Health Care : Current Reviews

RIGHT FIRST TIME: STEPS TOWARDS IMPROVEMENT IN AMBULATORY MEDICAL RECORD COMPLIANCES AT THE AGA KHAN SECONDARY HOSPITALS

8^th World Congress on Healthcare & Medical Tourism

November 17-18, 2016 | Dubai UAE

Rozina Shazad Ramji

The Aga Khan University Hospital, Pakistan

Scientific Tracks Abstracts: Health Care: Current Reviews

Abstract:

Back ground: Medical records serve many purposes. First and foremost, they document the history of examination, diagnosis and treatment of a patient. This information is vital for all providers involved in a patientâ??s care and for any subsequent new provider who assumes responsibility for the patient. Significant of the Project: At secondary Hospital it has been identified that significant non compliances in Ambulatory medical records by physician group. Rational for selection of project: In the last two years. It has been observed that ambulatory compliances in the medical Record is not up to the mark. The target of non-compliances is 20% but the actual is above 25% or compliances from 80% to 85% which needs serious attention. Project Mission or Goals: The project aimed to identifying areas of opportunities, to do in -depth analysis of process, designing action plans, execution of plans by implementation of strategies followed by sustainable Plans and strategies. Team Composition: Multidisciplinary team including Administration, Nursing and Security, Led by QPSD team. Data Collection Methodology: Team conducted perito analysis based on file reviewed and identifies areas of opportunities. Use of Quality Improvement Tools: As a tool embedded within Six Sigma methodology DMAIC (Define, Measure, Analyze, Improve, Control) Project Tool was used to examine a process prospectively for possible ways in which failure can occur, and then to redesign the processes so that the new model eliminates the possibility of failure. Significance of Project outcomes: This project enhanced staff (knowledge, attitude, and practice) to prevent from sentinel events. Different strategies were used to overcome issues which include: â?¢ Develop action plans and monitor timely. â?¢ Training session has been arranged for physician group. â?¢ Emphasis in their dept meeting and QICs. â?¢ Meeting with consultant 1:1 to identify and seek suggestions to improve compliances. â?¢ Develop user friendly form which was very much appreciated by consultant group. â?¢ Review Medial Record Audit Tool. â?¢ Auditor traininghas been done to improve methodology and concept of internal auditor. â?¢ Flyers pasted for importance and tips of correct documentation. â?¢ Quality and Patient safety week celebrated to emphasis.

Biography :

Rozina Shazad Ramji is working as senior health care professional at The Aga Khan University Hospital, Pakistan

Email: rozina.shazad@aku.edu