Lahey primary hospital KPI MONTHLY REPORT FORMAT
KPI quarter 1 report
Emergency room quarter report
Serial number Activity Number
Hosp-KPI-ER PTSM Emergency room patient triaged
with in 5 minute
Hosp-KPI-ER PTSM 1 Number of surveyed patient who
undergo triage within 5 minutes
of arrival at emergency
Hosp-KPI-ER PTSM 2 Number of patients included in
emergency room triage survey
Lahey primary hospital KPI MONTHLY REPORT FORMAT
KPI QUARTER 1 REPORT OF 2017
OPD
Sn Activity Number
HOSP –KPI –OPD WIC Outpatient waiting time to
consultation
HOSP –KPI –OPD WIC1 Sum total of outpatient waiting
time in minutes
HOSP –KPI –OPD WIC2 Number of outpatient waiting
time card completed
HOSP –KPI –OPD TOPD1 Timely outpatient service
initiation
HOSP –KPI –OPD TOPD1 Number of outpatient
examination room that started
service timely both survey days
HOSP –KPI –OPD TOPD2 Total number of outpatient
examination room
HOSP –KPI –IPMRC Inpatient medical record
completeness
HOSP –KPI –IPMRC1 Sum total of medical record
HOSP –KPI –IPMRC2 Number of discharged inpatient
medical record surveyed
Lahey primary hospital KPI MONTHLY REPORT FORMAT
KPI QUARTER 1 REPORT OF 2017
Laboratory
Sn Activity Number
Hosp –KPI –AEQAR Aceptable EQA result
Hosp –KPI –AEQAR1 Total number of laboratory test
with acceptable EQA result
Hosp –KPI –AEQAR2 Total number of participated
laboratory test
Lahey primary hospital KPI MONTHLY REPORT FORMAT
Lahey primary hospital KPI MONTHLY REPORT FORMAT
KPI QUARTER 1 REPORT OF 2017
Pharmacy
Sn activity number
Hosp –KPI –ASP Antimicrobial stewardship
functionality score
Hosp –KPI –ASP1 Antimicrobial stewardship
program functionality criteria
score
Lahey primary hospital KPI MONTHLY REPORT FORMAT
GINBOT 2017
KPI MONTHLY REPORT
MATERNITY SERVICE
Activity Number
Percentage of women who died from postpartum hemorrhage
Number of women who died from PPH
Total number of who gave birth in the facility referred in
and on arrival who developed PPH in the reporting
period
Births by instrumental or assisted vaginal deliveries
Number of instrumental or assisted vaginal deliveries
Lahey primary hospital KPI MONTHLY REPORT FORMAT
GINBOT 2017
KPI Monthly report
OPD
Serial Numbers Activity Number
Hosp -KPI- NSOSD1 Outpatient not seen on same day
Hosp -KPI- NSOSD1 Sum total of outpatient were not seen on same day
with in reporting period
Lahey primary hospital KPI MONTHLY REPORT FORMAT
Lahey primary hospital KPI MONTHLY REPORT FORMAT
GINBOT 2017
KPI Monthly report
IPD department
Serial number Activity Number
Hosp KPI-HPTWO1 Percentage of the hypoxemia patient treated with
oxygen
Hosp KPI-HPTWO2 Number of eligible patient for oxygen treatment
Hosp KPI-MO2SOR Medical oxygen stockout rate
Hosp KPI-MO2SOR1 Number day with oxygen stock out
Lahey primary hospital KPI MONTHLY REPORT FORMAT
GINBOT 2017
KPI MONTHLY REPORT
LABORATORY DEPARTMENT
Serial number Activity Number
Hosp KPI-LT-TAT Parentage laboratory test
complicated within TAT
Hosp KPI-LT-TAT1 Number of laboratory test
reported within TAT
Hosp KPI-LT-TAT Total number laboratory
performed
Lahey primary hospital KPI MONTHLY REPORT FORMAT
GINBOT 2017
2017 KPI OR REPORT
Elective Surgical Case Cancelation Ratio Due To Blood Unavailability For Surgical Patient
1 TOTAL NUMBER OF MAJOR ELECTIVE SURGICAL
PROCEDURE CANCELED OR REFERRED OUT DUE TO
LACK OF BLOOD
2 TOTAL NUMBER OF ELECTIVE PROCEDURE
SCHEDULED
ANESTHESIA ADVERSE OUTCOME
1 NUMBER OF MAJOR SURGICAL PROCEDURE
PERFORMED WITH ANESTHETIC ADVERSE OUTCOME
DURING THE REPORTING PERIOD
2 TOTAL NUMBER OF MAJOR SURGICAL PROCEDURES
DONE DURING THE REPORTING PERIOD
ELECTIVE SURGICAL CASES TREATED WITHIN CLINICALLY RECOMMENDED TIME
1 NUMBER OF PATIENT WHO RECEIVED ELECTIVE
SURGERY AT RECOMMENDED TIME CATEGORY 1
2 NUMBER OF PATIENT WHO RECEIVED ELECTIVE
SURGERY AT RECOMMENDED TIME CATEGORY 2
3 NUMBER OF PATIENT WHO RECEIVED ELECTIVE
SURGERY AT RECOMMENDED TIME CATEGORY 3
SAFE SURGERY CHECKLIST UTILIZATION
1 NUMBER OF SURGICAL PATIENT CHARTS IN WHICH
THE WHO SAFE SURGERY CHECKLIST WAS
COMPLETED
2 TOTAL NUMBER OF PATIENT CHART REVIEWED
OR TABLE EFFICIENCY
1 TOTAL NUMBER OF MAJOR ELECTIVE TABLES
SURGICAL SITE INFECTION RATE
1 Number of surgical site infection
Lahey primary hospital KPI MONTHLY REPORT FORMAT
GINBOT 2017
No IMAGINING SERVICE
`SN
INDIOCATOR NUMBER
1 TOTAL NUMBER OF DAYS EACH IMAGING
SERVICE IS INTERRUPTED IN THE FACILITY
DURING THE REPORTING PERIOD
2 TOTAL NUMBER OF EXISTING IMAGING
SERVICES IN THE FACILITY
3 NUMBER OF IMAGING SERVICE COMPLETED
WITHIN TAT
4 TOTAL NUMBER OF IMAGING SERVICE
GIVEN DURING THE REPORTING PERIOD
KPI IMAGINING SERVICE MONTHLY REPORT
Lahey primary hospital KPI MONTHLY REPORT FORMAT
GINBOT 2017
KP I MONTHLY REPORT
NURSING CARE
sn Activity Number
1 pressure sore incidence
1,2 Number of inpatients who develop a new pressure
ulcer during the reporting period
1,3 Number of patient discharged alive ,transfer out
and death within reporting period
