Approach For Health Care Management Essay

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Approach For Health Care Management Essay

Capstone Project M&E Plan

A monitoring and evaluation (M&E) plan is a useful tool for defining, implementing, improving and tracking an M&E strategy for a project or set of projects (Vriesendor et al, 2010). Below is the M&E plan for my capstone project.

Part 1: M&E Plan

Objectives:

  1. Optimal number of staff in the labor and delivery unit can reduce the time from occurrence of emergency to management of emergency.
  2. Staff in the labor and delivery unit with emergency obstetric care (EmOC) training helps to reduce maternal deaths. Approach For Health Care Management Essay

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  Activity/Output Indicator Data Source Frequency of Data Collection Responsible Person Timeline/ Deadline
1 Recruitment of midwives, midwives’ mentors, obstetricians, nurses and community health workers Number of staff hired in each category. Employment records Monthly Chief nursing officer August 2022
2 Training on common obstetric emergencies, and implementing skills and drills on EmOC Number of staff receiving training on common obstetric emergencies in each category.

 

Number of staff participating in EmOC drills.

 Weekly reports.

 

 

 

 

 

Weekly reports

 Weekly

 

 

 

 

 

 

Weekly

 Staff trainers

 

 

 

 

 

Director of nursing

 September 2022
3 Purchasing of capital equipment and consumable medical and emergency supplies Availability of supplies in adequate quantities as per emergency checklist.

 

All staff report having requisite equipment for managing obstetric emergencies

 Inventory records.

 

 

 

 

 

Interview (Likert scale used to categorize statements) Approach For Health Care Management Essay

 Daily

 

 

 

 

 

 

Weekly

 Charge Nurse

 

 

 

 

 

Nurse supervisor

 July 2022
             
  Outcome Indicator Data Source Frequency Of Data Collection Responsible Person  
1 Labor and delivery unit with optimal staffing ratio Reduced time between occurrence of emergency and its management Clinical reports Daily Charge nurse  
2 Staff in labor and delivery unit can recognize early signs of emergency Reduced mortality/morbidity rates Labor and delivery unit mortality records Weekly Director of nursing  
3 Well-stocked emergency cart with appropriate checklist.

 

All staff can access requisite tools for emergency management Approach For Health Care Management Essay

 Zero searches/request for supplies and tools during emergency Nurses report sheet Weekly Nurse supervisor  

 

 

Part 2: Sources of Data for Monitoring and Evaluation

The type of data source I anticipate to be most useful for monitoring and evaluation (M&E) purposes is routinely collected data. This is data gathered from the population of served patients. Such data is easy to collate from the provider’s health information system (HIS) and includes aggregate patient and facility data (Wager et al, 2021). Routinely collected data is used because it bears the type of data most relevant to my capstone project. My project deals with instituting emergency preparedness measures in labor and delivery unit. Therefore, project monitoring and evaluation requires local data on a single unit in the hospital. As such, other types of data sources such as rapid assessments and large scale population surveys are impractical. With regard to the capstone project monitoring and evaluation,  routinely collected data will be used to assess timeliness in achieving project milestones, number of staff (nurses, obstetricians, community health workers and midwives), how many can recognize an emergency obstetric scenario, and quantity of available obstetric emergency supplies. Approach For Health Care Management Essay

In addition, frequency data will be used in the M&E plan to assess how effective is the implementation of emergency preparedness measures. For example, a decrease in mortality rates from obstetric emergencies after accomplishing the staff training milestone would imply success, whereas no change would imply unsuccessful implementation of one of the project’s intermediate goals. The success of my capstone project will be evaluated on a before-and-after basis (Ba, 2021). In essence, the evaluation will utilize time-series data to assess achievement of short term and long term outputs and outcomes. Comparisons with external data will not be part of project evaluation. Routinely collected data has the benefits of being easily accessible, inexpensive, and in the case of my project, fit for purpose (World Health Organization, 2018). Approach For Health Care Management Essay

 

References

Ba, A. (2021). How to measure monitoring and evaluation system effectiveness?. African

Evaluation Journal, 9(1), 12.

Vriesendorp, S., Peza, L., Perry, C. P., Seltzer, J. B., O’Neil, M., Reimann, S., Gaul, N., Clark,

M., Barraclough, A., LeMay, N. & Buxbaum, A. (2010). Health systems in action: an ehandbook for leaders and managers. Management Sciences for Health.

Wager, K. A., Lee, F. W., & Glaser, J. P. (2021). Health care information systems: a practical

approach for health care management. John Wiley & Sons.

World Health Organization. (2018). International Health Regulations (2005): IHR monitoring

and evaluation framework (No. WHO/WHE/CPI/2018.51). World Health Organization.

1.Please draft a monitoring and evaluation plan for your Capstone Project, using the Excel template provided. It will be helpful to draw upon your new knowledge from this week’s readings and to use Table 5 in the textbook (page 9:24) as an example.
2.Question 2:
Last week’s slideshow and this week’s textbook reading discuss many types of data sources that can be used in monitoring and evaluation: routinely collected data (which includes individual patient data, aggregate patient data, and facility operations data), as well as large-scale surveys and rapid assessments. Which type(s) of data sources do you expect to be most useful for evaluating the success of your Capstone Project and why? If you think you will use a combination of data sources in your evaluation, how will the different sources complement one another to give you a stronger understanding of your outcomes than you would have had based on one data source alone? Approach For Health Care Management Essay