Thursday, March 22, 2018

Dia del Inspeciones! No somos JCAHO! Somos Uno!

Dia del Inspeciones!

The MTI teams of physicians, nurses, social workers and Mary and I began our day early. The 7 “modulos” evaluating the care at 2 Health Posts, 1 CAP (Centro de Atencion Permanente) and 1 Rural Hospital were set in place.

Modules 1 and 2 evaluated the care of 6 ill children at each site and included a post interview of the mother about the child’s condition and medication instructions.

Module CP evaluated the prenatal care provided, module 3 and 4 focused on the health care facility, supplies, medications, infrastructure, waste disposal and materials management. EmOnc modules 5 and 7 was select interview with maternity care providers.

Dr Antonio "consulta" child with a fever
Mary spent today and yesterday at the CAP and learned last evening that many of the forms were filled out incorrectly of the ill pediatric visits and a new batch of patients needed to be evaluated today. The MTI Coordinator nurse Gladys Ramirez and I went to the District Hospital in Uspantan and completed but all of one module today and will be back tomorrow to complete them.

The director of nursing and I went to each department documenting medication stocks, equipment, functional emergency generators and policies.  He shared with me that he was pleased to be part of a process he had not been able to do for his facility in the past 10 years.

Mary’s team at the CAP completed everything and had a great feedback session this evening. I did not know that Mary has extraordinary powers! It was a slow morning and I understand that  Mary did a little dance and prayer for more children and 5 more showed up one hour lately! Amazing!

Irma (photo above) and Faustino (left)
completing exit interviews at the CAP

In addition our “bruja de lluvia del ninos” (children rain witch) , I have been impressed how committed the group was in doing their best to complete the instruments accurately and were all excited to start this process of continual quality improvement.

Back at the MTI office in Chicaman this evening, the data is being inputted!

The results will be part of the plan for this community to identify what areas need attention but also to see the improvements since the instrument was last used in 2015.

Not sure if there were an new complaints placed back in the "Buzon de Quejas" about the process but we will check it tomorrow! :)





Dr Roberto


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