Indicator Data

SR.
NO
UCH NO:1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
424552
43943
15507
33046
46978
47070
2539
48212
48020
20800
47888
44816
46381
39490
40583
43066
47191
37108
47785
7175
47737
48494
47795
48065
48440
47936
683
47823
47192
45155
47168
47634
43698
41947
48620
48141
41029
48087
46799
48419
49029
35753
48613
48640
48615
48647
47862
2
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
3
2
2
2
2
2
2
2
1
1
2
1
1
2
2
1
2
2
2
1
2
2
2
2
2
2
1
2
1
2
2
2
2
1
2
2
2
2
2
2
2
2
2
2
2
2
2
2
10
2
2
2
2
2
2
2
1
1
2
1
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
1
2
2
2
2
1
2
2
2
2
2
2
2
2
2
2
2
2
2
2
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
48859
49028
44070
39328
48949
45915
41425
48716
48276
47015
37625
45196
46302
40895
35826
45996
47146
47656
47655
36963
43407
23045
45831
46332
46580
48367
47623
39490
48483
46486
45615
48263
20982
48710
36936
47940
47946
46434
47890
48445
4533
44276
46501
46336
48791
14748
39484
1261
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
2
1
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
1
2
1
2
1
1
2
2
2
1
2
2
2
2
2
2
2
2
1
2
2
2
2
2
2
2
1
2
2
2
2
2
1
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
1
2
2
2
2
2
2
2
2
2
2
2
2
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
45672
47086
30373
8336
48361
48181
25892
48465
48480
48613
44542
48728
47176
47197
46357
48983
41872
40812
48882
48825
17205
29926
49038
48617
48986
47877
48845
48505
48654
48686
48550
28436
47865
48685
48858
49002
47061
43407
22954
48525
37915
40174
48315
19183
47816
45671
45793
44977
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
2
2
2
2
1
1
1
1
1
1
1
2
1
1
2
2
2
2
2
2
1
2
1
1
2
1
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
47122
47484
47654
47574
47568
15368
42761
42876
48578
48990
28180
48677
43407
488261
48503
48813
48489
36773
48053
47178
18125
35398
45376
45397
45720
45123
45270
46176
46335
42694
46653
46703
46659
46190
46214
46615
46174
43531
46347
45632
45271
45241
45664
46679
46675
46544
45930
45973
1
1
1
2
2
1
1
2
1
1
1
2
2
1
2
2
2
1
2
2
2
1
2
2
2
2
2
2
2
2
2
2
2
1
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
45374
45264
45666
45542
45856
46623
45184
45244
45734
45874
45082
45930
45149
45541
45744
43915
40593
46686
37519
44279
45915
46222
12957
46129
46306
46030
45611
46444
45160
46070
46630
45770
45530
46169
45649
45567
46058
45303
46276
46038
45886
45882
45881
45979
46587
46189
46332
46481
2
2
2
2
2
2
2
2
2
2
2
2
2
2
1
2
1
2
2
2
2
2
1
1
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
1
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
1
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
46737
45754
46248
45543
45712
45538
46305
4608
46753
45340
45002
45457
46424
45656
45196
46570
46429
45201
45243
46561
46735
47829
45793
36261
47872
48259
47907
37519
48717
40786
48661
48001
47858
36902
49003
84617
47929
40606
47379
1337
48928
47459
47957
48413
39402
48698
48418
48301
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
1
1
1
1
1
1
2
1
2
2
1
1
2
2
1
1
2
2
1
2
1
2
1
2
2
1
1
2
1
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
288
289
290
291
292
293
294
295
296
297
298
299
300
48610
48071
25946
48713
48292
48075
45398
46419
46172
45446
45092
45885
45134
2
2
1
2
1
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
Indicator
2
3
10
1
2
% of Medical records not having initial assesment

