RBF in Zimbabwe Results & Lessons from Mid-term Review. Ronald Mutasa, Task Team Leader, World Bank May 7, 2013

Size: px
Start display at page:

Download "RBF in Zimbabwe Results & Lessons from Mid-term Review. Ronald Mutasa, Task Team Leader, World Bank May 7, 2013"

Transcription

1 RBF in Zimbabwe Results & Lessons from Mid-term Review Ronald Mutasa, Task Team Leader, World Bank May 7, 2013

2 Outline Country Context Technical Design Implementation Timeline Midterm Review Results Evaluation Lessons Learned Key Directions

3 Country Context Population: +/-13 million, brain-drain and highly skilled diaspora Political and economic decline, weakened public service delivery Low governance rankings Transparency CPI Index Ranking in 2010, 134 out of 178 Decline in public sector financing & management & control systems High household out-of-pocket expenditures (39%) Maternal Mortality Ratio Time Trend

4 Life expectancy at birth, total (years peak of crisis 2008) Maternal mortality ratio (per 100,000 live births peak of crisis 2008) Zimbabwe Sub-Saharan Africa (all income levels)

5 Technical Design RBF aligned with & supports national health strategy and policy User fee removal Increase access to priority maternal, family planning and child health services Decentralized service delivery and revitalized primary health care Prioritized package of services directly linked to burden of disease for mothers, newborns and children under 5 RBF used to operationalize GoZ Results-Based Management Strategy

6 Three components 1. Results-Based Contracting Fee-for-services : quality and quantity Functions separated: purchaser, provider, regulator & external verifier Key role for community Health Center Committees 2. Management and Capacity Building 3. Monitoring and Documentation Strengthening planning and RBF management capacity (management of RBF facility level, District, Provincial and National Levels Purchasing, verification, strategic management Capture effect on health outcomes and various aspects of the health system Emphasis on Process Monitoring and Evaluation mixed methods approach Contextual factors linked to health provider performance Two cohorts on-going and purposively sampled

7 Implementation Arrangements Policy and Supervision Policy and Supervision Policy and Supervision MoHCW Provincial Health Executive District Health Executive Health Facilities and HCC (387) Clients Tracing clients and client satisfaction Contract National Steering Committee Contract + Payment Payment Contract District Steering Committee Payment Contract + Verification Community Based Organisations CORDAID Local Purchasing Unit CORDAID Private Purchasing Agency (NPA) External verification

8 Package of RBF Services Rural Health Centers 1. OPD new consultations 2. First ANC visit during the first 16 weeks of pregnancy (October 2012) 3. Ante natal care 4 visits completed 4. Post natal care 2 or more 5. Normal deliveries 6. HIV VCT in ANC 7. Syphilis RPR test 8. IPT (x2 doses) 9. Tetanus TT ARVs to HIV+ preg. Women (PMTCT) 11. Family planning short and long term methods 12. High risk perinatal referrals 13. Vitamin A supplementation 14. Children fully immunized 15. Growth monitoring, children < 5yrs 16. Cure discharged acute malnutrition children < 5yrs (October 2012) District Hospital 1. Normal deliveries in district hospital 2. Deliveries with complications (caesareans excluded) and post partum complications 3. Caesareans performed 4. Family planning: Tuba Ligations 5. Counter referral note arrives at RHC (October 2012)

9 ZIneter Participating Districts

10 Implementation Timeline July 2011 Marondera and Zvishavane 28 health facilities March districts, 8 rural provinces, 387 facilities Technical Review June 2012 Technical Adjustments Prices and services September 2012 RBF National Sustainability Task Force November 2012 February 2013 Mid-term Review Technical Modifications Roll-out PME April 2013 Additional Funding DFID & Norway US$ 20 million urban component

11 Mid-term Review The extent of progress Project Development Objective Interactions between RBF and various pillars of health systems Comparison of RBF & comparison district performance. Multi-stakeholder process In-depth data analysis to inform decisions Key policy recommendations & lessons for management improvement

12 Results

13 System and outcome level effects 1. HMIS Improvement timeliness accuracy of reporting accountability 2. Efficiency -accessing of care at appropriate levels 3. Strengthening referral & patient management 4. Equity 5. Results-based M&E and supportive supervision culture 6. HRH motivation and management 7. Health Facility Entrepreneurship

14 Lost RBF revenue due to errors Income Loss Due to the 5% Difference Rule Total income lost From March to September 2012 = $157, % 30% 25% 20% 15% 10% 5% 0% mrt-12 apr-12 mei-12 jun-12 jul-12 aug-12 sep-12

15 Increased coverage - select indicators 100 Percent Inst. Deliveries ANC PNC Vaccination 0 Mar Apr May Jun Mul Aug Sep Oct Nov Dec 2012

16 Mar. to Nov increase in high risk perinatal referrals from participating RHCs Total n. of cases Mar Apr May Jun Jul Aug Sep Oct Nov

17 Institutional deliveries, Jul to Aug RHC vs. hospital Number of deliveries Jul 11 Aug 11 Sep 11 Oct 11 Nov 11 Dec 11 Jan 12 Feb 12 Mar 12 Apr 12 May 12 Jun 12 Jul 12 Aug 12 Deliveries in RHC Deliveries in Hospital Linear (Deliveries in RHC) Linear (Deliveries in Hospital)

18 Mar strong increase in pregnant women completing 4 ANC visits in RBF districts compared to 16 non-rbf districts 40 per 10,000 population Mar-11 Apr-11 May-11 Jun-11 Jul-11 Aug-11 Sep-11 Oct-11 Nov-11 Dec-11 Jan-12 Feb-12 Mar-12 Apr-12 May-12 Jun-12 Jul-12 Aug-12 Sep-12 Oct-12 RBF districts non RBF districts

19 Mar relatively strong increase in normal deliveries in RBF facilities compared to 16 non-rbf districts 35 Normal deliveries 30 per 10,000 population RBF non RBF

