1. Leveraging technology to strengthen Continuous Quality Improvement C. BERNARD MANAGING DIRECTOR IBHAR HEALTHCARE bernard@ibhar.com

2. CHALLENGES Sustaining improvement initiatives Living by, knowing, reviewing, improving Sustaining Accountability and participation Living by, knowing, reviewing, improving Driving Continuous improvement Living by, knowing, reviewing, improving

3. CHALLENGES These require Manpower Active Participation of personnel across departments Pro-active response management Continual Monitoring Collaborative action (paperwork limits) SUSTAINING CONTINUOUS IMPROVEMENT PARTICIPATION

4. Documentation Compliance (MRD) Use Technology to strengthen Continuous Quality Improvement Facility Preparedness Reduce TAT - Environment that will facilitate Adherence to Practice and Compliance A B C D

5. Use Technology to strengthen Continuous Quality Improvement Standard Operating Procedures Act on Feedback Reviews (Committees) Sustaining Accreditation, Upgrading to 4 th Edition E F G H

6. Documentation Compliance (MRD) CHALLENGES Auditing Medical Records – Open & Closed Collating Data Communicating to those contributing Analyzing

7. Documentation Compliance (MRD) YOU WOULD….

8. Documentation Compliance (MRD) YOU WOULD….

9. Documentation Compliance (MRD) Review, Analyze and Improve

10. Documentation Compliance (MRD) BENEFITS Can improve compliance by over 50% in less than 2 months Clinicians as well as Nursing staff made individually responsible Personality related issues related to addressing non-compliances totally eliminated. Increases sample size of Medical records audited considerably

11. Reduce TAT - Environment that will facilitate CHALLENGES Fix things that have broken down or not working immediately Communicating to the relevant person Validating to check resolution

12. Reduce TAT - Environment that will facilitate Getting Employees to record Complaints Assigning Monitor

13. Reduce TAT - Environment that will facilitate Monitor

14. Reduce TAT - Environment that will facilitate By Using Mobility & Accessibility Initially Complaints grew by over 8 times Demonstrating that access enables timely recording of things that do not work

15. Adherence to Practice & Compliance CHALLENGES Getting employees to stick to procedures even after appropriate training Knowledge-Attitude-Impediments

16. Adherence to Practice & Compliance CASE STUDY 1 2 A Nurse was trained to use the Ibhar App and go to every Ward daily. Check on a set of things On any non-compliance – highlight it to the employees present Over 50% reduction in Non- compliances in just 2 month.

17. Adherence to Practice & Compliance DOCUMENTATION PRACTICE INFRASTRUCTURE

18. Adherence to Practice & Compliance

19. Act on Feedback CHALLENGES Feedback from Patients is reviewed at the end of a Month Getting employees and departments accountable and responsible or contribute

20. Act on Feedback Forces relevant personnel to Act Actual Feedback received improves by over 80%

21. Reviews (Committees) CHALLENGES Collating data in time Accuracy of data Time spent on collating data Tracking decisions Monitoring implementation of decisions

22. Reviews (Committees)

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27. Reviews (Committees) Initiate and Conduct a Root Cause Analysis

28. Sustaining Accreditation, Upgrading to 4 th Edition PlanningMonitoring

29. ROLE BASED Standard Operating Procedures

30. Good thoughts are no better than good dreams, unless they are executed. - Ralph Waldo Emerson You cannot mandate productivity, you must provide the tools to let people become their best. - T.S Elliot

31. Thank you. C. BERNARD MANAGING DIRECTOR IBHAR HEALTHCARE bernard@ibhar.com