HARAMAYA GENERAL

HOSPITAL

PROJECT TITLE፡ Improving patient awareness and knowledge of diagnosis, treatment plan, safety and
prognosis

REGION: Oromia
Health Facility: Haramaya General Hospital
Prp by Harif A(M.Sc.)
Date: Feb, 2023
Maya
Background of Haramaya General Hospital
Haramaya Hospital is found in East Hararghe;
Oromia National Regional state; 507Km from
Finfinne and 18 km from Harar town
• It is established in 2005 Ethiopia calendar.
• It was upgraded from health centre
Then in 2009 it was expanded to a zonal hospital
by the Regional Health Bureau.

haramaya general Hospital cluster 1st Q report prp by HA

Cont…
• Now the Hospital have more than 172 beds and
giving health service for two towns and four
districts for more than 1.4 million people and also
there is 27 Health centers in the catchment and two
lead health centre
• It has 340 employees; 186 health Professionals and
the rest supportive staff

haramaya general Hospital cluster 1st Q report prp by HA

Cont…
• On averages Daily 320-460 patients visit OPD
• It has specialty in psychiatry, eye, ART clinic, Youth friendly
service ,ophthalmic clinic, and TBL among other services
and also four referral clinic
• To promote quality service effectively the hospital has fully
utilized all health reform core processes, namely BPR,BSC,
HCF, HMIS/DHIS2/HPMI, EHSTG, SaLTS, CaTCH-IT, HSTQ,
IPD initiatives and EHAQ/EBC

haramaya general Hospital cluster 1st Q report prp by HA

 Organization’s Mission, Vision, Scope of
Service
• Mission
Haramaya General Hospital plays a basic role to reduce morbidity, mortality
and disability and improve the health status of Haramaya hospital
catchment population through providing and regulating a comprehensive
package of preventive, promotive, rehabilitative and basic curative health
services via a decentralized and democratized health system.
• Vision
To see healthy, productive, and prosperous Haramaya Hospital catchment
population
Problem identification and prioritization Matrix
SN Lists of problems Prioritization criteria Rank
identified magnitude Feasibility Importance Total
 Problem statement (prioritized for improvement)

• Poor client awareness and knowledge of hospital services

Team’s Aim Statement (SMART)
• By June 30, 2024, we will improve client awareness and knowledge of
diagnosis, treatment plan, safety and prognosis to the current(feb,
2023) poor perception and experience of patient in our
Hospital(Haramaya G. H)

• Scope of the project:- these project applies to all clients who visit and
got service of the hospital and covers all services, programs and
departments in hospital
 Cause and effect diagram
Patient/people Materials

No awareness no education materials

Poor
engagement of Poor quality
Motivation
patient

No patients and family Follow-through

members
Poor client’s
awareness and
No feedback knowledge toward
mechanism Maintenance hospital services

No guideline of safety

No health literacy unit protocols

Lack oftoilet

Method Equipment
5 why technique
• Problems/ effect poor client awareness and
knowledge toward hospital care services

1. No health education ____why?

2. _No health educational materials _why?
3. ___staff knowledge gap of health education_why?
4. Poor patients and families engagement as part of
health care _why?
5. Poor communication mechanism _why?
 Aim Primary Drivers Secondary Drivers Change Ideas
By what, by when What must be present to What must be present to
achieve our aim deliver each driver

Improving clients awareness and knowledge

Provide feedback of diagnosis,
Prepare means of mechanisms treatment plan safety and prognosis
communication Prepare community
Prepare means of communication
forum
Experience and perception of patient
Engaging patient on
Improving clients
decision Current awareness
awareness and Experience and Increase safety of Provide feedback mechanisms
knowledge of perception of patient medical error
diagnosis, treatment Prepare community forum
plan safety and Prepare patient
prognosis orientation format Engaging patient on decision

Build patient and staff Increase safety of medical error

awareness
Current awareness Prepare patient orientation format
Prepare health Build patient and staff awareness
education materials
Prepare health education materials
Measures/Indicators
Aim Outcome measure Change Process measures Balancing
measures
stateme ideas
nt
Indicator Numerator Denominator

Indicator Number
patient
Provide feedback
mechanismis
.
engaged on
their decision

Improving
clients
awareness
and Numerator Prepare
community forum
knowledge
of
diagnosis,
treatment
plan safety
and
prognosis Denominator Prepare patient
orientation
format

Data Source Prepare health

education
materials
 P of PDSA
Aim _
improving patient awareness and knowledge toward hospital service

S What Process Where(ser Who How(description When (time table ) Remar

No. (Change Measure vice area) (responsible how to deliver k
ideas) body) activities Start date End date

1 Provide feedback All service All clients Providing Feb 11, 2023 June 30,
mechanisms area suggestion box, 2024
providing complaite
format
2 Prepare All service All clients Prepare Meeting Feb 11, 2023 June 30,
community forum area 2024

3 Prepare patient All service Hospital Prepare format in Feb 11, 2023 June 30,
orientation format area patient charts to make 2024
patient decision
4 Prepare health All service hospital Prepare leaflet, Feb 11, 2023 June 30,
education area audiovisual education 2024
materials
materials,
5 Build patient All service hospital Prepare leaflet, Feb 11, 2023 June 30,
awareness area audiovisual education 2024
materials, health
education
6 Build staff All service hospital Training , Feb 11, 2023 June 30,
awaress area orientation 2024
 P of PDSA…
Measurement Plan /data collection plan
AIM/Out Come Data source (Where) Data collection Time Responsible for
Indicator method (how) (When)
All services area Questionnaire, Feb 11, 2023 to Health literacy
Improving clients interview, focus group June 30, 2024 team
awareness and discussion
knowledge of diagnosis, Quality
treatment plan safety improvement team
and prognosis
EBC team
Do
• Test your change ideas one at a time
• Use Run chart to monitor your QI project over time.
Study
• Describe the measured results and how they compared to the
predictions and baseline
Act
• Here describe what modifications to the plan will be made for the
next cycle from what you learned (Adapt, Adopt, Abandon)