Quality Assurance in Healthcare Delivery Delivering excellent healthcare with limited resources

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1 Quality Assurance in Healthcare Delivery Delivering excellent healthcare with limited resources 12 th 16 th March 2018 Premier Hotel, O R Tambo, Kempton Park, Johannesburg Course Outcomes: Addressing the Principles of Total Quality in Healthcare Delivery and Organizations Implementing Leadership and Planning in Quality Management Building a Strategy for Quality in Healthcare Identifying Important Areas for Healthcare Quality Improvement Application Reducing Medical Errors Using Health Information Technology in Healthcare Quality Delivery and Management Creating an Environment in Which Quality Healthcare Will Flourish Building the Capacity to Improve Quality Delivering Quality Care - In the Public Sector Hospital/Healthcare CEO s Hospital/Healthcare Managers Financial Directors and Managers Hospital/Healthcare Operation Managers Hospital/Healthcare Project Managers Hospital Managers/CEOs/Administrators Who Should Attend? Provincial MECs for Health Health Department Heads Operations Officers Policy Makers/Administrators Quality Assurance Managers Health Professionals Responsible for the Administration, Management and Operations Health Delivery Systems Dr Nelson Kamoga Dr. Kamoga is a medical doctor with postgraduate training in Public Health and Health Economics from the University of Cape Town, with over 13 years experience in implementing, managing and providing technical assistance for health and social development programs. His primary areas of experience include capacity building for NGOs and governments in program design, planning, monitoring and evaluation of HIV/AIDS/STI/ TB programs, health systems strengthening and quality improvement. He has facilitated training for program staff in 7 countries in Africa and has done Monitoring and Evaluation and health systems development work for the Health Systems Trust: UNAIDS; WHO; Human Science Research Council; Family Health International; Academy for Educational Development; Education Labour Relations Council; Tshepang Trust: University of Cape Town and South Africa s National AIDS Council (SANAC). Dr Rita Sonko Dr. Sonko is a medical doctor with over 17 years experience in health and social development programs. Her primary focus include capacity development for NGOs and government institutions in Program design & planning, monitoring and evaluation. She has gained extensive experience in developing and implementing capacity development initiatives aimed at strengthening capacities of program staff and policy makers in developing and implementing systems for accessing strategic information for decision making. Through developing practical methods for training and mentoring teams, Dr Sonko has built a reputation as a highly effective technical expert in developing performance monitoring and evaluation systems for health and social programs. Dr Sonko trained and mentored program staff in over 10 countries in Africa and Asia and has worked as a consultant for several organisations including, the government of South Africa, Pan African Parliament; UNAIDS; Southern Africa Development Corporation (SADC); HSRC, World Health Organisation, University of Pretoria and Cape Town, Childfund international, FHI 360, Social Impact and JSI.

2 Background: There is an urgent need to build capacity in the healthcare delivery systems in South Africa and the rest of Africa in general by strengthening quality initiatives within healthcare institutions, hospitals and clinics. Quality health care means doing the right thing, at the right time, in the right way, for the right person and having the best possible results. Health care quality varies in each country. When it comes to making major health care decisions, about health plans, doctors, treatments, hospitals, and long-term care, how can you tell which choices offer quality health care, and which do not. Quality matters. It can be measured, and it can be improved. Quality is the most important aspect of healthcare, yet the Lancet Healthcare Access and Quality Index 2017, ranked South Africa s healthcare 119 out of 195 countries in the world. According to the health group, health quality can be approximated by measuring mortality rates from causes that should not be fatal in the presence of effective medical care. (Business Tech, 19 May 2017). This dire state of the South African healthcare services is concurred by Minister of Health, Hon. Dr. Motsoaledi, who observed that unless there is good quality in public healthcare, will never find leverage in our country. DAY ONE Monday, 12 th March 2018 An Overview of Healthcare Systems and Quality of Care Why a focus on quality now? Why a focus on health systems and decision-makers? Improving quality and whole-system reform Pol-making and evidence Principles of Total Quality in Healthcare Delivery and Organizations Continuous quality improvement and learning Participation Patient focus Teamwork A process approach Leadership and Planning in Quality Management Definitions, styles, and the role of leadership Strategic planning concepts and methods Change management principles and methods Teamwork and group decision-making methods Use of facilitation in managing teams Engaging clinical leaders in quality Design and use of project charters Critical factors for sustaining improvement Measuring Healthcare Quality How do we measure quality in healthcare? What are some key tools and programmes for measuring and improving quality? How are quality measurements being used today to improve healthcare?

