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 25

Inadequate 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 r

eport

Misse

d

case

s

Incomplete data/report

from hospitals

Late

re

port

Delayed encoding

Del

ayed

dat

a c

olle

ctio

n

Not a priority

Not

com

mitte

d

No incentive

No sanction

Lim

ited

tra

ined

pers

onne

l for

DE

No designated alternate staff

Lim

ited

sta

ff/it

em

Lim

ited

logi

stic

res

ourc

es

Shared computer

Incomplete data/report

from hospitals

No r

eport

No data collected/encoded

Trai

ned

staff

oft

en

not

avai

labl

e

Other personal concerns

Attending seminars/trainings/meetings

Not committed…

No

ince

ntiv

e

No

sunc

tion

No

desi

gnat

ed

alte

rnat

e st

aff

Limited staff/item

No

adm

inis

trat

ive

supp

ort

Look warm attitude

No

ince

ntiv

eN

o sa

nction

inadequate visit by CESU

Not

a p

rior

ityLess cases

Small hospitals/less pts

Lim

ited

sta

ffOther concerns

Ah1

n1/d

engu

e

On

leav

e

Incomplete data/report

from hospitals

Misse

d

case

s

Pt not well assess/failure to recognize the sx

not a

ll RN

are

orie

nte

d

in P

IDSR

Newly hired staff

Look warm attitude

PID

SR

policy

not in

cluded in

the h

osp

pro

toco

l

Failure to reecho PIDSR policy

Not committed…

Hosp

ital adm

in d

id n

ot accept an

d im

ple

ment

the p

olicy

no legal basis/implication (sunction)

Inad

eq

uate

data

/ re

port

s f

rom

h

osp

itals

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

Activities

Provide 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

eq

uate

data

/ re

port

s f

rom

h

osp

itals

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 hospitals

Counter Measure: Conduct monitoring

Practical Method: Regular Visit

TASKRESOURCE

SWHO 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

RESOURCES

WHO 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