Peace Corps volunteers in Botswana discussed their observations of and interventions in the country's healthcare supply chain. They observed both successes, like high condom availability, and challenges, such as stockouts and expired drugs. To address challenges, volunteers created distribution targets, encouraged reporting, resolved transportation issues, and conducted supply chain trainings. They suggested the Program Management Team support condom distribution, strengthen communication, address reporting, and train more clinic staff on supply chain management.
Health Navigator lunch and learn – 15 January 2016Rebecca Wootton
- 35% of non-elective hospital admissions in the UK are concentrated in just 1% of the population, who are highly transient and in need of proactive support.
- A proactive health coaching intervention aims to circumvent periods of high healthcare utilization by providing non-clinical support to empower patients and improve self-management from the earliest signs of disease progression.
- Initial results found the intervention led to fewer emergency admissions and hospital bed days, reduced healthcare costs, and improved patient health outcomes and quality of life.
Using Simulation Modelling to Test the Impact of Service Change – lunch and l...Rebecca Wootton
This document discusses using simulation modeling to test the impact of service changes for patients with long-term conditions. It describes a simulation tool that models how patients use health and social care services over time and allows users to test different service models. The tool segments patients into groups based on their resource usage and models their likelihood of accessing various services and costs. It can help plan service changes by showing expected impacts on activity, costs, and staffing needs over multiple years. The document provides examples of scenarios that have been built into the tool and explains how to access and use the simulation tool.
Midlands and East GP Forward View update event May 2017NHS England
A presentation from the GP Forward View update event in May 2017 for Midlands and East, giving the latest information on what the Forward View is delivering.
The slides cover the AHSN's response to the Covid-19 pandemic, and provides a review of 2019-20.
There are also case studies where AHSN staff returned to the frontline NHS, to support our colleagues with the response to Covid-19. All documents can be viewed or downloaded below.
Bill Gillespie, Chief Executive of Wessex AHSN, said: "Thanks to the trusted relationships we have built with regional and national partners over the past eight years, we have been in a strong position to provide a solid, adaptive response to the crisis.
"Along the way, we have discovered that staff at every level of our partner organisations have enormous depths of creativity and commitment; and that the public are more willing than we ever imagined to welcome technology and innovation into their care.
"Our own AHSN staff have also shown a huge willingness to take on new roles, to work almost entirely virtually; and, for some, to step back into frontline roles or play a part in key national Covid projects. We’d like to thank them for their amazing commitment over the past few months."
The AHSN has supported health and care partners in responding to the COVID-19 pandemic in several ways:
1) It established a knowledge-sharing group to facilitate discussion on PPE reprocessing between trusts facing shortages. This supported the rapid development and testing of a validated PPE reprocessing method.
2) It helped expedite the regulatory approval process for a new personal respirator, working with partners to achieve BSI certification within 12 weeks. This will improve PPE availability.
3) It is capturing examples of innovations and changes implemented during the crisis to understand improvements that could be maintained, such as increased telemedicine and digital technologies in care homes. The goal is to inform recovery planning and establish a more
This document summarizes interviews with several AHSN staff who returned to frontline NHS service during the COVID-19 pandemic. Andrew Smith returned to his previous role as a counselor for teenagers and young adults where demand was increasing as staff levels decreased due to COVID-19. Lesley Mackenzie took on a role managing COVID-19 testing and results reporting to support her local hospital's infection control team. Richard Guerrero-Ludueña supported frontline modeling efforts to assess healthcare demand and capacity during the pandemic.
Carlos Vinicius Ferreira da Silva é um biólogo brasileiro de 24 anos. Ele se formou em Ciências Biológicas em 2013 e tem experiência em genética molecular, microbiologia e biologia molecular. Seu currículo inclui publicações, apresentações em conferências e organização de eventos científicos.
Health Navigator lunch and learn – 15 January 2016Rebecca Wootton
- 35% of non-elective hospital admissions in the UK are concentrated in just 1% of the population, who are highly transient and in need of proactive support.
- A proactive health coaching intervention aims to circumvent periods of high healthcare utilization by providing non-clinical support to empower patients and improve self-management from the earliest signs of disease progression.
- Initial results found the intervention led to fewer emergency admissions and hospital bed days, reduced healthcare costs, and improved patient health outcomes and quality of life.
Using Simulation Modelling to Test the Impact of Service Change – lunch and l...Rebecca Wootton
This document discusses using simulation modeling to test the impact of service changes for patients with long-term conditions. It describes a simulation tool that models how patients use health and social care services over time and allows users to test different service models. The tool segments patients into groups based on their resource usage and models their likelihood of accessing various services and costs. It can help plan service changes by showing expected impacts on activity, costs, and staffing needs over multiple years. The document provides examples of scenarios that have been built into the tool and explains how to access and use the simulation tool.
