195x Filetype PPT File size 0.67 MB Source: web.worldbank.org
Success of the project hinges on whether we can establish robust performance management systems for continuous improvement 6 monthly counter verification Business/ Initial Quality Quarterly Operational investment Improvement quality Plan funds activities assessment Performance • Clear set of performance management indicators System • Robust data collection and 3 month verification system Operational Performance • Rigorous review of Plan bonus performance data and use for planning 2 Building multiple levels of accountability and performance management system is critical Technical • Overall oversight of performance Committee trend and project implementation • Resolve project-level issues • Provide oversight to hospital management Hospital • Make SMT accountable for results and Board implementation of business plan • Community involvement and grievance Senior • Develop business plan with supervisors manage- • Hold supervisors accountable for quality indicators ment Team • (At least ) monthly performance review with QI team • Support QI team implement their plans Hospital • Responsible for improving specific quality indicators QI team • Carry out weekly/monthly self-quality assessments and track results at each ward • Provide feedbacks, coach and train health workers 3 QI team will motivate health workers to improve key indicators through tracking and coaching (1/2) Sample activities of Maternity QI team and LMDC coach Areas Responsible Example of Activities Management • Waste disposal • Monthly self-assessment using and structural • Use of patograph checklist and feedback ward/SMT checklist • Delivery room • Plan, support and monitor specific maintenance activities of health workers (e.g., • Basic supplies supplies tracking, waste disposal) • Obstructed labor • Weekly chart review, scores on Process of • PPH wall, feedback to health workers care checklist • Sepsis • Training to health workers • Eclampsia • Checklist on wall, attached to chart • Complicated and • Ensure home address of patients in Quantity assisted delivery the register Checklist Normal deliveries • Monthly recording to invoice of at risk referrals • Put monthly numbers on a wall • Training • Plan training with faculties 4 QI team will motivate health workers to improve key indicators through tracking and coaching (2/2) 1 Self-Assessment 2 Tracking and Feedback e.g., Sepsis 50 40 40 30 30 % 20 20 10 15 0 W1 W2 W3 W4 • Weekly/daily chart review • Post scores on a wall • Monthly management and • Provide detailed feedback structural checklist review to staff 3 Support to Improvement QI Activities • Support improvement activities (e.g., standardize chart, waste disposal, cleaning) • Training on the treatment protocol and chart writing 5 SMT will create continuous improvement system in the hospital and support QI team Indicator • Assign all indicators and checklists to specific wards and QI teams SMT Tracking • Provide QI team with graph, system etc. for tracking • Run monthly performance review meetings to hold QI team accountable • Establish healthy competition and recognition by QI team QI QI QI • Provide QI team financial and Support other support (e.g., on-time Team Team Team … investment based on B-plan) Trans- • Ensure full transparency of parency use of funds to the Board 6
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