Minutes of 2"d Qrtr 19-20 DQAC M,eetins held on 18.10.19 in Conference Hall of DM Darieelins at lpM.

Chairperson - OC Health, (Representative of DM Darjeeling)

Members present - CMOH Darj, DyCMOH l, DyCMOH lll, ACMOH Darj, BMOH Matigara//Bijanba rilRep of Kharibari BMOH/Dr. Ghatak rep. of Naxalbar! BMOH, DPO, Dr T. Uden (OBGY Darj DH)/Dr Patra (Paed Darj DH)/SO, Darjeeling /Dr. Majumdar (HO- SMC)/ Dr p Outta & Debrata Das (DQA team).

1. Laqshya A l8month program for betterment of Labor rooms -and Operation theatres has been implemented in !9-20 in District and Sub-divisional Hospitals. The idea is to bring the LRs and OTs to a targeted level by end of 18mths and maintain it at that stage to give safe confinement to all delivering mothers. DH ,Mirik SDH and DH has been assessed by State team led by Dr Sandip Sanyal in month of September, Score awaited. Very soon Darjeeling DH will also be assessed. The aim is to give every Delivering woman a dignified, safe ,cashless confinement - a big forward leap towards decreasing Maternal and lnfant death during lnstitutional confinement .This program will gradually extend to all delivery points. 2. Empanelled Surgeon list - This list has been updated with list of OBGY specialists who have joined recently and 3 units - Phansidewa, Matigara, Kharibari - 1 MO from these SMP blocks have been trained for Mini- lap Ligation. This list is being put up to DQAC in this meeting for approval for further upward transmission. 3. lndemnity Cases - No new cases in 19-20 till today. One old case from Phansidewa in National Consumer Forum, Delhi waiting for hearing, next date not communicated to District as of today. 4. As per state order Signage works for all RHs/BPHCs along with 2 priority PHCs (Except Kharibari and Takdah Block) are in under process. All units are requested to complete work and give utilization certificate at Novembe r 2Ot9 RCH Meeting. 5. BMW management: i. Foot operated colour coded bin procurement to be completed in all units. ii. Small temporary Common Collection Site or Dirty Utility Area to be prepared for storing all BMW for lifting at in all RHs and priority PHCs are to be prepared. Rs 20,000/- (Twenty Thousand) may be sanctioned per units for all 8 BPHCs (Mirik BPHC already prepared) and 7 priority PHCs. iii. For liquid waste management a ETP (Effluent Treatment Plant) to be prepared at all Laboratory, Labor Room & OT for all BPHCs/RHs/ PHCs with bed.

6. Fire Safety NOC works is stacked due to non-availability of proper blue print of building plan. The same work may be given to any professional person.

As no more issue, meeting adjourned with permission of chair.

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Government of Office of the Chief Medical Officer of Health, District Quality Assurance Unit Dist. Health Administrative Building, Ground Floor Hospital Road, -735101.

Minutes cum Resolution of the District Quality Assurance Committee meeting held at CMOH Conference Hall, Jalpaiguri on 20.09.2019 at 10.30 AM

The meeting was started under the chairmanship of the District Magistrate in presence of the Chief Medical Officer of Health Jalpaiguri,(Convenor),ADM(Dev),Dy.CMOH-II, Dy. CMOH-III, Superintendent (Jalpaiguri DH),ACMOH (Mal), Dy. Nursing Superintendent(Jalpaiguri DH), DPHNO, DTO, Smt. Depashree Roy-NGO Representative, DCQA, FLQM,PAA-District Quality Assurance Unit, Jalpaiguri.

The following points were discussed and resolution was adopted thereof-

 The Chief Medical Officer of Health discussed the performance of Sushree Kayakalp for different tier of Health Facilities under Jalpaiguri District. The discussion was also held about the peer assessment of Sushree Kayakalp for the year 2019-2020.CMOH also advised to highlight those points which should be rectified at the earliest. He also advised the BMOHs to become more active for the coming Sushree Kayakalp State assessment including all staff.

[Action taken by:-DQAU & DQT]

 The Chief Medical of Officer of Health also encouraged the all staff of Jalpaiguri DH and Rajganj RH for assessment of National Quality Assurance Standards. He also advised to take all necessary arrangements for doing better performance.

[Action taken by:- DQAU & DQT

 The Superintendent Jalpaiguri DH discussed about the up gradation of OPD complex of District Hospital Jalpaiguri. It was resolved that plan estimate was submitted to PWD for up gradation.

[Action taken:-SJDA & PWD]

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 The Chief Medical Officer of Health described the role of quality assurance in sterilization services. The purposes and committees regarding sterilization services were also shared. The Chief Medical Officer of Health proposed to form the District Family Planning Indemnity Subcommittee to conduct medical audit for all death for sterilization, collect information regarding complication & failure, to review, report, compensation, claims. The District Family Planning Indemnity Subcommittee was formed with District magistrate as chairperson, CMOH sir as Convener, Dy. CMOH-III sir as member secretary of the subcommittee. It was decided to incorporate Dr. Ayan Das as Gynaecologist and Dr. Soumen Mondal as surgeon in the subcommittee.

[Action taken by:- DQAU & DQT]

 Members of District Quality Assurance Unit described the LaQshya programme to the District magistrate & Chief Medical Officer of Health. The present performance of the Jalpaiguri DH & Rajganj RH and the gaps were also the part of discussion. The Chief Medical Officer of Health encouraged to perform well for next level assessment of LaQshya.