Midlands and East GP Forward View update event May 2017NHS England
A presentation from the GP Forward View update event in May 2017 for Midlands and East, giving the latest information on what the Forward View is delivering.
The slides cover the AHSN's response to the Covid-19 pandemic, and provides a review of 2019-20.
There are also case studies where AHSN staff returned to the frontline NHS, to support our colleagues with the response to Covid-19. All documents can be viewed or downloaded below.
Bill Gillespie, Chief Executive of Wessex AHSN, said: "Thanks to the trusted relationships we have built with regional and national partners over the past eight years, we have been in a strong position to provide a solid, adaptive response to the crisis.
"Along the way, we have discovered that staff at every level of our partner organisations have enormous depths of creativity and commitment; and that the public are more willing than we ever imagined to welcome technology and innovation into their care.
"Our own AHSN staff have also shown a huge willingness to take on new roles, to work almost entirely virtually; and, for some, to step back into frontline roles or play a part in key national Covid projects. We’d like to thank them for their amazing commitment over the past few months."
The AHSN has supported health and care partners in responding to the COVID-19 pandemic in several ways:
1) It established a knowledge-sharing group to facilitate discussion on PPE reprocessing between trusts facing shortages. This supported the rapid development and testing of a validated PPE reprocessing method.
2) It helped expedite the regulatory approval process for a new personal respirator, working with partners to achieve BSI certification within 12 weeks. This will improve PPE availability.
3) It is capturing examples of innovations and changes implemented during the crisis to understand improvements that could be maintained, such as increased telemedicine and digital technologies in care homes. The goal is to inform recovery planning and establish a more
This document summarizes interviews with several AHSN staff who returned to frontline NHS service during the COVID-19 pandemic. Andrew Smith returned to his previous role as a counselor for teenagers and young adults where demand was increasing as staff levels decreased due to COVID-19. Lesley Mackenzie took on a role managing COVID-19 testing and results reporting to support her local hospital's infection control team. Richard Guerrero-Ludueña supported frontline modeling efforts to assess healthcare demand and capacity during the pandemic.
Carlos Vinicius Ferreira da Silva é um biólogo brasileiro de 24 anos. Ele se formou em Ciências Biológicas em 2013 e tem experiência em genética molecular, microbiologia e biologia molecular. Seu currículo inclui publicações, apresentações em conferências e organização de eventos científicos.
Educational foundations week 2 class slides Fa15Dan Krutka
This document outlines the in-class activities for a week 2 education foundations course. It includes directions for a short Twitter discussion on best and worst teachers, a presentation by a mentor teacher, small group discussions on course questions and updates, and activities on the history of public schools and envisioning oneself as a teacher. Students are asked to discuss topics like the purpose of public schools and how gender affects teaching without naming specific teachers.
This document lists the names Marcos Ocampos multiple times along with the names Graciela Samudio, Eduardo Ocampos, Diego Ocampos, Maia Ocampos, Fiorela Ocampos, Katia Ocampos, Michel Ocampos, Benjamin Ocampos, and Abigail Ocampos. It also mentions 2do. Parcial, which may indicate this is a class roster or listing of students for a second exam period.
Sami A. Mohamed has over 14 years of experience in customer care, accounting, banking operations, and management. He currently works as a Senior Officer for the National Bank of Abu Dhabi, where his responsibilities include supervising cheque clearing operations and ensuring processes are accurate, compliant with policies, and meet deadlines. Previously, he worked as a Senior Accountant for Al Saeed Food Stuff Group, where he managed accounts, processed payroll, reconciled bank statements, and ensured accounting records were accurate. He aims to effectively manage teams and processes to provide excellent client service while optimizing available resources.
This document is a resume for Doris A. Nay, a librarian with over 20 years of experience working in law libraries and public libraries. She has worked as a Library Technician at the Library of Congress since 2014, where her responsibilities include cataloging materials, maintaining collections, and assisting patrons. Prior to this, she held positions as a Resource Manager at Hyman, Phelps and McNamara law firm from 2003 to 2011 and as a Library Assistant at Kutak Rock law firm from 1998 to 2002, where she performed various library functions like cataloging, research, and collection management. She has a B.S. in Library Science and is proficient in legal research databases and library systems.
Joe Da Costa provides a profile of his work experience for LinkedIn. He has extensive technical expertise in areas critical to the safety, cost and performance of power networks. This includes transformer design, fault level analysis, protection system design and incident investigations. As an example, he took full responsibility for ensuring adequate power supply and protection for the 2012 Olympics venues in London. He has also audited protection systems at major UK airports. Da Costa brings considerable value through complex analysis, technical advice and lectures that help optimize network operation and minimize risks.
