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Setting up a service
- 2. Why is this service needed? What is needed for this service? How will the service run? How do I ensure quality of the service? How do I ensure continuity of the service?
- 4. Buy-in and support To apply and obtain resources for the running / operation of the service To keep the service running • Hospital Pengarah? District Health Officer? • State Health Dept? Ministry of Health Malaysia? • Community stakeholders • Dasar Baru • Posts for human resources • Operational budget • Legacy • To inspire others to start similar services
- 5. Evidence of benefit from similar interventions/service Case burden, unmet needs Anecdotal needs, expert opinion • Clinical benefit • Cost effectiveness • Impact to patient, family and community• Annual or monthly census • Morbidity and mortality reports • Clinical audit
- 6. Human resource Equipment & infrastructure Medications Collaboration Policy / administrative support • Medical officers, medical assistants, nurses, rehabilitation and therapists etc • Training needs, skill sets • Home visit bag, dressing sets • Vehicle • Space – daycare, counselling room • Essential medications • System to support access to medications • Tertiary hospital support • Community NGO linkage • Pharmacy and nursing administration • Referral criteria, terms of service • Operational budget • Standard operational procedures
- 7. Plan a service flow that will fit in to current services Consider the different phases Patient identification Referral process Service details Termination of service / transition to adult services / transition to community Who is in charge of each step of the service flow? E.g. patient assessment by nurse / MA / MO? Which steps / processes where the service will interact with others / collaboration? E.g. Community NGO / leaders, procurement of equipment via MSW A detailed SOP is required for the proposal for service to request for budget
- 8. Quality assurance Ensuring patient safety and standard of care Process Steps in the SOP, work process Indicators e.g. Referrals received are seen by specialist within 72 working hours. Standards e.g. 80% of referrals received are seen by specialist within 72 working hours. Clinical Clinical outcomes, patient satisfaction Indicators e.g. Patients receiving pain management should have pain score of 0-3. Standards e.g. 90% of patients receiving pain management should have pain score of 0-3.
- 9. Ensure that safeguards for patient safety is in place Ensure that you are trying to achieve an acceptable standard in providing service/care Scrutiny by hospital or district health office administration – justify that the budget provided is used properly Benchmarking and accreditation – for policymakers, stakeholders
- 11. Have I managed to convince everyone that this service is essential? Is this service a good fit for my setting (hospital, community)? Have I managed to secure and sustain the minimum resources required for the service to run? How do I pass on the knowledge and skills? • Clear SOP documents • Two-by-two staff • Regular training sessions and deep learning