Worksheets
ACTION PLANNING FOR SAFE HOSPITALS
Worksheets
ACTION PLANNING FOR SAFE HOSPITALS
Instructions:
Pls. accomplish as indicated in the specific instructions. ...
ACTION PLANNING FOR SAFE HOSPITALS
Name of Hospital / Health Facility:
Name of Assessor Team Leader:
Date of Self-asses...
ACTION PLANNING FOR SAFE HOSPITALS
1. LIST OF PRIORITIZED GAPS FOR ACTION PLANNING
STRUCTURAL Gaps NON-STRUCTURAL
Gaps ...
ACTION PLANNING FOR SAFE HOSPITALS
2. OBJECTIVE AND GOAL SETTING FOR EACH GAP
STRUCTURAL Gaps Objectives Goals
1.
2.
...
ACTION PLANNING FOR SAFE HOSPITALS
2. OBJECTIVE AND GOAL SETTING FOR EACH GAP
NON-STRUCTURAL
Gaps
Objectives Goals
1....
ACTION PLANNING FOR SAFE HOSPITALS
2. OBJECTIVE AND GOAL SETTING FOR EACH GAP
FUNCTIONAL Gaps Objectives Goals
1.
2.
...
ACTION PLANNING FOR SAFE HOSPITALS
3. STRATEGY ALTERNATIVES
STRUCTURAL Gaps Objectives STRATEGY ALTERNATIVES
(at least ...
ACTION PLANNING FOR SAFE HOSPITALS
3. STRATEGY ALTERNATIVES
NON-STRUCTURAL Gaps Objectives STRATEGY ALTERNATIVES
(at le...
ACTION PLANNING FOR SAFE HOSPITALS
3. STRATEGY ALTERNATIVES
FUNCTIONAL Gaps Objectives STRATEGY ALTERNATIVES
(at least ...
ACTION PLANNING FOR SAFE HOSPITALS
4. DECISION-MATRIX IN SELECTING STRATEGIES FOR GAPS
STRUCTURAL GAP 1:
Objectives:
S...
ACTION PLANNING FOR SAFE HOSPITALS
4. DECISION-MATRIX IN SELECTING STRATEGIES FOR GAPS
Criteria Keys
Keys Criteria
1
...
ACTION PLANNING FOR SAFE HOSPITALS
4. DECISION-MATRIX IN SELECTING STRATEGIES FOR GAPS
STRUCTURAL GAP 2:
Objectives:
S...
ACTION PLANNING FOR SAFE HOSPITALS
4. DECISION-MATRIX IN SELECTING STRATEGIES FOR GAPS
STRUCTURAL GAP 3:
Objectives:
S...
ACTION PLANNING FOR SAFE HOSPITALS
4. DECISION-MATRIX IN SELECTING STRATEGIES FOR GAPS
Criteria Keys
Keys Criteria
1
...
ACTION PLANNING FOR SAFE HOSPITALS
4. DECISION-MATRIX IN SELECTING STRATEGIES FOR GAPS
NON-STRUCTURAL
GAP 1:
Objective...
ACTION PLANNING FOR SAFE HOSPITALS
4. DECISION-MATRIX IN SELECTING STRATEGIES FOR GAPS
NON-STRUCTURAL
GAP 2:
Objective...
ACTION PLANNING FOR SAFE HOSPITALS
4. DECISION-MATRIX IN SELECTING STRATEGIES FOR GAPS
NON-STRUCTURAL
GAP 3:
Objective...
ACTION PLANNING FOR SAFE HOSPITALS
4. DECISION-MATRIX IN SELECTING STRATEGIES FOR GAPS
Criteria Keys
Keys Criteria
1
...
ACTION PLANNING FOR SAFE HOSPITALS
4. DECISION-MATRIX IN SELECTING STRATEGIES FOR GAPS
FUNCTIONAL GAP 1:
Objectives:
S...
ACTION PLANNING FOR SAFE HOSPITALS
4. DECISION-MATRIX IN SELECTING STRATEGIES FOR GAPS
FUNCTIONAL GAP 2:
Objectives:
S...
ACTION PLANNING FOR SAFE HOSPITALS
4. DECISION-MATRIX IN SELECTING STRATEGIES FOR GAPS
FUNCTIONAL GAP 3:
Objectives:
S...
ACTION PLANNING FOR SAFE HOSPITALS
5. ACTION-PLAN MATRIX FOR SELECTED STRATEGIES FOR GAPS
STRUCTURAL GAP
1:
Objectives...
ACTION PLANNING FOR SAFE HOSPITALS
5. ACTION-PLAN MATRIX FOR SELECTED STRATEGIES FOR GAPS
STRUCTURAL GAP
2:
Objectives...
