KEY PERFORMANCE INDICAT

Type S No Quality Indicator Numerator

Productivity 1 Bed Occupancy Rate Total Patient bed days
(Midnight head count of each day
added for the month of all
patients)

2 Lab test done per Total number of tests done for

thousand patients both OPD and IPD patients

3 Percentage of cases of Total number of high risk

High Risk pregnancies registered at the
Pregnancy/obstetric facility
complication out of total Inclusion:-Severe Anaemia ,PPH,
registered pregnancies at PIH/Eclampsia/Pre Eclampsia,
FRU Retained Placenta, HIV Positive
Pregnant women, Septic Cases,
Obstructed labour including C-
Section
Exclude:- Referral without any
interventions

4 LSCS Rate Total number of C-section delivery

conducted.

5 Percentage of NCD Cases Total number of NCD cases

managed in OPD managed in OPD

6 Percentage of new-born Total number of new born babies

admitted to NBSU out of admission at NBSU
total live births at facility

7 No. of Blood units Total number of blood units

transfused out of total transfused at the facility
admission

8 No. of major surgeries Total number of surgeries done

done (except LSCS) out of (major & minor surgeries)
total surgeries conducted
 Efficiency 9 Percentage of referrals Total number of patients referred
out of Total registered from the facility
patient Inclusion:- Emergency and indoor
cases
Exclusion:- Referral from LAMA &
absconding

10 OPD Per doctor Total number of patients attended

in OPD

11 Percentage of Critical Total number of critical

emergencies cases (Snake emergency cases registered in
bites, Trauma, CVA) emergency department
Inclusion:- Snake bites, Trauma,
CVA

12 Percentage of Stock outs Total stock outs as per EML each

as per EML day added for the month

13 Pecentage of Emergency Total number of emergency call

call attended per attended by specialist per month
specialist per month (8 (8 PM to 8 AM)
PM to 8 AM)

Clinical care and 14 Average length of stay Total Patient bed days
safety (Midnight head count of each day
added for the month of all
patients)

15 Percentage of Surgical site Total number of Surgical site

infection infection detected (Any purulent
discharge,absess, spreading
cellulitis at surgical site during the
month after the surgery)

16 Death Rate Total no. of deaths occurred in a

(Include all deaths) hospital
 17 Percentage of AEFI cases Total number of AEFI cases
reported reported

18 Percentage of cases on Total number of TB cases who

DOTs completed the were successfully treated TB
treatment successfully treatment, with or without
bacteriological evidence of
success

19 Family Planning Indicators

(as per HMIS reporting)
20 LaQshya Indicators
(As per Annexure 'C of
LaQshya Guidelines)

Service Quality 21 Percentage of Left against Total number of LAMA patients

Indicator Medical advice (LAMA) from the facility
cases Exclusion:- Abscond and referral
cases

22 Patient Satisfaction Score Sum of average satisfaction score

for IPD of each respondent
(Average satisfaction score = sum
total of scores of
attributes/number of total
attributes)

23 Patient Satisfaction Score Sum of average satisfaction score

(OPD) of each respondent
(Average satisfaction score = sum
total of scores of
attributes/number of total
attributes)

24 Consultation time in OPD Time lag for a patient from

(average) entering in queue for OPD
Consultation to finally get
consultation from doctor
MANCE INDICATORS FOR CHC
Frequenc
Denominator Formula source of data
y
Product of Total number of (Total Patient bed Monthly Mid night census
functional beds in the hospital days /Functional
and days in the month beds*days in month)

Total number of patients (Total number of lab Monthly Lab Register

attended during the month tests done*1000/Total
Inclusion:- Both OPD and IPD number of patients
cases attended)

Total ANC registration Total number of Monthly ANC Register

complicated pregnancies
registered at the
facility*100/Total ANC
registration

Total deliveries conducted Total number of C- Monthly Labour Room

section deliveries Register/OT
conducted*100/ Total register
number of deliveries
conducted

Total number of cases Total number of NCD Monthly OPD Register

managed in OPD cases managed in
OPD*100/Total number
of cases managed in
OPD
Total live births in the facility Total new-born Monthly NBSU register
admission in
NBSU*100/Total live
births