% patients not having plan of care
% of cases wherein the nursing care plan is documented.
Completed
Incommpleted
ial assesment
of care
an is documented.
SR NO
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
UCH NO
46799
48419
35753
48640
48615
48647
48613
48480
48465
25892
48181
48361
8336
30373
48728
20445
43698
42452
43948
38228
41425
48276
47015
44070
15507
37625
47862
33046
46978
48647
48615
48640
35753
47192
47070
47823
683
2539
48440
48494
48212
47737
7175
48020
47191
20800
40583
9
1
1
2
1
1
1
1
2
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
2
1
2
1
1
1
1
1
1
1
1
11
2
2
2
2
2
2
1
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
12
2
2
2
2
2
2
1
2
2
2
2
1
1
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
44916
47888
46381
39490
43066
47785
37108
47795
48065
47936
47168
45155
47634
41947
48141
48620
41029
48087
49029
48163
48859
49028
48949
45915
48716
45196
46305
40895
35826
45996
47146
47656
47655
46580
46580
20982
48263
45615
46486
48483
39490
47704
47623
46332
45831
23045
43407
36963
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
2
1
2
2
1
1
1
1
2
2
1
2
2
1
2
2
2
2
2
1
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
47940
46434
47946
47890
4533
48445
44276
46501
39484
14748
48791
46336
45672
1261
47086
30373
8336
48361
48181
25892
48465
48480
48613
44542
47176
48728
47197
46357
41872
40812
40812
48617
48986
47877
48505
`48686
48846
48550
28436
41872
48685
48858
47061
49002
48983
48825
17205
43407
1
1
1
1
1
2
1
2
1
2
2
2
1
1
1
1
1
1
1
1
1
2
2
2
2
2
1
1
2
2
2
2
1
1
2
1
1
1
2
2
1
2
1
1
2
1
1
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
29926
48525
44977
45793
47122
45671
47484
47654
47574
47816
47568
19183
15368
42761
48315
40174
37915
22954
42876
48754
48578
48990
28180
48677
48826
48503
48813
48489
36773
48053
47178
18125
35398
45264
45374
45973
4593
46544
46657
46679
45664
45241
45271
45632
46367
46531
46174
46615
1
1
2
1
1
2
2
1
2
2
1
1
2
1
1
1
1
2
1
1
1
2
1
1
1
2
2
2
1
1
2
1
1
2
1
1
2
2
1
1
2
2
1
2
2
2
1
1
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
46204
46190
46659
46703
46653
42694
46335
46176
45270
45623
45720
45397
45376
44279
37519
46686
40593
43915
45541
45149
45930
45082
45874
45734
45244
45184
46623
45666
45542
45856
46129
46189
46587
45979
45979
45881
45882
45886
12957
46332
46222
45915
45754
46737
46481
46753
46608
46305
1
1
1
1
2
2
1
2
1
2
1
1
1
1
1
1
1
1
1
1
2
1
1
1
1
1
2
1
1
1
2
1
1
1
1
2
2
2
1
1
1
2
1
2
2
1
1
1
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
45538
45712
45543
46248
45196
45656
46424
45457
45002
45340
46735
46561
45243
45201
46429
46570
46038
46176
46303
46058
45530
45770
45160
46306
46030
45611
46444
46070
46630
46169
45649
45567
38902
48661
37519
47872
45793
48610
48301
48698
39402
48413
48617
49003
47829
36261
48259
47907
2
1
1
2
1
1
1
1
1
1
2
2
1
1
1
1
1
1
1
1
1
1
1
1
1
1
2
1
1
2
2
2
1
1
1
1
1
1
1
1
2
1
1
1
1
1
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
288
289
290
291
292
293
294
295
296
297
298
299
300
48717
40786
48001
47858
47929
40606
47957
47379
1337
47459
48928
48415
48071
2
1
1
1
2
1
1
1
1
1
1
2
1
2
2
1
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
Quality indicator
9
11
12
1
2
% of medical records having incomplete/ imp

% of cases where in care plan is countersigne
% of Medication chart with error prone ab
Completed
Incompleted
ds having incomplete/ improper consent

care plan is countersigned by consultant
n chart with error prone abbreviations
% of Medical records not having initial assesme

Sr.No Month
1
2
Apr-15
May-15
Sr.No Reason For Incomplete

1
2
3
4
5
6
7
No Previous Record Maintained

lack of deficiency checklist at the nursing station
Lack of Training
Huge patient flow
lack of NABH awarenace
lack of supervision
lack of daily audits
Sr.No Corrective Action Taken

1
2
3
4
5
Started Record Maintaining

Started Analysis of Files
Defeciancy Checklist Implemented
Training Given for Employees
started daily audits
Total No. files checked

100
200
300
nitial assesment
Complete Incomplete Not Applicable
100
59
159
0
141
141
1
1o 20
Very Satisfied
2
21 to 40
Satisfied
0
0
0
Lack of Training
No record Maintanance previously
Defeciancy Checklist was not Formulated

lack of supervision
% of Medical records not having initial as

250
200
200
150
100
100
100
59
50
0
Apr-15
May-15
Complete
Incomplete
3
41 to 60
Partially Satisfied
4
61 to 80
Dissatisfied
5
81 to 100
Very Dissatisfied
% of Medical
records not having
initial assesment
aving initial assesment

200
Complete
141
59
May-15
Incomplete

Sr.No Month
1
2
Apr-15
May-15

1
2
3
4
5
6
7

Lack of Training
Huge patient flow
lack of supervision

1
2
3
4
5


100
200
300
n of care
17
1
18
83
199
282
1
1o 20
Very Satisfied
2
21 to 40
Satisfied
0
0
0
Lack of Training

lack of supervision

250
200
200
199
150
100
50
100
83
17
0
Apr-15
May-15
Complete
Incomplete
3
41 to 60
Partially Satisfied
4
61 to 80
Dissatisfied
5
81 to 100
Very Dissatisfied
% patients not
having plan of care
plan of care
00
199
1
May-15
Incomplete
% of cases wherein the nursing care plan is docum

