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Use of SOC data by ICAP-Ethiopia for quality improvement Tsigereda Gadisa MD,MPH M&E Director, ICAP-Ethiopia July, 2010. Using data for program improvement. Three key interlinked factors affecting data use

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Use of SOC data by ICAP-Ethiopia for quality improvement Tsigereda Gadisa MD,MPH M&E Director, ICAP-EthiopiaJuly, 2010

using data for program improvement
Using data for program improvement

Three key interlinked factors affecting data use

  • Effective Reports compilation; relevance, validity, completeness, timeliness, simplicity & big picture demonstration
  • Skilled Managers; result oriented, curios and good data use aptitude and committed in building result orient management culture
  • Organizational culture for evidence based learning and improvement; setting simple but informative performance measures & creating regular forum to follow though the results
results oriented culture
Results Oriented Culture
  • Reward and recognize
  • Encourage learning
  • Seek involvement
  • Use data routinely
  • Lead improvement efforts
  • Take responsibility
  • Stimulate positive action
icap standards of care
ICAP Standards of Care

Site support team

Onsiteteam

Assess and improve implementation

Assess and Build Capacity

Site Independence

Site Start-up

Assess and improve quality

Goal 1: Implement a chronic care model of HIV care and treatment (comprehensive, family focused)

Goal 2: Build capacity to promote program sustainability and independence

soc data use for quality improvement cycle
SOC Data use for quality improvement Cycle

Define standards of care (SOCs) and measures of quality

Measure Standards of Care

Design and implement intervention

Identify Problems

Prioritize problem areas

soc indicator setting and data compilation in icap ethiopia
SOC Indicator setting and data compilation in ICAP Ethiopia
  • With the TA from ICAP NY clinical team ICAP-E clinical Service department adopted the Care and treatment (adult and Ped); PMTCT, and TB HIV SOC
  • Indicators were modified to our context
  • Manual data collection instrument and SOP drafted
  • The instruments were pilot tested in one regional office for feasibility and user friendliness
lesson learned during pilot testing the soc instrument
Lesson learned during pilot testing the SOC instrument
  • The process was cumbersome and time consuming; it required
    • Manual tally and compile the tally
    • Entering the compiled data in to excel sheet
    • Make the calculation for each indicator
    • Compile the report and
    • Provide feed back to site provider by next visit
action taken to make the instrument user friendly and provide immediate feed back
Action taken to make the instrument user friendly and provide immediate feed back
  • Clinical service and M&E department discussed to automate SOC data collection instrument
  • SOC database developed for the five SOC instrument in use (adult C&T, Ped C&T, HEI, PMTCT and TB HIV)
major objectives of soc database
Major objectives of SOC database
  • Reduce work load on the site support team in data compilation
  • Facilitate the data capturing and analysis
    • No manual tallying
  • Facilitate instant feedback to the site staff on strength and areas for improvement
  • Facilitate easily follow up of action points
soc data use for quality improvement matrix
SOC Data use for quality improvement matrix

More closer look

in to data quality

Ask why?

Measure Standards of Care

Simple count

Gross performance

More closer look

in to Service quality

Ask why?

Data quality

Routine Report

SOC

Common Data Source for SOC, Data Quality Assessment & Routine report

TB/HIV

C &T

HCT

PMTCT

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ARV Prophylaxis, at ANC PMTCT SOC VS routine report at Selected ICAP-Ethiopia supported sites; Dec-9 toApril-10
added advantage of soc data as measure of quality of services
Added advantage of SOC data as measure of quality of Services
  • Provide an in-depth look in to a program by looking in two the practice (not aggregate)
  • Facilitate live discussion between the site support team and site level providers on the identified success or problem areas & draw action points
  • Guide the site support team to prioritize and focus areas for intense mentoring
added advantage of soc data as measure of quality of services1
Added advantage of SOC data as measure of quality of Services
  • Captures key quality indicators not included in routine report(eg. Follow up CD4 for Pre-ART Pt;
  • Compliment CQI effort by breaching the gap created due to timing of routine report compilation (ARV prophylaxis at ANC)
future direction
FutureDirection
  • Expand the SOC assessment to capture soft but important quality indicators in all technical areas we support and automate them
  • Fully integrate the priory SOCs as part of routine SOC
  • Enhanced use of SOC data for CQI
  • Build the capacity of site providers to complete, interpret and act on SOC data
slide18

†መሰግናለሁ

Amesegnalehu

Thank You