20 No evidence that RBF districts neglect non-incentivized services compared to 16 non-rbf districts 70 Hypertension cases all ages Mar-11 Apr-11 May-11 Jun-11 Jul-11 Aug-11 Sep-11 Oct-11 Nov-11 Dec-11 Jan-12 Feb-12 Mar-12 Apr-12 May-12 Jun-12 Jul-12 Aug-12 Sep-12 Oct-12 per 10,000 population RBF non RBF

21 No improvement in HIV counseling and testing in context of ANC; presumably because this is already covered under HIV program HIV VCT in ANC No. of tests Mar Apr May Jun Jul Aug Sep Oct Nov

22 Mar. to Dec quality scores 90 Average score - RHCs and hospitals combined % DHE/PHE Score CBOs Score - T1 T2 T3 T4

23

24 Evaluation Work and Design IE Question: What is the causal impact of HRBF on service provision and population health indicators of interest? Given the design of the HRBF, a quasiexperimental approach Treatment: Facilities and patients residing in districts that introduce the HRBF program Control: Facilities and households in matched business as usual districts A difference-in-difference estimator between matched facilities in treatment and control will estimate program impact Process Evaluation Application Opens up the Black Box of RBF interventions Documents and describes how the program operates, the services it delivers, and functions it carries out Better understand contextual factors Mixed methods Sequential (quant qualitative) Selection by performance (best, medium and worst)

25 Main Lessons on Quality 1. Performance contracting stimulates District Health Executives, Provincial Health Executives; and HE s and PHEs to perform quarterly supervision. 2. Feedback to health centers stimulates them to improve (and increase earnings) 3. All or none award principle for quality performance or a scale 4. Integration of quality indicators with vertical disease control programs, in line with MOHCW quality policy 5. Relevance of some indicators changes over time

26 Key Directions Post-MTR 1. Scale-up Process Monitoring and Evaluation plus country-level dissemination (delivery science) 2. Demand and supply side innovations in low-income urban areas (DFID & Norway funding) 3. Broaden donor dialogue & develop joint learning agenda 4. Strong interest to expand services TB/HIV/AIDS Government Possible domestic co-financing for TB/HIV indicators 5. Establish a system to better monitor equity effects and verification on user-fees 6. Improvements to supervision tool emphasis on clinical quality of care 7. Scaling up efforts by Government to plan for RBF sustainability National Task Force 8. Support Government and development partners efforts to scale-up RBF 45 districts Health Transition Fund

(4-years project - funded by a grant from EU FP7 ) 10/11/2017 2

(4-years project - funded by a grant from EU FP7 ) 10/11/2017 2 10/11/2017 1 Linking communities and facilities to improve maternal and newborn health: Lessons from the Expanded Quality Management Using Information Power trial in Uganda and Tanzania (4-years project

More information

Improving health care Nigel Livesley MD, MPH

Improving health care Nigel Livesley MD, MPH Improving health care Nigel Livesley MD, MPH Regional Director, South Asia USAID ASSIST Project University Research Co., LLC (URC) 1 50% of women attending an ANC clinic did not get their BP and Hb measured

More information

TCLHIN Standardized Discharge Summary

TCLHIN Standardized Discharge Summary TCLHIN Standardized Discharge Summary ehealth Conference June 4, 2014 Kara Kitts Quality Improvement Manager St. Michael s Hospital Ontario Healthcare System 14 Local Health Integration Networks (LHINs)

More information

STATISTICAL PRESS NOTICE MONTHLY CRITICAL CARE BEDS AND CANCELLED URGENT OPERATIONS DATA, ENGLAND March 2018

STATISTICAL PRESS NOTICE MONTHLY CRITICAL CARE BEDS AND CANCELLED URGENT OPERATIONS DATA, ENGLAND March 2018 STATISTICAL PRESS NOTICE MONTHLY CRITICAL CARE BEDS AND CANCELLED URGENT OPERATIONS DATA, ENGLAND March 2018 Main Findings March 2018: Critical Care Beds There were 4,064 adult critical care beds available

More information

Corporate Services Employment Report: January Employment by Staff Group. Jan 2018 (Jan 2017 figure: 1,462) Overall 1,

Corporate Services Employment Report: January Employment by Staff Group. Jan 2018 (Jan 2017 figure: 1,462) Overall 1, Corporate Services Employment Report: January Employment by Staff Group Jan (Jan 20 figure: 1,462) Jan % Overall 1,520 +58 +4.0% 8 Management (VIII+) 403 +52 4.8% Clerical & Supervisory (III to VII) 907

More information

Respectful Care in Ethiopia The MCHIP Experience

Respectful Care in Ethiopia The MCHIP Experience Respectful Care in Ethiopia The MCHIP Experience MCHIP/ZIMBABWE Hannah Gibson, Country Director/MCHIP Project, Ethiopia Presentation Overview Country Background The Problem Why are women not going to facilities?

More information

Building the Right to Health Movement

Building the Right to Health Movement Building the Right to Health Movement Fundraising Kickoff Webinar! Tonight s Agenda Why do we fundraise? Maternal and Child Health in West Africa Introducing We Will Deliver! Next Steps Why Fundraise?

