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KEY PERFORMANCE INDICATORS FOR CHC
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TypeS NoQuality Indicator NumeratorDenominatorFormulaFrequency source of data Significance
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Productivity1Bed Occupancy RateTotal Patient bed days
(Midnight head count of each day added for the month of all patients)
Product of Total number of functional beds in the hospital and days in the month(Total Patient bed days /Functional beds*days in month)MonthlyMid night censusIndicator for Utilization of Hospital Indoor services
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2Lab test done per thousand patientsTotal number of tests done for both OPD and IPD patientsTotal number of patients attended during the month
Inclusion:- Both OPD and IPD cases		(Total number of lab tests done*1000/Total number of patients attended)MonthlyLab RegisterIndicator to measure Utilization of laboratory services
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3Percentage of cases of High Risk Pregnancy/obstetric complication out of total registered pregnancies at FRUTotal number of high risk pregnancies registered at the facility
Inclusion:-Severe Anaemia ,PPH, PIH/Eclampsia/Pre Eclampsia, Retained Placenta, HIV Positive Pregnant women, Septic Cases, Obstructed labour including C- Section
Exclude:- Referral without any interventions		Total ANC registrationTotal number of complicated pregnancies registered at the facility*100/Total ANC registrationMonthlyANC RegisterUtilization of ANC services for complicated deliveries
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4LSCS Rate Total number of C-section delivery conducted.Total deliveries conductedTotal number of C-section deliveries conducted*100/ Total number of deliveries conductedMonthlyLabour Room Register/OT registerTo check utilization of Hospital for C-section deliveries
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5Percentage of NCD Cases managed in OPDTotal number of NCD cases managed in OPDTotal number of cases managed in OPDTotal number of NCD cases managed in OPD*100/Total number of cases managed in OPDMonthlyOPD RegisterPreparation of OPD to manage NCD cases
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6Percentage of new-born admitted to NBSU out of total live births at facilityTotal number of new born babies admission at NBSU
Total live births in the facilityTotal new-born admission in NBSU*100/Total live birthsMonthlyNBSU registerTo check utilization of NBSU
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7No. of Blood units transfused out of total admissionTotal number of blood units transfused at the facilityTotal admission in the facilityTotal number of blood units transfused /Total AdmissionMonthlyBlood transfusion RegisterIndicator for Utilization of blood Storage centre
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8No. of major surgeries done (except LSCS) out of total surgeries conductedTotal number of surgeries done (major & minor surgeries)Total number of surgeries conducted (major & minor surgeries)Total number of major surgeries done (except LSCS)/ Total number of surgeries conducted (major & minor surgeries)MonthlyOT RegisterIndicator to check preparedness of OT
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Efficiency9Percentage of referrals out of Total registered patientTotal number of patients referred from the facility
Inclusion:- Emergency and indoor cases
Exclusion:- Referral from LAMA & absconding
Total admission in the facility
No of cases referred out from the hospital*100/ Total no. of cases admitted
MonthlyReferral RegisterIndicator for efficiency of clinical process
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10OPD Per doctorTotal number of patients attended in OPDTotal number of doctors available in the hospital
Inclusion: Regular, contractual, Part Time
Exclusion:- Doctors not engaged in OPD like MS, Radiologist, Microbiologist 		Total number of Patient consulted in OPD/Total number of doctor appointed for OPDMonthlyOPD RegisterIndicator for measuring efficiency of Doctors in OPD
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11Percentage of Critical emergencies cases (Snake bites, Trauma, CVA) Total number of critical emergency cases registered in emergency department
Inclusion:- Snake bites, Trauma, CVA		Total registered patients at emergencyTotal number of critical emergencies cases attended*100/ Total registration at emergencyMonthlyEmergency registerIndicator to measure efficiency of A&E department of hospital for critical emergencies cases.