ACTION PLANNING FOR SAFE HOSPITALS
5. ACTION-PLAN MATRIX FOR SELECTED STRATEGIES FOR GAPS
STRUCTURAL GAP
3:
Objectives...
ACTION PLANNING FOR SAFE HOSPITALS
5. ACTION-PLAN MATRIX FOR SELECTED STRATEGIES FOR GAPS
NON-STRUCTURAL
GAP 1:
Object...
ACTION PLANNING FOR SAFE HOSPITALS
5. ACTION-PLAN MATRIX FOR SELECTED STRATEGIES FOR GAPS
NON-STRUCTURAL
GAP 2:
Object...
ACTION PLANNING FOR SAFE HOSPITALS
5. ACTION-PLAN MATRIX FOR SELECTED STRATEGIES FOR GAPS
NON-STRUCTURAL
GAP 3:
Object...
ACTION PLANNING FOR SAFE HOSPITALS
5. ACTION-PLAN MATRIX FOR SELECTED STRATEGIES FOR GAPS
FUNCTIONAL GAP
1:
Objectives...
ACTION PLANNING FOR SAFE HOSPITALS
5. ACTION-PLAN MATRIX FOR SELECTED STRATEGIES FOR GAPS
FUNCTIONAL GAP
2:
Objectives...
ACTION PLANNING FOR SAFE HOSPITALS
5. ACTION-PLAN MATRIX FOR SELECTED STRATEGIES FOR GAPS
FUNCTIONAL GAP
3:
Objectives...
Worksheets
ACTION PLANNING FOR SAFE HOSPITALS
The End
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National Training on Safe Hospitals - Sri Lanka – Worksheets - Module 3 - 14Sept22-24

National Training on Safe Hospitals - Sri Lanka – Worksheets - Module 3 - 14Sept22-24
Published on: Mar 3, 2016
Published in: Healthcare      
Source: www.slideshare.net


Transcripts - National Training on Safe Hospitals - Sri Lanka – Worksheets - Module 3 - 14Sept22-24

  • 1. Worksheets ACTION PLANNING FOR SAFE HOSPITALS
  • 2. Worksheets ACTION PLANNING FOR SAFE HOSPITALS Instructions: Pls. accomplish as indicated in the specific instructions. To promote CLEAR slides, always use BOLD fonts and at least 18 Font size. Pls. submit to Facilitators right after presentation. Make a presentation that is ready for submission to your organization’s leaders.
  • 3. ACTION PLANNING FOR SAFE HOSPITALS Name of Hospital / Health Facility: Name of Assessor Team Leader: Date of Self-assessment: Email Address of Assessor Team Leader: Pls. accomplish – required! May place picture of façade of your hospital / health facility.
  • 4. ACTION PLANNING FOR SAFE HOSPITALS 1. LIST OF PRIORITIZED GAPS FOR ACTION PLANNING STRUCTURAL Gaps NON-STRUCTURAL Gaps FUNCTIONAL Gaps 1. 1. 1. 2. 2. 2. 3. 3. 3. *Must have at least 3 for each element of Safe Hospital listed in the table.
  • 5. ACTION PLANNING FOR SAFE HOSPITALS 2. OBJECTIVE AND GOAL SETTING FOR EACH GAP STRUCTURAL Gaps Objectives Goals 1. 2. 3.
  • 6. ACTION PLANNING FOR SAFE HOSPITALS 2. OBJECTIVE AND GOAL SETTING FOR EACH GAP NON-STRUCTURAL Gaps Objectives Goals 1. 2. 3.
  • 7. ACTION PLANNING FOR SAFE HOSPITALS 2. OBJECTIVE AND GOAL SETTING FOR EACH GAP FUNCTIONAL Gaps Objectives Goals 1. 2. 3.
  • 8. ACTION PLANNING FOR SAFE HOSPITALS 3. STRATEGY ALTERNATIVES STRUCTURAL Gaps Objectives STRATEGY ALTERNATIVES (at least 2) 1. 1. 2. 3. 2. 1. 2. 3. 3. 1. 2. 3.
  • 9. ACTION PLANNING FOR SAFE HOSPITALS 3. STRATEGY ALTERNATIVES NON-STRUCTURAL Gaps Objectives STRATEGY ALTERNATIVES (at least 2) 1. 1. 2. 3. 2. 1. 2. 3. 3. 1. 2. 3.
