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PRESENTED BY FOLI ERNEST
KWASI
 BACKGROUND
 MISSION & VISSION STATEMENT OF THE
HOSPITAL
 KEY ACTIVITIES PLANNED
 PERFORMANCE
 CHALLENGES
 WAYFORWARD
 Star of light hospital is a private facility owned by Dr.
Francis Danso.
 It was incorporated in the month of August 2011.
 The facility started with twelve employees headed by the
then Mr. Francis Fosu.
 Due to the quality services and team work provided by
the entire staff, the facility was accredited with national
health insurance in the year 2012 .
 Currently under the administration of Mr. Alfred
Asamoah Boadu, the facility is now having forty five staff,
one medical doctor, one physician assistant, one medical
assistant , six mid wife(s),four pharmacists, two
laboratory technicians, one accountant, twenty one nurses
etc.
2011 2012 2013 2014
Catchment
Population
6,554 13,278 34,140 30,965
WIFA 6,621
Population
under 1yr
771
Population
under 5yr
987
M I S S I O N S TAT E M E N T O F T H E H O S P I TA L .
To provide quality health service to meet the needs and expectation of
all our clients. This will be achieved through teamwork, a well
motivated and committed staff. Applying best practices and innovation
in health care.
VISSION STATEMENT OF THE HOSPITAL
To become a reputable medical center providing a wide range of
clinical and non clinical services of the highest quality comparable
to any international standards by the year 2020.
Area Activities Expected results Carried out so far
Maternity 1. Health education
on the need to
attend ANC & PNC
services.
2. Health education
on the
importance use of
iodate salt.
3. Health education
on the need of
practicing
exclusive
breastfeeding.
We expected to
see good
supervised del.
against ANC
registrants.
We expected
positive impact
of the used of the
iodate salt and
practise of
exclusive
breastfeeding.
Accounts 1. Vetting of claims
Before submission
We expected to
have a decreased
deductions/adjus
Bridge equity gaps to access health care
and nutrition services and ensure
sustainable financing arrangements that
protects the poor
1 Health education to those on HIV/AIDS drug to continue taking and access
health care early as possible.
2 Health education on the need for everyone to be insured to have equal
access to health care delivery.
3 Health education on prevention against Ebola disease.
4 Health education on environmental sanitation against diarrheal
disease.
5
6
NO CATEGORY No. AT POST REMARKS
(establish/non
established)
SHORT FALL (staffing
gap)
1 Physician Assistant 1 Established 0
2 Midwives 6 Established 0
3 Account Staff 1 Established 0
4 MEDICAL Officer 1 Established 0
5 Medical Assistant 1 Established 0
6 Dispensary staff 4 Established 0
7 Clinical nurses (professional) 21 Established 0
8 Pharmacist 1 Established 0
9 Drivers 2 Established 0
10 Laboratory staff 2 Established 0
11 Store keeper 1 Established 0
12 Watchmen 1 Established 0
13 CLEANERS 2 Established 0
14 Administrator 1 established 0
TOTAL 45 0
2011 2012 2013 2014
Nurse 3 4 12 21
Doctor/
Medical
assistants
1 2 2 3
Midwife 2 3 3 6
Administration 141 11 1 1111322223I
2009 2010 2011 2012 2013 2014
# of
outreach
points
5 5 5 5 27
# of
outreach
visits
30 30 30 30 53
# of home
visits
68 75 87 94 45
2011 2012 2013 2014
Total OPD
attendance
7704 11,400 17,670 30,864
Proportion of
OPD visits by
Chn < 5yrs
34.7 39.4 68 6,876
Proportion of
OPD Attendance
Insured
0 63.07 78.8 86.4
Prop. Of OPD
Attendanc by
females
43.5 41.7 92.2 96.9

0
20
40
60
80
100
2010 2011 2012 2013 2014
Series 1
Series 2
Series 3
Series 4
2011 2012 2013 2014
CONDITI
ON
# of
cases
CONDITIO
N
# of
cases
condition # of
cases
CONDITION # of cases
1 Malaria 4324 Malaria 7693 Malaria 11235 Malaria 20,342
2 URTI 1005 URTI 1950 URTI 2413 URTI 7972
3 Skin dis 240 Anaemia 894 Skin infec. 1105 Anaemia 3646
4 dysentry 129 Skin dis. 484 Anaemia 555 Bronchopnu
monian.
