Transcript Effective Quality Assurance in Healthcare,

Effective Quality Assurance
in Healthcare,
Kyrgyzstan
12th Meeting of the Sector Network Health and Social Protection
Asia and Eastern Europe
14-17 November, 2011
Pattaya, Thailand
Cholpon Asambaeva
GIZ Kyrgyzstan
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Outline
• National
accreditation
system
in
healthcare
• Accreditation – key instrument for quality
assurance
• How accreditation improves ‘rule of law’?
• Success factors leading to improved 'rule
of law’
• Challenges and how to address them
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National Accreditation System
Standards,
accredited
by ISQua
Accreditation
Program
Accreditation
of Health
Facilities
Procedures
Regulations
Independent
Accreditation
Body Commision
Supervisory
Board
Certified
and
Qualified
Experts
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Quality Management System
Ministry of Health
(steering and coordination
role)
Mandatory Health
Insurance Fund
(expertise of treatment
cases and financing)
Quality of Health
Services
(System of internal quality
management in Health
Facility: self-appraisal,
internal audit)
Accreditation
(external evaluation of
Health Facilities in
accordance with
standards)
Professional associations
and NGOs (patients rights)
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Accreditation Effect
• Standards
• Training
• Consulting
Accreditation
Quality
Management
• Effective Planning
• Analysis
• HR-management
• Risk management
• Self-appraisal
• Internal audit
• Quality and Safety Committee
• Affordability
• Access
• Evidence based
services
• Safety
• Patient’s
satisfaction
Quality
Service
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How accreditation improves
“Rule of Law”?
 Accreditation is a strategic tool for quality
assurance;
 Accreditation gives fair external
assessment of Health Facilities and
recommendations for improvement;
 Accreditation assures delivery of
evidence based health services;
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Success factors
 Acknowledgement and commitment of
health sector to accreditation
 Regulatory basis (4 National laws)
 Partial financing of accreditation body
 International relations, membership in
ISQua
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Challenges
 Insufficient support and lobbying of accreditation
tool at policy level;
 Low awareness of local authorities, population on
benefits of accreditation;
 No incentives and low motivation for accredited
Health Facilities;
 Inefficient quality management in Health Facilities;
 Insufficient feedback of accreditation body with
clients;
 Financial instability (accreditation body and costs
for accreditation);
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How to address?
Process
Improvement
Raising
awareness
Advocacy and
Sustainability
• Improve standards according to evidence based
practices
• Capacity building of assessors and experts
• Improve knowledge of users
• Feedback from patients and NGOs
• Success stories
• Work with mass-media
• IEC materials for clients and population
• Web-site
• Networking for quality of care
• Accreditation based financing
• Fundraising
• Consulting service
• Work with private sector
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Cooperation with GIZ
Tajikistan
 Development of regulatory basis for accreditation system
in healthcare;
 Development of Accreditation Program (standards,
guidelines and procedures) for Health Facilities with focus
to reproductive health;
 Training of experts on accreditation and standard's users;
Kyrgyzstan
 Revision of standards, guidelines and procedures for
maternal healthcare;
 Capacity development of accreditation experts;
 Capacity building of health facilities to be accredited;
 Strengthening and promotion of accreditation system in
maternal healthcare;
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