UNIVERSITY OF PERPETUAL HELP DALTA MEDICAL CENTER
Key Result Areas (KRAs)
1. NURSING SERVICE
1.1 Patient Rights and Organizational Ethics
 Informed Consent
 Documented policies and procedures
 Written statements of patient’s rights
and
responsibilities
1.2 Patient Care
 Patient identifiers
 Patient Chart
1.3 Patient Assessment
 Patient’s physical, psychological
and social status
 Documented assessments
1.4 Care Plan
 Documented Care Plan
 Clinical Pathways and Algorithms
1.5 Implementation of Care
 Drug Administration
2. DIAGNOSTIC SERVICES
2.1 Patient Rights
 Informed Consent
 Documented Policies and Procedures
2.2 Monitoring, Assessment, Analysis and
Evaluation
of Activities
 Appropriate and timely action
 Equipment Calibration and Preventive
Maintenance
2.3 Quality Improvement Activities
 Customer Feedback and evaluation
Key Performance Indicators (KPIs)
√ % Patients with informed consent
√ Effectiveness of policies and procedures
implemented
√ % patients who received statements of
their rights
and responsibilities
√ Traceability of patient’s chart to the right
patient
√ Completeness of Patient Charts
√ % Completeness of patient assessment
√ Completeness of patient assessments in
patient
charts
√ % Patients with Care Plan
√ % Patients with Clinical Pathways and
Algorithms
√ Completeness of patient’s chart regarding
drugs
administered
√ % Patients with informed consent
√ Effective policies and procedures
implemented
√ Turn-around- time of procedures
√ Zero downtime
√ Completeness and Reliability of Results
√ Effectiveness of the Corrective and
Preventive
Actions taken