Ayushman Arogya Mandir:- Taravada Block :- Amreli District:-Amreli

Sr.
Indicators Source of Data Jun-26
No.

1 All Over Opd cases OPD Register 386

Case Specefic OPD of Pregnant

2 OPD Register (A) 9
Monthers
Case Specefic OPD of Neonate, Infant,
3 OPD Register(B) 23
Child and Adolescent

4 Case Specefic OPD of Family Planning OPD Register © 8

Case Specefic OPD of Communicable

5 OPD Register (D) 36
disease
Case Specefic OPD of Common
6 OPD Register ( E) 42
medical ailments
Case Specefic OPD of NCD (BP,
No. of OPD cases
7 Diabetes,Cancer,Stroke,Cardiovascular OPD Register (F) 343
per month
disease etc.)

8 Case Specefic OPD of Eye and Ent OPD Register (G) 4

9 Case Specefic OPD of Oral health care OPD Register (H) 2

Case Specefic OPD of Elderly and

10 OPD Register (I) 4
Palliative care

11 Case Specefic OPD of Mental Health OPD Register (J) 0

Case Specefic OPD of Emergency,

12 OPD Register (K) 6
Dressing,Trauma&Burns
Case Specefic OPD of Pregnant
13 3
Monthers
Case Specefic OPD of Neonate, Infant,
14 1
Child and Adolescent

15 Case Specefic OPD of Family Planning 0

Case Specefic OPD of Communicable

16 2
disease

Case Specefic OPD of Common

17 3
medical ailments
No. of Follow Up Case Specefic OPD of NCD (BP, OPD Register &
18 (Repeat Cases) per 240
Diabetes,Cancer,Stroke,Cardiovascular Follow Up Register
month disease etc.)

19 Case Specefic OPD of Eye and Ent 2

20 Case Specefic OPD of Oral health care 1

Case Specefic OPD of Elderly and

21 3
Palliative care

22 Case Specefic OPD of Mental Health 0

Case Specefic OPD of Emergency,

23 2
Dressing,Trauma&Burns
Case Specefic OPD of Pregnant
24 1
Monthers
Case Specefic OPD of Neonate, Infant,
25 0
Child and Adolescent

26 Case Specefic OPD of Family Planning 0

NO. OF Refer Cases OPD Register &

 Case Specefic OPD of Communicable
27 0
disease
Case Specefic OPD of Common
28 1
medical ailments
Case Specefic OPD of NCD (BP,
NO. OF Refer Cases OPD Register &
29 Diabetes,Cancer,Stroke,Cardiovascular 2
Per Month Refer Register
disease etc.)

30 Case Specefic OPD of Eye and Ent 1

31 Case Specefic OPD of Oral health care 1

Case Specefic OPD of Elderly and

32 1
Palliative care

33 Case Specefic OPD of Mental Health 0

Case specific of Case Specefic OPD of Emergency,

34 0
NCD Dressing,Trauma&Burns
(Hypertension, Total No. of patient who missed for
35 Diabetes & cancer), 7
follow up OPD Register &
Eye, ENT, Oral
Total No. of Patient who need to Follow Up Register
36 Health, elderly, 253
palliative, Medical come for follow up
Emergency &
Mental Health etc No. of pregnant woman who received
37 full ANC checkups(atleast 4 ANC 1
Percentage of checkup) ANC
women receiving Register/Techo+
all four ANCs Total No. of pregnant woman who Portal
38 need to complete 4 ANC checck up 1
(Early registered)

39 Total No of Pentavalent -1 immunized(3 months ago) 8

Immunization
Register
40 Total No of Pentavalent -3 immunized(this month) 8

41 No. of NCD Patient who came for follow up NCD Follow up 334
Register/Niramay
Card File/ NCD
42 Total No. of registered NCD patients Portal 344

