOORDII TO'ANNOO FI HORDOOFFII RAAWWII HOJII GAREE KEENNA TAJAAJILA FAYYAA CIBSANII YAALUU
GA’EESSOOTAA

Ba 2016

Ji’a
r
S. Indicators 1 2 3 4 5 6 7 8 9

10

11

12

13

14
15
Target

Period
N

1. Insurance D

Galii argame Kafaltiin/cash D

Duubee D

Number of Admission D

2. Number of Discharge D

3. Number of Death D
4. Number of Transfer D

5. Number of stays >35 days M

6. Percentage of Medical record Completeness D

7. Registration Completeness D

8. Registration consistency

9. Number of free Bed D

10. ALOS W

11. Adherence to MDT Round protocol D

12. Number of Cases admittedAfter morning MDT D

Round
13. Number of DTP identified D

14. No of clinical audit done by senior for all D

newly admitted cases

15. Adherence to clinical guidelines D

16. Incidence of unnecessary Laboratory and D

Imaging
Request &/or repeat
17. Pain scored and managed as protocol D

18. Patients’ knowledge score W

19. Adherence to scope of practice protocol D

20. Number of clinical forums conducted W

21. Patient handover practices as protocol nurses to 2X D
nurses

22. Patient handover practices as protocol 1X D

physician to physician
23. Number of nurses W

24. Number of physicians D

D= Daily, W= weekly, M=monthly

HOSPITAALA WALIGALAA DADAR
DASH BOORDII TO'ANNOO FI HORDOOFFII RAAWWII HOJII GAREE KENNA TAJAAJILA FAYYAA DAHUMSA HAADHOLII

016
Bar

Ji'a
a2

S/N Indicators 1 2 3 4 5 6 7 8 9

10

11

12

13

14

15
Target

Period

1. Tilmaama galii tajaajila bilisaa D

2. Number of Admission D
3. Number of Discharge D
4. Number of Death D
5. Number of Transfer D
6. Percentage of Medical record D
Completeness
7. Number of deliveries (SVD) D
8. Percentage of partograph completeness D
9. No of delivering mothers received 24 hrs D
PNC
10. Number of IPPFP provided D
11. Number of MDT Round Conducted D
12. Adherence to MDT Round protocol D
13. No of clinical forum conducted W
14. Number of Cases admitted After morning D
MDT Round
15. Number of DTP identified D
16. No of clinical audit conducted for all newly D
admitted cases
17. Adherence to clinical guidelines D
18. Incidence of unnecessary Laboratory and D
Imaging Request &/or repeat
19. Pain scored and managed as protocol D
20. Patients’ knowledge score W
21. Number of clinical forum conducted W
22. Patient handover practices as protocol 2X D
nurses to nurses
23. Patient handover practices as protocol 1X D
physician to physician
24. Number of midwives D
25. Number of physicians D
D= Daily, W= weekly, M=monthly

HOSPITAALA WALIGALAA DADADR

DASH BOORDII TO'ANNOO FI HORDOOFFII RAAWWII HOJII GAREE KEENNA TAJAAJILA FAYYAA CIBSANII YAALUU
HAWWANII
Bar 2016
Ji’a

a
S. Indicators 1 2 3 4 5 6 7 8 9

10

11

12

13

14

15
Target

Period

1. Insurance D
Galii argame Kafaltiin/cash D
Duubee D

2. Number of Admission D

3. Number of C/section deliveries D

4. Number of IPPFP provided D

5. No of comprehensive abortion care provided D

7 Number of Discharge D
1. Number of Death D

2. Number of Transfer D

3. Number of stays >35 days M

4. Medical record Completeness D

5. Registration Completeness D

6. Registration consistency

7. Number of free Bed D

8. ALOS W

9. Average days of Pre- Operation stay D

10. Number of Identified SSI D

11. Number of MDT Round Conducted 2X D

12. Adherence to MDT Round protocol D

13. No of clinical forum conducted

14. No of cases admitted after morning MDT D

Round
15. No of DTP identified D

16. No of clinical audit done by senior for all D

newly admitted cases
17. Adherence to clinical guidelines D

18. Incidence of unnecessary Laboratory and D

Imaging Request &/or repeat
19. Pain scored and managed as protocol D

20. Patients’ knowledge score D

21. Adherence to scope of practice protocol D

22. No of clinical forum conducted D

23. Patient handover practices as protocol nurses 2X D
to nurses
24. Patient handover practices as protocol 1X D
physician to physician
25. No of nurses/Midwives D

26. No of physician D

D= Daily, W= weekly, M=monthly

HOSPITAALA WALIGALAA DADADR

DASH BOORDII TO'ANNOO FI HORDOOFFII RAAWWII HOJII GAREE KEENNA TAJAAJILA FAYYAA DEDEBI’AANII
YAALUU
2016
Bara

Ji'a

Indicators 1 2 3 4 5 6 7 8 9

10

11

12

13

14

15
Target
Period
S/N

1. Insurance D
Galii argame Kafaltiin/cash D
Duubee D
2. Number of OPD Visit D
3. Waiting time to consultation D

4. Number of cases not seen within the same day D

5. Number new HTN D

6. Number of new DM M

7. Number of new SAM D

8. Number of MAM D

9. Number of Adolescents with D

10. Number of HTN cases with controlled BP D

11. Number of DM with Controlled FBS W

12. Adherence to scope based clinical practice D

protocol
13. Number of clinical audits done (TB, HIV, W
HIV/AIDS, NCD, FP, ANC, EPI, ca screening
14. Adherence to PFHI Protocol D
15. Number of clients with chronic disease linked to D
HLU
16. Number of focused group discussion for selected D
NCD
17. Number of clients received HE materials from D
HLU
18. Percentage of Medical record Completeness D

19. Registration Completeness D

20. Registration consistency

21. Number of HRST utilized D

22. Number of eligible cases identified D

23. No of new HIV+ identified and linked to ART D

clinic
24. Number of cases screened for TB D

25. Number of presumptive TB cases D

26. Number of confirmed TB cases D

27. Number of DTP identified D

28. Number of clinical audits Conducted by senior D

29. Adherence to clinical guidelines D

30. Incidence of unnecessary Laboratory and D

Imaging Request &/or repeat
31. Patients’ knowledge score W

32. Adherence to scope of practice protocol D

33. Number of clinical forums conducted W

34. Number of nurses D

35. Number of physicians D

D= Daily, W= weekly, M=monthly