process of care and model of good care

7/26/2019 Process of Care and Model of Good Care

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PROCESS OF CARE (POC)

MODEL OF GOOD CARE

(MOGC)

DR ISABELLA CHIAUNIT KUALITI PENJAGAAN PERUBATAN


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PROCESS OF CARESequential steps of activities

whilst providing a particular

healthcare services.

The steps is adopted from the

professionally accepted standardor norm , SOP, guidelines,

circulars, CPG, etc


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PROCESS OF CARE

Data Analysis tools Flow chart

Flow chart a graphicrepresentation of how a processworks, showing the step by stepseqence of processes an!sbprocess that incl!ee"ents,reactions or !ecisions


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#$% &EED PROCESS OF CARE

'o i!entify the actal path aprocess follows

'o i(pro"e or increase efficiency'o generate hypotheses abotcases

'o sti(late co((nication a(ongparticipants'o establish a co((on

n!erstan!ing abot the process


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#$E& 'O )SE A F*O# C$AR'

Dring proble( i!entification, !ata analysis,soltion planningClarify how things are crrently working

Clarify how the process can be i(pro"e!Assist in fin!ing the key ele(ents of aprocess+critical step-!entify appropriate tea( (e(bers who can

pro"i!e inpts or resorcesEstablish i(portant areas for (onitoring process


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AD.A&'A/ES OF A F*O#C$AR'

Describe the actal processA basis for !esigning an! i(pro"ing

processes-n"ol"e the people who ha"einfor(ation abot the processes

On co"er potential proble(s an!bottlenecks-!entify proble(s an! opportnities

for i(pro"e(ent


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PROCESS OF CARE

For 0A, the flowchart shol! containspecific acti"ity + refer to a particlarprocess of care1(anage(ent in the

2area of concern for

i(pro"e(ent

-t (st co"er all steps of care that weare intereste! into3

Flow of care can be se! to gi!e the!e"elop(ent of 24o!el of /oo! Care5


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FLOW CHART SYMBOLS

First 6 last step

Decision point

Processing step


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PROCESS OF CARE*isten to Dr

-sabella 5slectre

)n!erstan!all what

she sai!7

- can procee!with the 0A

st!y

- (st askqestion

afterwar!

Still notn!erstan!

?

Start the

0AP st!y

yes

no

no

yes


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MANAGING HYPOTHERMIC PRETERM BABIESIN LABOUR ROOM , HOSPITAL TAIPING

Preparation for pre(atrebaby !eli"eries

8aby !eli"ere!

$ypother(ia

'ransfer to SC&

NoEn!

Yes

Anticipate 4anage(ent of pre(atrity

'reat(ent


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CAR'A A*-RA& ASA* PE&/E&DA*-A& 9ES-8) 8ERSA*-& D- P88R, $'AA

Pendaftaran masuk di PAC

Saringan di buat oleh

Jururawat y/m mengikut

checklist

Risiko Ti!!i

Di(askkan keDewan8ersalin

Risko Re"#$

Pemeriksaan ibu

dan janin di Pusat

BersalinBermasaalah

Tidak

bermasaalah

8ersalin !i P88R

Pen:agaan ib!an bayi !ipostnatal

DISCAJ


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FLOW CHART ON PROCESS OF OBTAINING URGENT PLATELET COUNT FOR

DENGUE CASES

REQUEST PLATELET COUNT Ix

BY DOCTOR

DR FILL UP FORM (URGENT SPECIMEN)

FORM CHECKED BY NURSE

NO

YES

COMPLETE ?

S/N LABEL & TAKE BLOOD CALL

UP MLT & A/K

SPECIMEN RECEIVED BY MLT

& CHECKED BY MLT

COMPLETE ?

NO

YES

A/K DESPATCH BLOOD

SPECIMEN TO LAB

S/N CALL FOR MLT


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OUR P%O%C &&

Too s'#i!$' o*#"I+oe+' s-.o/s&

A00o0i#'eess&


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ISCAJ ARI

WA KANAK-KANAK

PK MOBILE TEAM

(PROGRAM KZM)

MEN APAT

BAKUL KZM

TI AK MEN APAT

BAKUL KZM

MENCAPAI TARGET

Z SCORE < 2

MENCAPAI TARGET

Z SCORE < 2

TEMUJANJI RUTIN

KLINIK PAKAR

YA

TI AK

TI AK

REA MISSION KE

WA KANAK-KANAK

4E&/)RA&/9A& ; 9E4AS)9A& SE4)*A PESA9-' 4A*&)'R-S- D- 9A*A&/A&9A&A9


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WHAT IS MOGC

4O/C is the process of care with a @goo!!esign

B/OOD5 is base! on the @specificationsconsi!ere! opti(( an! achie"able

B/OOD5 is !efine! by Criteria an! Stan!ar!s


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Strctre P(o+essP(o+ess Otco(e

/oo! process willpro!ce goo! otco(e

Goo"Po+ess

/oo!Strctre

/oo!otco(e


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'he goo! steps can be a!opte! fro(the professionally accepte!stan!ar! or nor( , SOP, gi!elines,circlars, CP/, etc

-t (ay also be inno"ations thoght

of, by the grop


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WHAT IS MOGC&

Etracte! fro( critical steps in the process

of care Each step will contribte to the final ser"ice

otco(e 'his chosen critical steps of care (st be

acco(plishe! within the set criteria an!stan!ar!