More information

Linking Social Support with Pillar 2/ Universal Health Coverage component of the End TB strategy

Linking Social Support with Pillar 2/ Universal Health Coverage component of the End TB strategy Linking Social Support with Pillar 2/ Universal Health Coverage component of the End TB strategy October 26, 2016 Samson Haumba www.urc-chs.com Presentation outline Goal of TB care and Control Introduction

More information

EXHIBIT A Performance Matrix

EXHIBIT A Performance Matrix EXHIBIT A Performance Matrix Contract Number: 07499 Agency Name: County of Los Angeles Department of Public Health Project Name: Black Infant Health Program Project Length: 12 months Contract Period: July

More information

Mark Stagen Founder/CEO Emerald Health Services

Mark Stagen Founder/CEO Emerald Health Services The Value Proposition of Nurse Staffing September 2011 Mark Stagen Founder/CEO Emerald Health Services Agenda Nurse Staffing Industry Update Improving revenue trends in healthcare staffing 100% Percentage

More information

1. November RN VACANCY RATE: Overall 2320 RN vacancy rate for areas reported is 12.5%

1. November RN VACANCY RATE: Overall 2320 RN vacancy rate for areas reported is 12.5% PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, December 2013 Terry Dentoni, RN, MSN, CNL, Interim Chief Nursing Officer 1. November 2013-2320 RN VACANCY RATE: Overall 2320 RN

More information

Acronyms and Abbreviations

Acronyms and Abbreviations Redacted Acronyms and Abbreviations AA Associate Award ANC Antenatal Care BCC Behavior Change Communication CBT Competency-based Training cpqi Community Performance and Quality Improvement CSO Civil Society

More information

CHC-A Continuity Dashboard. All Sites Continuity - Asthma. 2nd Qtr-03. 2nd Qtr-04. 2nd Qtr-06. 4th Qtr-03. 4th Qtr-06. 3rd Qtr-04.

CHC-A Continuity Dashboard. All Sites Continuity - Asthma. 2nd Qtr-03. 2nd Qtr-04. 2nd Qtr-06. 4th Qtr-03. 4th Qtr-06. 3rd Qtr-04. PPC1: ACCESS AND COMMUNICATION Element B: Access and Communication Results Item 1: Visits with assigned PCP Continuity data is reviewed each month at our Office Redesign Committee (ORDC). The data is collected

More information

Egypt. MDG 4 and Beyond. Emad Ezzat, MD Head of PHC Sector. Ministry of Health & Population

Egypt. MDG 4 and Beyond. Emad Ezzat, MD Head of PHC Sector. Ministry of Health & Population Egypt Ministry of Health & Population MDG 4 and Beyond Lessons Learnt Emad Ezzat, MD Head of PHC Sector EMRO high-level meeting, Dubai, Jan 2013 Trends of Under 5, Infant and Neonatal Mortality (1990 2008)

More information

HPV Vaccination Quality Improvement: Physician Perspective

HPV Vaccination Quality Improvement: Physician Perspective HPV Vaccination Quality Improvement: Physician Perspective Discussion of efforts to raise HPV vaccine coverage using quality improvement from a physician s perspective Alix Casler, M.D., F.A.A.P. Chief

More information

Quality Management Report 2017 Q2

Quality Management Report 2017 Q2 Quality Management Report 2017 Q2 Quality Management Program CMS STAR Ratings Member Satisfaction (CAHPS & HOS) HEDIS Risk Adjustment DHS Member Incident Reporting Member Satisfaction Surveys Pay for Performance

More information

Hard Truths Public Board 29th September, 2016

Hard Truths Public Board 29th September, 2016 Hard Truths Public Board 29th September, 2016 Presented for: Presented by: Author Previous Committees Governance Professor Suzanne Hinchliffe CBE, Chief Nurse/Deputy Chief Executive Heather McClelland

More information

Learning from Patient Deaths: Update on Implementation and Reporting of Data: 5 th January 2018

Learning from Patient Deaths: Update on Implementation and Reporting of Data: 5 th January 2018 Learning from Patient Deaths: Update on Implementation and Reporting of Data: 5 th January 218 Purpose The purpose of this paper is to update the Trust Board on progress with implementing the mandatory

More information

Oregon Community Development Block Grant Program 2018 Annual Action Development September 22, 2017

Oregon Community Development Block Grant Program 2018 Annual Action Development September 22, 2017 Oregon Community Development Block Grant Program 2018 Annual Action Development September 22, 2017 Becky Baxter and Fumi Schaadt Program Policy Coordinator Economic Development Division Updates Topic of

More information

GUIDELINES FOR HEALTH SYSTEM ASSESSMENT

GUIDELINES FOR HEALTH SYSTEM ASSESSMENT GUIDELINES FOR HEALTH SYSTEM ASSESSMENT Myanmar June 13 2009 Map: Planned Priority Townships for Health System Strengthening 2008-2011 1 TABLE OF CONTENTS BOOK 1 SURVEYOR GUIDELINES List of Figures...

More information

Performance Management in Maternal and Child Health

Performance Management in Maternal and Child Health Performance Management in Maternal and Child Health Stephen E. Saunders, M.D., M.P.H. Associate Director for Family Health Illinois Department of Human Services "Improving Health System Performance and

More information

STRENGTHENING ANTIRETROVIRAL TREATMENT FOR WOMEN AND CHILDREN IN MATERNAL, NEONATAL, AND CHILD HEALTH SERVICES

STRENGTHENING ANTIRETROVIRAL TREATMENT FOR WOMEN AND CHILDREN IN MATERNAL, NEONATAL, AND CHILD HEALTH SERVICES ZIMBABWE PROGRAM BRIEF NO. 4 PVO10/2009 2015 STRENGTHENING ANTIRETROVIRAL TREATMENT FOR WOMEN AND CHILDREN IN MATERNAL, NEONATAL, AND CHILD HEALTH SERVICES Experiences from the Elizabeth Glaser Pediatric

More information

Avoiding the Cap Trap What Every Hospice Needs to Know. Matthew Gordon, CPA Principal Consultant / Founder Cap Doctor Associates, Inc.

