Stop, Review, Re-evaluate, Renew the MNDCMS in Zambo Peninsula
On February 14, 2016, I have pledged to all stakeholders on the Maternal and Neonatal Death Control Management System in Zamboanga Peninsula that I will continue to coach even without a grant from ZFF and DOH. I even pledged a 3-4 year duration of coaching with the goal of institutionalizing and attaining performance excellence for the program and achieving near-zero maternal and neonatal deaths in Zamboanga Peninsula.
It is now one month after I made this pledge.
At this point, I ask myself – how do I and we who encouraged and asked me to continue to coach make the MNCMS move forward and faster?
I ask this question because I am concerned with not receiving adequate formal feedback from at least the established hospital MDCMS and NDCMS teams on what’s going on in their hospitals since January 2016.
· I have asked for a formal list of members of the MDCMS and NDCMS teams for 2016. So far, I received only from Zamboanga del Sur Medical Center (pls. make the necessary corrections if you have sent a list).
· I have asked for minutes of monthly meetings (starting January 2016) of the MDCMS and NDCMS. So far, I received only minutes from Zamboanga del Norte Medical Center (pls. make the necessary corrections if you have sent the minutes).
· I have asked for a formal 2016 action plan. I have not received one from any of the established hospitals MDCMS and NDCMS (pls. make the necessary corrections if you have sent a list).
I have trying to get support from the other stakeholders outside the established hospital MDCMS and NDCMS teams.
I have asked the DOH Region IX Office; DOH Representatives in Zambo Peninsula; IPHO in Zambo Peninsula; other government hospitals; private hospitals; municipal health officers; and other relevant health sectors in Zambo Peninsula for assistance in the program. I am confident that slowly they are forthcoming.
As is my habit of doing projects, I make a monthly (16feb14 – 16mar16) review of what had transpired, identify areas of improvement, and then make a plan for improvement.
The 2016 goals of all established hospital MDCMS are a 50% to 60% reduction of the 2015 statistics on maternal deaths and a certificate of mastery. The 2016 goals of established NDCMS are a 50% reduction of the 2015 statistics on neonatal deaths and a certificate of proficiency.
For the new hospitals who will join the program, the 2016 goals will be an agreed percentage of reduction of MDCMS and NDCMS and a certificate of proficiency.
For the 4 hospitals that completed OCIL-MDCMS DF (Design and Foundation), for each task force, I have suggested for 2016, to come out with an action plan that contains at least the following:
1. Renew pledge of commitment to support and collaborate in the Task Force Program of Activities for 2016
2.Review design (master plan)
3.Identify areas of improvement based on external audit, internal audit and self-assessment
4. Formulate and implement 2016 prioritized improvement and /or new projects (list, formulate design and development plan with gantt chart)
5. Formulate CIPE for Certificate of Mastery
6. Make progress report monthly of action plan
7. Conduct formal self-evaluation at least every 2 months
8. Conduct management reviews at least every 3 months
9. Conduct internal audit by September, 2016
10. Conduct external audit by November, 2016 for Certificate of Mastery
This will form part of the core requirements for OCIL-MDCMS-IE-CM (IE=Implementation and Evaluation; CM = Certificate of Mastery)
So, I asked, after one month of pledging to coach the MNDCMS in Zamboanga Peninsula:
Where am I heading?
Where is the program MNDCMS in Zambo Peninsula heading?
How can we make it move forward and faster?
Help me answer these questions.
Thank you.
Dr. Rey
March 16, 2016
ROJ@16mar16