Quality Improvement of health care facilities

1. Workshop on Quality Improvement Initiatives
Venue: Sylhet MAG Osmani Medical College Hospital
Date: 21.09.2023
Supported by: Saving Women And Premature babies (SWAP), Save the Children

2. SDG – SUSTAINABLE DEVELOPMENT GOALS
Goal 3
Good Health and Well-being
(Ensure healthy lives and
promote well-being for all at
all ages)
- Achieve universal health
coverage, access to quality
essential health-care services
(Target 3.8)

3. QIS – Quality Improvement Secretariat,
MoH&FW

4. Quality Improvement (QI)
• Quality improvement refers to the use
of systematic methods to continuously
improve the quality of care and
outcomes for patients. (WHO)
• It is a problem-solving approach
within the context of the health
facilities.

5. Quality of Care (QoC)
Safe
Avoiding harm
Timely
Reducing
waiting time &
harmful delay
Effective
Using robust
scientific
knowledge to
sustain care
Efficient
Appropriate use
of resources and
eliminate waste
Equitable
QoC doesn’t vary
because of personal
characteristics
Success
Patient- centered
Care need to provide
in a way that is
sensitive to each
patient's preferences,
needs, and values.
6 Pillars

6. Hospital Quality Improvement Organogram in Bangladesh
Hospital Quality
Improvement
Committee (QIC)
[5 - 15 persons]
Source: Strategic Planning on Quality of Care for Health Service Delivery in Bangladesh
Management
Level
Implementers
Level
Work Improvement
Team (WIT)
[5- 7 persons]
Work Improvement
Team (WIT)
[5 - 7 persons]
NICU/SCANU Work
Improvement
Team (WIT)
[5- 7 persons]
Top
to
Bottom
communication
Hospital
Management
Committee
Bottom
to
top
communication

7. QIC
Chairperson:
M. Secretary: Deputy Director / Asst. Director
Members:
• Prof Obs & Gynae : 1
• Prof Surgery: 1
• Prof Medicine: 1
• Prof Anesthesia: 1
• Prof Pediatrics: 1
• RP/RS-1
• Nursing Supervisor-1
• Administrative Officer-1
CO Chairperson : Director

8. QIC: Roles and Responsibilities
Coordinate
Coordinate with higher authority for necessary support (Hospital Management
Committee)
Organize Organize annual review workshop to acknowledge/award the best performing WITs
Monitor and document Monitor and document the PDCA & 5S activities
Provide
Provide necessary support to WITs to plan & implement PDCA & 5S activities with
available resources
Identify Identify priority areas for intervention
Conduct Conduct regular monthly meeting
Assign Assign a focal person for the hospital QI

9. Composition of WIT
Position Potential WIT Person
Facilitator Head of the Unit
Team leader Registrar/ Asst. Registrar (MO and above)
Member secretary Nursing supervisor/ SSN/ any one suitable for the
unit
Member IMO/MO
Member SSN
Member SSN
Member Support staff / Cleaner/ Aya

10. Possible WITs in a Hospital
Pediatric ward (NICU/SCANU)
OPD
Emergency and drug dispensing( pharmacy)
Store unit
Pathology, X-ray, Blood bank
EOC (Labor ward, Gynae & Obs ward)
OT (General, O&G, Ortho, Eye and ENT)
Post operative unit
Medicine and Cardiology units

11. Roles and Responsibilities of WIT
Improve the quality of services at their respective health facility
Improve
Take initiative for problem-solving
Initiative
Implement the 5S & PDCA approach
Implement
Hold regular meetings and document minutes
Meetings

12. Points /
Agenda
Discussion point Decision taken Who will do; By when.
Linked with Sort/Set/Shine/
PDCA
Agenda-1
Agenda-2
Agenda-3
Agenda-4
Sample of Recording Format for QIC/WITs
Next meeting date :-
Signature of recorder:

13. THANK YOU!!!