Total admission in the facility Total number of blood Monthly Blood transfusion
units transfused /Total Register
Admission

Total number of surgeries Total number of major Monthly OT Register

conducted (major & minor surgeries done (except
surgeries) LSCS)/ Total number of
surgeries conducted
(major & minor
surgeries)
Total admission in the facility No of cases referred out Monthly Referral Register
from the hospital*100/
Total
no. of cases admitted

Total number of doctors Total number of Patient Monthly OPD Register

available in the hospital consulted in OPD/Total
Inclusion: Regular, contractual, number of doctor
Part Time appointed for OPD
Exclusion:- Doctors not
engaged in OPD like MS,
Radiologist, Microbiologist

Total registered patients at Total number of critical Monthly Emergency

emergency emergencies cases register
attended*100/ Total
registration at
emergency

Product of total no. of drugs as Total no. of Stock out Monthly Stock Register
per EML and days in the month days of essential & vital
drugs of EML*100/
Total no. of drugs*Days
in Month

Total number of specialist Total number of Monthly Call Register

appointed at the facility emergency call attended
Inclusion:- Gynaecologist, by specialist (8 PM to 8
Paediatrician, Anaesthetic AM)/Total number of
specialist appointed

Total number of discharges. Total Patient bed days Monthly Admission and
Inclusion:- Normal discharge, /Total Discharges Discharge
LAMA, Abscond, Referral, Register
deaths

Total number of surgeries (Total number of surgical Monthly Infection control

conducted (major & minor site infection monitoring
surgeries) detected*100/Total report
number of surgeries
Conducted)

Total no. of admissions in a Total no. of deaths Monthly Death Register,

hospital occurred in a hospital/ Admission
Total no. of admissions register
in a hospital
Total number of immunization Total number of AEFI Monthly Immunization
done cases and AEFI records
reported*100/Total
number of immunization
done
Total tuberculosis cases Total number of TB Monthly DOT register
registered under a national cases who were
tuberculosis control successfully treated TB
programme treatment, with or
without bacteriological
evidence of success
*100/Total tuberculosis
cases registered under
RNTCP

Total admission in the facility (No. of LAMA Patients Monthly Admission

from the /Discharge
facility*100/Total no. of Register
admission)

Total number of respondents Mean of scores given by Monthly Record of Patient

each patients in Patient Feedbacks
satisfaction survey for
indoor patients done
each month on
statistically adequate
sample (at least 30)

Total number of respondents Mean of scores given by Monthly Record of Patient

each patients in Patient Feedbacks
satisfaction survey for
outdoor patients done
each month on
statistically adequate
sample (at least 30)

Mean of waiting time for Monthly Time Motion

the derived sample Study
observed in time motion
study done at peak
hours on sample basis
(at least 5% patients but
not less than 30)
 Significance
Indicator for Utilization
of Hospital Indoor
services

Indicator to measure
Utilization of laboratory
services

Utilization of ANC
services for complicated
deliveries

To check utilization of
Hospital for C-section
deliveries

Preparation of OPD to
manage NCD cases

To check utilization of
NBSU

Indicator for Utilization

of blood Storage centre

Indicator to check
preparedness of OT
Indicator for efficiency of
clinical process

Indicator for measuring

efficiency of Doctors in
OPD

Indicator to measure
efficiency of A&E
department of hospital
for critical emergencies
cases.

Indicator to measure
efficiency of Hospital to
ensure availability of
drugs as per EML

Indicator to measure
efficiency of speciality
services at night

Indicator of Quality of
Clinical care and
infection control
practices

Indicator for Quality of

infection control
practices in OT
Indicator to measure
clinical care of
immunization services

Indicator to measure
clinical care at DOT
centre

Indicator of service
quality and patient
satisfaction with
treatment and stay in
IPD