This document discusses a one-way analysis of variance (ANOVA) used to compare the effects of different oil types (A, B, C) on car mileage. It tests the null hypothesis that the mean mileages are equal against the alternative that at least two means differ. The ANOVA calculates sums of squares and F statistics to determine if there are significant differences between the treatment means, rejecting the null hypothesis if F exceeds the critical value. If differences exist, pairwise comparisons estimate the size of differences between each pair of means using confidence intervals.
A farmer planted a tiny watermelon seed that grew into an enormous fruit with help from the sun, rain, and his family singing together. The massive watermelon's growth surprised them all with its immense size, and the story's message is that more can be accomplished through cooperation as a team.
Este documento trata sobre la elaboración de charcutería. Explica conceptos clave como la composición y clasificación de la carne, el desposte de la canal, y herramientas utilizadas. También cubre temas como aditivos, condimentos, tratamiento térmico, y elaboración de embutidos y productos no embutidos. El objetivo es capacitar a los estudiantes sobre los procesos y técnicas para elaborar productos cárnicos de forma segura y de calidad.
A mixed between-within subjects ANOVA was conducted to examine the impact of different instruction methods (lecture, slides, instruction with student presentation, pair work) on linguistics test scores over two time periods (pretest and posttest) among 32 students randomly assigned to four groups. There was a significant interaction between time and instruction method, and time had a significant main effect. The different instruction methods also had a significant main effect on test scores. Post hoc tests revealed significant differences in scores between the lecture and student presentation groups, and the student presentation and pair work groups.
Scrum - An Agile Approach to Software Product DevelopmentBharani M
This document provides an overview of the Scrum framework for agile software development. Scrum uses short development cycles called sprints (typically 2-4 weeks) to incrementally develop a product. Key Scrum roles include the Product Owner who represents stakeholders, the Scrum Master who facilitates the process, and the self-organizing development team. The team works through a backlog of prioritized product features to complete as many as possible in a sprint. Daily stand-up meetings allow the team to synchronize and the Product Owner to provide feedback and prioritize new items. At the end of each sprint, completed work is reviewed and the process repeats with re-prioritized backlogs.
This document summarizes the annual meeting of Healthwatch Stoke-on-Trent from 2017-2018. It includes welcome remarks, a presentation on transforming health and wellbeing in the area, and an annual report. Key highlights from the past year are noted, including work on drug and alcohol services, audiology, and homeless access to GPs. Priorities for 2018-2019 include community hospitals, the sustainability transformation partnership, and mental health. A case study on the rollout of care navigation is presented, along with volunteer activities over the year. Attendees are encouraged to get involved in future engagement activities.
Jennifer Weiss presented on addressing maternal mortality in Malawi through maternal death audits. Maternal death reviews began in 2003 at district hospitals in Malawi and were expanded in 2013 to a more robust Maternal Death Surveillance and Response system. This system identifies and notifies facilities of maternal deaths to determine causes and how they may have been prevented. Facility-level audits in Nkhotakota District found that referrals from health centers, lack of clinician training, and laboratory capacity needed improvement. Community-level audits also began but faced challenges in discussing deaths due to tradition; education was needed to explain how audits could reduce mortality. Further integration of community and facility audits with follow-up actions was recommended
This document summarizes the cystic fibrosis care environment in British Columbia. It outlines the challenges with the current system including increasing patient numbers and complexity as well as new treatments. It discusses previous attempts to address issues and the need for standards of care, improved transitions of care, access to specialized care, and data collection. The document proposes using a collective impact model to engage partners around a shared agenda of creating a sustainable provincial cystic fibrosis care system. It notes progress including the formation of an advisory group and work on standards and metrics.
Setting a Path for Improved Health Outcomes RBFRBFHealth
Learning is a critical part of the HRITF RBF portfolio, with all programs benefiting from an embedded impact evaluation and in some cases, complemented by qualitative research components such as process evaluation studies. The presentation discusses the following topics:
1. Using RBF at the community-level to address demand side barriers
This presentation elaborates on the early evidence and the rationale for using RBF at the community level. It will share lessons learned from the implementation of community RBF at country level.
2. Using RBF to Strengthen Quality of Care: Early Lessons
This presentation discusses the broader policy implications of using RBF to strengthen the quality of care. It will explore how Measuring and Paying for the Quality of Care has been operationalized and will highlight the experience of Nigeria. Lastly, it will focus on measuring and Analyzing the Quality of Care from the Impact Evaluation perspective.