Avoiding the Cap Trap What Every Hospice Needs to Know. Matthew Gordon, CPA Principal Consultant / Founder Cap Doctor Associates, Inc. Avoiding the Cap Trap What Every Hospice Needs to Know Matthew Gordon, CPA Principal Consultant / Founder Cap Doctor Associates, Inc. Overview 11% of hospices exceeded the cap in 2012 with an average overage

More information

Uzbekistan: Woman and Child Health Development Project

Uzbekistan: Woman and Child Health Development Project Validation Report Reference Number: PVR-331 Project Number: 36509 Loan Number: 2090 September 2014 Uzbekistan: Woman and Child Health Development Project Independent Evaluation Department ABBREVIATIONS

More information

Gemini Mtei 24 th November

Gemini Mtei 24 th November Long Term Effects of Payment for Performance: evidence from Pwani, Tanzania Gemini Mtei 24 th November RBF a health systems perspective. White Sands Hotel, Dar es Salaam. Rationale Global implementation

More information

Change Management at Orbost Regional Health

Change Management at Orbost Regional Health Change Management at Orbost Regional Health Our change management journey 1 Medication Change System Meds at Beds 2 The slightly exaggerated before process 3 Project Goals The purpose of the Meds at Beds

More information

winning in US commercial staffing

winning in US commercial staffing winning in US commercial staffing Traci Fiatte, President Randstad General Staffing USA Capital Markets Day London Randstad Holding nv agenda introduction and definitions US market and Randstad General

More information

#HealthForAll ichc2017.org

#HealthForAll ichc2017.org #HealthForAll ichc2017.org Rwanda Community Performance Based Financing David Kamanda Planning, Health Financing & Information System Rwanda Ministry of Health Outline Overview of Rwandan Health System

More information

Janani Suraksha Yojana (JSY) State Institute of Health & Family Welfare, Jaipur

Janani Suraksha Yojana (JSY) State Institute of Health & Family Welfare, Jaipur Janani Suraksha Yojana (JSY) State Institute of Health & Family Welfare, Jaipur JSY A safe motherhood intervention, replacing the National Maternity Benefit Scheme, under NRHM 100 % centrally sponsored

More information

Standardising Acute and Specialised Care Theme 3 Governance and Approach to Hospital Based Services Strategy Overview 28 th July 2017

Standardising Acute and Specialised Care Theme 3 Governance and Approach to Hospital Based Services Strategy Overview 28 th July 2017 Standardising Acute and Specialised Care Theme 3 Governance and Approach to Hospital Based Services Strategy Overview 28 th July 2017 Background Theme 3 builds upon previous key strategic commissioning

More information

National Trends Winter 2016

National Trends Winter 2016 National Trends Winter 216 About the National Trends data This report presents a unique and real-time view of trends within temporary nursing including bank and agency usage. The data used has been drawn

More information

ROTARY FAMILY HEALTH DAY PROGRAMME 3 rd -5 th October 2017 PRESENTATION

ROTARY FAMILY HEALTH DAY PROGRAMME 3 rd -5 th October 2017 PRESENTATION ROTARY FAMILY HEALTH DAY PROGRAMME 3 rd -5 th October 2017 PRESENTATION ROTARY FAMILY HEALTH DAYS 2017 3 rd 5 th October (Tuesday, Wednesday and Thursday) Launch Site: Mpumalanga (Bushbuckridge) on the

More information

The USAID portfolio in Health, Population and Nutrition (HPN)

The USAID portfolio in Health, Population and Nutrition (HPN) The USAID portfolio in Health, Population and Nutrition (HPN) Goal: Promote and improve health and well-being of Malawians through investing in sustainable, high-impact health initiatives in line with

More information

JANUARY 2018 (21 work days) FEBRUARY 2018 (19 work days)

JANUARY 2018 (21 work days) FEBRUARY 2018 (19 work days) AND CORRESPONDING DATES FOR JANUARY AND FEBRUARY 2018 JANUARY 2018 ( work days) Deadline* 12-27 12-28 12-29 1-2 1-3 1-4 1-5 1-8 1-9 1-10 Benefit Hold ** 12-28 12-29 1-2 1-3 1-4 1-5 1-8 1-9 1-10 1-11 Mailing

More information

Ethiopia Health MDG Support Program for Results

Ethiopia Health MDG Support Program for Results Ethiopia Health MDG Support Program for Results Health outcome/output EDHS EDHS Change 2005 2011 Under 5 Mortality Rate 123 88 Decreased by 28% Infant Mortality Rate 77 59 Decreased by 23% Stunting in

More information

The hallmarks of the Global Community Engagement and Resilience Fund (GCERF) Core Funding Mechanism (CFM) are:

The hallmarks of the Global Community Engagement and Resilience Fund (GCERF) Core Funding Mechanism (CFM) are: (CFM) 1. Guiding Principles The hallmarks of the Global Community Engagement and Resilience Fund (GCERF) Core Funding Mechanism (CFM) are: (a) Impact: Demonstrably strengthen resilience against violent

More information

Implementation Status & Results Central African Republic Multisectoral HIV/AIDS Project (P073525)

Implementation Status & Results Central African Republic Multisectoral HIV/AIDS Project (P073525) losure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized The World Bank Implementation Status & Results Central African Republic Multisectoral HIV/AIDS Project

More information

TERMS OF REFERENCE: PRIMARY HEALTH CARE

TERMS OF REFERENCE: PRIMARY HEALTH CARE TERMS OF REFERENCE: PRIMARY HEALTH CARE A. BACKGROUND Health Status. The health status of the approximately 21 million Citizens of Country Y is among the worst in the world. The infant mortality rate is

More information

Getting it Done for Maternal and Newborn Health. Innovations in Health Systems Strengthening

Getting it Done for Maternal and Newborn Health. Innovations in Health Systems Strengthening The UN Secretary General s Global Strategy for Women s and Children s Health: Getting it Done for Maternal and Newborn Health Innovations in Health Systems Strengthening Pat Riley, CNM, MPH, FACNM Nagesh

More information

Jun 03 Jul 03 Aug 03 Sep 03 Oct 03 Nov 03 Dec 03 Jan 04 Feb 04 Mar 04 Apr 04 May 04

Jun 03 Jul 03 Aug 03 Sep 03 Oct 03 Nov 03 Dec 03 Jan 04 Feb 04 Mar 04 Apr 04 May 04 7000 6000 5000 4000 Power 01 Jun 04 Goal Planned 3000 2000 3193 3236 3263 3543 3948 3582 3452 Jun 03 Jul 03 Aug 03 Sep 03 Oct 03 Nov 03 Dec 03 Jan 04 Feb 04 Mar 04 Apr 04 May 04 Electrical Generation Pre-War