3 DAY TWO Tuesday, 13 th March 2018 How Can the Way We Pay for Healthcare Affect Quality? How does the current payment policy affect quality? How can we change the way we pay for healthcare to encourage better care? How can paying for quality change the way care is delivered? How will paying for quality change how hospitals and clinics deliver healthcare? A Process for Building a Strategy for Quality in Healthcare: Choosing Interventions Analysis Stakeholder involvement Situational analysis Confirmation of health goals Building the strategy: choosing interventions for quality Development of quality goals Choosing interventions for quality Mapping the domains Linking the domains to the decision-making process Deciding on interventions Implementation Implementation process Monitoring progress Patient Safety and Risk Management Concepts of patient safety and risk management Establishing a culture of safety Characteristics of HROs (high-reliability organizations) Management of adverse events Reporting and analysis of near misses and medical errors Role of human factors in preventing medical errors Role of patient disclosure Risk assessment concepts and methods Concepts and methods of FMEA (Failure Modes and Effects Analysis) DAY THREE Wednesday, 14 th March 2018 Reducing Medical Errors What causes medical errors? What types of medical errors harm patients? How can medical errors be reduced and eliminated? How can patients protect themselves from harm?

4 Managing Chronic Illness What is disease management? Who provides disease management? What are the benefits of disease management? What does the evidence say about the effectiveness of the disease management? What are the barriers to adopting disease management? Important Areas for Healthcare Quality Improvement Application Infection control Risk management Utilization management Outcomes management and quality improvement applications DAY FOUR Thursday, 15 th March 2018 Organization Wide Total Quality Improvement in Healthcare The concept of cycle of continuous improvement The Plan-do-check-act cycle The FOCUS Plan-do-check-act framework The healthcare delivery model The relationship between quality inspection, regulation, management and improvement Data Collection and Management for Total Healthcare Concepts of performance measurement Methods for prioritizing and selecting performance measures Methods for describing performance measures Use of targets and benchmarks for comparisons Sample sizes and methods Developing data collection plans Methods for aggregating and tabulating collected data Evaluation of data reliability Design of customer surveys Implementing Quality Improvement Activities in Primary Healthcare Training and quality improvement awareness Mobilization of resources Building the quality improvement supportive structure Analyzing constraints and opportunities Integration of supervision into quality improvement Registration is from 07:30 am on Day One, tea and coffee will be served on arrival. The course commences at 08:30 on Day One to Five. Lunch is usually served at 12:30 and end of the day conclusion is at 16:30. Morning tea and afternoon tea will be approximately at 10:15 and 15:15. All times are estimated due to the practical nature of the programme

5 DAY FIVE Thursday, 16 th March 2018 Monitoring and Assessment Monitoring and quality control Capacity-building for basic epidemiological analysis Setting of standards and identifying key indicators Development of an indicator for a standard Other assessment and monitoring methods Using Health Information Technology in Healthcare Quality Delivery and Management What is health information technology? How can health IT help patients? Why isn t there more widespread use of health IT? What is being done to increase the use of health IT? How can we protect patients privacy in an electronic information system? The Assessment Process will include: Group work, experiential learning, presentations as part of the continuous assessment (formative).a portfolio of evidence (summative) that must be completed after the interactive workshop within a specific timeframe to demonstrate the participant s ability to apply the knowledge and skills gained during the course. Intelligent Africa is SETA registered: Services SETA 2228, LGSETA LGRS and PSETA P21/0717/GP795. This means that you can claim back your skills development levy for events hosted by Intelligent Africa. This short course is rated at an NQF level 5. 6 credits and certificate of competency can be earned, subject to successful completion of the assessment in the specified period stipulated at the event. If a participant chooses not to complete the assessment he/she will receive a certificate of attendance only. This 5 days short course is aligned with Unit Standard Develop a project quality management plan NQF Level 5, which falls under the full SAQA Qualification 67460