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RICHMOND HOSPITAL 2008

INFORMATICS BULLETIN

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VISSION & MISSION 3

FACILITY INFORMATION OFFICER’S COM-MENT

4

INFORMATICS PERSONNEL 5

INFORMATION FLOW 6

THE F.I.O PROVIDES THE FOLLOWING INFOR-MATION.

7

STATISTICS, REPORTS AND DATA PERTAINIG TO RICHMOND HOSPITAL

8-13

CONCLUSION THE END

14

15

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INFORMATICS DEPARTMENT:

VISION: TO HARVEST AND PROVIDE A HOLISTIC OVERVIEW OF PER-TINENT DATA THAT PROCESSES AND CULMINATES IN AN IN-FORMATION SYSTEM THAT IS SOUGHT AFTER AND UPON WHICH MANAGEMENT DECISIONS ARE MADE. MISSION: TO CREATE AN ENABLING ENVIROMENT TO IMPROVE AND SUPPORT THE HOSPITAL INFORMATION SYSTEM FOR EVALUATION AND SERVE THE NEEDS OF RICHMOND HOSPI-TAL.

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FACILITY INFORMATION OFFICER’S COMMENT: THE UTILISATION OF INFORMATION AS A MANAGEMENT TOOL HAS BEEN LARGELY ACCEPTED BY THE MANAGE-MENT OF RICHMOND HOSPITAL. MONITORING THE TRENDS OVER THE PAST FEW MONTHS HAS ASSISTED IN PLANNING AT ALL LEVELS. RICHMOND HOSPITAL HAS THEREFORE ESTABLISHED AN IN-FORMATION TASK TEAM TO ENSURE THAT DATA LEAVING THE HOSPITAL AT THE END OF EACH MONTH IS OF HIGH QUALITY. IN THE PAST THE IMPORTANCE OF STATISTICS WAS UNDER-ESTIMATED NATION WIDE THUS LEAVING THESE SYSTEMS FRAGMENTED AND OVERLOOKED. WITH THE PARA-DIGMSHIFT AND EMPHASIS BEING PLACED ON INFORMA-TION WE ARE GRADUALLY MOVING TOWARDS AN INTE-GRATED INFORMATION SYSTEM. CONVERTING INFORMATION INTO KNOWLEDGE IDENTIFIES THE DEFICIENCIES AND EFFICIENCIES AND ALLOWS FOR IM-PROVEMENT AND APPRAISAL THUS ALLOWING RICHMOND HOSPITAL TO FUNCTION MORE EFFICIENTLY AND OFFER BETTER SERVICE DELIVERY IN THE FUTURE.

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INFORMATICS PERSONNEL MR. Sudheshan Pillay—Facility Information Officer

Special points of interest:

●

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INFORMATION FLOW

WARD/ DEPARTMENT

SISTER IN CHARGE \/ DEPT. MANAGER

DATA CAPTURER

FACILITY INFORMATION OFFICER

PROVINCIAL INFORMATION OFFICER

NATIONAL

WORLD HEALTH ORGANISATION

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THE F.I.O PROVIDES THE FOLLOWING INFORMA-TION/ DATA: * HIV/ AIDS DATA * TB PERFORMANCE INDICATORS * PHARMACY STATISTICS * LAB STATISTICS * SOCIAL WORK STATISTICS * IN-PATIENT INFORMATION - ADMISSIONS - DEATHS - DISCHARGES - ABSCONDMENTS - TRANSFERS - BED STATUS * COMPILATION OF CLIENT SATISFACTION REPORTS * PROVISION OF SUMMARY AND COMPARITIVE REPORTS ON DATA PERTAINING TO RICHMOND HOSPITAL. * ANY INFORMATION REGARDING TO COMPUTER EQUIPMENT INCLUDING HARDWARE AND SOFT- WARE

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INPATIENT DATA:

Graph showing the number of Admissions, Discharges, Abscondments and Deaths for the year 2008

Graph showing the difference in the number of patients admitted for the first quarter of 2008.

ELEMENT JAN FEB MAR APR MAY JUN JUL AUG SEP OCT

ADMISSIONS 124 143 123 124 106 93 90 79 85

DISCHARGE 102 94 67 80 77 76 80 70 54

ABSCONDED 32 9 4 5 8 4 0 1 1

DEATH 27 30 42 48 40 30 29 15 24

0

2 0

4 0

6 0

8 0

10 0

12 0

14 0

16 0

JA N F EB M A R A PR M A Y JU N JU L A U G SEP

COMPARITIVE SUMMARY GRAPH

A D M ISSION SD ISC HA R GEA B SC ON D EDD EA T H

0

20

40

60

80

100

120

140

January February M arch April M ay June July August

Months

ADMISSIONS GRAPH

Admissions

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Graph showing the number of patients on ART for 2008

GRAPH SHOWING THE MONTHLY MORTALITY RATE FOR THE YEAR 2008

NUMBER OF PATIENTS ON ART FOR THE YEAR 2008 JAN FEB MAR APR MAY JUN JUL AUG SEP NO. OF PATIENTS 32 40 17 39 21 26 29 32 25

05

10152025303540

JAN FEB MAR APR MAY JUN JUL AUG SEP

NO. OF PATIENTS ON ART FOR 2008

NO. OF PATIENTS

MORTALITY COMPARISON FOR 2008

0

10

20

30

40

50

60

JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC

MONTHS

TOTAL

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PHARMACY STATISTICS Graph showing the number of items dispensed for the first quarter of 2008

SOCIAL WORK STATISTICS Graph showing the number of patients seen in the Social Work Department

PHARMACY STATISTICS - 2008

0

200

400

600

800

1000

1200

1400

1600

JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC

NO. OF PATIENTSNO. OF ITEM S

0

50

100

150

200

250

JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC

MONTHS

NO.OF PATIENTS SEEN

NO.OF PATIENTS SEEN

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LAB STATISTICS: Graph showing the total number of sputum tests done at Richmond Hospital.