More information

Enlisted Professional Military Education FY 18 Academic Calendar. Table of Contents COLLEGE OF DISTANCE EDUCATION AND TRAINING (CDET):

Enlisted Professional Military Education FY 18 Academic Calendar. Table of Contents COLLEGE OF DISTANCE EDUCATION AND TRAINING (CDET): Enlisted Professional Military Education FY 18 Academic Calendar Table of Contents STAFF NON-COMMISSIONED OFFICER ACADEMIES: SNCO Academy Quantico SNCO Academy Camp Pendleton SNCO Academy Camp Lejeune

More information

CURRILUCULUM VITAE. 1. Clinical Research Training Course (2010) 2. Cervical Cancer Screening (2008)

CURRILUCULUM VITAE. 1. Clinical Research Training Course (2010) 2. Cervical Cancer Screening (2008) CURRILUCULUM VITAE PROFILE Charity Njambi Ndwiga Po Box 53647 Code 00200 Nairobi 2725705-8 (Office) Mobile 0722395641 A Bachelor Degree/Registered Nurse Midwife by profession, Charity is a winner of 1997

More information

Public Disclosure Copy

Public Disclosure Copy Public Disclosure Authorized AFRICA Burundi Health, Nutrition & Population Global Practice IBRD/IDA Investment Project Financing FY 2017 Seq No: 2 ARCHIVED on 20-Dec-2017 ISR29199 Implementing Agencies:

More information

UHC. Moving toward. Sudan NATIONAL INITIATIVES, KEY CHALLENGES, AND THE ROLE OF COLLABORATIVE ACTIVITIES. Public Disclosure Authorized

UHC. Moving toward. Sudan NATIONAL INITIATIVES, KEY CHALLENGES, AND THE ROLE OF COLLABORATIVE ACTIVITIES. Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Moving toward UHC Sudan NATIONAL INITIATIVES, KEY CHALLENGES, AND THE ROLE OF COLLABORATIVE ACTIVITIES re Authorized Public Disclosure Authorized

More information

Improving Access to and Quality of Essential Obstetric and Newborn Care in the Lowest Coverage Districts of Cotopaxi Province, Ecuador

Improving Access to and Quality of Essential Obstetric and Newborn Care in the Lowest Coverage Districts of Cotopaxi Province, Ecuador URC Improving Access to and Quality of Essential Obstetric and Newborn Care in the Lowest Coverage Districts of Cotopaxi Province, Ecuador Dr. Jorge Hermida Regional Director, LAC Programs University Research

More information

BOROUGH OF ROSELLE PUBLIC NOTICE ANNUAL NOTICE OF CALENDAR YEAR 2018 WORKSHOP SESSIONS, PRE-AGENDA MEETINGS AND REGULAR MEETINGS

BOROUGH OF ROSELLE PUBLIC NOTICE ANNUAL NOTICE OF CALENDAR YEAR 2018 WORKSHOP SESSIONS, PRE-AGENDA MEETINGS AND REGULAR MEETINGS BOROUGH OF ROSELLE PUBLIC NOTICE ANNUAL NOTICE OF CALENDAR YEAR 2018 WORKSHOP SESSIONS, PRE-AGENDA MEETINGS AND REGULAR MEETINGS BE IT RESOLVED, by the Mayor and Borough Council of the Borough of Roselle,

More information

MCH Programme in Vietnam Experiences for post Dinh Anh Tuan, MD, MPh MCH Dept. MOH, Vietnam

MCH Programme in Vietnam Experiences for post Dinh Anh Tuan, MD, MPh MCH Dept. MOH, Vietnam MCH Programme in Vietnam Experiences for post - 2015 Dinh Anh Tuan, MD, MPh MCH Dept. MOH, Vietnam Current status: Under five mortality 70,0 60,0 50,0 40,0 30,0 20,0 10,0 0,0 58,0 45,8 26,8 24,4 24,1 22,5

More information

Saving Every Woman, Every Newborn and Every Child

Saving Every Woman, Every Newborn and Every Child Saving Every Woman, Every Newborn and Every Child World Vision s role World Vision is a global Christian relief, development and advocacy organization dedicated to improving the health, education and protection

More information

IMPROVING TRANSITIONS FROM ACUTE CARE TO REHAB: SPREADING CHANGE ACROSS GTA HOSPITAL SITES FOR PATIENTS POST-HIP FRACTURE

IMPROVING TRANSITIONS FROM ACUTE CARE TO REHAB: SPREADING CHANGE ACROSS GTA HOSPITAL SITES FOR PATIENTS POST-HIP FRACTURE IMPROVING TRANSITIONS FROM ACUTE CARE TO REHAB: SPREADING CHANGE ACROSS GTA HOSPITAL SITES FOR PATIENTS POST-HIP FRACTURE GTA Rehab Network Charissa Levy, Sharon Ocampo-Chan, Donna Renzetti October 2016

More information

Predicting the Unpredictable. Andrea Rindt Maternity Services Manager

Predicting the Unpredictable. Andrea Rindt Maternity Services Manager Predicting the Unpredictable Andrea Rindt Maternity Services Manager Who we are in 2013? Approximately 2000 births per year 6 bed birth suite 28 post natal beds all single rooms Maternity @ Home Service

More information

Essential Newborn Care Corps. Evaluation of program to rebrand traditional birth attendants as health promoters in Sierra Leone

Essential Newborn Care Corps. Evaluation of program to rebrand traditional birth attendants as health promoters in Sierra Leone Essential Newborn Care Corps Evaluation of program to rebrand traditional birth attendants as health promoters in Sierra Leone Challenge Sierra Leone is estimated to have the world s highest maternal mortality

More information

#HealthForAll ichc2017.org

#HealthForAll ichc2017.org #HealthForAll ichc2017.org Tamba Boima, Director of Community Health Services Division, Liberia Ministry of Health Mallika Raghavan, Director of National Community Health Systems, Last Mile Health Joint