Indicator of patient
satisfaction in IPD

Indicator of patient
satisfaction in OPD

To observe consultation
time at OPD
 Name of the Indicator Numerator/Denominator January
Total Patient bed days
Bed Occupancy Rate
Functional beds
Total number of tests done for
both OPD and IPD patients
Lab test done per thousand Total number of patients attended
patients during the month
Inclusion:- Both OPD and IPD
cases
Total number of high risk
Percentage of cases of High pregnancies registered at the
Risk Pregnancy/obstetric facility
complication out of total
registered pregnancies at FRU
Total ANC registration
Total number of C-section delivery
conducted
Percentage of LSCS
Total deliveries conducted
Productivity Total number of NCD cases
managed in OPD
Percentage of NCD Cases
managed in OPD Total number of cases managed in
OPD
Total number of new born babies
Percentage of new-born admission at NBSU
admitted to NBSU out of total
live births at facility Total live births in the facility
Total number of blood units
No. of Blood units transfused transfused at the facility
out of total admission
Total admission in the facility
Total number of major surgeries
done (except LSCS)
No. of major surgeries done
(except LSCS) out of total Total number of surgeries
surgeries conducted conducted (major & minor
surgeries)

Total number of patients referred

from the facility
Inclusion:- Emergency and indoor
cases
Percentage of referrals out of Exclusion:- Referral from
Total registered patient OPD/LAMA & absconding

Total number of patients attended

in OPD

OPD Per doctor

 Total number of doctors available
in the hospital
Inclusion: Regular, contractual,
OPD Per doctor Part Time
Exclusion:- Doctors not engaged in
OPD like MS, Radiologist,
Microbiologist

Efficiency Total number of critical

emergency cases registered in
emergency department
Percentage of Critical Inclusion:- Snake bites, Trauma,
emergencies cases (Snake CVA
bites, Trauma, CVA)
Total registered patients at
emergency
Total stock outs as per EML each
Percentage of Stock outs as per day added for the month
EML
Total no. of drugs as per EML
Total number of emergency call
attended by specialist per month
(8 PM to 8 AM)
Pecentage of Emergency call
attended per specialist per Total number of specialist
month (8 PM to 8 AM) appointed at the facility
Inclusion:- Gynaecologist,
Paediatrician, Anaesthetic

Total number of discharges.

Inclusion:- Normal discharge,
Average length of stay LAMA, Abscond, Referral, deaths

Percentage of Surgical site Total number of Surgical site

infection infection detected
Total no. of deaths occurred in a
Death Rate hospital
(Include all deaths)

Total number of AEFI cases

Percentage of AEFI cases reported
Total number of immunization
reported done
Clinical care Total number of TB cases who
and safety were successfully treated TB
treatment, with or without
Percentage of cases on DOTS bacteriological evidence of
completed the treatment success
successfully Total tuberculosis cases registered
under a national tuberculosis
control programme
 Family Planning Indicators (as
per HMIS reporting) Yes/No
LaQshya Indicators
(As per Annexure 'C of LaQshya
Guidelines)
Yes/No
Total number of LAMA patients
from the facility
Percentage of Left against Exclusion:- Abscond and referral
Medical advice (LAMA) cases cases

Sum of average satisfaction score

(Average satisfaction score = sum
total of scores of
attributes/number of total
Patient Satisfaction Score for attributes for each respondent of
IPD the sample)

Total no. of respondents

(adequate sample at least 30)
Sum of average satisfaction score
Service (Average satisfaction score = sum
Quality total of scores of
attributes/number of total
Indicator Patient Satisfaction Score attributes for each respondent of
(OPD) the sample)