[Action taken:- DQAU & DQT]

The meeting ended with thanks from and to the chair.

Chief Medical Officer of Health, District Magistrate , & & Convenor Chairperson District Quality Assurance Committee District Quality Assurance Committee Jalpaiguri Jalpaiguri

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T Committee (DQAC) I Minutes oI the District Quotity Assuronce I meeting, Department of Health qnd Fomily Weffore, North 24 Porganos

Venue: Olc of the District Magistrate, North 24 Parganas Date: l1th September, zOL:

Meeting of District euality Assurance Committee (DQAC) for monitoring and (FPIS) improving of quality services under Family Planning lndemnity Scheme is North Ueing conducted and convened by the Chief Medical officer of Health, of the 24 Parganas in presence of the Member Secretary and other members concerned committee.

Participants Present: 1. All the Members of the District Quality Assurance Committee(12 members) 2. All the members of the District Family Planning lndemnity Su bcommittee(5 me mbers) 3. All members of DQAU

Following topics has been discussed:

1. ComPensation under FPIS:

in sterilization failure case from DH which was reported also informed :1OLg has got the compensation. ln addition it was that in the financial year 2}lg-20 one sterilization complication which is still . case has been reported from sagar Datta MCH Pending to get the comPensation' eh#( ChairPerson . Conv r DQAC, DH & FW DQAC, & The District Magistrate, & CMOH North 24 Parganas North 24 Parganas '

2. KayakalP: assessmentforKayakalphasbeencompletedandpeer assessment is going on for this year'

beenawardedforKayakalpfortheyear2o:.}-tg.lthasalsobeen guideline for award money' discussed that there is a specific

lnitiative) : 3. LaQshya (Labor Roop Quality lmprovement

ofhighdeliveryloadsuchasNorth24ParganasDH,Dr.J.R. DharSDH,DR.B.N.BoseSDH,HabraSGHandSagarDattaMCH for improvement of are included in the LaQshya programme Labour Room QualitY' and OT is done under has been this programme. Already 3 quarterly assessment comPleted for these 5 facilities' }Amongthese5facilities,North24ParganasDHandSagar for LaQshya in the Datta MCH will face the state Assessment firstphase.otherfacilitieswillfacetheStateAssessmentinthe next Phases'

by The chief Medical officer of Health' Meeting ended with vote of thanks North 24 Parganas.

ChairPerson DQAC, DH & FW DQA & The District Magistrate, CMOH & North 24 Parganas North 24 Parganas

G.O.!/T. OF\,VEST BENGAL "[1::& SECRETARY, s*llll,,:rj:".,s_tL orsrnrcr-iiJ- oFFrc-r I reE'- ER trroF HEALTHH EALrH r'ffit WELFARE NATror.rALNarr.'N^, HEALT"_- , _:l]l1l fAMrLy sAMrry ^ m,..,ii"l'siEen u u

Date r 27-Og-2O19 at I i.B0 A.M Pafiicioants Meeling is choired by Dislricl Mogistrole, Birbhum Dr. Himodri Kr. Ari, CMOH, Birbhum (Convener of the DISC) Dr. Keko Mukhopodhyoy, Dy CMOH _lll (Member Secretory)

And oiher honorobre dignitory members District pronning of Fomiry rndemnity sub_ Committee (DtSC)

' This meeting has been started through the speech of cMoH Birbhum and he has given more importance on sterilization death scheme. As per guiderine the said committee wourd process craims from the crients and complaints/ claims lodge against the surgeons and accredited facilities. In this meeting speciar focus has been given on Quarity of sterirization operation. Decision have been taken by the said committee after fruitfur discussion on quarity improvement of Sterilization death and report return policy. This meeting will be ended with vote of thanks.

,1\\1 (Dr. H. xjart) Chief Medical Officer of Health, Birbh u m (Convener, DISC, Birbhum ) fu/^,/,/,i (Mrs. Moumita Gddara) District Magistrate Birbhum ffi€D GOVERNMENT OF WEST BENGAL OFFICE OF THE CHIEF'MEDICAL OFFICER OF HEALTH & DISTRICT HEALTH & EAMILY WELBARE SAMITY, BIRBHUM Note sheet

In pursuance of the Order vide Memo No HHM/1H_16 2_2013/06 on dated 06-01-2015 issued by Mission Director, Nationar Hearth Mission, covt. of West Bengal, the-, formation of District euality Assurance Committee (DQAC) has already done in our district. Accordingry to the guiderine, five member of said DeAC committee perform will as member of the Subcommittee of District Family planning Indemnity Scheme. This committee wourd process craims receive from the crients and complaints/ claims lodged against the surgeons and accredited facilities per procedure as and time frame laid down in the manual on ,,Family Planning Indem nity Scheme 2013,,. It is now necessary to formation of subcommittee of District Family Planning Indemnity scheme). The nomination of the member of the said committee are as follows.

SI Name Designation or Post hetd by the Designation no member in office ( e.g. CM0H) or post hetd in DOAC (e.9.

1. I'Irs. MOUfYITA GODARA District Ma9 istrate, Cha irperson Birbhum 2. Dr. HIIVIADRI Kr. ARI CMOH, BIRBHUIY Convener 3. DT. KEKA MUKHOPADHYAY Dy CMOH - III, BIRBHUM Member Secreterv 4. DT. DEBASISH DEBANSHI Gynecologist, Suri DH Member

5. Dr. D. K. MUKHERJEE Surgeon, Suri DH Member

Submitted to District Magistrate, Birbhum, may kindly be approved.

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