More information

Global Health Workforce Crisis. Key messages

Global Health Workforce Crisis. Key messages Global Health Workforce Crisis Key messages - 2013 Despite the increased evidence that health workers are fundamental for ensuring equitable access to health services and achieving universal health coverage,

More information

Implementing Medicaid Behavioral Health Reform in New York

Implementing Medicaid Behavioral Health Reform in New York Redesign Medicaid in New York State Implementing Medicaid Behavioral Health Reform in New York HIV Health and Human Services Planning Council of New York March 19, 2014 Agenda Goals Timeline BH Benefit

More information

Case Study BACKGROUND. Recovering Ambulance Linen. Larry J Haddad, CLLM Textile Management Consultant. Midwest Region

Case Study BACKGROUND. Recovering Ambulance Linen. Larry J Haddad, CLLM Textile Management Consultant. Midwest Region Title: Facility: Author: Recovering Ambulance Linen Midwest Region Larry J Haddad, CLLM Textile Management Consultant Midwest Region BACKGROUND A 294-bed, not-for-profit community hospital in the Midwest

More information

During the 4 Years: December, December, 1994 * TOTAL INDUSTRY JOBS LOST (30,800) -1.9%

During the 4 Years: December, December, 1994 * TOTAL INDUSTRY JOBS LOST (30,800) -1.9% During the 4 Years: December, 1990 - December, 1994 * APPAREL JOBS LOST: (49,100) -5.4% * TEXTILE PRODUCT JOBS GAINED: 20,900 10.4% * TEXTILE MILLS JOBS LOST: (2,600) -0.5% * TOTAL INDUSTRY JOBS LOST (30,800)

More information

The Minnesota Statewide Quality Reporting and Measurement System (SQRMS)

The Minnesota Statewide Quality Reporting and Measurement System (SQRMS) The Minnesota Statewide Quality Reporting and Measurement System (SQRMS) Denise McCabe Quality Reform Implementation Supervisor Health Economics Program June 22, 2015 Overview Context Objectives and goals

More information

From Implementation to Optimization: Moving Beyond Operations

From Implementation to Optimization: Moving Beyond Operations From Implementation to Optimization: Moving Beyond Operations Session 260, March 8, 2018 Scott Aikey, Sr. Director, Core Clinical Applications Children s Hospital of Philadelphia 1 Conflict of Interest

More information

PSI-15 Lafayette General Health 2017 Nicholas E. Davies Enterprise Award of Excellence

PSI-15 Lafayette General Health 2017 Nicholas E. Davies Enterprise Award of Excellence PSI-15 Lafayette General Health 2017 Nicholas E. Davies Enterprise Award of Excellence Rachel Brunt, RN, BSN, MBA-HCA, CIC, CPHQ, Director Quality Jessie Hanks, BS, RHIA, Director HIM Lafayette General

More information

PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, February 2013 Terry Dentoni, RN, MSN, CNL, Interim Chief Nursing Officer

PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, February 2013 Terry Dentoni, RN, MSN, CNL, Interim Chief Nursing Officer PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, February 2013 Terry Dentoni, RN, MSN, CNL, Interim Chief Nursing Officer 1. 2320 RN Vacancy Rates for the Month of January 2013

More information

Draft Bidding Docs and SPN. Bank s NO to bidding docs. Invitat. To Bidder b Goods

Draft Bidding Docs and SPN. Bank s NO to bidding docs. Invitat. To Bidder b Goods re Authorized Procurement Plan Initial approval August 2009 1st revision December 2009 2nd revision May 2011 Bid No: Description Type Method Actual costs Draft Bidding Docs and SPN Bank s NO to bidding

More information

Improving HPV Vaccination Rates in a Large Pediatric Practice: Implementing Effective Quality Improvement

Improving HPV Vaccination Rates in a Large Pediatric Practice: Implementing Effective Quality Improvement Improving HPV Vaccination Rates in a Large Pediatric Practice: Implementing Effective Quality Improvement Alix Casler, M.D., F.A.A.P. Chief of Pediatrics, Medical Director of Pediatrics Orlando Health

More information

Health and Nutrition Public Investment Programme

Health and Nutrition Public Investment Programme Government of Afghanistan Health and Nutrition Public Investment Programme Submission for the SY 1383-1385 National Development Budget. Ministry of Health Submitted to MoF January 22, 2004 PIP Health and

More information

Minutes of Meeting Subject

Minutes of Meeting Subject Minutes of Meeting Subject APPROVED: Generasi Impact Evaluation Proposal Host Joint Management Committee (JMC) Date August 04, 2015 Participants JMC, PSF Portfolio, PSF Cluster, PSF Generasi Agenda Confirmation

More information

CONSOLIDATED RESULTS REPORT. Country: ANGOLA Programme Cycle: 2009 to

CONSOLIDATED RESULTS REPORT. Country: ANGOLA Programme Cycle: 2009 to CONSOLIDATED RESULTS REPORT Country: ANGOLA Programme Cycle: 2009 to 2014 1 1. Key Results modified or added 2. Key Progress Indicators 3. Description of Results Achieved PCR 1: Accelerated Child Survival

More information

Identifying Errors: A Case for Medication Reconciliation Technicians

Identifying Errors: A Case for Medication Reconciliation Technicians Organization: Solution Title: Calvert Memorial Hospital Identifying Errors: A Case for Medication Reconciliation Technicians Program/Project Description and Goals: What was the problem to be solved? To

More information

TERMS OF REFERENCE FOR INDIVIDUAL CONTRACTORS/ CONSULTANTS/ SSAs

TERMS OF REFERENCE FOR INDIVIDUAL CONTRACTORS/ CONSULTANTS/ SSAs TERMS OF REFERENCE FOR INDIVIDUAL CONTRACTORS/ CONSULTANTS/ SSAs PART I Title of Assignment To provide support to the evidence based scale up of the 3 feet work across select provinces and linking the

