QUALITY IMPROVEMENT IN THE PHC SYSTEM Flashcards
(20 cards)
Quality improvement of the PHC
⁃ This is __________ and __________ to correct several aspects of patient care, maintains services and consistent with achieving goals in the PHC.
⁃ It’s not only for __________. For __________ as well.
identification ; assessment
patients. ; staff
For some PHCs that implement quality assurance processes, you get to the ____________ table .! Very close to the __________ table.
A different officer looks through your __________, talks to the patient and finds out whether you’ve __________ what you came for, if there are __________, if the patient has been __________.
EXIT table.
medical records table.
case notes ; achieved
complaints ; treated well
EXIT table
The patient can get __________ of what hasn’t been done well while going through the _______ .
The table is in collaboration with the ____________ and that’s where data is kept - how _______ people came to the hospital and what they were __________ with.
fair hearing ; flow.
records ; many ; diagnosed
⁃ Another form of EXIT table: a ________ can be put at the exit. Patient takes a form to fill. Any __________ or ⁃ __________ ? Used especially in places with low _______ . For patients who aren’t literates, there’s __________________________________. This provides for some form of _______. All the way to the _______.
box ; complaints ; comments
HRH. ; someone from the records who can assist them.
feedback. ; MOH.
EXIT TABLE
⁃ Led by ______________________ officer. Monthly meetings. Involves every member of the _________________ committee. A _________ is applied on a monthly basis. Must be sent to the ______ and beyond.
⁃ Sustainability issues.
⁃ You can account for what you do.
Quality improvement
facility management committee.
checklist ; MOH
⁃ CHEW: _____% community, ____% health facility
⁃ CHO: ____% community, ____% health facility.
⁃ 70% ; 30%
30% ; 70%
Chew carry out a regular community _____________ for patients.
⁃ Every _________ every week in Lagos state, all CHEW who are outreach officers must do outreach in the community.
defaulter tracking
Wednesday
For immunization days, all ________ are expected to at least _______ in a week to go out. This is compulsory.
CHEWs ; twice
Cards remaining in the tickler box enables CHEWs to ________________________. This card is the 3rd part of ____________ chart and is usually added to the others to take home. This also applies to _______.
go out to look for patients.
road to health chart
DOTS.
PHCUOR
⁃ More evident in the Comprehensive facilities: there’s always a doctor on call (for _________ ) + all the arms of a complete healthcare system. Patient gets all access of care in that PHC.
24 hours
Get ittttt
Hub and spoke referral: some facilities may not be _____hrs, or _____ doctor but there may be _______ or ________. May run from ___-____. They still carry out _____ the PHC activities.
24hrs, ; no
nurses ; CHEWs.
8-5.
Surgeries are done at PHC
T/F
F
Surgeries are not PHC; they are secondary.
Hub and spoke referral : If they have a woman that is pregnant and they run the ANC; at _____ weeks a referral letter is sent to the _________ facility within the _________.
⁃ There are at least _______ comprehensive PHCs in Lagos state.
36
comprehensive
LGA; 57
Incision and drainage, episiotomy sutures can be done at PHC.
T/F
T
Dental care and Eye care have been incorporated into the PHC system.
T/F
T
Bit because PHC board hasn’t started employing professionals in that field - no dentists, no dental technicians, no ophthalmologist etc.
For dental and eye care services, we run a PPP (a ________________________________) with PHC centers. They will have a contract with the ______ but are not paid by _______.
public private partnership
LGA ; PHC board.
Many PHCs don’t have a dental chair. But Rauf Aregbesola and Iga-Idun garan on the Island, have a partnership with the ________________ close to them & their dental units in those facilities.
general hospital
There’s no PHC in Lagos state that has a dental personnel employed by Lagos state to provide those services.
T/F
T
Recently, _________ phc got a dental chair. They are working on a PPP to run the services at the primary care level. They also have an ___________.
Iwaya
optometrist
