Background: Srinagarind Hospital has 100 to 150 cases of cleft lip and palate each year. The patients with cleft lip and palate have problems with feeding, swallowing difficulties and delayed development. When they go to hospital to receive surgery, the pain, limited activity and food are very different from normal life. During pre and post operative care, nurses using a nursing process took care of the patients. The outcome of care and result of real time outcomes indicator can help nurses to maintain the quality of care.
Objective: To develop a key performance indicators using information technology.
Materials and Methods: The present study is an action research divided into 3 phases. Phase 1: Situation analysis: In this phase the author interviews and observes nurses’ activities followed by discussion about the key performance indicators of patients with cleft lip and palate. Phase 2: reviews key performance indicators from literature and previous study. Conferences with the medical programmer for setting the program. Phase 3: implementation and evaluation.
Results: There were 6 key performance indicators developed, composed of 1) patients receiving information; 2) wound
infection; 3) pain management; 4) satisfaction; 5) Length of hospital stay; 6) percentage following the CPG. 81 percent of
nurses were satisfied with information technology program.
Conclusion: Key performance has covered every part of quality of care pre-post operation. KPI were feasible and implemented, but need to develop the real time result, including software improvements.

Keywords: Health care indicators, Quality, Cleft Lip/Palate, Information technology