Vital Statistics Commission of Jamaica - Planning Institute of Jamaica

Audit of Vital Registration and Vital Statistics Systems: Jamaica
Recommendations Implementation Work Plan
Task
post training test.
2. Standardize medical record technician training
2.1. Develop skills profile for medical technicians
2.2. Create training objectives for OJT
2.3. Design training modules for medical technicians
2.4. Design and administer pre-test to determine individual training needs
2.5. Schedule and deliver training based upon pre-test results; administer post training
test and develop remediation plans for those who do not demonstrate mastery
2.6. Implement a policy that requires all new hires to meet skills profile/or if that cannot
be accomplished mandate that they receive all the standardized training.
3. Work toward allowing direct supervisor to use standardized format to evaluate
employee performance
3.1. Research all applicable civil service and departmental guidelines and develop plan
within existing rules;
3.2. Collaborate with executive leadership and or civil service unions to implement
changes
4. Develop a system that will allow agencies to develop competency models for all key
positions related to vital statistics data collection and reporting
4.1. Develop a roster of the key positions
4.2. Obtain permission from all necessary bodies to develop competency models
4.3. Have independent research confirm skills and competencies for key positions
4.4. Develop new competency models based upon research
4.5. Publicize the new models
4.6. Implement the new models in the selection process and for the development of
existing employees
5. Develop and implement departmental performance management metrics, measurement
tools, and monitoring criteria related to the functions of collecting vital statistics source
data, data set development, and development of vital statistics.
5.1. Create a detailed, life sized process flow map of the entire system work flow.
Include volume measurements at points of input and output
5.2. Work with each “input” and “output” function and determine how success should
be measured (based upon effective and efficient contribution to the overall system).
Measurement should be able to be performed daily. Decide on as few performance
indicators as possible ,; repeat exercise if necessary to narrow indicators to 3 or less
5.3. Work with each function and or department to implement performance monitoring
system
5.4. Adjust system and or metrics after one month where and if necessary
6. Perform a feasibility study of the conversion to a medical examiner system
6.1. Collect intelligence on medical examiner systems and or models
6.2. Draft a model for implementing a system in Jamaica
6.3. Contrast the cost and benefits of the model against the existing lay coroners model
6.4. Report findings to CLEs
7. Implement a system to ensure the strict enforcement of MOH policies concerning the
reporting of births, fetal deaths, and peri-natal deaths, including audits of such, and
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