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Dec. 5, 2022
Group 2 . Participants:
1. Aguilar Zambrana Lizeth Karen
2. Cadiz Herbas Daniel Christian
3. Gonzales Caceres Lidia
4. Ortiz Ortega Jose Alejandro
(Leader)
Current Status and Issues
Current Status and Issues
Proposed Goals
Proposed Goals
Strategy and Specific Activities
Strategy and Specific Activities
Action Plan Time Table
Action Plan Time Table
Expected Effects
Expected Effects
Contents
Contents
Current Status and Issues: Problems and Challenges
1. Limited of knowledge for medical staff in the internal medicine service on the
diagnosis of discharge from hospital.
2. Lack of knowledge for the patients of the treatment indicated at the time of being
discharged in the internal medicine service.
3. Lack of complete information to patients, to go to post-hospital control in the
internal medicine service.
4. Lack of knowledge for the patients of the dietary hygienic measures to following in
the home post hospital discharge.
5. Absence of statistical data on noncommunicable diseases in the internal medicine
service.
6. Lack of statistics on the satisfaction of patient follow up in the internal medicine
service.
Proposed Goals – Gap Analysis
“As Is” vs. “To Be”
To
Be
As
Is
2. Sufficient knowledge for the patients of the treatment indicated at the time of being discharged.
1. Limited of knowledge for medical staff in the internal medicine service on the diagnosis of discharge from hospital.
2. Lack of knowledge for the patients of the treatment indicated at the time of being discharged
3. Lack of knowledge for the patients of the follow up indicated at the time of being discharged
Strategy to Achieve the Goal #1: ERRC Questions
E R
R C
Eliminate
Reduce Create
Raise
* Which ones you took for granted should be eliminated?
 Bad interpersonal relationships



* Which ones should be reduced well below the current
level?
 Reduce misinterpretation between doctor-patient



* Which ones should be raised well above the current level?
 Establish an adequate time for adequate doctor-patient
communication



* Which ones should be created that you have not seen
before?
 Create a hospital discharge sheet with current
diagnosis, hygienic dietary measures and subsequent
controls


Specific Activities to Achieve the Goal #1
1. Goal #1: Full Knowledge for medical staff in the internal medicine service on the
diagnosis of discharge from hospital.
• Have internal meeting to discussion of the creation of discharging sheet patient form that
includes the diagnoses of discharges to the hospital discharge, in the internal medicine
service.
• Draft the discharge sheet of post-hospitalized patients in the Internal Medicine Service
• Train staff for all for the implementation of the hospital discharge sheet in the Internal
Medicine service
• Begin the implementation of the discharge sheet to all patients discharged from the Internal
Medicine Service
• Carry out a satisfaction survey of patients and medical staff of the internal medicine service,
about the implementation of the discharge sheet
• Meeting to analyze the results of the implementation of the hospital discharge sheet, in the
internal medicine service.
Strategy to Achieve the Goal #2: ERRC Questions
E R
R C
Eliminate
Reduce Create
Raise
* Which ones you took for granted should be eliminated?
 Lack of interest of treating physicians about the future
of patients after their discharge
 Cultural barriers such as different languages, beliefs
and other abilities that could prevent better
understanding


* Which ones should be reduced well below the current
level?
 Lack of handwriting and spelling errors when
prescribing discharge recipes
 Prescriptions for drugs with trade names


* Which ones should be raised well above the current level?
 Clinical instruments to indicate the type of medication you
receive
 Encourage health personnel to coordinate and indicate the
correct way to continue treatment
 Generate consciencea in other hospital services
Encourage patients to attend their post-hospitalization check-
ups
* Which ones should be created that you have not seen
before?
 Hospital discharge committees
 Post-discharge follow-up committees


Specific Activities to Achieve the Goal #2
Goal #2: Sufficient knowledge for the patients of the treatment
indicated at the time of being discharged.
• Provide the discharge sheet to patients at the time of discharge.
• Train resident doctors, interns and health personnel to correctly indicate the
treatment that must be followed after discharge.
• Use didactic and technological means to make the patient and family members
aware of the correct way to continue with their established treatment.
• Implement a section of medical indications in the hospital discharge sheet, in the
internal medicine service.
• Carry out a satisfaction survey of patients and medical staff of the internal
medicine service, about the section of medical indications in the hospital
discharge sheet, in the internal medicine service.
• Meeting to analyze the results of the implementation of the section of medical
indications in the hospital discharge sheet, in the internal medicine service.
Strategy to Achieve the Goal #3: ERRC Questions
E R
R C
Eliminate
Reduce Create
Raise
* Which ones you took for granted should be eliminated?
 Eliminate unnecessary treatment changes
 Eliminate inadequate control of patients with chronic
pathologies