Evidence of Social Accountability_Thumbiko Misiska_5.7.14CORE Group
Community Score Cards were used in 10 health facilities in Malawi to improve maternal and newborn health. The process brought together communities, health workers, and local government to identify challenges and mutually generate solutions. Evidence showed improvements in key indicators like the relationship between health providers and communities. Challenges included managing emotions, constrained resources, and limited participation. Overall, the Community Score Card approach improved communication and increased demand for health services.
1) The document summarizes preliminary findings from a process evaluation of the Salud Mesoamerica Initiative (SMI) which aims to strengthen health systems in Mesoamerica.
2) Key findings include that SMI has improved health facility management, logistics and medical supply availability, information systems, and human resource training.
3) SMI also influenced policies by changing conversations to focus on results and accelerating policy approval processes in Chiapas, Mexico. However, stakeholders disagreed on whether SMI adequately prioritized the poor.
Engaging Non-State Actors in Governing Health: Key to Improving Quality of Care?HFG Project
USAID’s Health Finance and Governance (HFG) and the Joint Learning Network hosted an hour-long webinar on engaging non-state actors in governing quality of care. The webinar presented in-country examples of private sector contributions in governing health quality — providing technical inputs on policy development, monitoring health service delivery, and promoting accountability in the health system.
Educational foundations week 2 class slides Fa15Dan Krutka
This document outlines the in-class activities for a week 2 education foundations course. It includes directions for a short Twitter discussion on best and worst teachers, a presentation by a mentor teacher, small group discussions on course questions and updates, and activities on the history of public schools and envisioning oneself as a teacher. Students are asked to discuss topics like the purpose of public schools and how gender affects teaching without naming specific teachers.
This document lists the names Marcos Ocampos multiple times along with the names Graciela Samudio, Eduardo Ocampos, Diego Ocampos, Maia Ocampos, Fiorela Ocampos, Katia Ocampos, Michel Ocampos, Benjamin Ocampos, and Abigail Ocampos. It also mentions 2do. Parcial, which may indicate this is a class roster or listing of students for a second exam period.
Sami A. Mohamed has over 14 years of experience in customer care, accounting, banking operations, and management. He currently works as a Senior Officer for the National Bank of Abu Dhabi, where his responsibilities include supervising cheque clearing operations and ensuring processes are accurate, compliant with policies, and meet deadlines. Previously, he worked as a Senior Accountant for Al Saeed Food Stuff Group, where he managed accounts, processed payroll, reconciled bank statements, and ensured accounting records were accurate. He aims to effectively manage teams and processes to provide excellent client service while optimizing available resources.
This document is a resume for Doris A. Nay, a librarian with over 20 years of experience working in law libraries and public libraries. She has worked as a Library Technician at the Library of Congress since 2014, where her responsibilities include cataloging materials, maintaining collections, and assisting patrons. Prior to this, she held positions as a Resource Manager at Hyman, Phelps and McNamara law firm from 2003 to 2011 and as a Library Assistant at Kutak Rock law firm from 1998 to 2002, where she performed various library functions like cataloging, research, and collection management. She has a B.S. in Library Science and is proficient in legal research databases and library systems.
Joe Da Costa provides a profile of his work experience for LinkedIn. He has extensive technical expertise in areas critical to the safety, cost and performance of power networks. This includes transformer design, fault level analysis, protection system design and incident investigations. As an example, he took full responsibility for ensuring adequate power supply and protection for the 2012 Olympics venues in London. He has also audited protection systems at major UK airports. Da Costa brings considerable value through complex analysis, technical advice and lectures that help optimize network operation and minimize risks.
This document discusses a one-way analysis of variance (ANOVA) used to compare the effects of different oil types (A, B, C) on car mileage. It tests the null hypothesis that the mean mileages are equal against the alternative that at least two means differ. The ANOVA calculates sums of squares and F statistics to determine if there are significant differences between the treatment means, rejecting the null hypothesis if F exceeds the critical value. If differences exist, pairwise comparisons estimate the size of differences between each pair of means using confidence intervals.
A farmer planted a tiny watermelon seed that grew into an enormous fruit with help from the sun, rain, and his family singing together. The massive watermelon's growth surprised them all with its immense size, and the story's message is that more can be accomplished through cooperation as a team.
Este documento trata sobre la elaboración de charcutería. Explica conceptos clave como la composición y clasificación de la carne, el desposte de la canal, y herramientas utilizadas. También cubre temas como aditivos, condimentos, tratamiento térmico, y elaboración de embutidos y productos no embutidos. El objetivo es capacitar a los estudiantes sobre los procesos y técnicas para elaborar productos cárnicos de forma segura y de calidad.