Total no. of respondents

(adequate sample at least 30)
Sum of total waiting time (in
minutes) observed in time motion
study done at peak hours on
sample basis (at least 5% patients
but not less than 30)
Consultation time in OPD
(average)
Total no. of patients observed (at
least 5% patients but not less
than 30)
February March April May June July August September October
NovemberDecember
 January February March April May
Bed Occupancy Rate #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
Lab test done per
thousand patients
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
Percentage of cases
of High Risk
Pregnancy/obstetric
complication treated
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
LSCS Rate #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
Percentage of NCD
Cases managed in
OPD
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
Productivity Percentage of new-
born admitted to
NBSU out of total
live births at facility
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
No. of Blood units
transfused out of
total admission
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
No. of major
surgeries done
(except LSCS) out of
total surgeries
conducted
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
Percentage of
referrals out of
Total registered
patient #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
OPD Per doctor #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
Percentage of
Critical emergencies
cases (Snake bites,
Trauma, CVA)
Efficiency #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
Percentage of Stock
outs as per EML
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
Pecentage of
Emergency call
attended per
specialist per month
(8 PM to 8 AM)
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
Average length of
stay
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
 Percentage of
Surgical site
infection
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
Death Rate
(Include all deaths)
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
Percentage of AEFI
cases reported
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
Clinical care and Percentage of cases
safety on DOTS completed
the treatment
successfully
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
Family Planning
Indicators (as per
HMIS reporting)
0 0 0 0 0
LaQshya Indicators
(As per Annexure 'C
of LaQshya
Guidelines)
0 0 0 0 0
Percentage of Left
against Medical
advice (LAMA) cases
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
Patient Satisfaction
Score for IPD
Service Quality #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
Indicator Patient Satisfaction
Score (OPD)
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
Consultation time in
OPD (average) (in
minutes)
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
June July August September October November December
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

0 0 0 0 0 0 0

0 0 0 0 0 0 0

#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

Graphical Representation of Key performance Ind
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Bed Occupancy Rate
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permanently break the chart.

0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
a r y ar y r c h p r il a y u n e J u l y u st b e r b e r b e r b e r
a nu bru M a A M J
A u g em c t o em em
J Fe e pt O o v Dec
Productivit S N
y
Indicators Percentage of
P erc en tag e o f NC D C ases m an ag ed in OP D
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1000.0%

800.0%

600.0%

400.0%

200.0%

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OPD
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Efficiency
Indicator

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 Efficiency
Indicator

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Average length of stay
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0.9
0.8
0.7
0.6
Clinical care 0.5
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0.3
0.2
0.1
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ry ry ch r il ay ne ly t r r r r
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Percentage of Left against Medical Patient Satisfac

advice (LAMA) cases 12
100.0% 10
90.0%
80.0% 8
70.0%
Service 6
60.0%
Quality 50.0%
Indicator 4
40.0%
30.0% 2
20.0%
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Patient Satisfaction Score
ormance Indicators for Community Health Centre
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Percentage of cases of High Risk Pregn
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1200.0%
1000.0%

800.0%
600.0%
400.0%

200.0%
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NBSU
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OPD Per doctor Percentage of Critical emergencies

(Snake bites, Trauma, CVA)
100.0%
90.0%
80.0%
70.0%
60.0%
50.0%
40.0%
30.0%
20.0%
0 0 0 0 0 0 0 0 0 0 0 0 10.0%
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60.0%
50.0%
40.0%
30.0%
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D e ath R ate
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 Centre
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tric complication treated

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No. of major surgeries done (except
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of Critical emergencies cases Percentage of Stock outs as per EML

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100.0%
90.0%
80.0%
70.0%
60.0%
50.0%
40.0%
30.0%
20.0%
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800.0%

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m m u Ap M Ju g
te O ve ce Ja
n br M Au tem Oct em em
p o e Fe p ov Dec
Se N D Se N

on time in OPD (average) (in

minutes)

ay u n e l y rst r r r
Ju ube obe be be
M J ug m m
A pte Oct ve ece
m
o
Se N D
 0.0 0.0 0.0 0.0
r r r r
be obe be be
t em cem
Oc o v
N De

e (except
conducted

r r r r
be o be be be
m ct em em
O ov ec
N D

Pecentage of Emergency call attended per

s per EML specialist per month (8 PM to 8 AM)
12.0
10.0
8.0
6.0
4.0
2.0
0.0
y y
ar uar arc
h ril ay n e ly u st be
r e r be r b e r
0.0% 0.0% 0.0% 0.0% u r A p M Ju Ju ug to
b
m
r r r r n
Ja F e b M A em Oc ove ece
m
be be be be pt
 6.0
4.0
2.0
0.0
y y h il ay ne ly st r er r r
0.0% 0.0% 0.0% 0.0% ar uar arc pr Ju Ju u be ob be be
r r r r n u r M A M ug em ct em m
be obe be be Ja F e b A
pt O v e ce
em t em em Se No D
Oc ov ec
N D

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e porte d
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r r r r
be obe be be
em Oct m
ve ece
m
No D