Professional Documents
Culture Documents
Smart Ta Plan MC Eng Final
Smart Ta Plan MC Eng Final
0)
USAID/SMART TA
ASSESSMENT PERIOD
1/10/2013
To
DATE OF ASSESSMENT
7/8/2014
SITE INFORMATION
30/6/2014
SERVICES PROVIDED
HTC
MMT
PMTCT
C&S
Out-reach
TB
STI
AREA
City
Rural
Mountainous
OTHERS
Clients in prison
% total clients)
4%
Name
Position
Hi
OPC chief,
doctor
Doctor
Nurse,
secretary
Counselor
Pharmacist
Hng
Vng
Uyn
Hng,
Hn, Qu
Hi
Name of USAID/SMART
TA provincial site
monitor
MA. Dinh Thi Bich Hanh
Peer, C&S
team
% total clients)
310 (40 Pre-ART/ 270 ART)
Contracted
Part-time
Full time
X
Gov
Part-time Full-time
X
X
X
x
X
Name of PAC
representative
Dr. L Th Hi
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TA Assessment
Summary Results
A
B
C
D
E
F
G
HUMAN
RESOURCES
STRUCTURE AND
ACCESS
DRUG SUPPLY
LABORATORY
CAPACITY
DATA
MANAGEMENT
CASE
MANAGEMENT
Result
96%
82%
90%
90%
90%
50%
Not yet
ART/Pre-ART
implemented
DELIVERY
HIVQUAL
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No Indicator
1
2
4
5
6
8
9
10
Present result
Difference
Score
Pass or fail
60%
60%
Fail
75%
0%
Fail
75%
0%
Fail
80%
0%
Fail
85%
0%
Fail
95%
0%
Fail
65%
0%
Fail
90%
0%
Fail
80%
0%
Fail
85%
-95%
Fail
-4%
Pass
Pass
80%
85%
80%
95%
91%
89%
SMART TA classification
Improving
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No
A
1.
Issue
Solution
Person in
charge
Supporter
Other
sources
Deadline
Actual
date of
completio
n
Note
HUMAN RESOURCES
QN PAC and
MC General
Hospital
QN PHS
31/12/2014
1.
2.
QI PDSA Activity #1
Plan: Implement active TB infection
control and prevention
Do:
- Triage nurse distributes medical
mask for needed patient (TB
suspected/coughing patients)
- Counselor provides counseling
session for the TB
suspected/coughing patients to
understand the importance of
medical mask wearing.
See: After 1 month, the OPC counts
how many medical masks have been
distributed and if they are provided
appropriately for the TB
suspected/coughing patients.
Act: Triage nurse leads discussion of
data and team provides feedback,
solutions, and plan for ongoing
monitoring.
- SMART TA, PAC to send more
Triage nurse,
counselor
OPC Chief
SMART TA,
Mong Cai
QN PAC staff
monitor
infectious
control
procedures
and check
regularly
Nov, 2014
October,
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3.
C
D
E
Environmental Waste
Management: No classified bin
such as bin for medical waste, i.e.
cotton, bandages, alcohol, swabs
with patients blood, etc and bin
for domestic waste
DRUG SUPPLY
No current issues
LABORATORY CAPACITY
No current issues
DATA MANAGEMENT
Documentation: Clinical record
has been filled with relatively
adequate information but not
updated with phone numbers,
contact address of patients and
supporters. The clinical record
lacked of date of re-examination
appointment, photo, identification
papers of the patients.
PAC
OPC
2014
Mong Cai
General
Hospital
Oct, 2014
Triage nurse,
counselor,
C&S
QN PAC staff
to check
Nov, 2014
Triage nurse
Counselor
QN PAC staff
to check
Nov, 2014
Project
secretary
OPC Chief
Mong Cai
General
Hospital
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1.
2.
G
QI PDSA Activity #2
Plan: Increase the rate of retention
in care of the all the patients
including Pre-ART and ART
Do: Triage nurse records late reexamination, referral cases, phone
to them to remind for reexamination, confirm the successful
referral. Counselor provide
counseling session to the patients on
benefits of early treatment,
significance of treatment adherence,
etc; implementation of LTFU SOP
See: Check with the number of
patients who show late reexamination and poor treatment
adherence and see the records at
the record books.
Act: Continue with the action above
or change as appropriate.
Triage nurse,
counselor,
Care and
support team
QN PAC staff
to check
Nov, 2014
QN PAC
Mong Cai OPC
QN PAC
Mong Cai
OPC
11/2014
QN PAC
Mong Cai OPC
Provincial
General
Hospital
Nov, 2014
ART/ Pre-ARTDELIVERY
1.
2.
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3.
3.
QI Activity #4:
Plan: Increase the proportion of
patients are tested CD 4 at least 1 in
last 6 months.
Do:
Chief of Mong Cai OPC to
organize weekly meeting to
review all patients to avoid
omitting patients that are
eligible for treatment, need
CD4 and other routine tests.
Doctor to appoint the test
date earlier than 6 months.
Triage nurse to check who
will have CD4 test and
remind the doctor on that
by sticking a yellow sticker
on the medical record.
Counselor to provide
patients the importance of
CD4 and other routine
laboratory tests before the
regular test date;
Doctor to discuss with
patients the appointment
date for CD4 and other
routine tests,
The appointment date for
testing and re-examination
should be the same to
facilitate the patients
travelling;
Counselor to call to remind
patients before testing
date.
See and Act: QN PAC to check with
the above practice and see it works
or should be changed if needed
SMART TA will supports PAC Quang
Ninh in performing and promoting
successful referral with the support
implementation of ACIS-software
QN PAC
Mong Cai OPC
SMART TA
QN PAC
Mong Cai OPC
Nov, 2014
QN PAC staff
to check
Dec, 2014
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