A mixed between-within subjects ANOVA was conducted to examine the impact of different instruction methods (lecture, slides, instruction with student presentation, pair work) on linguistics test scores over two time periods (pretest and posttest) among 32 students randomly assigned to four groups. There was a significant interaction between time and instruction method, and time had a significant main effect. The different instruction methods also had a significant main effect on test scores. Post hoc tests revealed significant differences in scores between the lecture and student presentation groups, and the student presentation and pair work groups.
Scrum - An Agile Approach to Software Product DevelopmentBharani M
This document provides an overview of the Scrum framework for agile software development. Scrum uses short development cycles called sprints (typically 2-4 weeks) to incrementally develop a product. Key Scrum roles include the Product Owner who represents stakeholders, the Scrum Master who facilitates the process, and the self-organizing development team. The team works through a backlog of prioritized product features to complete as many as possible in a sprint. Daily stand-up meetings allow the team to synchronize and the Product Owner to provide feedback and prioritize new items. At the end of each sprint, completed work is reviewed and the process repeats with re-prioritized backlogs.
This document summarizes the annual meeting of Healthwatch Stoke-on-Trent from 2017-2018. It includes welcome remarks, a presentation on transforming health and wellbeing in the area, and an annual report. Key highlights from the past year are noted, including work on drug and alcohol services, audiology, and homeless access to GPs. Priorities for 2018-2019 include community hospitals, the sustainability transformation partnership, and mental health. A case study on the rollout of care navigation is presented, along with volunteer activities over the year. Attendees are encouraged to get involved in future engagement activities.
Jennifer Weiss presented on addressing maternal mortality in Malawi through maternal death audits. Maternal death reviews began in 2003 at district hospitals in Malawi and were expanded in 2013 to a more robust Maternal Death Surveillance and Response system. This system identifies and notifies facilities of maternal deaths to determine causes and how they may have been prevented. Facility-level audits in Nkhotakota District found that referrals from health centers, lack of clinician training, and laboratory capacity needed improvement. Community-level audits also began but faced challenges in discussing deaths due to tradition; education was needed to explain how audits could reduce mortality. Further integration of community and facility audits with follow-up actions was recommended
This document summarizes the cystic fibrosis care environment in British Columbia. It outlines the challenges with the current system including increasing patient numbers and complexity as well as new treatments. It discusses previous attempts to address issues and the need for standards of care, improved transitions of care, access to specialized care, and data collection. The document proposes using a collective impact model to engage partners around a shared agenda of creating a sustainable provincial cystic fibrosis care system. It notes progress including the formation of an advisory group and work on standards and metrics.
Setting a Path for Improved Health Outcomes RBFRBFHealth
Learning is a critical part of the HRITF RBF portfolio, with all programs benefiting from an embedded impact evaluation and in some cases, complemented by qualitative research components such as process evaluation studies. The presentation discusses the following topics:
1. Using RBF at the community-level to address demand side barriers
This presentation elaborates on the early evidence and the rationale for using RBF at the community level. It will share lessons learned from the implementation of community RBF at country level.
2. Using RBF to Strengthen Quality of Care: Early Lessons
This presentation discusses the broader policy implications of using RBF to strengthen the quality of care. It will explore how Measuring and Paying for the Quality of Care has been operationalized and will highlight the experience of Nigeria. Lastly, it will focus on measuring and Analyzing the Quality of Care from the Impact Evaluation perspective.
Evidence of Social Accountability_Thumbiko Misiska_5.7.14CORE Group
Community Score Cards were used in 10 health facilities in Malawi to improve maternal and newborn health. The process brought together communities, health workers, and local government to identify challenges and mutually generate solutions. Evidence showed improvements in key indicators like the relationship between health providers and communities. Challenges included managing emotions, constrained resources, and limited participation. Overall, the Community Score Card approach improved communication and increased demand for health services.
1) The document summarizes preliminary findings from a process evaluation of the Salud Mesoamerica Initiative (SMI) which aims to strengthen health systems in Mesoamerica.
2) Key findings include that SMI has improved health facility management, logistics and medical supply availability, information systems, and human resource training.
3) SMI also influenced policies by changing conversations to focus on results and accelerating policy approval processes in Chiapas, Mexico. However, stakeholders disagreed on whether SMI adequately prioritized the poor.
Engaging Non-State Actors in Governing Health: Key to Improving Quality of Care?HFG Project
USAID’s Health Finance and Governance (HFG) and the Joint Learning Network hosted an hour-long webinar on engaging non-state actors in governing quality of care. The webinar presented in-country examples of private sector contributions in governing health quality — providing technical inputs on policy development, monitoring health service delivery, and promoting accountability in the health system.