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12Percentage of Stock outs as per EMLTotal stock outs as per EML each day added for the month

Product of total no. of drugs as per EML and days in the month
Total no. of Stock out days of essential & vital drugs of EML*100/ Total no. of drugs*Days in Month
MonthlyStock RegisterIndicator to measure efficiency of Hospital to ensure availability of drugs as per EML
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13Pecentage of Emergency call attended per specialist per month (8 PM to 8 AM)Total number of emergency call attended by specialist per month (8 PM to 8 AM)Total number of specialist appointed at the facility
Inclusion:- Gynaecologist, Paediatrician, Anaesthetic		Total number of emergency call attended by specialist (8 PM to 8 AM)/Total number of specialist appointedMonthlyCall RegisterIndicator to measure efficiency of speciality services at night
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Clinical care and safety14Average length of stayTotal Patient bed days
(Midnight head count of each day added for the month of all patients)
Total number of discharges.
Inclusion:- Normal discharge, LAMA, Abscond, Referral, deaths		Total Patient bed days /Total DischargesMonthlyAdmission and Discharge RegisterIndicator of Quality of Clinical care and infection control practices
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15Percentage of Surgical site infection Total number of Surgical site infection detected (Any purulent discharge,absess, spreading cellulitis at surgical site during the month after the surgery)Total number of surgeries conducted (major & minor surgeries)(Total number of surgical site infection detected*100/Total number of surgeries Conducted)MonthlyInfection control monitoring reportIndicator for Quality of infection control practices in OT
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16Death Rate
(Include all deaths)		Total no. of deaths occurred in a hospital
Total no. of admissions in a hospitalTotal no. of deaths occurred in a hospital/ Total no. of admissions in a hospital MonthlyDeath Register, Admission register
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17Percentage of AEFI cases reportedTotal number of AEFI cases reportedTotal number of immunization doneTotal number of AEFI cases reported*100/Total number of immunization doneMonthlyImmunization and AEFI recordsIndicator to measure clinical care of immunization services
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18Percentage of cases on DOTs completed the treatment successfullyTotal number of TB cases who were successfully treated TB treatment, with or without bacteriological evidence of success Total tuberculosis cases registered under a national tuberculosis control programmeTotal number of TB cases who were successfully treated TB treatment, with or without bacteriological evidence of success *100/Total tuberculosis cases registered under RNTCPMonthlyDOT registerIndicator to measure clinical care at DOT centre
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19Family Planning Indicators (as per HMIS reporting)
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20LaQshya Indicators
(As per Annexure 'C of LaQshya Guidelines)
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Service Quality Indicator21Percentage of Left against Medical advice (LAMA) casesTotal number of LAMA patients from the facility
Exclusion:- Abscond and referral cases		Total admission in the facility(No. of LAMA Patients from the facility*100/Total no. of admission)
MonthlyAdmission /Discharge RegisterIndicator of service quality and patient satisfaction with treatment and stay in IPD
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22Patient Satisfaction Score for IPDSum of average satisfaction score of each respondent
(Average satisfaction score = sum total of scores of attributes/number of total attributes)		Total number of respondentsMean of scores given by each patients in Patient satisfaction survey for indoor patients done each month on statistically adequate sample (at least 30) MonthlyRecord of Patient FeedbacksIndicator of patient satisfaction in IPD
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23Patient Satisfaction Score (OPD)Sum of average satisfaction score of each respondent
(Average satisfaction score = sum total of scores of attributes/number of total attributes)		Total number of respondentsMean of scores given by each patients in Patient satisfaction survey for outdoor patients done each month on statistically adequate sample (at least 30) MonthlyRecord of Patient FeedbacksIndicator of patient satisfaction in OPD
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24Consultation time in OPD (average)Time lag for a patient from entering in queue for OPD Consultation to finally get consultation from doctorMean of waiting time for the derived sample observed in time motion study done at peak hours on sample basis (at least 5% patients but not less than 30)MonthlyTime Motion StudyTo observe consultation time at OPD
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