817
5 Hyperten
sion
123 Hypertensi
on
420 Hypertensio
n
338 Diahoea 906
6 Anaemia 99 UTI 283 Ear infec. 284 Hypertension 198
7 Eye infec. 83 Dysentry 237 Eye infec. 189 STI 101
8 Diahoea 69 Eye infec. 157 UTI 174 Eye infection 78
9 Ear infec. 60 Ear infec. 99 Typhoid 31 Enteric fever 69
10 UTI 14 Diahoea 9 Dysentry 20 Sepsis 53
I. More staff for better health care delivery in the community.
II. Misinformation given to client.
Strengthen governance and improve efficiency and effectiveness in
the health system
1 Health education on environmental sanitation.
2 Health education on Ebola disease prevention.
3 Health education on use of iodate salt.
4 Health education on the importance uses of ITN.
5
6
7
INDICATOR 2011 2012 2013 2014
TOTAL # OF VEHICLES 1 1 1 1
TOTAL # OF MOTORBIKES 0 0 0 1
# OF MOTORBIKES ROAD WORTHY 0 0 0 1
2011 2012 2013 2014
No. of quarterly review
meetings attended
0 0 1 1
No. of Support/supervisory
visits benefited
0 10 12 14
No. of staff meetings held 8 7 4 6
# of Trainings organized for
staff
4 4 6 7
# expected # submitted Percentage submitted
on time (%)
Antenatal malaria reports 12 12 100
Malaria case reporting form
(CRF I, II, III)
12 12 100
Malaria report on ACT 12 12 100
Monthly vaccination report
(EPI)
12 12 100
Weekly IDSR report 54 54 100
Monthly IDSR report 12 12 100
viral Hepatitis report 12 12 100
# expected # submitted Percentage
submitted on time
Form A (midwifery report) 12 12 100
Form B (Family planning
report)
12 12 100
Form C (Child Health report) 12 12 100
Monthly Heamatology 12 12 100
PMTCT report 12 12 100
HTC 12 12 100
Monthly Microbiology 12 12 100
Statement of outpatient 12 12 100
Outpatient morbidity 12 12 100
IGF GOG DPF OTHER SOURCES
INCOME EXP INCOME EXP INCOME EXP INCOME EXP
2010 146,656.90 140,559.23
2011 143,316.04 141,298.50
2012 254,023.83 223,725.87
2013 236,819.59 231,408.22
2014 362,842.21 360,321.32
Improve access to quality maternal, neonatal, child and
adolescent health services
YEAR REGISTRANTS ATTENDANCE AVERAGE
VISITS
PREGNANT WOMEN
MAKING 4+ VISITS
TARGET COVERAGE
2010 489 1969
2011 583 2147
2012
2013 1641 3201 1920 704
ANC REGISTRANTS COVERAGE
IPT 1 IPT 2 IPT 3
2009
2010 489 465(71%) 265(54.2%) 117(24%)
2011 583 370(76%) 467(80.1%) 248(43%)
2012
2013 495 281(57%) 211(43%) 136(27.4)
2014 698 345(61) 322(50) 254(35.9)
2010 2011 2012 2013 2014
Supervised
Delivery
129 184 326 273 432
Still birth 1 0 0 3 6
Low Birth
Weight
0 0 0 0 0
Abortions 0 9 5 14 19
Maternal
Deaths
0 1 0 0 0
2009 2010 2011 2012 2013 2014
Supervised
Delivery
129() 184() 178() 136() 432()
Post Natal
registrants
147() 203() 178() 136() 197()
Commoditi
es
2010 2011 2012 2013 2014
Depo 576 0 300 1025 50
Microgynon 137 142 177 237 60
Microlut 0 0 0 102 60
Jaddle 0 0 0 8
0
200
400
600
800
1000
1200
2010
2011
2012
2013
2014
PMTCT 2009 2010 2011 2012 2013 2014
ANC reg. Screened for HIV 6 6 6 130 150
Tested positive 1 3 130 150
Proportion put on ARV ref ref ref ref
KYS/HTC
# of people screened Male 2 2 0 9
femal
e
0 0
1
77 83
# tested +ve Male 0 0 0 0
femal
e
0 0
1
30 50
Total +ve (M + F) 0 30 40
2011 2012 2013 2014
Early
teens
Late
teens
Early
Teens
Late
Teens
Early
teens
Late
teens
Early