Engaging Non-State Actors in Governing Health – the Key to Improving Quality ...HFG Project
USAID’s Health Finance and Governance (HFG) project and the Joint Learning Network hosted a webinar on Wednesday, May 3rd, on engaging non-state actors in governing quality of care. Webinar panelists presented in-country examples of private sector contributions in governing health quality — providing technical inputs on policy development, monitoring health service delivery, and promoting accountability in the health system. Country examples included the Philippines, Ghana, and Mexico.
Improving acute care for children and young people, pop up uni, 10am, 3 septe...NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
Dr. Rohitashva Agrawal conducted several assessments and analyses related to community health and the mortality data collection system in Malawi. This included directly observing verbal autopsies, analyzing mortality data, interviewing team members, and providing feedback. Some issues identified included ambiguous questions, delays in data collection, and incomplete community registers. Recommendations included periodic updates to questionnaires, better logistics for data collection and syncing, and addressing website issues.
This document discusses issues with the NHS continuing healthcare (NHS CHC) system in England. It evaluates several areas of concern, including lack of information provided to applicants, professionals conducting assessments who often have little knowledge of conditions, flaws in the decision-making tool, long delays in the application process, inconsistent decisions, and negative impacts of frequent reassessments. The document calls for improvements like ensuring assessment teams have proper expertise, improving training and tools, reducing delays, limiting unnecessary reassessments, and increasing transparency through improved data collection. It shares one woman's negative experience navigating the system while caring for her husband with advanced Parkinson's disease.
Same-Visit Contraception: Implementation Strategies from the FieldJSI
According to the CDC and OPA, clients should have access to their contraceptive method of choice without unnecessary delays. Same-visit provision of contraception means providing immediate access to contraceptive methods using Quick Start. As long as a clinician can be reasonably certain a client is not pregnant, there is not medical reason to require clients to return for a follow-up visit or to initiate methods during menses. Clients face many barriers (work, child care, secure transportation) when asked to return for a second visit in order to initiate contraception and up to 50% of clients will not return for a follow up appointment.
Title X grantees and service sites across the country to identify successful strategies for implementing same-visit contraception including: 1. Stock devices and make supplies readily available, 2. Adjust systems for efficient and sustainable service delivery, 3. Engage, train, and support all staff.
To support implementation to Title X service sites, the FPNTC provides a Same-Visit Contraception Guide which includes: video case studies, slides and a discussion guide, interactive tools including checklists, calculators and printable sheets that can be posted at the office.
Obstetrical Nursing Communication for nurses, midwifes and healthcare providers working in women's health or the hospital setting. Student nurses will also benefit with the latest information in communication in healthcare.
A national learning event took place in June 2014, to explore how best to present data from the Cancer Patient Experience Survey (CPES) in order to drive improvement.
Outcomes from the event will help to shape the future presentation of CPES data, so that it is more accessible and easier for professionals and the public to use and interpret.
The event was held by NHS Improving Quality's Experience of Care team, in partnership with Macmillan Cancer Support, and NHS England's Insight team, to bring together cancer managers, lead nurses and lead clinicians. They heard from speakers including patient Bonnie Green, Ben Page, chief executive of Ipsos Mori, and Sean Duffy, National Clinical Director for cancer. Delegates also undertook group activity looking at the barriers that exist in translating data into improvement, and tailoring data for the right audiences.
The event forms part of NHS Improving Quality's wider work with NHS England looking at how the NHS is using the CPES data to reduce variation in the cancer patient experience. CPES, part of the national survey programme commissioned by NHS England, generates data and insight into the experiences of cancer patients.
- See more at: http://www.nhsiq.nhs.uk/news-events/news/using-insight-data-to-improve-patient-experience.aspx#sthash.Yh1yiQ6y.dpuf
Advancing Team-Based Care: The Emerging Role of Nurses in Primary CareCHC Connecticut
In this webinar, we explored the emerging role of nurses in primary care. We explored the role of nurses in the team, in complex care management, and in independent nurse visits.
This webinar was presented March 31, 2016 2:00 PM ET
At the 2016 CCIH Conference, Dr. Tonny Tumwesigye of the Uganda Protestant Medical Bureau discusses the elements to a good patient safety plan and the lessons learned as UPMB worked to address challenges in health systems strengthening.
Speaking at the CCIH Annual Conference in 2015, Dr. Tonny Tumwesigye of the Uganda Protestant Medical Bureau (UPMB) describes the organization's contribution to ending extreme poverty in Uganda through providing a significant amount of the nation's healthcare. He also addresses the challenges the organization faces and makes recommendations on how to scale up healthcare in the nation.
