Table 16.

Administrative Issues Priority Ranking

Priority Rank	Administrative Issue/Need	Average Scorea
1	Need to review and update the NCD Program Policy and Procedure Manual — include OPD, Ward, CHCs and distribute widely	20.8
2	Need to improve the current data system: (a) Coordinate with OPD and CHCs to send data, and (b) Update patient records	22.8
3	Need for the new CDEMS Registry to include on site training in Yap on how to use the data registry and how to analyze and interpret the data	25.0
4	Need to expand the content of the preventive education and the number of partnerships with various community organizations	26.5
5	Need for a comprehensive Yap State Health Plan	32.3
6	Need for legislation to earmark a percentage of the “sin tax” for preventive health activities	35.3
7	Need for department policy and enforcement to prohibit betel nut chewing in DHS facilities	35.5
8	Need for additional resources for PPD tests to screen patients with diabetes for TB	37.8
9	Need to enforce the existing “No selling of outside food” on hospital grounds	40.5
10	Need to encourage SAFE walking by developing and building sidewalks and walkways	53.8

^aLower the average score, higher the priority