  • 10. ACTION PLANNING FOR SAFE HOSPITALS 3. STRATEGY ALTERNATIVES FUNCTIONAL Gaps Objectives STRATEGY ALTERNATIVES (at least 2) 1. 1. 2. 3. 2. 1. 2. 3. 3. 1. 2. 3.
  • 11. ACTION PLANNING FOR SAFE HOSPITALS 4. DECISION-MATRIX IN SELECTING STRATEGIES FOR GAPS STRUCTURAL GAP 1: Objectives: STRATEGY ALTERNATIVES (at least 2) Criteria [at least 3 with relative weights 1. lowest; 3 - highest)] – see Key Number of persons giving scores: ___ Total Score (Sum) Rank 1 2 3 4 5 1. 2. 3.
  • 12. ACTION PLANNING FOR SAFE HOSPITALS 4. DECISION-MATRIX IN SELECTING STRATEGIES FOR GAPS Criteria Keys Keys Criteria 1 2 3 4 5 For STRUCTURAL GAPS
  • 13. ACTION PLANNING FOR SAFE HOSPITALS 4. DECISION-MATRIX IN SELECTING STRATEGIES FOR GAPS STRUCTURAL GAP 2: Objectives: STRATEGY ALTERNATIVES (at least 2) Criteria [at least 3 with relative weights 1. lowest; 3 - highest)] – see Key Number of persons giving scores: ___ Total Score (Sum) Rank 1 2 3 4 5 1. 2. 3.
  • 14. ACTION PLANNING FOR SAFE HOSPITALS 4. DECISION-MATRIX IN SELECTING STRATEGIES FOR GAPS STRUCTURAL GAP 3: Objectives: STRATEGY ALTERNATIVES (at least 2) Criteria [at least 3 with relative weights 1. lowest; 3 - highest)] – see Key Number of persons giving scores: ___ Total Score (Sum) Rank 1 2 3 4 5 1. 2. 3.
  • 15. ACTION PLANNING FOR SAFE HOSPITALS 4. DECISION-MATRIX IN SELECTING STRATEGIES FOR GAPS Criteria Keys Keys Criteria 1 2 3 4 5 For NON-STRUCTURAL GAPS
  • 16. ACTION PLANNING FOR SAFE HOSPITALS 4. DECISION-MATRIX IN SELECTING STRATEGIES FOR GAPS NON-STRUCTURAL GAP 1: Objectives: STRATEGY ALTERNATIVES (at least 2) Criteria [at least 3 with relative weights 1. lowest; 3 - highest)] – see Key Number of persons giving scores: ___ Total Score (Sum) Rank 1 2 3 4 5 1. 2. 3.
  • 17. ACTION PLANNING FOR SAFE HOSPITALS 4. DECISION-MATRIX IN SELECTING STRATEGIES FOR GAPS NON-STRUCTURAL GAP 2: Objectives: STRATEGY ALTERNATIVES (at least 2) Criteria [at least 3 with relative weights 1. lowest; 3 - highest)] – see Key Number of persons giving scores: ___ Total Score (Sum) Rank 1 2 3 4 5 1. 2. 3.
  • 18. ACTION PLANNING FOR SAFE HOSPITALS 4. DECISION-MATRIX IN SELECTING STRATEGIES FOR GAPS NON-STRUCTURAL GAP 3: Objectives: STRATEGY ALTERNATIVES (at least 2) Criteria [at least 3 with relative weights 1. lowest; 3 - highest)] – see Key Number of persons giving scores: ___ Total Score (Sum) Rank 1 2 3 4 5 1. 2. 3.
  • 19. ACTION PLANNING FOR SAFE HOSPITALS 4. DECISION-MATRIX IN SELECTING STRATEGIES FOR GAPS Criteria Keys Keys Criteria 1 2 3 4 5 For FUNCTIONAL GAPS
  • 20. ACTION PLANNING FOR SAFE HOSPITALS 4. DECISION-MATRIX IN SELECTING STRATEGIES FOR GAPS FUNCTIONAL GAP 1: Objectives: STRATEGY ALTERNATIVES (at least 2) Criteria [at least 3 with relative weights 1. lowest; 3 - highest)] – see Key Number of persons giving scores: ___ Total Score (Sum) Rank 1 2 3 4 5 1. 2. 3.
  • 21. ACTION PLANNING FOR SAFE HOSPITALS 4. DECISION-MATRIX IN SELECTING STRATEGIES FOR GAPS FUNCTIONAL GAP 2: Objectives: STRATEGY ALTERNATIVES (at least 2) Criteria [at least 3 with relative weights 1. lowest; 3 - highest)] – see Key Number of persons giving scores: ___ Total Score (Sum) Rank 1 2 3 4 5 1. 2. 3.
