Accountability and Accreditation of Emergency Surgery Providers

954 views

Published on

Emergency Surgery Workshop Davos 2011: Presentation by Prof Frederick Burkle, MD, Senior Fellow & Scientist, the Harvard Humanitarian Initiative, Harvard School of Public Health, Kailua, HI, USA

Published in: Education, Business
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
954
On SlideShare
0
From Embeds
0
Number of Embeds
355
Actions
Shares
0
Downloads
0
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide
  • Good to be hereGoing to talk to you about an issue that must be addressed and is inevitable if foreign medical teams are going to be deployed in the future
  • The demand for better coordination and control is heard during and after every major internationaldisaster.The Global Health Cluster Report that followed the response to the Haiti earthquake found ….
  • First agenda is always to improve internal quality of services based on standards of performanceWhen that is accomplished or in tandem with it, the effort should be directed at ensuring the professionalization of emergency services within humanitarian aidNGO/PVO…such as ICRC and MSF training programs both garner academic affiliations and ensue the certification of their providers…but they are only two of many FMTs that show up during crises.
  • Accelerate deployments in a timely manner
  • In the 1980s only 2-04 % of NGOs agreed with professionalization This decade, 90% of respondents agrees with the notion of professionalization.100,000 a decade ago, currently over 220,000 call themselves humanitarian professionals, and this rate increases 6% per year
  • There are a number of networks, like ALNAP which works to ensure quality performance of NGOs…ELRHA is a collaborative network dedicated to….
  • Currently 4: East Africa, UK, Europe and North America
  • and understand the cross-cultural nuances of each discipline
  • Completeing curriculum like ATLS, ICRC training programs, etc
  • Internationalize the discipline through regional hubs which should be encouraged to collaborate
  • Accountability and Accreditation of Emergency Surgery Providers

    1. 1. ACCOUNTABILTY &ACCREDITATION OF EMERGENCY SURGERY PROVIDERS FREDERICK M. BURKLE, JR., MD, MPH, DTM, FAAP, FACEP PROFESSOR & WOODROW WILSON SENIOR INTERNATIONAL PUBLIC POLICY SCHOLAR SENIOR FELLOW & SCIENTIST HARVARD SCHOOL OF PUBLIC HEALTH
    2. 2. Harvard THE PROBLEM* Humanitarian Initiative• “Unacceptable practices” & questions about clinical competencies of some Foreign Medical/Surgical teams (FMTs/FSTs)• Current FMT guidelines “limited in scope”• Need for “greater accountability, stringent oversight, better coordination” *Global Health Cluster CONCEPT PAPER 2011
    3. 3. Harvard 2 STEP PROCESS Humanitarian InitiativeI: Internal quality improvement of services & standards of performance of FMTsII: Professionalize the education, training & certification of Emergency Surgery humanitarian providers & accreditation of their academic training centers & trainers
    4. 4. STEP I: FMT REQUIREMENTSProfessional & ethical standards Team composition by services & bed capacityAccelerate deployments Standardized data collection & reportingMatch services with supply & demand Procedures performed only by those licensed/accredited to do soCreate register of FMT provider FMTs staffed by personnel withorganizations experience in humanitarian settingsTeam composition by specialty, Process to supervise less experiencedexperience *Global Health Cluster CONCEPT PAPER 2011
    5. 5. STEP II: RECOGNIZING THAT ….• The global and regional blueprint for professionalization of humanitarian assistance is moving forward rapidly*• Humanitarian assistance is a multidisciplinary discipline with specific obligations discipline-to- discipline; disciplines are highly integrated• A system of “accountability, quality control, reporting, registration, certification & coordination” is inevitable *Walker, P, Hein K. Health Affairs, 2010
    6. 6. PROFESSIONALIZATION: Yes or NO?
    7. 7. ELRHA– Enhancing Learning and Research for Humanitarian Assistance• ELRHA: a collaborative network dedicated to supporting partnerships between higher education institutions and humanitarian organizations and partners around the world• ELHRA Project: moves the professionalization of the humanitarian aid workforce from discussion to action• Encourage similar “actions” to take place between existing, and developing, academic training centers
    8. 8. REGIONAL HUBS
    9. 9. STEP II: RECOGNIZING THAT…• Expectations are that each „discipline‟ will demonstrate: > competency-based education & training > regional standards as a global HUB/Regional sub- group• Argue that this goal is best reached as an association of like-minded academic & academic affiliated centers who have an established track record in the discipline of Emergency Surgery in humanitarian settings
    10. 10. BLUEPRINT RECOMMENDATIONS Establish Certified Training Programs:• Regional & internationally recognized academic training programs• Standardized system of competency-based certification• Work with members, academics & training institutions to devise certification criteria for entry-, mid- level, & higher levels
    11. 11. BLUEPRINT RECOMMENDATIONS Identify Core Competencies:• Appropriate for a Regional Hub to accept a set of core competencies on which to base training, a way of certifying training courses, and accrediting training institutions• Provide accredited trainers from accredited training centers around the world: > via training provided by accredited training institutions > &/or supervised experience
    12. 12. BLUEPRINT RECOMMENDATIONS Create Standard Routes to Certification:• Presupposes that recognized regional HUB organizations will: > Create a list of competencies > Do the training > Accredit the training institution & its trainers• 3 Common routes: > Completing a curriculum > Demonstrating competency through examination or experience > Producing a portfolio to document the acquisition of competency
    13. 13. BLUEPRINT RECOMMENDATIONS Seek recognition from stakeholders:• Bring NGOs, IOs, Donors on board in whose interest it is to support the professionalization process of the FMTs & Emergency Surgery• They should recognize the association and accept the certification it provides• Lobby for a “Global authority for crises”…similar to that provided by the International Health Regulations Treaty for pandemics* *Burkle FM, Redmond, AD, McCardle D. Lancet, Nov, 2011
    14. 14. EXAMPLE• 12 established Academic Training Centers in North America that have provided 2-17 years of education and training in humanitarian health for the general health care provider• Survey tool completed & joint meeting held November, 2011• Building an Association of Academic Training Centers for Humanitarian Health in support of the work of the North American regional HUB of ELHRA• Recognize that a similar approach is needed for health specialists (i.e., emergency surgery)
    15. 15. SUMMARY: AN ACADEMIC ASSOCIATION FOR INDIVIDUAL DISCIPLINE PROFESSIONALS• Independent „discipline-specific‟ Professional Academic Associations• Forum for Core and Sub-group competencies• Sets standards: Professional & Ethical• Accredits training centers and trainers• Establishes discipline-specific routes to certification• Push the research to build content & standards• Internationalize the field

    ×