teens
Late
teens
ANC 0 23 0 15 3 22 56 9
Deliver
y
0 28 0 0 0 45
PNC 203 178 0 0 0 234 0
Family
plannin
g
accepto
0 14 0 192 0 200 0 300
Intensify prevention and control of communicable and non-
communicable diseases and promote a healthy lifestyle
2009 2010 2011 2012 2013 2014
Malaria
cases (all
ages
4194 6591 6815 7052 2056
Malaria
in Chn
less than
5yrs
1198 1673 2188 2445 3457
Proportio
n of OPD
attendan
ce
diagnose
d with
malaria
59% 58.4% 115% 69% 79
PERIOD
2009 2010 2011 2012 2013 2014
HYPERTENSI
ON
123 420 338 145 341
DIABETES 0 22 65 11 21
ASTHMA 0 0 16 17 45
CANCER 0 0 0 0 0
SICKLE CELL
DIS.
0 0 6 11 43
ACCIDENTS
& INJURIES
151 488 357 67
 Meeting on clinical is held to improve and
refresh the prescribers at every month, which
has contributed to a quality service delivery to
the community.
 Management meetings
 Health talks at the OPD
 Institute an internal vetting committee to take charge of
our NHIS claims.
 Enough staff are needed for efficiency and effective
health care delivery.
 Computerized system at the whole wards for entering of
discharges.
Bye

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Annual Performance Review (2014) o f light hospital sankore

  • 1. PRESENTED BY FOLI ERNEST KWASI
  • 2.  BACKGROUND  MISSION & VISSION STATEMENT OF THE HOSPITAL  KEY ACTIVITIES PLANNED  PERFORMANCE  CHALLENGES  WAYFORWARD
  • 3.  Star of light hospital is a private facility owned by Dr. Francis Danso.  It was incorporated in the month of August 2011.  The facility started with twelve employees headed by the then Mr. Francis Fosu.  Due to the quality services and team work provided by the entire staff, the facility was accredited with national health insurance in the year 2012 .  Currently under the administration of Mr. Alfred Asamoah Boadu, the facility is now having forty five staff, one medical doctor, one physician assistant, one medical assistant , six mid wife(s),four pharmacists, two laboratory technicians, one accountant, twenty one nurses etc.
  • 4. 2011 2012 2013 2014 Catchment Population 6,554 13,278 34,140 30,965 WIFA 6,621 Population under 1yr 771 Population under 5yr 987
  • 5. M I S S I O N S TAT E M E N T O F T H E H O S P I TA L . To provide quality health service to meet the needs and expectation of all our clients. This will be achieved through teamwork, a well motivated and committed staff. Applying best practices and innovation in health care. VISSION STATEMENT OF THE HOSPITAL To become a reputable medical center providing a wide range of clinical and non clinical services of the highest quality comparable to any international standards by the year 2020.
  • 6. Area Activities Expected results Carried out so far Maternity 1. Health education on the need to attend ANC & PNC services. 2. Health education on the importance use of iodate salt. 3. Health education on the need of practicing exclusive breastfeeding. We expected to see good supervised del. against ANC registrants. We expected positive impact of the used of the iodate salt and practise of exclusive breastfeeding. Accounts 1. Vetting of claims Before submission We expected to have a decreased deductions/adjus
  • 7.
