J Med Assoc Thai 2018; 101 (5):25

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Continuous Improving the Key Performance Indicator of the Quality of Care for Patients with Cleft Lip/Palate in Out-Patients Surgical Unit and Tawanchai Center Srinagarind Hospital
Pongpagatip S Mail, Pradubwong S , Chowchuen B

Background: Cleft lip and palate deformities [CLP] in the Northeastern region have the highest incidence in Thailand. For these birth defects, long-term critical care and treatment are needed, which, in order to carry out effective evaluations, requires taking part in the caring process. According to the continuous improvement of the Key Performance Indicators [KPI] of the quality of care for patients with CLP at Srinagarind Hospital, this subsequent research study has established KPIs for the Out-Patient Surgical Unit and the Tawanchai Center.
Objective: To develop the KPIs for the Out-Patient Surgical Unit and the Tawanchai Center to improve the quality of care,
to provide comprehensive care, and to develop information systems which will automatically analyze data and supply
updated information.
Materials and Methods: The KPIs for nursing service quality in the Nursing Division called “The Out-Patients Surgical Unit’s and Tawanchai Center’s KPIs”, were modified in order to become compatible with 13 issues involved in cleft care
management. Therefore, the 9 CLT KPIs of quality of care cannot directly indicate the situation of the patients. Afterwards, 36 outpatients were select to answer both questionnaires. The study was conducted for 8 months (January to August 2016). The descriptive methods, used in analyzing the data, were percentages.
Results: The 9 CLT KPIs for the quality of patient care and services were established, and there were 7 issues that were able to achieve the target. For the Out-Patient Surgical Unit’s and the Tawanchai Center’s KPIs, there were 13 issues in total, and the targets were achieved for 11 issues. The developed information system is able to automatically record, process, and report the data in percentages.
Conclusion: The development KPIs for patients with CLP led to a total of 22 issues. The developed information system is
able to record, process and report automatically the data in percentages.

Keywords: Key performance indicator, Quality of care, Cleft lip/palate, Srinagarind Hospital


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