Medicine Stock
43 No. of stock out days of essential medicines 0
book

44 No. of stock out days of essential diagnostic test Lab Stock register 0

45 No. of Yoga session conducted in month Yoga Session reg. 12

46 No of VHNDs conducted (for vulnerable population) VHND reg. 2

47 No. of high risk pregnancy identified during ANC HRP reg. 4

48 No. of AEFI cases reported AEFI reporting reg. 5

49 No. of Children with diarrhoea treated with ORS & Zn OPD Register 1

50 Total no of person who accepted contraceptives methods Family Planning 6

Counselling
51 Total No. of clients counselled for contraceptives methods register 7

Anaemia Register&
52 No. of Anaemia cases treated successfully Iron sucrose 1
Register
Toatal No. of Patient completed DOTS /Tuberculosis cases
53 4
treatment successfully NTEP register /
Nikshay Portal
 NTEP register /
Total no. of tb patinet whose treatment is going to Nikshay Portal
54 4
complete
No. of Patient whose treatment achieved blood pressure NCD Follow up
55 199
control Register/Niramay
Card File/ NCD
56 Total No. of Hypertensive/ Hypotensive Patient Portal 208

No. of Patient whose treatment achieved blood Sugar NCD Follow up

57 129
control Register/Niramay
Card File/ NCD
58 Total No. of Sugar Patient Portal 133

Total No. Patient cases screened positive for cancer

59 0
underwent biopsy Cancer Screening
Register
60 Total No. of Patient Screened for Cancer 1

Total No. of cancer cases underwent treatment for each

61 Cancer On 7
cancer
Treatment
62 Total No. of Cancer Patient Register 7

Patient
63 PSS score (Patient) 4.8
Satisfaction File
Community
64 PSS score (Community) 4.6
satisfaction File
Total number of chronic cases who are still under
65 Chronic case 2
treatment for last 3 month
register/follow up
Number of Chronic cases who started treatment at register
66 2
PHC/above 3 month ago

66 Number of delivery Conducted at AAM Delivery Register 0

Ayushman Arogya Mandir:- Tarvada Block :- Amreli District:-Amreli
SN Indicators Means of verification Formula Jun-26

No. of all over OPD Cases per

1 OPD register Only Numbers 386
month
Case specific OPD of
pregnant mothers, neonate, Only Numbers(Sum of 1
2 No. of OPD Cases per month 118
infant, children, adolescent, to 6 Services)
FP and CD (all OPD)

Case specific OPD of

No. of follow up cases pregnant mothers, neonate, Only Numbers(Sum of 1
3 9
(repeat visit) per month infant, children, adolescent, to 6 Services)
FP and CD

Case specific referral of

No. of cases referred to pregnant mothers, neonate, Only Numbers(Sum of 1
4 2
higher centre per month infant, children, adolescent, to 6 Services)
FP and CD
No. of Normal deliveries
5 0
conducted at AAM
The
As per Service package i.e.
facility
NCD (Hypertension, Diabetes
measure No. of Case specific OPD per
& cancer), Eye, ENT, Oral Only Numbers(sum of 7
s 6 month( as per defined 359
Health, elderly, palliative, to 12 Services)
Producti service package)
Medical Emergency & Mental
vit
Health etc
indicator
on As per Service package i.e.
monthly NCD (Hypertension, Diabetes
basis No. of cases referred to & cancer), Eye, ENT, Oral Only Numbers(sum of 7
7 5
higher centre per month Health, elderly, palliative, to 12 Services)
Medical Emergency & Mental
Health etc

As per Service package i.e.

