<span style="color:red">(ChkPnt246)MEG1.1</span>
<span style="color:blue">Measurable Element:</span>
The facility has a quality team in place
<span style="color:blue">Checkpoint:</span>
Quality circle has been formed in the Labour Room
<span style="color:blue">Assessment Method:</span>
SI/RR
<span style="color:red">(ChkPnt247)MEG2.1</span>
<span style="color:blue">Measurable Element:</span>
Patient satisfaction surveys are conducted at periodic intervals
<span style="color:blue">Checkpoint:</span>
Client satisfaction survey done on monthly basis
<span style="color:blue">Assessment Method:</span>
RR
<span style="color:red">(ChkPnt248)MEG2.2</span>
<span style="color:blue">Measurable Element:</span>
The facility analyses the patient feed back, and root-cause analysis
<span style="color:blue">Checkpoint:</span>
Analysis of low performing attributes of client feedback is done
<span style="color:blue">Assessment Method:</span>
RR
<span style="color:red">(ChkPnt249)MEG2.3</span>
<span style="color:blue">Measurable Element:</span>
The facility prepares the action plans for the areas, contributing to low satisfaction of patients
<span style="color:blue">Checkpoint:</span>
Action plan prepared is prepared to address the areas of low satisfaction
<span style="color:blue">Assessment Method:</span>
RR
<span style="color:red">(ChkPnt250)MEG3.1</span>
<span style="color:blue">Measurable Element:</span>
The facility has established internal quality assurance programme in key departments
<span style="color:blue">Checkpoint:</span>
There is system of daily round by matron/hospital manager/ hospital superintendent/ Hospital Manager/ Matron in charge for monitoring of services
<span style="color:blue">Assessment Method:</span>
SI/RR
<span style="color:red">(ChkPnt251)MEG3.3</span>
<span style="color:blue">Measurable Element:</span>
The facility has established system for use of check lists in different departments and services
<span style="color:blue">Checkpoint:</span>
Departmental checklist are used for monitoring and quality assurance
<span style="color:blue">Assessment Method:</span>
SI/RR
<span style="color:red">(ChkPnt252)MEG4.1</span>
<span style="color:blue">Measurable Element:</span>
Departmental standard operating procedures are available
<span style="color:blue">Checkpoint:</span>
Standard operating procedure for department has been prepared and approved
<span style="color:blue">Assessment Method:</span>
RR
<span style="color:red">(ChkPnt253)MEG4.1.1</span>
<span style="color:blue">Measurable Element:</span>
Departmental standard operating procedures are available
<span style="color:blue">Checkpoint:</span>
Current version of SOP are available with process owner
<span style="color:blue">Assessment Method:</span>
OB/RR
<span style="color:red">(ChkPnt254)MEG4.2</span>
<span style="color:blue">Measurable Element:</span>
Standard Operating Procedures adequately describes process and procedures
<span style="color:blue">Checkpoint:</span>
Department has documented procedure for ensuring patients rights including consent, privacy, confidentiality & entitlement
<span style="color:blue">Assessment Method:</span>
RR
<span style="color:red">(ChkPnt255)MEG4.2.1</span>
<span style="color:blue">Measurable Element:</span>
Standard Operating Procedures adequately describes process and procedures
<span style="color:blue">Checkpoint:</span>
Department has documented procedure for safety & risk management
<span style="color:blue">Assessment Method:</span>
RR
<span style="color:red">(ChkPnt256)MEG4.2.2</span>
<span style="color:blue">Measurable Element:</span>
Standard Operating Procedures adequately describes process and procedures
<span style="color:blue">Checkpoint:</span>
Department has documented procedure for support services & facility management.
<span style="color:blue">Assessment Method:</span>
RR