Similar to RFF - Supply Chain 6 15 15 (Public) (20)
1. Supply Chain – Strengthening the
Foundation of Botswana’s
Healthcare System Link by Link
Peace Corps Volunteer Panel Discussion
June 16, 2015
1
2. Agenda
• Introduction of Panelists
• Country Context
• Supply Chain Successes
• Supply Chain Challenges
• PCV Interventions
• The Way Forward
2
3. PCV Panelist
3
• Name: Marcy Frank
• Site: Thamaga
• Placement: Thamaga Clinic
Thamaga Facts
• Population: 19,547
• Thamaga was named
after the color of a horse
THAMAGA
4. PCV Panelist
• Name: Camille “CJ” Jones
• Site: Mochudi
• Placement: Kgatleng DHMT
4
Mochudi Facts
• Population: 44,815
• Mochudi was created by
a South African tribe
escaping Boer
oppression
MOCHUDI
5. PCV Panelist
• Name: Tiphaine Monroe
• Site: Gobojango
• Placement: Gobojango Clinic
5
Gobojango Facts
• Population: 1,631
• A young entrepreneur
just started the
village’s first egg-
selling business
GOBOJANGO
6. PCV Panelist
• Name: Anna Payton
• Site: Tsabong
• Placement: Kgalagadi South
DHMT
6
Tsabong Facts
• Population: 8,939
• Tsabong has a camel
park; one of the camels
in this park was a gift
from Qaddafi
TSABONG
7. PCV Panelist
• Name: Marshall Washick
• Site: Shoshong
• Placement: Shoshong Clinic
7
Shoshong Facts
• Population: 7,490
• Shoshong had an estimated
population of 30,000 people
in 1866, which was about the
same as the Cape Town
population at that time
SHOSHONG
8. Country Context
8
In the past 10 years, the USG has assisted the GOB in
making incredible strides to strengthen its supply chain.
Nevertheless, recent
challenges stemming from
the MOH’s contract with
Botswana Couriers have
threatened the progress that
Botswana has made.
Additionally, the USG has decided to only continue funding
supply chain activities through TA for the time being.
It is expected that Botswana’s supply chain will continue to
worsen before the situation improves.
9. PCV & Supply Chain Survey
9
Clinic & Health
Team
13
Local
Government
Capacity
Building
7
Life Skills
6
NGO Capacity
Building
2
Assignment Areas of the “Botswana PCVs and
Supply Chain” Survey Participants
As the effects of the
supply chain are far-
reaching, many PCVs in
different assignment
areas often work to
support the supply chain
in various ways at their
sites.
Approximately 30 PCVs
are currently working in
this capacity – 28 of
which responded to a
survey about their
observations of
Botswana’s supply chain
and how they support the
supply chain at their
sites. Their responses
informed this
presentation.
11. Supply Chain Successes
11
13
12
3
0
2
4
6
8
10
12
14
Yes No Skipped
Number of PCVs who have observed positive aspects of
Botswana's supply chain at their sites (e.g., people get their
drugs on time, a health facility staff member is trained on
reporting, condom availability, limited number of expired
drugs, etc.)
12. Supply Chain Successes
12
• High levels of condom supply
and distribution
• Creative and discreet condom
distribution techniques
• People are able to acquire
ARVs most of the time
• Many pharmacists are
trained in supply chain
PCV Observation
“When there was a Condom Focal Person
at the DHMT in 2012-2013, we distributed
1.7 million condoms as a district.”
PCV Observation
“Access to ARVs is prioritized by healthcare
providers. Pharmacists and technicians
genuinely care about dispensing drugs to
HIV+ patients and monitoring the supply
of ARVs.”
15. Supply Chain Challenges
• Appropriate staffing to
demand is needed
• Many clinic staff are not
trained in supply chain
• Lack of ownership of supply
chain management
responsibilities
15
PCV Observation
“Most of what I've observed was
challenges with staff. Testing counselors
would not show up to work or not be
available to test people during office
hours. Doctors sometimes also don’t show
up.”
PCV Observation
“Nurses and staff usually don't have
channels to voice their complaints or issues.
Many times it is their superiors who are not
doing their jobs with the supply chain, so
they have no one to speak to and often don't
want to speak out, so no lasting changes are
made.”
16. Supply Chain Challenges
• Facilities often make up
inventory numbers or fail to
report
• Lack of empowerment among
health facility staff
• Unclear reporting expectations
16
PCV Observation
“A lot of facilities make up their inventory
numbers or refuse to report at all, rather than
reporting accurately because they feel that the
MOH and ‘higher ups’ are always handing
down new reporting methods and conflicting
expectations.”