NCD (Hypertension, Diabetes
No. of case specific follow up & cancer), Eye, ENT, Oral Only Numbers(sum of 7
8 248
per month Health, elderly, palliative, to 12 Services)
Medical Emergency & Mental
Health etc

Numerator-NO. of
As per Service package i.e. patient who missed
NCD (Hypertension, Diabetes follow up
No. of drop out rate cases
& cancer), Eye, ENT, Oral
9 following identification (as Denominator-no. of 2.8%
Health, elderly, palliative,
per service Package) patient who need to
Medical Emergency & Mental
come for follow up
Health etc

Numerator-No. of
Percentage of women pregnant woman who
10 ANC register 100.0%
receiving all four ANCs received full ANCNo.
Denominator-Total
checkups(atleast
of pregnant woman 4 ANC
who
needcheckup) * 100 4
to complete
Numerator-Total
Drop out rate for ANC checck
number up (Early
of children
11 Immunization Register 0.00%
The Pentavalent immunization missed registered)
Penta 3 dose
Denominator-Total
facility after Penta1
number *100
of children
measure received Penta1
Numerator-total no of
s patient missed out
12 Drop out rate for NCDs NCD followup register 2.91%
efficienc their follow up * 100
Denominator-Total no
y of actual patient who
indicator No. of stock out days of needofto
No. come
stock fordays
out follow
of
13 As per Service package 0
s on essential medicines essentialupmedicines
monthly No. of stock out days of No. of stock out days of
14 As per Service package 0
basis essential diagnostic test essential diagnostic
No. of Yoga session test session
No. of Yoga
15 12
conducted in month conducted in month
No of VHNDs (Mamta day) No of VHNDs conducted
16 2
conducted (for vulnerable (for vulnerable
population)
No. of high risk pregnancy population)(Mamata
No. of high risk
17 ANC register 4
identified during ANC pregnancy Day)
identified
Immunization - AEFI No. during
of AEFIANC
cases
18 No. of AEFI cases reported 5
reporting format and register reported
 No. of Children with No. of Children with
19 OPD register 1
diarrhoea treated with ORS diarrhoea treated with
& Zn ORS & Zn no of
Numerator-Total
Contraceptives acceptance Family Planning counselling person who accepted
20 85.71%
rate register contraceptives no
Denominator-total
methods
of person * 100
counselled
No. of Anaemia cases treated Total number of anemia [Link]
Anaemia cases
21 1
successfully casestreated treatedmethod
successfully
The
Numerator-Total no. of
facility
Treatment completion rate TB patient who
measure 22 DOTS treatment card 100.00%
for Tuberculosis completed
[Link] DOTs
of tb
s clinical
* 100
patient ehose
care
treatment isno BP
Numerator-Total
indicator Percentage of cases on
patientcompleting
who has normal
s on 23 treatment achieved blood NCD register/record 95.67%
bp as of now * 100
Denominator-Total no
monthly pressure control
basis of BP patient
(BP patient include
Numerator-No. of
Percentage of cases on
bothPatient
hypertension
whose and
24 treatment achieved blood NCD register/record 96.99%
hypotension)
treatment
Denominator-Total achievedNo.
sugar control
blood Sugar Patient
of Sugar control *
100
Numerator-Total No.
Percentage of cases
NCD register/record- Patient cases screened
25 screened positive for cancer 0.00%
followup register positive for cancer
Denominator-Total No.
underwent biopsy
underwent
of biopsy *100
Patient Screened for
Cancer no. of
Numerator-Total
Percentage of cancer cases
NCD register/record- under treatment cancer
26 underwent treatment for 100.00%
followup register patient * 100 No.
Denominator-Total
each cancer
of Cancer Patient
The Client Satisfaction Score Excel sheet
27 PSS score 4.80
facility (Patients) (Average satisfaction score =
measure 28 Client Satisfaction Score sum total
Excelofsheet
scores of
CSS score 4.60
s service (Community) attributes/number
(Average satisfactionofscore
total=
quality attributes)
sum total of scores of Numerator-Total
Percentage of chronic cases
indicator attributes/number of total number of chronic
who started treatment at As per service package(i.e.
s on 29 attributes) cases who are still
Denominator-Number 100.00%
PHC/above are still under HTN,DM , Cancer etc.)
monthly under
of treatment
Chronic for
cases who
treatment for last 3 months
basis last 3 month
started treatment*100at
PHC/above 3 month
ago