Nto Risk & Opportunity Assessment March 2019.docx

Republic of the Philippines Department of Health

‘AMANG’ RODRIGUEZ MEMORIAL MEDICAL CENTER Marikina City “PHIC Accredited”

RISK & OPPORTUNITY ASSESSMENT WORKSHEET DIVISION: NURSING

Interested Parties 1

Employees

DEPARTMENT/SECTION: Needs and Expectations of interested parties 1 Conducts training and development needs analysis

NURSING TRAINING OFFICE

Risk a Provision of 100 % training

Impact

3

Human Resource

PETRO

Opportunities

P

I

C

RR

1 Lack of competency 17 Poor delivery of services 3 imminent commission of error

3 2 1

2 2 2

2 2 2

12 8 4

Prioritization on granting the requested training needs

3

2

2

12

Imprecise/unmatched area of assignment relative to training needs 2

AS OF: MARCH 6, 2019

1 Timely submission of IPCR, IDP, SPMS

a Lack of knowledge on 1 accomplishing the forms 1 b Poor cascading of staff who attended training

a. Delay in submission b. Issuance of memo for delay

2 2

2 3

2 1

8 6

1 Compliance to HR and CSC policies

a Lack of orientation from HRMO

1 1

a. Non compliance b. Issuance of memo tantamount to offense or misdemeanor

2

2

1

4

1 Timely submission of Annual Work and Financial Plan

a Lack of time preparation 1 due to multitasking 8

a. Delay submission b. Affects the deadline to be met by the hospital

1

2

2

4

1 Timely submission of Individual Development Plan (IDP)

a Lack of knowledge on how to prepare good and consistent IDP

Unmatched training need to area of assignment

2

2

2

8

1

1 Attendance to training as mandated by hospital orders

a Delay in dissemination of information or issuance of hospital order

1 1

1

4

Top Management

Non-compliance to hospital order Lost opportunity for learning and development intervention (LDI) Letter of explanation to the head of agency for non-attendance

2

2

2

8

b Overlapping hospital orders for trainings

1 1

Confusion Letter of explanation to the head of agency for non-attendance to other training

1

2

1

2

1 Efficient and competent employees

a Lack of recognition and awards

1

Low morale of staff

2

2

1

8

1 Compliance to hospital policies, requirements and propriety

a Lack of orientation and reorientation on hospital policies and staff development

1

Confusion

2

2

1

4

1

2

2

1

4

1

1

1

1

1

1

1

1

5

IPCP

Collaboration in the implementation of IPCP policies and practices

a Overlapping of trainings and schedule

6

QMS

Timely submission of KPI

Delay in submission

7

QMR/DCC

Restricted use of uncontrolled forms

Tantamount to minor NC

8

Medical Record (relative to training

>Training on the completeness of charts

9.A>Delay in submission to MR

Work overload

3

2

2

12

9

Budget Office

Timely submission of Work and Financial Plan

Delay in submission

Disapproval from the annual allocated budget

1

2

1

2

10

Accounting

Timely liquidation of cash advances

Delay in liquidation

Issuance of memorandum

1

2

1

2

Letter of notification

11

COA

Compliance to accounting and auditing rules

Failure to follow guidelines

Disallowance

1

1

1

1

12

Safety Committee

Compliance to accounting and auditing rules

Lack of orientation

Accident/legal suits

1

1

1

1

13

Security Committee

Compliance to security measures

Lack of orientation

Legal impediment

1

1

1

1

14

Housekeeping

Compliance to waste management

Improper waste segregation

Lack of orientation to new employees

2

2

1

4

15

PDA Committee

Compliance to the features of PDA

Safeguard any information of the patient and significant others

Reprimand

1

2

1

2

16

Affiliating Schools

Unclear affiliation guidelines

Delay in submission of requirements

1

2

1

2

17

Nursing Students

Acceptance of affiliation request >Provision of standard training manual and

>Lack of standard manual for Related Learning Experience 17(RLE)

Unmet RLE objectives

2

2

2

8

Good working environment

Very high expectation from staff and work area

Dissatisfaction

18

18

Patients

Quality nursing care

Lack of manpower

Dissatisfaction

2

2

2

8

19

DOH

Good rapport with the nursing staff

Lack of manpower

Lack of training

2

2

1

4

20

CSC

Compliance to national standard in the provision of Learning and Development Intervention

Lack of trained personnel

Fragmented conduct of overall trainings

3

2

1

6

>Lack of orientation

Compliance to Guidelines Governing Affiliation and Training 21

PRC

22

Compliance to COMPETENCY-BASED LEARNING AND DEVELOPMENT STANDARDS

Lack of trained personnel to implement the program

Decreases the chance of upgrading the competence and portability of skills of employees

Compliance to requirements of renewal of license Compliance to acquisition of required CPD units

Non-compliance

non-renewal of license

>Difficulty of earning the units

>Poor access to CPD Provider trainings. >Costly >Lack of time due to work

1

3

1

3

(Legend: P – Probability; I – Severity of Impact; C – Control ; RR – Risk Rating) Prepared by:

Reviewed by:

Approved by:

Department/Section/Unit Head

Division Head QMS-ROA Rev.0 31 October 2018 Page 1 of 1