More information

Driving Quality Improvement in Managed Care. Toby Douglas, Director California Department of Health Care Services

Driving Quality Improvement in Managed Care. Toby Douglas, Director California Department of Health Care Services 1 Driving Quality Improvement in Managed Care Toby Douglas, Director 2 Presentation Overview 1. Background on California s Medicaid Program (Medi-Cal) 2. California s Quality Improvement Focuses 3. Challenges

More information

C2I: Connect to Implement. Empowering Youth to Grow Ideas into Jobs

C2I: Connect to Implement. Empowering Youth to Grow Ideas into Jobs C2I: Connect to Implement Empowering Youth to Grow Ideas into Jobs Background and Motivation Winner of the World Bank Group 2015 Youth Innovation Fund (YIF) An opportunity for young staff of the World

More information

Open and Honest Care in your Local Hospital

Open and Honest Care in your Local Hospital Open and Honest Care in your Local Hospital Report for: Royal Wolverhampton NHS Trust January 2016 The Open and Honest Care: Driving Improvement Programme aims to support organisations to become more transparent

More information

PERFORMANCE MANAGEMENT MEETING. Health Department:

PERFORMANCE MANAGEMENT MEETING. Health Department: PERFORMANCE MANAGEMENT MEETING Health Department: 5.20.14 May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr EXHIBIT 1: Health Service Request Volume Month

More information

Achieving Operational Excellence with an EHR a CIO s Perspective

Achieving Operational Excellence with an EHR a CIO s Perspective Achieving Operational Excellence with an EHR a CIO s Perspective Phyllis Schuck, SPHR CIO of Pinehurst Surgical HIT Session 6.02 Thursday, March 29, 2007 Pinehurst Surgical Organization Overview Founded

More information

Maternity and Family Education

Maternity and Family Education 2014 Maternity and Family Education Phone: 980-487-3983 email: crmcmaternityandfamilyeducation@carolinashealthcare.org 1 2 Maternity and Family Education Programs When it comes to having a baby, you can

More information

Transitions in Care. Discharge Planning Pathway & Dashboard

Transitions in Care. Discharge Planning Pathway & Dashboard Transitions in Care Discharge Planning Pathway & Dashboard Scott Jarrett Executive Vice President and Chief of Clinical Programs Humber River Hospital Carol Hatcher Vice President Clinical Programs Humber

More information

Acute Coronary Syndromes (ACS) Provincial Orders Dissemination. Final Evaluation Report

Acute Coronary Syndromes (ACS) Provincial Orders Dissemination. Final Evaluation Report Acute Coronary Syndromes (ACS) Provincial Orders Dissemination Final Evaluation Report July 2014 ACS POD Evaluation - 2 This report was produced by the Clinical Analytics Team, Data Integration, Measurement

More information

A Successful Health Visitor Retention Strategy - Walsall Healthcare NHS Trust

A Successful Health Visitor Retention Strategy - Walsall Healthcare NHS Trust A Successful Health Visitor Retention Strategy - Walsall Healthcare NHS Trust Health Visiting Local Picture Population of approx 21,000 under 5s 10 Health Visitor Teams across the borough New model of

More information

PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, March 2018

PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, March 2018 Report Contents: PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, March By: Terry Dentoni, MSN, RN, CNL - ZSFG Chief Nursing Officer 1. Professional Nursing......1-2 2. Emergency

More information

Workshop: Nursing Sensitive Indicators. Annelie Meiring and Suseth Goosen

Workshop: Nursing Sensitive Indicators. Annelie Meiring and Suseth Goosen Workshop: Nursing Sensitive Indicators Annelie Meiring and Suseth Goosen The level of patient care your facility provides is imperative it dictates your facility's financial success, as well as its reputation

More information

QUALITY OF CARE IN PERFORMANCE-BASED INCENTIVES PROGRAMS

QUALITY OF CARE IN PERFORMANCE-BASED INCENTIVES PROGRAMS QUALITY OF CARE IN PERFORMANCE-BASED INCENTIVES PROGRAMS MOZAMBIQUE CASE STUDY April 2016 This case study was funded by the United States Agency for International Development under Translating Research

More information

NSL LINCOLNSHIRE HEALTHWATCH PRESENTATION Ambulance NHS Trust Provision of Non- Emergency Patient Transport

NSL LINCOLNSHIRE HEALTHWATCH PRESENTATION Ambulance NHS Trust Provision of Non- Emergency Patient Transport NSL LINCOLNSHIRE HEALTHWATCH PRESENTATION Ambulance NHS Trust Provision of Non- Emergency Patient Transport Agenda An introduction to NSL Lincolnshire Contractual Service KPI s & Current Performance Eligibility

More information

RWANDA S COMMUNITY HEALTH WORKER PROGRAM r

RWANDA S COMMUNITY HEALTH WORKER PROGRAM r RWANDA S COMMUNITY HEALTH WORKER PROGRAM r Summary Background The Rwanda CHW Program was established in 1995, aiming at increasing uptake of essential maternal and child clinical services through education

More information

Leveraging the Accountable Care Unit Model to create a culture of Shared Accountability

Leveraging the Accountable Care Unit Model to create a culture of Shared Accountability Leveraging the Accountable Care Unit Model to create a culture of Shared Accountability How we improved Patient Safety and Quality Outcomes at Northwest Hospital Our Journey to Shared Accountability Implementation

More information

The Rang-Din Nutrition Study in Bangladesh

The Rang-Din Nutrition Study in Bangladesh The Rang-Din Nutrition Study in Bangladesh Implementation science- The Food And Nutrition Technical Assistance (FANTA) project s experience Zeina Maalouf-Manasseh September 4, 2014 Longitudinal RCT Measuring

More information

London Mental Health Payments and Outcomes. Programme Overview 17/18

London Mental Health Payments and Outcomes. Programme Overview 17/18 London Mental Health Payments and Outcomes Overview 17/18 National Policy and Guidance Context Five Year Forward View Reform payment and incentives to move away from unaccountable block contracts. It recommends

