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Towards better health outcomes:
Experiences and conclusions from
the MCHP
The wider picture ..
.. Two reference frameworks
Managing Quality
at the facility level
Quality of Care framework
at Health systems level
Infrastructure
• Modernising facility standards
and management
• Referral systems / services
package
• Modernising equipment, but with
a view to recurrent cost
• Equipment management
• patient centred facilities
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
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
Putting the Patient/client into the centre
of attention
• Pregnancy diary
• Information brochure
• Low birth weight brochure
• Mother’s/parent’s training
Information for change and management
• Equipment information system
• patient registry
• perinatal repository (website)
• Targeted changes versus broad
investment- mortality audits -
babies matrix
Governance
• management training
• Decentralisation
(facility, rayon, oblast)
• Supporting
professional
associations,
• National, regional and
international
networking
• summer school
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
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

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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