Combined Hospital Routine Feedback Report

Period September 2013 to April 2014

Background • Ministry of Health has made efforts to foster improved medical record keeping in clinical

areas by providing and promoting paediatric and newborn admission record forms.

• Recent research in Kenyan hospitals has shown however that hospitals have challenges in providing quality data on inpatient workload, mortality and morbidity.

• The routine Health Information System has not in the past focused on data supporting hospital efforts to monitor quality of care provided to patients.

• To this end the Ministry of Health, in collaboration with KEMRI Wellcome Trust Research Programme, Kenya Paediatric Association and other partners, has developed a project to support improved inpatient data collection and use of hospital data.

• Initial focus is in-patients wards or units serving the sick newborn and sick children.

• These reports for hospitals, counties and the Ministry of Health are aimed at helping all partners improve the quality of care they offer to children and use the data in planning service delivery.

About the data

• Data were collected from medical records of all patients admitted in the Paediatric ward the age & spectrum of diseases therefore depend on the hospitals' organization.

• Data are collected at the time patients are discharged from the ward and focus on documentation of history, physical examination, diagnosis, laboratory investigations, treatment and discharge plans.

• Anonymised data are collected in an electronic tool by a trained data clerk under close supervision of the hospital.

• Quality assurance of data collection and analyses are done by the KWTRP team.

Understanding the report

We use a simple colour code system to identify where hospitals are doing very well or less well.

Color Interpretation Range

Excellent documentation > 90%

Good documentation 80 - 90%

Some documentation 60 - 79%

Poor documentation < 60%

Interpreting tables – the same approach throughout

• In the section of table above we show:

• The indicator – Weight and whether this was recorded in the medical record

• The result combining data from everywhere – All Hospitals, so we examined 12,610 admissions and in 86% (good documentation) the weight is known

• Results for each hospital – H1, H2, H3 etc – for each hospital we give the colour code for their performance: green = excellent down to red = poor.