Clinical Report Workshop: An initiative by the Clinical Governance Team
Gethsial Kiruba
Assistant Manager, Clinical Governance, Kauvery Hospital, India
Introduction
In an effort to enhance the knowledge and utilization of IT initiatives, best practices, and various applications such as the Hospital Management System (HMS), PowerBI, and the Quality app, a successful series of workshops and training sessions were conducted for all the Kauvery Hospital units across all three regions by the Clinical Governance team.
Overall objectives
The overall objectives of this initiative were:
- Understanding Clinical MIS Parameters and their Significance: Participants gained a deeper understanding of the key clinical MIS (Management Information System) parameters and their importance in healthcare operations.
- Learning Data Capture Methodology from HMS: The training sessions focused on educating participants on the proper data capture methodology for each parameter within the HMS system.
- Knowledge Transfer of New IT Initiatives and Best Practices: The workshops provided a platform to share information on new clinical reports, IT initiatives, and best practices, empowering participants to make the fullest use of the available IT applications.
- Identifying Future IT Requirements: Participants were encouraged to identify new IT requirements for automating processes and implementing clinical triggers to be considered for future implementation.
Participants were
The participants in these sessions included a diverse group of healthcare professionals:
- Medical Administrators
- Nursing Heads
- Quality Managers
- Quality Executives
- Medical Administration Secretaries
- Nursing Secretaries
- Nursing In-charges/Supervisors
A total of 120 participants from across the 12 units benefited from this comprehensive training initiative. The workshops and training sessions were conducted in two formats: interactive workshops and direct training for heads, in-charges, and secretaries on the floor. This approach ensured that the knowledge and skills were effectively transferred to all levels of the organization. Through this initiative, the organization has taken a significant step towards enhancing the utilization of IT applications and promoting the adoption of best practices across the healthcare network. By empowering the participants with the necessary knowledge and skills, the organization aims to drive continuous improvement and optimize the delivery of healthcare services.
Training topics covered
| Day 1 | ||
| S. No | Title | Speakers |
| Get to know each other & Registering attendance | ||
| 1 | Significance of Clinical Report Workshop | Dr Manivannan, MD |
| 2 | Significance of MIS and MCCD - How to fill a Death Certificate? | Dr Suresh Venkita, GMD |
| 3 | Introduction to Clinical Governance Department – Departmental MIS & Reports monitored | Ms.Gethsial Kiruba |
| 4 | APS & DPS | Ms.Suryapraba |
| 5 | Bed Occupancy & Discharge Analysis | Unit team |
| 6 | HIC – Catheter, CVC, Ventilator, Reintubation & SSI | Unit team |
| 7 | ER Module – IP, OP, AMA & Death | Unit team |
| 8 | OT & Cath Lab | Unit team |
| 9 | HIC - NSI & BBF, Employee Vaccination, Notifiable diseases | Unit team |
| 10 | Blood Transfusion, Fall, Pressure Injury, DVT report | Unit team |
| 11 | IP Critical Care Transfer, MEAT, Code Blue and CPR analysis | Unit team |
| 12 | Venflon report | Unit team |
| 13 | Dialysis Module | Unit team |
| 14 | Nursing Audits & Audit Findings | Unit team |
| 15 | Diabetic Nurses report & PAAT report | Unit team |
| 16 | Quality App – Priority based rounds | Ms.Gethsial Kiruba |
| 17 | Lab Comparison report | Ms.Bakya |
| Conclusion | ||
| Day 2 | ||
| S. No | Title | Speakers |
| Welcoming & Review of the previous day session | Ms. Gethsial Kiruba | |
| 1 | Nurse Educator MIS – Credentialing, Privileging, Training | Ms. Gethsial Kiruba |
| 2 | CP MIS - Medication error and Antibiotic usage | Ms.Vinitha |
| 3 | Post Discharge Call Module | Ms. Praveena |
| 4 | Quality MIS – Incidents, AMR, Consent, Quality Calendar adherence | Unit team |
| 5 | Diagnostic service errors & Service request cancel report | Unit team |
| 6 | Nurses attrition & Nurses feedback | Unit team |
| 7 | Clinical triggers and its improvements | Ms. Suryapraba/Ms.Kiruba |
| 8 | Operations CST Parameters/Video Consent Uploading | Mr. Clement |
| 9 | Presentation during Clinical MIS | Ms. Gethsial Kiruba |
| 10 | Clinical MIS – Way Forward | Ms. Gethsial Kiruba |
| Feedback & Conclusion | Organizing Team | |
Significance of MIS, Glimpse of the talk by MD & GMD:
Dr. Manivannan, Managing Director of Kauvery Hospital, discussed the Clinical Management Information System (MIS) and its significance in identifying areas of improvement across various units and departments. The Clinical MIS, initiated in 2007, monitors parameters such as surgical site infection, mortality rate, antibiotic usage, and pressure ulcers. Additionally, the Clinical Governance team manages 11 other MIS, including Physiotherapy, Dietetics, Blood Bank, and Lab. The importance of MIS lies in presenting the right data to identify areas of improvement, which can lead to reducing fatal errors, costs, and improving patient satisfaction. The workshop will focus on active patient surveys, discharge patient surveys, antibiotic reports, drug alerts, and clinical triggers. This data will be useful for future NABH assessments and quality evaluations, making it essential for all hospital staff to participate in the workshop. We will be able to improve the patient delight in that way we will create a fantastic brand for Kauvery.