17. Supply Chain Challenges
• Shortages of drugs
and commodities at
CMS
• Shortages of drugs
and HIV testing kits
at the clinic level
• Expired drugs and
commodities
17
PCV Observation
“We are constantly stocked out of things like basic antibiotics. Over the holidays, we were
stocked out of ARVs for a few weeks. For several weeks we were out of blood pressure medicines
as well, and we have had to admit several patients because of high blood pressure this month –
likely as a result. I would estimate from my recent physical count that we are stocked out of
about 20 different drugs. The drugs are generally not expired, but medical supplies that are not
used as frequently often are (the oldest was from 2010).”
18. Supply Chain Challenges
18
PCV Observation
“Often there are no condoms, HIV tests,
or basic medication to be provided to the
clinics. The vehicles break down and
can't transport medications/supplies.”
• Confusion as to where expired
drugs are taken to be
destroyed
• Delay in or absence of
transportation for drugs and
commodities
• Poor storage conditions for
drugs
PCV Observation
“I've noticed that testing kits that need to
be kept refrigerated or at a certain
temperature are left just on shelves. I am
uncertain as to whether tests are done to
ensure the viability of the batches of
testing kits.”
20. PCV Interventions
2020
• Create condom
distribution targets for
clinics to monitor supplies
• Teach IT skills to staff
• Encourage paper recording
and reporting at facilities
in addition to reporting
electronically
PCV Observation
“I have worked with the DHMT to
create targets for condom
distribution to individual facilities so
that supply can be more easily
monitored.”
PCV Observation
“I’ve begun encouraging paper
reporting so that all health facilities,
even those without electricity or
computers, can monitor supplies and
properly report.”
21. PCV Interventions
2121
• Work with the DMSAC to
resolve transportation issues
• Network with stakeholders
to find alternative
distribution routes
• Work with the DAC office to
use its supply of condoms to
supplement the DHMT’s
limited supply
PCV Observation
“I’ve offered to deliver condoms to outlying farms on my bicycle. It may not be a
sustainable intervention, but it can assist in getting condoms to rural areas while
the transport situation is being sorted.”
22. PCV Interventions
2222
• Mobilize staff to count
inventory and check for
expiries
• Train clinic staff on stock
card issues and storage
guidelines
• Implement additional
methods for stock card
tracking
• Create and modify
recording tools to be more
user-friendly for clinic
staff
• Facilitate on-the-job
trainings and refresher
courses on taking stock
each month
PCV Observation
“I work to ensure that we have a day at the
end of each month in order to do a physical
count and make sure drugs and
commodities aren't expired.”
23. PCV Interventions – Supply Chain
Training
• Supply Chain
Management Systems
(SCMS) trainings
– Training of Trainers
November 2014
• 3 PCVs
• 2 Counterparts
– Logistics Management
Training
February 2015
• 19 PCVs
• 2 Peace Corps Staff
23
PCV Observation
“I recently gave a short overview of the Supply Chain Management workshop I attended to the
nurses at my clinic. I also implemented more methods for drug stock tracking - monitoring
how many drugs are dispensed each month, how many are received, and what the current
stock is. I stress the importance of this, especially in regard to ARVs.”
24. PCV Interventions – SCMS
Committee
• SCMS Committee
– The first committee of its
kind in Peace Corps
worldwide
– Partner with MOH and
health facilities to
strengthen Botswana’s
supply chain
24
PCV Observation
“Through my work with Peace Corps and
supply chain management, I’m developing
an intervention for correct stock card usage
and easy-to-read storage guidelines. Next
week I’m going to the DHMT to address
more large scale problems there.”
26. Suggestions for PMT
26
• Support condom
distribution
• Address the inconsistent
and incorrect use of
reporting tools
• Promote transport
alternatives
• Strengthen and clarify
communication channels
between MOH, CMS,
DHMTs, warehouses, and
health facilities
• Support MOH’s
maintenance of the
Standard Operating
Procedures for Logistics
Management of Health
Commodities and Related
Supplies
• Address reporting of drug
availability
You, the members of PMT, have the ability to set the agenda and
influence outcomes. We suggest your engagement to address the
following:
Health Systems Strengthening
27. Suggestions for PMT
27
Human Resource Issues
• Train clinic-level staff on
supply chain, the
importance of reporting,
how to report, etc.
• Support the appointment of
a supply chain focal person
at health facilities
• Place a trained third-year
PCV in the Logistics
Management Unit
Infrastructure Issues
• Bring attention to
infrastructure needs, such
as the necessity of proper
storage for drugs and
testing kits
PCV Observation
“Not everybody has been trained, yet the MOH
seems to expect all clinics and health posts to be
on the same page. Really unrealistic
expectations, especially in light of storage
challenges and lack of real support from those
above.”