  • 8. Bridge equity gaps to access health care and nutrition services and ensure sustainable financing arrangements that protects the poor
  • 9. 1 Health education to those on HIV/AIDS drug to continue taking and access health care early as possible. 2 Health education on the need for everyone to be insured to have equal access to health care delivery. 3 Health education on prevention against Ebola disease. 4 Health education on environmental sanitation against diarrheal disease. 5 6
  • 10. NO CATEGORY No. AT POST REMARKS (establish/non established) SHORT FALL (staffing gap) 1 Physician Assistant 1 Established 0 2 Midwives 6 Established 0 3 Account Staff 1 Established 0 4 MEDICAL Officer 1 Established 0 5 Medical Assistant 1 Established 0 6 Dispensary staff 4 Established 0 7 Clinical nurses (professional) 21 Established 0 8 Pharmacist 1 Established 0 9 Drivers 2 Established 0 10 Laboratory staff 2 Established 0 11 Store keeper 1 Established 0 12 Watchmen 1 Established 0 13 CLEANERS 2 Established 0 14 Administrator 1 established 0 TOTAL 45 0
  • 11. 2011 2012 2013 2014 Nurse 3 4 12 21 Doctor/ Medical assistants 1 2 2 3 Midwife 2 3 3 6 Administration 141 11 1 1111322223I
  • 12. 2009 2010 2011 2012 2013 2014 # of outreach points 5 5 5 5 27 # of outreach visits 30 30 30 30 53 # of home visits 68 75 87 94 45
  • 13. 2011 2012 2013 2014 Total OPD attendance 7704 11,400 17,670 30,864 Proportion of OPD visits by Chn < 5yrs 34.7 39.4 68 6,876 Proportion of OPD Attendance Insured 0 63.07 78.8 86.4 Prop. Of OPD Attendanc by females 43.5 41.7 92.2 96.9
  • 14.  0 20 40 60 80 100 2010 2011 2012 2013 2014 Series 1 Series 2 Series 3 Series 4
  • 15. 2011 2012 2013 2014 CONDITI ON # of cases CONDITIO N # of cases condition # of cases CONDITION # of cases 1 Malaria 4324 Malaria 7693 Malaria 11235 Malaria 20,342 2 URTI 1005 URTI 1950 URTI 2413 URTI 7972 3 Skin dis 240 Anaemia 894 Skin infec. 1105 Anaemia 3646 4 dysentry 129 Skin dis. 484 Anaemia 555 Bronchopnu monian. 817 5 Hyperten sion 123 Hypertensi on 420 Hypertensio n 338 Diahoea 906 6 Anaemia 99 UTI 283 Ear infec. 284 Hypertension 198 7 Eye infec. 83 Dysentry 237 Eye infec. 189 STI 101 8 Diahoea 69 Eye infec. 157 UTI 174 Eye infection 78 9 Ear infec. 60 Ear infec. 99 Typhoid 31 Enteric fever 69 10 UTI 14 Diahoea 9 Dysentry 20 Sepsis 53
  • 16. I. More staff for better health care delivery in the community. II. Misinformation given to client.