-f not followe!, it (ight case a @(ltiplyingeffect of failre in the series of care

Finally, will en!


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MULTIPLYING EFFECT OF FAILURE

Morbidity

Mortality

Dee+' #' #s'e0 *i//

+o'i.4'e 'o '$e#i/4e o

s4.se54e' s'e0si+/4"i! '$e i#/

o4'+o-e


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MODEL OF GOOD CARENO PROCESS CRITERIA STANDARD

1 A 1.2.3.

2 B 1.2.

3 C 1.2.3.

4 D 1.


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)SA/E OF 43O3/3C

0ality assrance A generic ter( enco(passing any

syste(atic effortto ensre 6 i(pro"eqality of health careser"ices

Assess(ent of the actal qality ofcare an! correction of the obser"e!!efect

'he focs is on ensring the pro"isionof best possible carefor all clients


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)SA/E OF 43O3/3C

Assess(ent of the actal qality of care

< the etent to which actal care is in

confor(ity with preset criteria forgoo! care

< (easrable !ifference what is

realie! an! what shol! be realie!


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)SE OF 43O3/3C

As a (o!el processthat is thoght to be

goo! an! achie"able

Co(pare this (o!el with the

real sitation


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ii)-nfor(ation shol! be obtaine! < *4P of antenatal (other on booking

< Pre"ios (e!ical1srgical history of crrentillness on a!(ission< Specific1relate! sy(pto(s for certain c1o

< Possible co(plication of chronic patient on F1p

iii'hings to recor!s < essential eternal signs on P1E of specific con!ition

< hea! chart 1 le"el of consciosness of 4.A patients

with hea! in:ry < plan of R 1 4 after re"iewing the patient< partogra( for (other in progress of labor


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Stan!ar! setting in the 4O/C

-is 2the (ini(( le"el of acceptable perfor(ance5 for therespecti"e step in the process of care + referre! to as 2Opti(( Achie"able Stan!ar! 2 +OAS


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SOURCE OF STANDARD

Own situational analysis / studyPast experience / performance

National, internationally accepted Std.

Expert panel opinionsConcensus opinions among healthcare

providers.

CPG, evidence-based research

Textbook, scientific journals


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No Procedure Criteria Standard

1

MOGC 6 THE TEMPLATE

No Procedure Criteria Standard

Pre

RemedialMeasures

1

No Procedure Criteria StandardPre

RemedialMeasures

PostRemedialMeasures

1

8efore-(ple(entation ofRe(e!ialMeasures

After-(ple(entation ofRe(e!ial 4easres


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R

ED)C-&/DE*A%-&

AD4-&-S'

ER-&/

F

-RS'DOS

EOF-.A&

'-8-O'-C

'O

-

C)PA'-E&

'S

Doctor write prescription

Any problem? Clarify with doctoryes

No

Supply available in ward? Get supply from pharmacyNo

Need to take C & S

specimen?

Doctor take C & S specimenyes

Check drug availability in ward

Check the requirement to take C & S specimen

yes

No

Check the need to withold the administrationof drug eg. hemodialysis

Should withold drug

administration?

Withold administration until procedure

finish

SN prepare and administer

drug to patient

yes

No


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MODEL OF GOOD CARENO PROCESS CRITERIA STANDARD PRE

REMEDIAL

1 Doctor writeprescription

-SS first antiiotic need to ecountersi!ned " specialist

efore sent to p#armac"

1$$% &2.'%

2 (et antiiotic fromp#armac"

-)f antiiotic not a*ailale inward+ !et suppl" from p#armac"

wit#in 1 #our

1$$% ,2%

3 C#ec t#ereuirement to tae

C / S specimen

-Doctor need to tae C / Sspecimen from patient wit#in 2

#ours after prescription written.

1$$% ,$%

4 Staff nurse prepareand administer dru!to patient

-Administer dru! wit#in 4 #ours 1$$% 03.3%


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'A-P-&/


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41

'A-P-&/

S=AR=

A

)ntuation /

>entilation

Admission to

)C?

Assess for )ntuation

)n*asi*e

Procedures

No

Yes

Continue *entilation


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TO REDUCE DENTAL FEAR IN SCHOOL CHILDREN

IN PPD LMS

Introduction to the NEW Guidelines on Permanent Teeth Extraction in Schools

D'- "o" Ex'!%o

N'*" L%, P"0''%o

Too+, '# M'"%'+, P"0''%o

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O Ex'!%o D'-

O'+ A'+1",%! I**"#%'"+-

Lo!'+ A",2",%' ( To0%!'+ L.A.)

Ex'!%o

Po, Ex'!%o I,$!%o

R"3%"4

(!-...


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-& S)44AR%4o!el of goo! care is abot a Bgoo!5

process !esignB/oo!5 is !efine! by criteria an!

stan!ar!sBActal Care5 is co(pare! to this

(o!el

$elps is focssing an! planningre(e!ial (easres4O/C is &O' S'A'-C


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MOGC8%


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THANK YOU


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process of care and model of good care

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