Key Performance Indicators Measured During Quality Management Improvement Approach Supervisory Visits in Rwandaa
| Indicator Name | Indicator Measurement | Performance Target Measured by the Indicator |
|---|---|---|
| Product availability | Is this product available at this facility on the day of visit? (Yes=1, No=0) | Percentage of availability of health commodities at the facility on the day of visit. |
| Inventory accuracy | e-LMIS current stock on hand data compared to physical count. (Matching=1, Not matching=0) | Percentage of products with stock accuracy on the day of visit. |
| Order line fill rate | Compare the quantity requested vs. quantity received in e-LMIS for previous month. (Matching=1, Not matching=0) | Percentage of items ordered that are received to determine whether an order is filled in the correct quantities with the correct products. |
| Expiration rate | Has this product expired at this facility within the last 3 months? (Yes=1, No=0) | Rate of expiration at the facility in the last 3 months. |
| Stock according to plan | Is this product stocked according to plan (minimum and maximum) on the day of visit? | Product with stock levels above the established minimum level and below the established maximum level. |
| Stock card updated | Product with stock card updated with all required information at the day of visit? (Yes=1, No=0) | All products managed should have an updated stock card. |
| Data triangulation | Compare the e-LMIS consumption with cases or beneficiaries in HMIS (quantities have to be entered). This is for malaria and family planning commodities only within the last month. | Consumption data of ACTs recorded in e-LMIS should match with number of malaria cases recorded in HMIS. For family planning, all consumptions recorded in e-LMIS should match with the beneficiaries in HMIS. |
| Accuracy of e-LMIS consumption data | Compare the e-LMIS consumption with consumption recorded into registers during the last month. | All products dispensed to patients must be recorded (this means all products dispensed to patients in each dispensing window are captured in e-LMIS). |
| On-time delivery | Was the order delivered on agreed date? Check if the promised delivery date and the shipped date matched. Applies to the last month. | Percentage of all orders delivered within the agreed delivery date. |
| Order completeness | Number of orders shipped versus number of orders received during last month. | Percentage of shipped orders received electronically. |
| Invoice generated | Invoice generated and received during last month. | Informs if the orders are fully processed in the system and the unit prices are updated (for malaria and essential medicines). |
Abbreviations: ACT, artemisinin-based combination therapy; e-LMIS, electronic logistics management information system; HMIS, health management information system.
↵aThese indicators are then aggregated at district and national levels.