* Which ones should be reduced well below the current
level?
 Reduce congestion in outpatient areas
 Repeat cabinet exams


* Which ones should be raised well above the current level?
 Improve the follow-up of patients discharged from
hospital.
 improve the focus of post-discharge patient
recommendations

* Which ones should be created that you have not seen
before?
 Training for the proper filling out of the control sheets
after hospital discharge
 Training for the proper filling out of the control sheets
after hospital discharge
 create notebooks of patients who will attend the
control by external office
Specific Activities to Achieve the Goal #3
Goal #3: Sufficient knowledge for the patients of the follow up indicated
at the time of being discharged
Implement a section of control by external consultation in the hospital
discharge sheet, in the internal medicine service.
Train resident doctors, interns and health personnel for the correct
completion of the section of controls by external consultation, which must be
followed after discharge, in the internal medicine service.
Carry out a satisfaction survey of patients and medical staff of the internal
medicine service, on the control section of external consultation in the
hospital discharge sheet, in the internal medicine service Implement a
section of medical indications in the hospital discharge sheet, in the internal
medicine service.
Meeting to analyze the results of the implementation of the section on the
control of external consultation in the hospital discharge sheet, in the internal
medicine service.
Action Plan Time Table
• Duration: 1 Year from Jan. 2023 to Dec. 2023
No Specific Activities Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec
Budget
US$
1
Have internal meeting to discussion of the
creation of discharging sheet patient form that
includes the diagnoses of discharges to the
hospital discharge.
TBD
2
Draft the discharge sheet of post-hospitalized
patients in the Internal Medicine Service
TBD
3
Train staff for all for the implementation of the
hospital discharge sheet in the Internal Medicine
service
TBD
4
Begin the implementation of the discharge sheet
to all patients discharged from the Internal
Medicine Service
TBD
5
Carry out a satisfaction survey of patients and
medical staff of the internal medicine service,
about the implementation of the discharge sheet
TBD
6
Meeting to analyze the results of the
implementation of the hospital discharge sheet
TBD
Total Budget: TBD
Goal #1: Full knowledge of the diagnosis of discharge from hospital in the
internal medicine service
The cost of the project will be determined during the development
Action Plan Time Table
• Duration: 1 Year from Jan. 2023 to Dec. 2023
Total Budget: TBD
Goal #2: Sufficient knowledge for the patients of the treatment indicated at the time of
being discharged.
The cost of the project will be determined during the development
No Specific Activities Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec
Budget
US$
1
Provide the discharge sheet to patients at the
time of discharge.
TBD
2
Train resident doctors, interns and health
personnel to correctly indicate the treatment that
must be followed after discharge
TBD
3
Use didactic and technological means to make the
patient and family members aware of the correct
way to continue with their established treatment
TBD
4
Implement a section of medical indications in
the hospital discharge sheet, in the internal
medicine service.
TBD
5
Carry out a satisfaction survey of patients and
medical staff of the internal medicine service,
about the section of medical indications in the
hospital discharge sheet, in the internal
medicine service.
TBD
6
Meeting to analyze the results of the
implementation of the section of medical
indications in the hospital discharge sheet, in
the internal medicine service.
TBD
Action Plan Time Table
• Duration: 1 Year from Jan. 2023 to Dec. 2023
No Specific Activities Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec
Budget
US$
1
Implement a section of control by external
consultation in the hospital discharge sheet, in
the internal medicine service.
TBD
2
Train resident doctors, interns and health
personnel for the correct completion of the
section of controls by external consultation,
which must be followed after discharge.
TBD
3
Carry out a satisfaction survey of patients
and medical staff of the internal medicine
service, on the control section of external
consultation.
TBD
4
Meeting to analyze the results of the
implementation of the section on the control of
external consultation in the hospital discharge
sheet, in the internal medicine service.
TBD
Total Budget: TBD
Goal #3:Regulate implement control sheets after post-hospitalization
Grand Total Budget: TBD
The cost of the project will be determined during the development
Expected Effects
• Economic Effects
• Technical Effects
•
•Social Effects
– Reduce the economic by costs of repeating cabinet studies and unnecessary
treatment changes, in the internal medicine service..
– Improve the adequate control of patients after their hospital discharge, in the
internal medicine service.
– Decrease the statistics of repeated hospitalizations in the internal medicine
service.
– Increase the trust of patients in the staff of the internal medicine service.
– Minimize acute and chronic complications of chronic pathologies.

