In order to strengthen evaluation and monitoring capacities, managerial training as well as trainings in HMIS was given to the hospitals in charge. The performance efficiency of the hospitals is being judged through Performance Indicators viz.
- BOR: Bed Occupancy Rate which reflects the popularity of the hospital in terms of inpatients.
- TOR : Turn Over Rate indicates the speed with which patients on any bed are rotated, complicates cases => smaller TOR
- Small treatment diseases => Larger TOR
- AVLS: Average Length Of stay indicates the time the patient is retained in the hospital.
- OP/ IP Outpatient/Inpatient Ratio: Indicator of the manner in which inpatient services are being utilized in the hospital.
- Surgeries: Numbers of Surgeries indicate the provision and utilization of surgical operation facilities.
- Number of Deliveries: another parameter to judge the functioning of a hospital
- Number of X-rays Scans: Utilization of X-rays and scanning machines provides a good indicator of how the hospital is functioning.
- Number of Lab Tests indicates the availability and efficiency of diagnostic facilities in a hospital
Performa and reporting formats have been made uniform for periodical reporting. Monthly reports are received by the 10 of succeeding month. The report is compared with the report of previous month and same month of previous year. All HPI are reviewed in joint meetings of Civil Surgeons and DMC by senior heads. Feedback of the information to DMCs for reconciliation of discrepancies observed and rectification of the bottlenecks is sent regularly. All HPI have shown Manifold increase.
A continuous monitoring program has been implemented under which each DMC reviews the overall performance of the hospitals in the district and SMO In charge review the performance of each specialist doctor in their hospitals against the fixed benchmarks. Selected hospitals are being computerized to report accurate data and guide information. All the 17 DMC offices have been computerized to analyze and transfer data of all the health institutions to H.Q. through internet. Special trainings have been given to the existing staff for handling the computers both for public utility and internal information. Rigorous monitoring can sensitize the management & providers and bring overall improvement in the health delivery.
The performance of hospitals are graded on the basis of indicators viz. waste management, cleanliness, referral system, presence of vital drugs, swap test, user charges are core quality indicators the introduction of whom there is marked improvement in the functioning and performance of hospitals. It has helped in positive peer pressure and help hospital to work as cohesive units.
Burden of disease is the second major part of HMIS All the diseases have been properly coded on the basis of Xth revision of the ICD codes by WHO. Five leading cause groups of diseases of morbidity were evaluated for each district and the recompiled for all the secondary health care institutions of Punjab thus giving a view of the most prevalent diseases in the institutions