Operational Plan 2023
OR OPERATIONAL PLAN
MCH , HAIL
Kingdom of Saudi Arabia المملكة العربية السعودية
Ministry of Health وزارة الصحة
Hail Health Cluster تجمع حائل الصحي
Maternity and Children's Hospital مستشفى الوالدة واألطفال
OPERATIONAL PLAN 2023
A. PATIENT SATISFACTION
GOAL: TO FOCUS ON CONTINUOUS QUALITY CARE AND PATIENT SAFETY INITIATIVES
OBJECTIVE ACTION PLAN RESPONSIBLE RESOURCES OBSTACLES PROG TARGET
RESS
PERSONS DATE
To improve the Making time for Nursing staff Adequate Lack of Open All time
delivery of care patients & listening Patient and staffing staffing and
and maintain and having Listener Availability of lack of Time
the empathy. And Other health translators
accreditation correct behavior care team
status &attitude, members
&composure
Prioritize the Ensure the Nursing Adequate staff Conflict of Open Any time
staff team work management need directors meeting scheduling in
to encourage the Nursing Internal doing staffing
team building supervisors communication
through events such CNE, Quality in unit
as conducting Head nurse
meeting Nursing staffs
B. STAFF SATISFACTION
GOAL :TO GIVE STAFF EDUCATION AND TRAINING
Kingdom of Saudi Arabia المملكة العربية السعودية
Ministry of Health وزارة الصحة
Hail Health Cluster تجمع حائل الصحي
Maternity and Children's Hospital مستشفى الوالدة واألطفال
OBJECTIVE ACTION PLAN RESPONSIBLE RESOURCES OBSTACLES PRO TARGET
PERSONS GRE DATE
SS
Increase the Selection of best Hospital Best Nurse Lack of Open Any time
efficiency of nurse from the director criteria form awareness and
work provided department and give Nursing for the training among
by the Health some rewards director selection of staffs
care providers Set some achievable Human staff
by competency targets for the resource Adequate
assessment and employees can aim Department meeting and
cirtifications towards and strive and nursing Trainings
for administration Staffs surveys
Ensure the Nursing and trainings to
employees are with supervisors meet the
BLS, CONSIOUS Head nurses criteria
SEDATION and
Saudicouncil
certifications.
Limited
To create good Improve effective Nursing Staffing plan in staffing in unit Open All time
Job communication and committee unit’s, policy
descriptions relationship Other health and procedures
and personal between the care team & values
relationship management and members Employees
employees to have contribution
boundaries
C. SERVICE
GOAL : TO PROVIDE EXCELLENT PATIENT CENTERED CARE AND RESPECT
OBJECTIVE ACTION PLAN RESPONSIBLE RESOURCES OBSTACLES PRO TARGET
Kingdom of Saudi Arabia المملكة العربية السعودية
Ministry of Health وزارة الصحة
Hail Health Cluster تجمع حائل الصحي
Maternity and Children's Hospital مستشفى الوالدة واألطفال
PERSONS GRE DATE
SS
To provide To give care based Hospital Adequate Work load and On All time
maximum on patient needs. administration staffing. staff shortage going
comfort & Privacy at all the All health Staff
Happiness by level care team development
the way of By showing members awards
pleasant empathy and group Leadership and
surroundings consideration to the adequacy
patient
Health To assess the illness Nursing staffs Awareness Lack of On All time
education to accurately Health care about the Motivation going
patient and To reduce the members patient illness. Negative
attendant barriers of Proper attitude of staff
communication. endorsement Lack of trained
To provide the system man power
information’s as the Internal Language
patient needs and communication barrier
D. PATIENT SAFETY
GOAL : IMPROVE EFFECTIVE COMMUNICATION AND KNOWLWDGE
OBJECTIVE ACTION PLAN RESPONSIBLE RESOURCES OBSTACLES PRO TARGET
PERSONS GRE DATE
Kingdom of Saudi Arabia المملكة العربية السعودية
Ministry of Health وزارة الصحة
Hail Health Cluster تجمع حائل الصحي
Maternity and Children's Hospital مستشفى الوالدة واألطفال
SS
To improve Improve the Health care Translators if Language Open Any time
effective listening skills from team needed barriers
communication the patient and Adequate Negative
and to cuts attenders. knowledge attitudes of
down To show empathy staff and
unintended to someone feelings conflicts
consequences, Ask for feedback Limited time
for rounds
To encourage Practice to utilize All staffs Adequate Lack of Open Whenever
and practice the OVR Form and Nursing training awareness and incident
reporting any Medication error supervisors Nursing quality knowledge occur
incident that form Head nurses department Fear of being
concerns safety To get the Quality nurses blamed
of the patient awareness about the
patient safety goals
E. EDUCATION
GOAL : TO DELIVER EFFECTIVE CARE AND IMPROVE THE QUALITY OF
OBJECTIVE ACTION PLAN RESPONSIBLE RESOURCES OBSTACLES PRO TARGET
PERSONS GRE DATE
SS
Kingdom of Saudi Arabia المملكة العربية السعودية
Ministry of Health وزارة الصحة
Hail Health Cluster تجمع حائل الصحي
Maternity and Children's Hospital مستشفى الوالدة واألطفال
All
To attend To attend all staff Nursing Adequate Shortage of Open working
regular for Nursing supervisors manpower staffing days
educational competency Clinical training Lack of
activities and to program, In-service instructors communication
deliver programs, Ward Head nurses Lack of timing
effective health lectures and case Nursing staffs
care study presentations.
As soon as
To improve the To improve the Head nurse Availability of Incoordination On possible
quality of internal Nursing staffs staffing among staff going
Performance communication Nursing Co-operation Conflict in
and eliminate Improve the administration among the scheduling
preventable capacity of staffing team members Lack of
harm will Proper leadership Adequate leadership
improve the To have a health improvement
patients care facility that traning
outcome supports dignity
with comfort of the
patient
APPROVAL:
Kingdom of Saudi Arabia المملكة العربية السعودية
Ministry of Health وزارة الصحة
Hail Health Cluster تجمع حائل الصحي
Maternity and Children's Hospital مستشفى الوالدة واألطفال
Name Title Signature Date
Prepared by Ms. JANESSA Quality assistant Nurse
Reviewed By: [Link] ALFELEHI Head OF DEPARTMENT
Ms. AMANI ALGARNI Unit Supervisor
Ms. Marites Macapagal / Ms. Sahar Quality Improvement Nurse
Approved By: Ms. Huda saad alanazy Nursing Director
