page 1 integrated quality management for hospitals in tanzania 25/02/2016 presented at sector...
DESCRIPTION
Page 1 Key challenges 1.Tanzania Health Quality Improvement Framework (THQIF) Inadequate funding for QI activities Profusion of terminologies and approaches by different initiatives with potentials for causing confusion Human resources for health crisis 2.QI situation analysis Integration/harmonization of approaches Staff motivation and effective support for institutionalization of QI Client education to their rights and obligations in QITRANSCRIPT
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Integrated Quality Management for Hospitals in Tanzania
06/05/23
Presented atSector Network Meeting in Ghana
06 May 2014
By: Dr. Baltazar Ngoli
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Developments in the area of quality of health care
06/05/23
Tanzania National Quality Improvement Framework (TNQIF), 2nd version (2011) Situation Analysis of Quality Improvement in Health Care, Tanzania (2012)National Health Sector Quality Improvement Strategic Plan (NHSQISP) 2013 – 2018 (2013) Quality Improvement in MNCH programmes in Tanzania- an inventory of approaches being used with a particular focus on capacity development needs (2013)
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Key challenges
1. Tanzania Health Quality Improvement Framework (THQIF)• Inadequate funding for QI activities
• Profusion of terminologies and approaches by different initiatives with potentials for causing confusion
• Human resources for health crisis
2. QI situation analysis
1. Integration/harmonization of approaches
2. Staff motivation and effective support for institutionalization of QI
3. Client education to their rights and obligations in QI
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Key challenges
3. NHSQISP•Inadequate coordination of QI (central and Partners)
•Weak supervision, mentoring and coaching
•Lack of ownership of QI initiatives at facility level.
•Lack of national QI standards and indicators
•Unclear reporting mechanism
•Weak sharing of experiences and knowledge
TGPSH Phase IV: April 2013 – Dec 201506/05/23
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What is specific in IQMS? a participatory system involving major stakeholders
allows integration into or of other Quality Management (QM) models.
An indicator based system that approaches quality from various perspectives, including patient, staff and community
validated indicators is the backbone of IQM
indicator review and ranking done by a panel of key stakeholders
survey (incl. patient survey, self-assessment, a team survey), 2. Quality audit by a certified QM facilitator
Feedback session with entire teams.
benchmarking.
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Achieved results
• Indicators review and ranking done. A list of 279 indicators selected and incorporated into a software VISOTOOL
• The indicator list shared with MoHSW
• Selection of QI coaches (2 per each of the 4 participating regions) done
• Development of data assessment tools ( patient and staff questionnaires) done
• Assessment done in 3 hospitals (including quality audit done by qualified auditor)
