HOSPITAL SCORECARD

YES

NO

V. CONTINUING QUALITY IMPROVEMENT

22. Continuing Quality Improvement Program

Clinical practice guidelines, pathways, and flow charts in all units

Regular audits (medical, nursing, administrative)

23. Comprehensive Quality Nursing Care

Number of needs per critical care nursing staff per shift ≥3

Number of supervising nurses per shift ≥4

Daily ward inspection by supervisor

All charting and documentation completed at end of shift

Daily patient hygiene and interaction

24. Engineering and Motor Pool Preventive Maintenance

Periodic infrastructure preventive maintenance and repairs

All office equipment in good working condition

All ambulances in good running condition

All other transport vehicles in good running condition

25. Customer-Institutional Relations

Quarterly collation of patient satisfaction survey ≥75%

Quarterly collation of personnel satisfaction survey ≥75%

Amicable and collaborative relationship with local government

Citation or recognition by a patient advocacy group