Student Dissertation

Agency : Gynecology Depigment; Key Performance Indicators; KPI

Objective : To analyze key performance indicators to assess the performance of the Gynaecology Department.

Background : The health of pregnant mothers is of grave importance. The hospital ward of Gynaecology and Obstetrics is of importance as it is the only ward from where life starts and the health of both mother and baby is crucial. Evaluating the indicators designed specifically for this ward will provide us with information in terms of its performance; a good performance of this ward is important for the hospital as well as for developing a good attitude of the patients towards it. The concept of performance in health services represents an instrument for bringing quality, efficiency and efficacy together. The mission of any hospital is to provide specific health services, which can solve the patients’ health problems in the best manner and in the most economical way possible. Hence, the importance of assessing the performance of hospitals lies in the fact that lack of evaluation in therapeutic institutes leads to increased therapeutic expenses; in addition, negligence in the provision of primary health care intensively endangers the health of the society, while its provision will result in full productivity of therapeutic institutes with suitable cost at the same time with guaranteeing health.

Methodology : Research Question: What is the status of performance of the Gynaecology and Obstetrics Department of Pratiksha Hospital, Assam? Study Type: Descriptive and Analytical Study duration - Three months. Study area- Pratiksha Hospital, Guwahati, Assam. Data Collection- • Secondary data – Collection will be done through hospital information system and medical records. Sample Size – All the patients admitted every month for the period under study will be considered for data collection and subsequent evaluation. Analysis and Interpretation: The data collected will be tabulated and subsequently evaluated with the help of Microsoft Access and Microsoft Excel. Limitations of the Study: Data for Success rate of IVF were not available beyond the first quarter of 2014. The number of cases for normal delivery was less consistently as compared to the number of cases for C-section deliveries.

Findings : An analysis of the Key Performance Indicators has been carried out and the following data have been calculated: Bed Occupancy Rate has been found to be at an average of 60% over the period of Study. Majority of the patients prefer to opt for C-section deliveries as compared to Vaginal (Normal) Deliveries. The success rate of IVF has been calculated ranging from 38% to 53%. At an average, 20% of the patients were found to have undertaken Early Booking during the initial phase of their pregnancy.

Recommendations : For increasing the Bed Occupancy Rate: Branding of the hospital to create a space in the minds of the customers for deeper penetration into the existing target market needs further assistance. Tie-ups with corporate organizations to ensure a steady flow of patients can be implemented. Designing packages to attract patients to the hospital is an option. For improving the ALOS: The process flow can be studied to eliminate the steps which are not required. The chance of hospital-acquired infection can be tried to be kept as minimal as possible. For improving Early Booking: Counselling the parents about the importance of Early Booking and regular visits to their gynaecologist can be suggested. Educating the parents about the potential complicacies that could arise due to irregularity in the check-ups can also be considered. Introducing the Baby Friendly Hospital Initiative launched by the UNICEF and WHO in 1991 in the hospital to ensure safety in carrying out breastfeeding can be suggested.