Skills building on scaling up: Improvement Collaboratives

Youssef Tawfik, MBBCH, MPHSr. Quality Improvement Advisor, MNCH

University Research Co.,

Reconvening Bangkok: 2007 to 2010 March, 6-11, 2010.

Session Outline

• IC definition and principles 10 min

• IC team work 25 min

• Team presentations 15 min

• Discussion 10 min

Definition of an Improvement Collaborative

An Improvement Collaborative is an organized network of a large number of sites (e.g. districts, facilities or communities) that work together for a limited period of time, usually 9 to 24 months, to rapidly achieve significant improvements in a focused area through shared learning and intentional spread methods.

The system, processes, quality and efficiency of care are to be improved.

Principles of Improvement Collaboratives

• Network of participating organizations/sites involved in shared learning

• Quality Improvement (QI) team at each site• Focused on one clinical/public health topic• Work to find better ways to implement best practices and

achieve better results• Regular communication between sites• Common key indicators reported and shared monthly

Group Exercise: IC Team Work

• Divide into teams (health facilities)• QI Aim: Increase contraceptive use among post

partum women delivered in your clinic.• Decide on QI team members• Assign roles among the team• Suggest key interventions to reach the QI Aim. • Be ready to share suggestions with other teams

PharmacistNurse(s) Physican

Lab technician

Manager

Who would be a member of the quality improvement team?

All the people who are involved in the particular

process of care at each facility site make up the quality

improvement collaborative team!

Midwife

Discussion

• What did you learn/like about suggestions of the other teams.

• What is the value of teams working together?• Comparing results, challenges, and experiences

among teams. • Motivation for IC teams.

Examples of Team Interventions to Improve Evidence-Based Care in Niger and Benin Maternal Newborn Collaboratives

Locally made AMTSL stampFor Partogram

Pre-filled Oxytocin Syringes in Cooler in Delivery Area

Thermal Control in First Hour Care Re-organization for Private Separate Birth area

Program Impact: NigerReduction in Post-partum Hemorrhage

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