Matron Roberts Polyclinic II (MRPC II) is the only polyclinic that operates with the benefits of a dual system in

Belize City, which is administered by the Government of Belize in partners with National Health Insurance. MRPC

serves a population of over 40,000 inhabitants on the Southside of Belize.

MRPC II is assigned a total amount of 12,000 registered patient with a payment of $6.30 per member per month.

Opening hours: Monday – Friday 7:00a.m. – 8:00p.m. Saturday – Sunday 7:00 a.m. – 12:00noon

Key Areas of Service 1. Use of the Health Information

SystemManagement (Includes BHIS, RAWAand Medical Records)

8. Outreach/Mobile services

2. Management of outpatient clinical services

9. Laboratory service

3. Pharmaceutical supplies 10. Quality assurance (NHI, MOH and USAID Audits)

4. Health Education / Health Promotion

11. Infection Control

5. Referral 12. Staff Development /Continuous Medical Education/Protocol Revision

6. Surveillance 13. Family and Community Health

7. Dental Service 14. Specialist Services – Nutritionist, Gynecologist, Pediatrician, PNP

Year Total Encounters DifferencePercentage (comp.

to prev. yr.)

2009 30583    

2010 43425 12842 30% Increase

2011 41084 -2341 6% Decrease

2012 46993 5909 13% Increase

2013 54263 7270 13% Increase

2014 54071 -192 0.4% Decrease

Total registered patients seen 11,490Total non-registered patients seen 13,412Total doctors’ consultations 24,902

Staff of Matron Roberts Polyclinic II, 2015  

 Total Number of Employees 52   Permanent Established 13Open Vote 7Contract – Clinic, Pharmacy & Lab 13Sessional Staff 3Specialists 3MRPC II - NHI Funds 10Cuban Brigade   3

Utilizing the tools Facility Evaluation Pharmacy Evaluation Medical Audit Evaluation Work on recommendations from

previous audit Self assess facility and plan how to meet

standards Regular revision of medical files Monthly updates of KPI’s and

discussions on plans to achieve targets – Core Team

Monthly Staff Meeting – includes updates, operational plan, future plans, patient complaints, etc..

Department meetings Weekly Core Meeting – Operational PlanCore team: Administrator Medical Coordinator Nurse In-Charge Nurse Specialist II Monthly reports by each unit – includes targets,

achievements, challenges and recommendations Annual reports by each unit compiled into

collective annual report

CategoryPercentage allocated

Staff Distribution 60%Staff Trip 10%Clinic 30%

100%

Who will be eligible to bonus: Must have more than three months working in facility

Note: Any staff that resign or is terminated will not be

eligible to bonus Each staff will be assessed to determine quantity of

bonus assigned to their category

Criteria to meet by staff to earn bonus amount:

1. Punctuality

2. Patient Complaints

3. Customer Service

4. Team player

5. Productivity

Commenced the piloting of the NCD passport with a sample size of 50 patients

Infrastructural improvements such as partition for outpatient, MCH triage area, repair to roof, installation of water pump, etc.

Achieved to become a baby friendly clinic Continuous weekly core meeting with Administrator, Medical

Coordinator, Outpatient Nurse In-Charge and Nurse Specialist I All nurses and doctors were certified in BLS and ACLS Upgrade of medical equipment 13 schools were visited twice for the year as part of the iron

supplementation program 100% coverage for prenatal first test Full implementation of the RAWA system – assist in billing,

reporting and monitoring of caps Effective and efficient reporting is being made for Pharmacy

and Lab due to RAWA (Registration of Clinical Activities Web Application)

Meet all MOH/NHI key performance indicators with high scoring Held staff retreat

Dual System used in the clinic Waiting time remains a challenge BHIS does not compliment NHI medical records Patient information not updated in BHIS Patients neglect to bring proper identification when visiting

clinic, causing errors in information entry in BHIS Documentation in the BHIS Patients refuse to use the clinic within their area of

residence, thus overcrowding this facility Shortage of Medical Officers and Nurses Counter referrals Classification of staff due to dual system Approval for expenditure of $3,000.00 delays at the

ministry level Shortage of medications and lab service – we cant have the

100% of proper management of these patients due to unfilled referrals

Ministry of Health have losses of income due to shortage

Improving access and reducing inequity by:

1. Reduction of waiting time

2. Ensuring all services are provided daily

3. Increase human resource

4. Strengthening of the triaging process

Improve management of chronic conditions by:

1. Improvement in monitoring and evaluation

2. Improving nutrition in chronic disease patient

3. Strengthening of in-house mental health program

4. Hiring of an internist

5. Strengthening of structured training

6. Improving home visits to chronic patients

Increase the focus on prevention, screening and early intervention by:

1. Focusing on health education and promotions

2. Improvements in the screening

3. Emphasis on IMCI and PMTCT protocols

4. Meeting MCH targets

5. Emphasis on baby friendly initiative

Improving quality, safety, performance and accountability by:

1. Meet the standards of NHI/MOH

2. Meet standards of the capacity project

3. Implement and adhere to MOH infection control protocols

4. Improve/strengthen internal security system

5. Improve collaboration with agencies and support service

Effective use of the BHIS for health planning by:

1. Regular updating of patients’ demographic and medical information

2. Strengthen the usage of immunization, postnatal and nutrition information

3. Integrate BHIS with NHI medical records

Improvement in health workforce by:

1. Continuous capacitation activity for staff

2. Hire human resource according to population needs

3. Develop criteria for the employee of the month

4. Develop staff manual

Adequate Infrastructure:

1. Expansion of the MCH and Doctor’s area

2. Purchase and install of UV lights in all areas of the clinic

3. Remodel of parking lot

4. Purchasing for necessary upgrade of furniture and equipment

  Ministry of Health to develop a guideline for the

management of NHI funds Ministry of Health to hire all supporting staff under the

ministry Invest in more internal extension within the clinic Develop a preventive maintenance program for computers

and medical equipment with respective Director

Entrance to the clinic Front Desk

OPD Waiting Area

Triage Area

Doctors’ Area Consultation Room

Triage Room

MCH Waiting Area

MCH Triage Room MCH Consultation Room

MCH Rooms

Asthma Bay Observation Room

Observation Room

Pharmacy Area Pharmacy Waiting Area

Inside of Pharmacy