SPUTUM TESTS DONE - 2008

0

100

200

300

400

500

600

700

800

JAN

FEBMAR

APRMAY

JUN

JUL

AUGSEP

OCTNOV

DEC

MONTHS

TOTAL NO. OF TESTS DONE

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HIV/ AIDS INDICATORS: 2008/2009

Indicators QUARTER 1 QUARTER 1 QUARTER 2 QUARTER 2

Newly Diagnosed TB Cases (New +Re-treatment cases) 2007/08 2008/09 2007/08 2008/09

No. of Patients offered VCT 246 264 332 251 No. of Patients accepted VCT 179 185 252 196 No. of Patients tested positive 86 73 158 114 No. of Patients Tested 105 116 199 157 No. of Patients Prescribed CPT 106 80 95 114 No. of Patients Receiving HAART 31 70 15 59 No. of Patients Referred in Positive 56 74 52 63 Total Number of Admissions 284 324 410 173

VCT GRAPH

0

50

100

150

200

250

300

350

No. of Pat ient sof f ered VCT

No. of Pat ient saccept ed VCT

No. of Pat ient st est ed posit ive

No. of Pat ient sTest ed

No. of Pat ient sPrescr ibed CPT

No. of Pat ient sReceiving HAART

No. of Pat ient sRef erred in

Posit ive

Tot al Number ofAdmissions

QUARTER 1 2007/ 08

QUARTER 1 2008/ 09

VCT GRAPH

0

50

100

150

200

250

300

350

400

450

No. of Pat ient sof f ered VCT

No. of Pat ient saccept ed VCT

No. of Pat ient st est ed posit ive

No. of Pat ient sTest ed

No. of Pat ient sPrescr ibed CPT

No. of Pat ient sReceiving HAART

No. of Pat ient sRef erred in

Posit ive

Tot al Number ofAdmissions

QUARTER 2 2007/ 08

QUARTER 2 2008/ 09

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TB/HIV REPORT: 2007/2008 AND 2008/200913

HIV/TB GRAPH

0

50

100

150

200

250

300

350

Number of NewlyDiagnosed TB

Cases

Number of NewlyDiagnosed TB

counsel led f or HIV

Number of NewlyDiagnosed TB caseswho tested f or HIV

Number of NewlyDiagnosed TB caseswho tested posi tive.

Number of NewlyDiagnosed TB HIV+cases star ted CPT

Number of NewlyDiagnosed TB HIV+cases alr eady on

CPT

Number of NewlyDiagnosed TB HIV+

cases star ted onART

Number of NewlyDiagnosed TB/ HIV+

Co-inf ectedpatients on ART

Number of NewlyDiagnosed TB HIV

+ve patients star tedTB Tr eatment

1st Quart er 2007/ 08

1st Quart er 2008/ 09

HIV/ TB GRAPH

0

50

100

150

200250

300

350

400

450

Number ofNewly

Diagnosed TBCases

Number ofNewly

Diagnosed TBcounselled f or

HIV

Number ofNewly

Diagnosed TBcases who

t est ed f or HIV

Number ofNewly

Diagnosed TBcases who

t est ed posit ive.

Number ofNewly

Diagnosed TBHIV+ cases

st art ed CPT

Number ofNewly

Diagnosed TBHIV+ cases

already on CPT

Number ofNewly

Diagnosed TBHIV+ cases

st art ed on ART

Number ofNewly

DiagnosedTB/ HIV+ Co-

inf ect edpat ient s on

ART

Number ofNewly

Diagnosed TBHIV +vepat ient s

st art ed TBTreat ment

2nd Quarter 2007/082nd Quarter 2008/09

Indicators 1st Quarter 2nd Quarter Newly Diagnosed TB Cases (New +Re-treatment cases) 2007/08 2008/09 2007/08 2008/09

Number of Newly Diagnosed TB Cases 286 322 402 324

Number of Newly Diagnosed TB counselled for HIV 246 264 332 251

Number of Newly Diagnosed TB cases who tested for HIV 161 185 252 196

Number of Newly Diagnosed TB cases who tested positive. 142 158 221 177

Number of Newly Diagnosed TB HIV+ cases started CPT 142 95 200 114

Number of Newly Diagnosed TB HIV+ cases already on CPT 107 104 159 63

Number of Newly Diagnosed TB HIV+ cases started on ART 33 65 69 64

Number of Newly Diagnosed TB/HIV+ Co-infected patients on ART 32 81 95 61

Number of Newly Diagnosed TB HIV +ve pa-tients started TB Treatment 96 155 159 204

TOTAL 1245 1429 1889 1454

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CONCLUSION: RICHMOND HOSPITAL STILL HAS A LONG WAY TO GO IN TERMS OF FUNCTIONING AT ITS OPTIMAL LEVEL AND PROVIDING THE BEST SERVICE DELIVERY FOR OUR PATIENTS IN THE KZN PROVINCE . IN CONCLUSION I WOULD LIKE TO ADD THAT WITH GOOD MANAGE-MENT AND A LOT OF HARD WORK I’M SURE RICHMOND HOSPITAL WILL EXCEL AT BEING THE BEST.

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COMPILED BY: SUDHESHAN PILLAY RICHMOND HOSPITAL TEL.: 033—212 2170 E-MAIL: sudheshan.pillay@kznhealth.gov.za