Towards better health outcomes: Experiences and conclusions from the MCHP
- 1. Towards better health outcomes: Experiences and conclusions from the MCHP
- 2. The wider picture .. .. Two reference frameworks Managing Quality at the facility level Quality of Care framework at Health systems level
- 3. Infrastructure • Modernising facility standards and management • Referral systems / services package • Modernising equipment, but with a view to recurrent cost • Equipment management • patient centred facilities
- 4. Continuous Medical Education – CME practical skills versus academic training • Case based training • Skills and team orientation • Regional exchange - Peer reviews • Supervision- learning from mistakes • skill labs • eLearning • Conferences and live streams • Exchange with neighbouring countries • Information Repositories
- 5. Integration of new evidence into care • Evidence from international trials and epidemiologic studies - EBM • Clinical Practice Guidelines – CPG • Institutional protocols • International expertise • Training on CPGs
- 6. Putting the Patient/client into the centre of attention • Pregnancy diary • Information brochure • Low birth weight brochure • Mother’s/parent’s training
- 7. Information for change and management • Equipment information system • patient registry • perinatal repository (website) • Targeted changes versus broad investment- mortality audits - babies matrix
- 8. Governance • management training • Decentralisation (facility, rayon, oblast) • Supporting professional associations, • National, regional and international networking • summer school
- 9. Outlook • towards a team oriented working culture • Developing a culture of openly dealing with mistakes - mortality audits - near miss cases – supervision • Orientation towards Patient/client and staff needs • Continuously integrating new knowledge - CPGs • networking, knowledge sharing • Incentive setting for efficiency gains • Governance – strengthening institutions at all levels - National health reform strategy 2015-20
- 10. Outlook • towards a team oriented working culture • Developing a culture of openly dealing with mistakes - mortality audits - near miss cases – supervision • Orientation towards Patient/client and staff needs • Continuously integrating new knowledge - CPGs • networking, knowledge sharing • Incentive setting for efficiency gains • Governance – strengthening institutions at all levels - National health reform strategy 2015-20