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Sunday, September 9, 2012

Are we making a difference?

For the last few weeks we've been deep in a dark dungeon known as a computer trying to do some data mining on tens of thousands of patient records.  We wanted to see if we could show whether Visitation Clinic was making a difference in the overall health of our patients.   This can be difficult to ascertain because most people don't come to the clinic unless they are not well.  So we came up with the following scheme.   We looked over the past three years to see what were the top dozen diagnoses and whether they were changing or not.  What we saw is most encouraging.  Some of the most common diseases are trending down.  A few dramatically so.  For instance, the anemia rate is down by 50%, IGU (urinary track infection) is down by more than 50% and malaria has decreased by 90%. 
 
There is actually another piece of important news in this chart.   And that is that we have it.     Visitation Clinic is unusual in that we not only aspire to provide good care.  But we are also committed to putting in place the tools that let us measure how good a job we are doing.  The clinic's records are acquired on a solar powered, networked computer system that we can access remotely and we can monitor daily.   This is incredibly important.  These days smart donors want to know two things:  first that there is a need, second that we will be effective.  The need in rural Haiti is undeniable.  We think we have just as compelling a case for our effectiveness.  

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