Dr. Venkita Suresh, Group Medical Director of Kauvery Hospital and Head of the Clinical Governance department, highlighted the importance of Management Information Systems (MIS) in healthcare. In a comprehensive overview, he outlined seven key points that underscore the significance of MIS in improving patient care and patient safety.
- MIS is Meaningful and Purposeful
- Improves Patient Safety
- Improves Diagnosis
- Improves Decisions
- Reduces Cost
- Protects High-Risk Population
- Improves Supply Chain Management
Key Takeaways
- Optimizing Module Utilization: Participants appreciated the opportunity to explore the HMS modules, which helped them understand how to utilize the system more effectively. This clarity was particularly beneficial for those who had doubts about specific parameters in the Management Information System (MIS).
- Enhancing Report Analysis: The workshop introduced new parameters that can be used to analyze data for report purposes. Participants learned how to access these parameters and how to streamline the process of obtaining the necessary data, reducing the struggle often associated with data retrieval.
- Streamlining Report Generation: The workshop highlighted the numerous reports that can be easily pulled out from the HMS, making it a valuable resource for new joiners. This knowledge will enable them to generate reports more efficiently, saving time and improving productivity.
- Audit Options: Participants were introduced to the HMS audit options, which provided a comprehensive understanding of the system’s capabilities. This knowledge will help them to better manage and monitor the system, ensuring compliance with regulatory requirements.
- Structured Modules: The workshop’s structured modules were highly appreciated by participants, who praised the Clinical Governance Team for their efforts in organizing the workshop. This structured approach ensured that all aspects of the HMS were covered, providing a comprehensive understanding of the system.
Suggestions and Recommendations
- Regular Workshops: Regular workshops will help prevent duplication of work, channelize its requirements, organize, and steer clinical governance as a team to ensure patient care and safety.
- Expected Forum and Workshop: The workshop was an expected and welcome opportunity for participants to learn and grow.
- Frequency of Workshops: Organizing workshops like every six months will help fill gaps and provide ongoing support for new joiners.
- Knowledge Transfer: The knowledge transfer that took place during the workshop will undoubtedly enhance the abilities of participants to deliver quality care and improve patient outcomes.
- New Opportunities: The workshop was a valuable experience for new joiners, providing them with the necessary skills and knowledge to excel in their roles.
Action plan
The Clinical Governance Team has outlined a comprehensive plan to fine-tune existing reports in HMS, Power BI, and Quality App, with 60 action points identified. The team will work to implement these action points as required, ensuring that the reports are optimized for efficient data analysis and improved patient care.
Snapshot of the workshop held at the three regions
Conclusion
Overall, the workshop was a valuable experience for new joiners and as refresher training for others providing them with the necessary skills and knowledge to excel in their roles. The Clinical Governance Team’s efforts in organizing the workshop were particularly commended for their effectiveness in enhancing clinical governance through utilization of various IT applications within the organization.
Ms. Gethsial Kiruba
Assistant Manager – Clinical Governance