Georgia Quality Improvement System: Options and Recommendations

1. Georgia Quality Improvement System:Options and Recommendations

2. TheSix Key Dimensions of Quality (WHO, 2006)

3. HEALTH SYSTEM QUALITY INFORMATION SUPERVISION/INFORMATION QUALITY OF A HEALTH CARE INSTITUTION/CENTRE INFORMATION SUPERVISION/INFORMATION QUALITY OF INDIVIDUAL HEALTH CARE Quality Management throughouttheHealthSystem CHARACTERISTICS AND RESPONSIBILITIES SYSTEM LEVELS FOR QUALITY • Population-based indicators • Focus on overall system strategies • Responsibility of high level managers and political authorities • Indicators on the quality of the specific services for the specific population served by the institution • Focus on optimizing resources and regulating processes • Indicators on the quality of the organization • Responsibility of the managers of the institution • Indicators on satisfaction, technical quality and effectiveness for specific conditions and type of patients • Focus on clinical quality on a broad sense • Responsibility mostly of clinical personnel

4. Planning for Quality • World Bank • Quality of care assessment in PHC and recommendations for development of PHC improvement strategy • Recommendations on development of national quality improvement organizations • USAID SUSTAIN • Health leaders capacity building in quality - Harvard School of Public Health • Recommendations on strategies to improve quality of health services

5. 10 Key Ingredients of Quality Improvement • Quality Measurement • Public Reporting • QI Campaigns • QI Capacity Building • Decision Supports • Patient Engagement • Accreditation • Quality Assurance and Regulations • Accountability and Incentives • Quality Planning

6. 1. Quality Measurement

7. 2. Public Reporting

8. 3. QI Capacity Building

9. 4. QI Campaigns

10. 5. Decision Supports

11. 6. Patient Engagement

12. 7. Accreditation

13. 8. Quality Assurance and Regulations

14. 9. Accountability and Incentives

15. 10. Quality Planning

16. Recommendations

17. Recommendation 1:Strengthen the leadership for quality improvement • Develop leadership and a system for accountability in health care quality • Establish long-term integrated QI framework and strategy for quality across the health system • Set system-wide priorities for quality improvement initiatives: specific targets & deadlines

18. Recommendation 2:Create strong information system that supports QI • Develop the national quality indicators • Integrate quality indicators into health information system • Create the data reporting, monitoring and analysis system • Make quality data available for policy makers, providers and patients

19. Recommendation 3:Support patient and population engagement • Develop appropriate policies/legislation about patient participation in health decision making • Create a system for evaluating patient satisfaction and expectations on health care quality • Provide support for creation of patient association • Implement patient education programs

20. Recommendation 4:Develop regulation and standards that supports QI • Refine the existing (e.g. licensing, permission) and develop the new regulatory norms in response to internal and external quality assurance requirements • Develop the health care facility accreditation system • Re-establish the CME and re-certification system • Develop the national protocols and guidelines and support their implementation

21. Recommendation 5:Develop the organizational capacity for QI • Create the National Quality Improvement Agency - recommend national quality indicators, development of QI capacity, decision support tools, guidelines, patient engagement • Establish the National Accreditation Body

22. International Health Systems ProgramDepartment lof Global Health and PopulationHarvard School of Public Health