Sr.No Month
1
2
Apr-15
May-15

1
2
3
4
5
6
7

Lack of Training
Huge patient flow
lack of supervision

1
2
3
4
5


100
200
300
plan is documented
7
1
8
93
199
292
1
1o 20
Very Satisfied
2
21 to 40
Satisfied
0
0
0
Lack of Training

lack of supervision
% of cases wherein the nursing care plan is docum

250
200
200
199
150
100
100
93
50
7
Apr-15
May-15
0
Complete
Incomplete
3
41 to 60
Partially Satisfied
4
61 to 80
Dissatisfied
5
81 to 100
Very Dissatisfied
% of cases wherein
the nursing care
plan is
documented
care plan is documented

200
ete
199
1
May-15
Incomplete
% of medical records having incomplete/ improper

Sr.No Month
1
2
Apr-15
May-15

1
2
3
4
5
6
7

Lack of Training
Huge patient flow
lack of supervision

1
2
3
4
5

rds having incomplete/ improper consent

Total No. files checked Complete Incomplete Not Applicable
100
200
300
92
134
226
8
66
74
0
0
0

% of medical records having inco

250
200
150
100
100
92
50
8
0
Apr-15
Comp
1
1o 20
Very Satisfied
2
21 to 40
Satisfied
3
41 to 60
Partially Satisfied
4
61 to 80
Dissatisfied
Lack of Training
% of medical
records having
incomplete/
improper consent
ck of daily audits
rd Maintanance previously
y Checklist was not Formulated
of NABH awarenace
lack of supervision
al records having incomplete/ improper consent

200
134
100
92
66
8
Apr-15
May-15
Complete
Incomplete
cal
ving
te/
nsent
5
81 to 100
Very Dissatisfied
% of cases where in care plan is countersigned by con

Sr.No Month
1
2
Apr-15
May-15

1
2
3
4
5
6
7

Lack of Training
Huge patient flow
lack of supervision

1
2
3
4
5


100
200
300
rsigned by consultant
2
3
5
98
197
295
1
1o 20
Very Satisfied
2
21 to 40
Satisfied
0
0
0
Lack of Training

lack of supervision
% of cases where in care plan is countersigned by consu

250
200
200
197
150
100
100
98
50
0
Apr-15
May-15
Complete
Incomplete
3
41 to 60
Partially Satisfied
4
61 to 80
Dissatisfied
NC
ersigned by consultant
197
3
May-15
complete
5
81 to 100
Very Dissatisfied
% of Medication chart with error prone abbreviat

Sr.No Month
1
2
Apr-15
May-15

1
2
3
4
5
6
7

Lack of Training
Huge patient flow
lack of supervision

1
2
3
4
5


100
200
300
one abbreviations
3
200
203
97
200
297
1
1o 20
Very Satisfied
2
21 to 40
Satisfied
0
0
0
Lack of Training

lack of supervision
% of Medication chart with error prone abbreviations

250
200
200
200
150
100
100
97
50
0
3
Apr-15
May-15
Complete
Incomplete
200
3
41 to 60
Partially Satisfied
4
61 to 80
Dissatisfied
NC
ne abbreviations
200
May-15
ete
200
5
81 to 100
Very Dissatisfied

Indicator Data

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SR.

% of Medical records not having initial assesment

% of medical records having incomplete/ imp

ds having incomplete/ improper consent

% of Medical records not having initial assesme

Sr.No Reason For Incomplete

No Previous Record Maintained

Sr.No Corrective Action Taken

Started Record Maintaining

Total No. files checked

Defeciancy Checklist was not Formulated

lack of NABH awarenace

% of Medical records not having initial as

Total No. files checked

aving initial assesment

% patients not having plan of care

Sr.No Reason For Incomplete

No Previous Record Maintained

Sr.No Corrective Action Taken

Started Record Maintaining

Total No. files checked

Defeciancy Checklist was not Formulated

lack of NABH awarenace

% patients not having plan of care

% of cases wherein the nursing care plan is docum

Sr.No Reason For Incomplete

No Previous Record Maintained

Sr.No Corrective Action Taken

Started Record Maintaining

Total No. files checked

Defeciancy Checklist was not Formulated

lack of NABH awarenace

% of cases wherein the nursing care plan is docum

care plan is documented

% of medical records having incomplete/ improper

Sr.No Reason For Incomplete

No Previous Record Maintained

Sr.No Corrective Action Taken

Started Record Maintaining

rds having incomplete/ improper consent

lack of daily audits

Defeciancy Checklist was not Formulated

lack of NABH awarenace

% of medical records having inco

y Checklist was not Formulated

al records having incomplete/ improper consent

% of cases where in care plan is countersigned by con

Sr.No Reason For Incomplete

No Previous Record Maintained

Sr.No Corrective Action Taken

Started Record Maintaining

Total No. files checked

Defeciancy Checklist was not Formulated

lack of NABH awarenace

% of cases where in care plan is countersigned by consu

Total No. files checked

% of Medication chart with error prone abbreviat

Sr.No Reason For Incomplete

No Previous Record Maintained

Sr.No Corrective Action Taken

Started Record Maintaining

Total No. files checked

Defeciancy Checklist was not Formulated