This document discusses professionalism in healthcare delivery from a multidisciplinary perspective in Nigeria. It introduces NIROPHARM and their goal of providing accurate medical information. It then outlines regulations around healthcare including various codes and guidelines. Finally, it introduces the NIPHARMA Code of Promotional Practices, which is based on voluntary control and international standards to ensure ethical relationships and accurate information between pharmaceutical companies and healthcare professionals.

1. Professionalism in Healthcare Delivery: A Multidisciplinary Approach The NIROPHARM PERSPECTIVE Nipharma CODE OF PROMOTIONAL PRACTICES

2. In the Final Analysis … It’s all about STANDARDS Defining Maintaining Improving PATIENTS Care Service We are what we repeatedly do. Excellence, then, is not an act, but a habit. Aristotle

4. Competence

5. Character

7. Nigeria : Healthcare Sector Medical/Dental Pharma Nursing Laboratory Others

8. Nigeria : Pharma Sector Industry NAIP Community NACP Hospital NAHAP Academia NAPA

9. Nigeria : Pharma Industry PMG-MAN 88 Members NIROPHARM 47 Members APIN 60 members IPMIN 20 members

11. Associations

12. Societies

13. Trade Groups

14. External

15. Government

17. REGULATION… ENFORCEMENT: NOTIFICATION WARNING SANCTIONS DELISTING PROSECUTION FINES JAIL

18. REGULATION… health care quality management: Donabedian-Institutional Structures, Process & Outcomes clinical effectiveness andefficiency clinical audit institutional accreditation individual reaccreditation

19. REGULATION… health care quality management: Maxwell’s 6 Dimensions Effectiveness Acceptability Efficiency Access Equity Relevance

20. A-Z of Total Quality Management (TQM) initiatives in Healthcare Initiative/technique Accreditation systems Anticipated recovery pathways Description Techniques for assessing institutional fitness to practise Multidisciplinary methods for planning and monitoring treatments

21. TQM… Audit Benchmarking Process for the systematic, cyclical review of the objectives and standards of practice Set of techniques for comparing processes between (competitor) organisations

22. TQM… Business process re-engineering Clinical audit Radical review of organisational activities, implemented using the methods of total quality management Multidisciplinary, professionally led systematic review of patient care

23. TQM… Communications programmes Good communications between providers of services and all their internal and external customers are an integral part of quality management

24. TQM… Complaints systems Consumer surveys The facilitation and analysis of customer complaints is also important in TQM surveys and monitoring exercises

25. TQM… Disease management Term commonly applied to health care quality management initiatives funded orrun by the pharmaceutical industry. (cf. US term "managed care“)

26. TQM… Effectiveness Bulletins Produced by academic teams as a part of the research and development programme's push towards evidence based care

27. TQM… External audits may have either or both policing and developmental functions

28. TQM… Inspectorates Medical/professional audit Public service health and welfare inspectorates Unidisciplinary audit

29. TQM… Patient's Charter Patient focus A set of monitored patient rights and standards An approach designed to ensure that patients' "journeys" through care processes are timely and convenient

30. TQM… Performance indicators and targets As contained, in Protocols/guidelines. Sets of treatment options and agreed decision making criteria, which may serveas a basis for systematic evaluation of clinical and allied care standards

31. TQM… Quality of life measurement instruments available for assessing quality of life, either in relation to specific conditions or overall wellbeing

32. TQM… Quality management assessment Risk (and claims) management A form of organisational audit. An approach to quality improvement based on techniques designed to minimise in systems the risk of unwanted events for which the organisation might be liable or otherwiseincur costs

33. TQM… Total quality management TQM techniques seek to enhance organisational sensitivity to customer requirements and optimally involve everyone in an organisation in meeting them

34. NIROPHARM Who are we? Association of The Nigerian Representatives of Overseas Pharmaceutical Manufacturers (NIROPHARM)

35. NIROPHARM Goal: provide accurate, fair and objective information about medicinal products so that rational decisions can be made as to their use.

36. The NIPHARMA Code THE NIGERIAN PHARMACEUTICAL (NIPHARMA) CODE OF PROMOTIONAL PRACTICES

37. The NIPHARMA Code The NIPHARMA Code is based on a premise of voluntary control of promotion of medicinal products by self-regulatory bodies and recourse to such bodies when complaints arise, consistent with international standards and practice.

38. The Nigerian Pharma Industry Code of Promotional Practices GUIDING PRINCIPLES: Highest Ethical Standards Applicable to All PharmaCoys & Rx Medicines with obligation to ensure full compliance Professional relationships with healthcare professionals Provide Accurate, Balanced & Fair info about Rx drugs to Healthcare Pros Foster confidence in the General Public that drug choices are based on patient need & product merit

39. Expected Outcome ENDORSEMENT OF NIPHARMA CODE BY ALL STAKEHOLDERS INFORMATION, EDUCATION AND COMMUNICATION OF NIPHARMA CODE FORMATION OF IMPLEMENTATION AND ENFORCEMENT STRUCTURES ETHICS REVIEW BOARD EXPANDED ETHICS REVIEW BOARD PERIODIC REVIEW OF NIPHARMA CODE