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Action_Plan_Template group 1 HOSPITAL GENRAL COREA .ppt

  • 1. Dec. 5, 2022 Group 2 . Participants: 1. Aguilar Zambrana Lizeth Karen 2. Cadiz Herbas Daniel Christian 3. Gonzales Caceres Lidia 4. Ortiz Ortega Jose Alejandro (Leader)
  • 2. Current Status and Issues Current Status and Issues Proposed Goals Proposed Goals Strategy and Specific Activities Strategy and Specific Activities Action Plan Time Table Action Plan Time Table Expected Effects Expected Effects Contents Contents
  • 3. Current Status and Issues: Problems and Challenges 1. Limited of knowledge for medical staff in the internal medicine service on the diagnosis of discharge from hospital. 2. Lack of knowledge for the patients of the treatment indicated at the time of being discharged in the internal medicine service. 3. Lack of complete information to patients, to go to post-hospital control in the internal medicine service. 4. Lack of knowledge for the patients of the dietary hygienic measures to following in the home post hospital discharge. 5. Absence of statistical data on noncommunicable diseases in the internal medicine service. 6. Lack of statistics on the satisfaction of patient follow up in the internal medicine service.
  • 4. Proposed Goals – Gap Analysis “As Is” vs. “To Be” To Be As Is 2. Sufficient knowledge for the patients of the treatment indicated at the time of being discharged. 1. Limited of knowledge for medical staff in the internal medicine service on the diagnosis of discharge from hospital. 2. Lack of knowledge for the patients of the treatment indicated at the time of being discharged 3. Lack of knowledge for the patients of the follow up indicated at the time of being discharged
  • 5. Strategy to Achieve the Goal #1: ERRC Questions E R R C Eliminate Reduce Create Raise * Which ones you took for granted should be eliminated?  Bad interpersonal relationships    * Which ones should be reduced well below the current level?  Reduce misinterpretation between doctor-patient    * Which ones should be raised well above the current level?  Establish an adequate time for adequate doctor-patient communication    * Which ones should be created that you have not seen before?  Create a hospital discharge sheet with current diagnosis, hygienic dietary measures and subsequent controls  
  • 6. Specific Activities to Achieve the Goal #1 1. Goal #1: Full Knowledge for medical staff in the internal medicine service on the diagnosis of discharge from hospital. • Have internal meeting to discussion of the creation of discharging sheet patient form that includes the diagnoses of discharges to the hospital discharge, in the internal medicine service. • Draft the discharge sheet of post-hospitalized patients in the Internal Medicine Service • Train staff for all for the implementation of the hospital discharge sheet in the Internal Medicine service • Begin the implementation of the discharge sheet to all patients discharged from the Internal Medicine Service • Carry out a satisfaction survey of patients and medical staff of the internal medicine service, about the implementation of the discharge sheet • Meeting to analyze the results of the implementation of the hospital discharge sheet, in the internal medicine service.
  • 7. Strategy to Achieve the Goal #2: ERRC Questions E R R C Eliminate Reduce Create Raise * Which ones you took for granted should be eliminated?  Lack of interest of treating physicians about the future of patients after their discharge  Cultural barriers such as different languages, beliefs and other abilities that could prevent better understanding   * Which ones should be reduced well below the current level?  Lack of handwriting and spelling errors when prescribing discharge recipes  Prescriptions for drugs with trade names   * Which ones should be raised well above the current level?  Clinical instruments to indicate the type of medication you receive  Encourage health personnel to coordinate and indicate the correct way to continue treatment  Generate consciencea in other hospital services Encourage patients to attend their post-hospitalization check- ups * Which ones should be created that you have not seen before?  Hospital discharge committees  Post-discharge follow-up committees  
  • 8. Specific Activities to Achieve the Goal #2 Goal #2: Sufficient knowledge for the patients of the treatment indicated at the time of being discharged. • Provide the discharge sheet to patients at the time of discharge. • Train resident doctors, interns and health personnel to correctly indicate the treatment that must be followed after discharge. • Use didactic and technological means to make the patient and family members aware of the correct way to continue with their established treatment. • Implement a section of medical indications in the hospital discharge sheet, in the internal medicine service. • Carry out a satisfaction survey of patients and medical staff of the internal medicine service, about the section of medical indications in the hospital discharge sheet, in the internal medicine service. • Meeting to analyze the results of the implementation of the section of medical indications in the hospital discharge sheet, in the internal medicine service.
