Nethera Kiza S. Imperial - Balanced Score Card

Nethera Kiza S. Imperial - Balanced Score Card

TargetInitiativeActual

Learning and Growth

>NALS training completed and % staff passing

>Institute regular continuing education for the whole team

>Conduct CME lectures

>Be active in professional organization (e.g. MCNAP)

>Establish Mother-Baby Friendly Hospital Program

>every staff pass NALS

>attendance for each topic covered

>Facilitate lectures assigned by the nursing service

>every staff become members of the organization

>Promote breastfeeding and rooming-in policies

>Conduct lactation management seminars to all personnel>Attend NALS training and be a certified provider

>Schedule and assign different topic and updates to be discussed among colleagues

>Search for updates among chosen topics for additional knowledge

>Prepare syllabus, invitation and invite pediatricians as speakers and nurses from other departments as participants

>Register as members of the organization

>Attend annual seminars conducted by the organization

>Promote breastfeeding to mothers

>Milk formulas will not be allowed in the facility

>Immediately room-in well babies>91% of the staff in the unit are NALS provider

>Monthly discussion together with a pediatrician are held during scheduled dates

>CME lectures are conducted on dates assigned by the office with the pediatrician as speaker with the attendance from other staff nurses

>All staff members of the department are members of the organization

>85% of the team were able to attend the seminar conducted

>Breastfeeding is promoted in the facility

>Milk formulas and feeding bottles are strictly prohibited

>Rooming-in of babies are implemented for well babies

Internal Process

>Establish safe environment

>Increase clinical research>Reduce HAI

>Increase research projects initiated and completed by the end of 2015>Hand hygiene compliance

>Conduct environmental culture twice a year

>Follow infection control protocols

>Research grants renewed; alternative research effort initiated>5 moments of and proper hand hygiene are strictly followed

>Environmental culture is done twice a year

>Audit committee passed the unit in following infection control protocols

>Research projects initiated and completed by 10% by the end of 2015

Customer Satisfaction

>Improve parent satisfaction

>Instigate impressive staff satisfaction>Improve survey response rate

>Obtain above average and excellent ratings in 1 year>Random discharge patient satisfaction survey

>Increase parent participation in patient care

>Reviewing suggestion box concerns

>Hospital-wide staff education and incentive programs>Obtained >80% very good and outstanding levels in 1 year

>Recommendation to other families

>Positive feedback are reviewed from the customers

>Obtained >86% above average and excellent ratings in 1 year

>Recommendation from employees to others

Financial Performance

>Reduce supplies expense

>Improve cost of NICU care

>10% reduction in quarterly expenses from 2014 baseline

>Implement clinical pathway; review of alternative supplies

>Utilize all services to increase income of the unit>Benchmark quarterly budget from 2014, highlight variance for supplies

>Increased productivity of the services