More information

Group Professionals Concept. Robbin Brugman MD Group Professionals Concept

Group Professionals Concept. Robbin Brugman MD Group Professionals Concept Group Professionals Concept Robbin Brugman MD Group Professionals Concept professionals important aspect in strategic roadmap * * 2009 revenue professionals 2.7 bln. 2 Randstad among leading players in

More information

Monthly and Quarterly Activity Returns Statistics Consultation

Monthly and Quarterly Activity Returns Statistics Consultation Monthly and Quarterly Activity Returns Statistics Consultation Monthly and Quarterly Activity Returns Statistics Consultation Version number: 1 First published: 08/02/2018 Prepared by: Classification:

More information

PERFORMANCE IMPROVEMENT REPORT

PERFORMANCE IMPROVEMENT REPORT PERFORMANCE IMPROVEMENT REPORT First Quarter Fiscal Year 214 October-December, 213 Daniel Coffey, CEO 1 Executive Summary The Quarterly Performance Improvement Report summarizes the measures used to monitor

More information

UCLA Newborn Screening Symposium 2018

UCLA Newborn Screening Symposium 2018 UCLA Newborn Screening Symposium 2018 Facility Feedback HEPP Reports and Graphs How to Best Utilize These Reports for Optimal Outcomes Timeliness in Specimen Collection and Transit TRF Completion Early/Missing

More information

UNIVERSITY OF DAYTON DAYTON OH ACADEMIC CALENDAR FALL Incoming First Year students move into UD Housing

UNIVERSITY OF DAYTON DAYTON OH ACADEMIC CALENDAR FALL Incoming First Year students move into UD Housing UNIVERSITY OF DAYTON DAYTON OH 2018-2019 ACADEMIC CALENDAR FALL 2018 Mon. Aug 6 TBD Thu, Aug 16 Fri, Aug 17 Sat, Aug 18-21 Sun, Aug 19 Tue, Aug 21 Tue, Aug 21 Wed, Aug 22 Tue, Aug 28 Mon, Sep 3 Fri, Sep

More information

Overview of a new study to assess the impact of hospice led interventions on acute use. Jonathan Ellis, Director of Policy & Advocacy

Overview of a new study to assess the impact of hospice led interventions on acute use. Jonathan Ellis, Director of Policy & Advocacy Overview of a new study to assess the impact of hospice led interventions on acute use Jonathan Ellis, Director of Policy & Advocacy The problem Almost 600,000 people die each year Half will die in a hospital

More information

Responding to countries requests for technical assistance and capacity building

Responding to countries requests for technical assistance and capacity building Responding to countries requests for technical assistance and capacity building Update by Mr. Fred Onduri CTCN Advisory Board Chair Jukka Uosukainen Director of the CTCN CTCN Mandate and Services CTCN

More information

The World Bank Swaziland Health, HIV/AIDS and TB Project (P110156)

The World Bank Swaziland Health, HIV/AIDS and TB Project (P110156) Public Disclosure Authorized AFRICA Swaziland Health, Nutrition & Population Global Practice IBRD/IDA Specific Investment Loan FY 2011 Seq No: 12 ARCHIVED on 29-Jun-2017 ISR28124 Implementing Agencies:

More information

Stakeholder input is gathered in several ways. Patients are given the opportunity to provide feedback, the SWOT analysis is based on information from

Stakeholder input is gathered in several ways. Patients are given the opportunity to provide feedback, the SWOT analysis is based on information from Strategic Plan 27 Executive Summary The following is a summary of the information shared in this Operations Review and Plan. This plan highlights operational achievements and challenges, clinical outcomes

More information

Contracting Out Health Service Delivery in Afghanistan

Contracting Out Health Service Delivery in Afghanistan Contracting Out Health Service Delivery in Afghanistan Dr M.Nazir Rasuli General director Care of Afghan Families,CAF. Kathmando Nepal 12 Jun,2012 Outline 1. Background 2. BPHS 3. Contracting with NGOs,

More information

In 2012, the Regional Committee passed a

In 2012, the Regional Committee passed a Strengthening health systems for universal health coverage In 2012, the Regional Committee passed a resolution endorsing a proposed roadmap on strengthening health systems as a strategic priority, as well

More information

Public Disclosure Copy. Implementation Status & Results Report Global Partnership for Education Grant for Basic Education Project (P117662)

Public Disclosure Copy. Implementation Status & Results Report Global Partnership for Education Grant for Basic Education Project (P117662) Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized AFRICA Liberia Education Global Practice Recipient Executed Activities Specific Investment

More information

Kentucky Sepsis Summit. August 2016

Kentucky Sepsis Summit. August 2016 1 Kentucky Sepsis Summit August 2016 St. Elizabeth Healthcare About Us: - 7 facilities & over 1200 licensed beds - Serving the NKY/Cincinnati Region in: - Orthopedic Care - Heart and Vascular Institute

More information

Webinar Control Panel

Webinar Control Panel Clear Communications Through Dashboard Reports 1 2012 Community Action Program Legal Services, Inc. Webinar Control Panel Raise your hand to ask a question Only enabled if you have entered your Audio Pin!

More information

Philippine Strategic TB Elimination Plan: Phase 1 (PhilSTEP1)

Philippine Strategic TB Elimination Plan: Phase 1 (PhilSTEP1) 2017 2022 Philippine Strategic TB Elimination Plan: Phase 1 (PhilSTEP1) 24 th PhilCAT Convention August 16, 2017 Dr. Anna Marie Celina Garfin NTP-DCPB, Department of Health Reasons for developing the NTP

More information

USAID/Philippines Health Project

USAID/Philippines Health Project USAID/Philippines Health Project 2017-2021 Redacted Concept Paper As of January 24, 2017 A. Introduction This Concept Paper is a key step in the process for designing a sector-wide USAID/Philippines Project

More information