  • 9. Strategy to Achieve the Goal #3: ERRC Questions E R R C Eliminate Reduce Create Raise * Which ones you took for granted should be eliminated?  Eliminate unnecessary treatment changes  Eliminate inadequate control of patients with chronic pathologies   * Which ones should be reduced well below the current level?  Reduce congestion in outpatient areas  Repeat cabinet exams   * Which ones should be raised well above the current level?  Improve the follow-up of patients discharged from hospital.  improve the focus of post-discharge patient recommendations  * Which ones should be created that you have not seen before?  Training for the proper filling out of the control sheets after hospital discharge  Training for the proper filling out of the control sheets after hospital discharge  create notebooks of patients who will attend the control by external office
  • 10. Specific Activities to Achieve the Goal #3 Goal #3: Sufficient knowledge for the patients of the follow up indicated at the time of being discharged Implement a section of control by external consultation in the hospital discharge sheet, in the internal medicine service. Train resident doctors, interns and health personnel for the correct completion of the section of controls by external consultation, which must be followed after discharge, in the internal medicine service. Carry out a satisfaction survey of patients and medical staff of the internal medicine service, on the control section of external consultation in the hospital discharge sheet, in the internal medicine service Implement a section of medical indications in the hospital discharge sheet, in the internal medicine service. Meeting to analyze the results of the implementation of the section on the control of external consultation in the hospital discharge sheet, in the internal medicine service.
  • 11. Action Plan Time Table • Duration: 1 Year from Jan. 2023 to Dec. 2023 No Specific Activities Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec Budget US$ 1 Have internal meeting to discussion of the creation of discharging sheet patient form that includes the diagnoses of discharges to the hospital discharge. TBD 2 Draft the discharge sheet of post-hospitalized patients in the Internal Medicine Service TBD 3 Train staff for all for the implementation of the hospital discharge sheet in the Internal Medicine service TBD 4 Begin the implementation of the discharge sheet to all patients discharged from the Internal Medicine Service TBD 5 Carry out a satisfaction survey of patients and medical staff of the internal medicine service, about the implementation of the discharge sheet TBD 6 Meeting to analyze the results of the implementation of the hospital discharge sheet TBD Total Budget: TBD Goal #1: Full knowledge of the diagnosis of discharge from hospital in the internal medicine service The cost of the project will be determined during the development
  • 12. Action Plan Time Table • Duration: 1 Year from Jan. 2023 to Dec. 2023 Total Budget: TBD Goal #2: Sufficient knowledge for the patients of the treatment indicated at the time of being discharged. The cost of the project will be determined during the development No Specific Activities Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec Budget US$ 1 Provide the discharge sheet to patients at the time of discharge. TBD 2 Train resident doctors, interns and health personnel to correctly indicate the treatment that must be followed after discharge TBD 3 Use didactic and technological means to make the patient and family members aware of the correct way to continue with their established treatment TBD 4 Implement a section of medical indications in the hospital discharge sheet, in the internal medicine service. TBD 5 Carry out a satisfaction survey of patients and medical staff of the internal medicine service, about the section of medical indications in the hospital discharge sheet, in the internal medicine service. TBD 6 Meeting to analyze the results of the implementation of the section of medical indications in the hospital discharge sheet, in the internal medicine service. TBD
  • 13. Action Plan Time Table • Duration: 1 Year from Jan. 2023 to Dec. 2023 No Specific Activities Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec Budget US$ 1 Implement a section of control by external consultation in the hospital discharge sheet, in the internal medicine service. TBD 2 Train resident doctors, interns and health personnel for the correct completion of the section of controls by external consultation, which must be followed after discharge. TBD 3 Carry out a satisfaction survey of patients and medical staff of the internal medicine service, on the control section of external consultation. TBD 4 Meeting to analyze the results of the implementation of the section on the control of external consultation in the hospital discharge sheet, in the internal medicine service. TBD Total Budget: TBD Goal #3:Regulate implement control sheets after post-hospitalization Grand Total Budget: TBD The cost of the project will be determined during the development
  • 14. Expected Effects • Economic Effects • Technical Effects • •Social Effects – Reduce the economic by costs of repeating cabinet studies and unnecessary treatment changes, in the internal medicine service.. – Improve the adequate control of patients after their hospital discharge, in the internal medicine service. – Decrease the statistics of repeated hospitalizations in the internal medicine service. – Increase the trust of patients in the staff of the internal medicine service. – Minimize acute and chronic complications of chronic pathologies.