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Published by norhamirahmohamed14, 2019-03-05 08:49:49

TALK 3

PROCESS OF MOGC

Keywords: TALK 3

PROCESS OF CARE
AND MODEL OF
GOOD CARE


PROCESSES

• The steps in healthcare activities the workers:
• Should undertake
• Get information about (basic data, past medical or

surgical history)
• Should report
• Do when diagnose, treating and follow up


PROCESSES OF CARE

• Sequential steps of activities when providing a particular
healthcare services

• The steps is adopted from the professionally accepted
standard or norms, SOP, guidelines, circulars, CPG etc

• Each step will contribute to the final service outcome


PROCESSES OF
CARE….CRITICAL STEPS

• Essential elements is the critical steps of care that
should be accomplished within the set criteria and
standard.

• If violated might cause multiplying effect of failure and
end up with poor outcome.

• Marked as the basis for setting up the STANDARD OF
CARE


Routine Intubate & PPV with
neonatal self-inflating bag
resuscitatio
n at birth .
.
Intubate & PPV .
with self- .
.
inflating bag


OPEN ACCESS ENDOSCOPE SERVICE
FLOWCHART-PROCESS AND PERSONNEL

1 Patient whose MARKS’ Quadrant Primary care centre

Score > 10 medical officers

2 Fill up FORM A Primary care centre

medical officers

3 Call SOPD and get the appt by Surgical specialist

phone clinic staffs

4 OGDS at HTJ HTJS surgeons

(within 2 weeks)

POSITIVE NEGATIVE
FINDINGS FINDINGS

Treat at Tuanku Treat at the
Ja’afar Hospital respective centers


MODEL OF GOOD CARE

• The protocol and sequence of essential elements of the
process of care (mapping or pathway) preferably with the
preset criteria and standard of the critical processes so
that the care is good.


MOGC

• Follow the best practice available
• Element of evidence-based medicine
• Includes:

 Management protocols
 CPG
 Standard Operating Procedures (SOP)
 Critical pathways


MODEL OF GOOD CARE

No. Process Criteria Standard

1 Assess for respiratory Provide PPV with NeopuffTM if 100%
distress and HR at birth severe respiratory distress or
HR<60

Look for persistent Nasopharyngeal CPAP or 100%
2 respiratory insufficiency intubation and ventilation with
NeopuffTM
and/or bradycardia

3 Transfer to NICU Use NeopuffTM during transfer 100%
4 Stabilization in NICU Put on nasal CPAP or ventilator 100%


MODEL OF GOOD CARE

Step Process of care Criteria Action Standard
1 Assessing need for Primary 100%
referral Patients Health care
2 screened staff, public 100%
Filling up Open using MARK’s
3. Access form quadrant Medical 100%
4. officers in 100%
Getting appointment Those health centre
for endoscope patients has
score more Surgical clinic
Endoscope procedure than 10 staff

Open Access Surgical clinic
appt for high staff,
risk patients surgeons

Within 2
weeks of
calling
endoscope
suite


MODEL OF GOOD CARE

No Process Criteria Standard

1 Appointment to clinic Appointment given 10 days after 100%
menstruation. 90%
Attendance on appointment date

2 Preparation of patient Patient instructions by nurses 100%

regarding no coitus and douching 24

hours prior to procedure

3 Pap smear performed Ensure no discharge 100%
No trauma 90%
No lubricant 100%
Turn 360O around the cervix 100%

4 Fixation Dip into 95% Ethyl Alcohol 100%
-Within 1 min after taking smear 100%
-At least for 30 minutes 100%

5 Packing and Proper packing of slides as per 100%

transportation of slides protocol


USAGE OF MOGC

• Assessment of the actual quality of care
• The extent to which actual care is in conformity with

preset criteria for good care
• Measurable difference what is realized and what should

be realized.

ACTUAL CARE MODEL OF GOOD CARE


USAGE OF PROCESSES OF CARE AND
MODEL OF GOOD CARE

• Shortfall in quality (SIQ) investigation by evaluating
every steps in the process of care and to determine
whether the step was appropriate, timely and adequate

Check your MOGC

 Analyze which step is frequently violated and investigate
thoroughly.


MOGC

Do it right the first time, every time and
better next time


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