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Tonny-Tumwesigye-Session-3A-CCIH-2017

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Tonny Tumwesigye, MD, MSPH, Executive Director of the Uganda Protestant Medical Bureau discusses how UPMB delivers quality health care to vulnerable populations through cost effective and innovative approaches.

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Tonny-Tumwesigye-Session-3A-CCIH-2017

  1. 1. Uganda Protestant Medical Bureau Ensuring Quality of Health Care services and Improving Patient Safety-adapting Comprehensive Unit Based Safety Program (CUSP) Model Dr. Tonny Tumwesigye-Executive Director
  2. 2. www.upmb.co.ug Health in Totality • UPMB Founded in 1957, • National Coordinating body for Protestant health services in Uganda. • Network of 291 Health Institutions in Uganda • Approximately 80% of the member institutions are located in rural and poor communities across Uganda. • PNFP Network provides about 45% of Health Services delivery and 60% of Nursing Training • UPMB covers about 50% of the Facility based PNFP
  3. 3. www.upmb.co.ug Health in Totality Kiwoko Hospital Kiwoko is a General Hospital that also Serves as a District Hospital
  4. 4. www.upmb.co.ug Health in Totality Five Pillars Central to Sustained Improvements in Patient Safety Client Focus Transparent & Accountable Continuously Improving Clinical Services Continuous Learning A Safe High Quality Health Care System Governance & Leadership
  5. 5. www.upmb.co.ug Health in Totality Client Focus Yes No Patients have opportunities to provide input on what is important to them in the delivery of their care. X Patients have the information they need to help them make decisions about their care. X Patients are treated equitably and their cultural values are respected. X Patients are considered active partners in their care and treated as member s of the health-care team. X
  6. 6. www.upmb.co.ug Health in Totality Client Focus Yes No Patients are encouraged to ask questions and provide feedback about their experience of care. X If patients are harmed in the course of care, they are openly informed of the harm. X The hospital team involve patients in incident discussions and the actions being undertaken to reduce the chances of future similar incidents occurring. X
  7. 7. www.upmb.co.ug Health in Totality Transparent and Accountable Yes No Leaders and boards are undertaking actions on a continuous basis to evaluate the safety of care in the environments they lead and working to improve safety . X Improvements and challenges in advancing patient safety are openly disclosed to consumers of health-care services. X If patients encounter problems in their care, they are listened to and their concerns are acted on. X
  8. 8. www.upmb.co.ug Health in Totality Governance and Leadership Yes No There are policies, procedures and processes to guide the delivery of safe, quality care. X Leaders have the education necessary to promote and sustain a just culture of care. X Leaders demonstrate the behaviours expected of all members of the health care team by promoting openness, transparency and are client focused. X
  9. 9. www.upmb.co.ug Health in Totality Continuously Improving Clinical Services Yes No Monitor medication reconciliation on admission. X Monitor of pressure ulcer development during the provision of health care services(Stage 3, Stage 4 and unstageable) X
  10. 10. www.upmb.co.ug Health in Totality Continuously Improving Clinical Services Yes No Hospital standardized mortality ratio X Critical incident reporting. X Policies and procedures are in place and regularly audited to ensure improvement efforts are undertaken and being sustained. X
  11. 11. www.upmb.co.ug Health in Totality Client Focus Customer Care Services Desk Suggestion Box for Feedback
  12. 12. www.upmb.co.ug Health in Totality Governance and Leadership Safety Science Training Safety Science Training
  13. 13. www.upmb.co.ug Health in Totality Governance and Leadership Celebrating World Hand Washing Day at Kiwoko Hospital
  14. 14. www.upmb.co.ug Health in Totality Continuously Improving Clinical Services Hand Hygiene Monitoring Waste Management Training
  15. 15. www.upmb.co.ug Health in Totality Continuously Improving Clinical Services Surgical Checklist Implementation Safes Life Safety Culture a Hindrance to Surgical Checklist Implementation
  16. 16. www.upmb.co.ug Health in Totality Innovation-Kisiizi vs WHO Surgical Checklist
  17. 17. www.upmb.co.ug Health in Totality Continuously Improving Clinical Services Surgical Checklist Use Induction Dr James Supports Surgical Checklist
  18. 18. www.upmb.co.ug Health in Totality Continuously Improving Clinical Services Infection Prevention & Control
  19. 19. www.upmb.co.ug Health in Totality Continuously Improving Clinical Services Manufacturing Own Hand Rubs Incinerator for Waste Management
  20. 20. www.upmb.co.ug Health in Totality Continuous Learning Staff Training on Safety Science Participants Award Certificates
  21. 21. www.upmb.co.ug Health in Totality Transparent and Accountable Yes No Patients are provided services in an accredited hospital. X The hospital is held accountable to the quality and patient safety standards of their profession through their regulating bodies. X
  22. 22. www.upmb.co.ug Health in Totality Governance and Leadership Yes No Patient safety is paramount in all organizational decisions. X The hospital is actively working with its partners to ensure patient safety across the continuum of care. X
  23. 23. www.upmb.co.ug Health in Totality Continuously Improving Clinical Services Yes No Monitor Hand hygiene compliance X Monitor Key indicators of Healthcare acquired infections– including surgical site infections, urinary tract infections and, and C. difficile infections. X Monitor Surgical safety checklist compliance X
  24. 24. www.upmb.co.ug Health in Totality Continuous Learning Yes No Health-care professionals and administrators have the training and information they need to provide safe care. X Health care providers practice according to professional standards. X On-going learning is encouraged and supported. X
  25. 25. www.upmb.co.ug Health in Totality Continuous Learning Yes No Hospital administrators and providers have processes in place to learn from patient safety events and patient feedback. X
  26. 26. www.upmb.co.ug Health in Totality Conclusion • Strengthened further patient safety collaborations. • Promoting and enhancing cultural safety. • Action to improve patient experiences and based on data & evidence. • Actively engaging clients and staff. • Reflecting client values as organizational values. • Supporting continuous learning and improvement.
  27. 27. www.upmb.co.ug Health in Totality • Committing to implementing Quality Health care services and patient safety initiatives and regularly tracking progress, achieving high-quality health care at Kiwoko Hospital is possible.
  28. 28. www.upmb.co.ug Health in Totality The future is bright…
  29. 29. www.upmb.co.ug Health in Totality • THANK YOU

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