  • 17. Strengthen governance and improve efficiency and effectiveness in the health system
  • 18. 1 Health education on environmental sanitation. 2 Health education on Ebola disease prevention. 3 Health education on use of iodate salt. 4 Health education on the importance uses of ITN. 5 6 7
  • 19. INDICATOR 2011 2012 2013 2014 TOTAL # OF VEHICLES 1 1 1 1 TOTAL # OF MOTORBIKES 0 0 0 1 # OF MOTORBIKES ROAD WORTHY 0 0 0 1
  • 20. 2011 2012 2013 2014 No. of quarterly review meetings attended 0 0 1 1 No. of Support/supervisory visits benefited 0 10 12 14 No. of staff meetings held 8 7 4 6 # of Trainings organized for staff 4 4 6 7
  • 21. # expected # submitted Percentage submitted on time (%) Antenatal malaria reports 12 12 100 Malaria case reporting form (CRF I, II, III) 12 12 100 Malaria report on ACT 12 12 100 Monthly vaccination report (EPI) 12 12 100 Weekly IDSR report 54 54 100 Monthly IDSR report 12 12 100 viral Hepatitis report 12 12 100
  • 22. # expected # submitted Percentage submitted on time Form A (midwifery report) 12 12 100 Form B (Family planning report) 12 12 100 Form C (Child Health report) 12 12 100 Monthly Heamatology 12 12 100 PMTCT report 12 12 100 HTC 12 12 100 Monthly Microbiology 12 12 100 Statement of outpatient 12 12 100 Outpatient morbidity 12 12 100
  • 23. IGF GOG DPF OTHER SOURCES INCOME EXP INCOME EXP INCOME EXP INCOME EXP 2010 146,656.90 140,559.23 2011 143,316.04 141,298.50 2012 254,023.83 223,725.87 2013 236,819.59 231,408.22 2014 362,842.21 360,321.32
  • 24. Improve access to quality maternal, neonatal, child and adolescent health services
  • 25. YEAR REGISTRANTS ATTENDANCE AVERAGE VISITS PREGNANT WOMEN MAKING 4+ VISITS TARGET COVERAGE 2010 489 1969 2011 583 2147 2012 2013 1641 3201 1920 704
  • 26. ANC REGISTRANTS COVERAGE IPT 1 IPT 2 IPT 3 2009 2010 489 465(71%) 265(54.2%) 117(24%) 2011 583 370(76%) 467(80.1%) 248(43%) 2012 2013 495 281(57%) 211(43%) 136(27.4) 2014 698 345(61) 322(50) 254(35.9)
  • 27. 2010 2011 2012 2013 2014 Supervised Delivery 129 184 326 273 432 Still birth 1 0 0 3 6 Low Birth Weight 0 0 0 0 0 Abortions 0 9 5 14 19 Maternal Deaths 0 1 0 0 0
  • 28. 2009 2010 2011 2012 2013 2014 Supervised Delivery 129() 184() 178() 136() 432() Post Natal registrants 147() 203() 178() 136() 197()
  • 29. Commoditi es 2010 2011 2012 2013 2014 Depo 576 0 300 1025 50 Microgynon 137 142 177 237 60 Microlut 0 0 0 102 60 Jaddle 0 0 0 8
  • 31. PMTCT 2009 2010 2011 2012 2013 2014 ANC reg. Screened for HIV 6 6 6 130 150 Tested positive 1 3 130 150 Proportion put on ARV ref ref ref ref KYS/HTC # of people screened Male 2 2 0 9 femal e 0 0 1 77 83 # tested +ve Male 0 0 0 0 femal e 0 0 1 30 50 Total +ve (M + F) 0 30 40
  • 32. 2011 2012 2013 2014 Early teens Late teens Early Teens Late Teens Early teens Late teens Early teens Late teens ANC 0 23 0 15 3 22 56 9 Deliver y 0 28 0 0 0 45 PNC 203 178 0 0 0 234 0 Family plannin g accepto 0 14 0 192 0 200 0 300
  • 33. Intensify prevention and control of communicable and non- communicable diseases and promote a healthy lifestyle
  • 34. 2009 2010 2011 2012 2013 2014 Malaria cases (all ages 4194 6591 6815 7052 2056 Malaria in Chn less than 5yrs 1198 1673 2188 2445 3457 Proportio n of OPD attendan ce diagnose d with malaria 59% 58.4% 115% 69% 79
  • 35. PERIOD 2009 2010 2011 2012 2013 2014 HYPERTENSI ON 123 420 338 145 341 DIABETES 0 22 65 11 21 ASTHMA 0 0 16 17 45 CANCER 0 0 0 0 0 SICKLE CELL DIS. 0 0 6 11 43 ACCIDENTS & INJURIES 151 488 357 67
  • 36.  Meeting on clinical is held to improve and refresh the prescribers at every month, which has contributed to a quality service delivery to the community.  Management meetings  Health talks at the OPD
  • 37.  Institute an internal vetting committee to take charge of our NHIS claims.  Enough staff are needed for efficiency and effective health care delivery.  Computerized system at the whole wards for entering of discharges.
  • 38. Bye