  • 22. ACTION PLANNING FOR SAFE HOSPITALS 4. DECISION-MATRIX IN SELECTING STRATEGIES FOR GAPS FUNCTIONAL GAP 3: Objectives: STRATEGY ALTERNATIVES (at least 2) Criteria [at least 3 with relative weights 1. lowest; 3 - highest)] – see Key Number of persons giving scores: ___ Total Score (Sum) Rank 1 2 3 4 5 1. 2. 3.
  • 23. ACTION PLANNING FOR SAFE HOSPITALS 5. ACTION-PLAN MATRIX FOR SELECTED STRATEGIES FOR GAPS STRUCTURAL GAP 1: Objectives: A STRATEGY SELECTED: (indicate below) Activities to achieve strategy and objectives (at least 2) Timeline (target deadlines) Resources (human, infrastructure, budget, etc.) Responsibl e unit and / or person 1. 2. 3.
  • 24. ACTION PLANNING FOR SAFE HOSPITALS 5. ACTION-PLAN MATRIX FOR SELECTED STRATEGIES FOR GAPS STRUCTURAL GAP 2: Objectives: A STRATEGY SELECTED: (indicate below) Activities to achieve strategy and objectives (at least 2) Timeline (target deadlines) Resources (human, infrastructure, budget, etc.) Responsibl e unit and / or person 1. 2. 3.
  • 25. ACTION PLANNING FOR SAFE HOSPITALS 5. ACTION-PLAN MATRIX FOR SELECTED STRATEGIES FOR GAPS STRUCTURAL GAP 3: Objectives: A STRATEGY SELECTED: (indicate below) Activities to achieve strategy and objectives (at least 2) Timeline (target deadlines) Resources (human, infrastructure, budget, etc.) Responsibl e unit and / or person 1. 2. 3.
  • 26. ACTION PLANNING FOR SAFE HOSPITALS 5. ACTION-PLAN MATRIX FOR SELECTED STRATEGIES FOR GAPS NON-STRUCTURAL GAP 1: Objectives: A STRATEGY SELECTED: (indicate below) Activities to achieve strategy and objectives (at least 2) Timeline (target deadlines) Resources (human, infrastructure, budget, etc.) Responsibl e unit and / or person 1. 2. 3.
  • 27. ACTION PLANNING FOR SAFE HOSPITALS 5. ACTION-PLAN MATRIX FOR SELECTED STRATEGIES FOR GAPS NON-STRUCTURAL GAP 2: Objectives: A STRATEGY SELECTED: (indicate below) Activities to achieve strategy and objectives (at least 2) Timeline (target deadlines) Resources (human, infrastructure, budget, etc.) Responsibl e unit and / or person 1. 2. 3.
  • 28. ACTION PLANNING FOR SAFE HOSPITALS 5. ACTION-PLAN MATRIX FOR SELECTED STRATEGIES FOR GAPS NON-STRUCTURAL GAP 3: Objectives: A STRATEGY SELECTED: (indicate below) Activities to achieve strategy and objectives (at least 2) Timeline (target deadlines) Resources (human, infrastructure, budget, etc.) Responsibl e unit and / or person 1. 2. 3.
  • 29. ACTION PLANNING FOR SAFE HOSPITALS 5. ACTION-PLAN MATRIX FOR SELECTED STRATEGIES FOR GAPS FUNCTIONAL GAP 1: Objectives: A STRATEGY SELECTED: (indicate below) Activities to achieve strategy and objectives (at least 2) Timeline (target deadlines) Resources (human, infrastructure, budget, etc.) Responsibl e unit and / or person 1. 2. 3.
  • 30. ACTION PLANNING FOR SAFE HOSPITALS 5. ACTION-PLAN MATRIX FOR SELECTED STRATEGIES FOR GAPS FUNCTIONAL GAP 2: Objectives: A STRATEGY SELECTED: (indicate below) Activities to achieve strategy and objectives (at least 2) Timeline (target deadlines) Resources (human, infrastructure, budget, etc.) Responsibl e unit and / or person 1. 2. 3.
  • 31. ACTION PLANNING FOR SAFE HOSPITALS 5. ACTION-PLAN MATRIX FOR SELECTED STRATEGIES FOR GAPS FUNCTIONAL GAP 3: Objectives: A STRATEGY SELECTED: (indicate below) Activities to achieve strategy and objectives (at least 2) Timeline (target deadlines) Resources (human, infrastructure, budget, etc.) Responsibl e unit and / or person 1. 2. 3.
  • 32. Worksheets ACTION PLANNING FOR SAFE HOSPITALS The End

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