DEVELOPING HPH STANDARDS IN PUBLIC HOSPITALS IN SOUTH AFRICA RAMDASS PD, JINABHAI CC, CASSIMJEE MH, GEDDES R - PowerPoint PPT Presentation


Title: DEVELOPING HPH STANDARDS IN PUBLIC HOSPITALS IN SOUTH AFRICA RAMDASS PD, JINABHAI CC, CASSIMJEE MH, GEDDES R


1
DEVELOPING HPH STANDARDS IN PUBLIC HOSPITALS IN
SOUTH AFRICARAMDASS PD, JINABHAI CC, CASSIMJEE
MH, GEDDES R
  • Kwazulu-Natal HPH Committee
  • Dept. of Health
  • School of Public Health.

2
(No Transcript)
3
BACKGROUND
  • The WHO Health Promoting Hospitals (HPH) project
    aims to incorporate health promotion into the
    culture and management of hospitals to improve
    patient and staff health.
  • The Department of Health, Kwazulu-Natal, piloted
    the WHO self-assessment tool, in six public
    hospitals, as part of the international
    collaboration.

4
70 of global total
SAHARA
SUB SAHARAN AFRICA
SOUTH AFRICAN DEVELOPMENT COMMUNITY (SADC)
KWAZULU -NATAL
SOUTH AFRICA
5
(No Transcript)
6
The hospitals are distributed over an area of
about 93 000 km² but access is difficult due to
poor roads.
Although the KZN Province inherited a number of
disadvantaged hospitals from the previous
apartheid government, it is working at improving
them.
7
(No Transcript)
8
Objectives of Pilot Project in S A
  • Adapt contextualise the Self-Assessment Tool
    (SAT) performance standards indicators
  • Assess existing Hospital Information Systems
  • Develop quality improvement plans based on
    Indicator assessment compliance with standards
  • Integrate the HPH data sets into the local
    Hospital Information Systems
  • Recommend the implementation of HPH in all Public
    Hospitals in South Africa Africa

9
METHODS
  • Permission authorization from policy makers to
    undertake pilot in 6 hospitals
  • Consultations with Hospital staff
  • Establishment of KZN HPH committees
  • Mobilsation allocation of resources
  • Integrate indicators into Hospital Information
    Systems
  • Submission of Reports to policy makers / WHO

10
The process in KwaZulu Natal
  • The implementation of the pilot phase involved
  • the following processes
  • Infrastructure Development
  • Hospital enrolment and information sharing
  • Data collection, collation analysis
  • Presentation of Draft Report to policy makers
  • Formulation of Recommendations for full
    implementation

11
InfrastructureDevelopment
  • Senior General Manager - Dr S.M. Zungu
  • Principal Specialist Health Service - Dr P Ramdas
  • Chief Specialist - Prof M. H. Cassimjee
  • Analytical, technical support
  • Prof Jinabhai / Dr R Geddes
  • School of Public Health
  • University of KwaZulu-Natal
  • Provincial PATH (Performance Assessment Tool-WHO)
    Coordinator for the Hospitals
  • Dr. S. Sirkar
  • Office space at Northdale Hospital
  • Employment of a data Capturer Mr S. Rungasami
  • Allocation of IT equipment for the Project

12
Pilot implementation of Self-Assessment Tool
Timelines
  • Phase 1 Preparation March 2004
  • Phase 2 Assessment of standards
  • compliance April and May
    2004
  • Phase 3 Data collection for -indicators
  • June to Dec 2004
  • Phase 4 Development of quality
  • improvement plans Sept to
    Dec
  • 2004
  • Phase 5 Reporting results 2005

13
Pilot project process
  • Phase 1 Preparatory - March 2004
  • Provincial coordinating team established
  • Department of Health including Sub-Directorates
  • Nelson R Mandela School of Medicine
  • Participating Hospitals / Institutions selected
  • Inkosi Albert Luthuli Central Hospital
  • Greys,
  • Edendale,
  • Northdale Hospitals,
  • Ngwelezana
  • Lower Umfolozi
  • Provincial coordinator Dr P.D. Ramdass
  • Institutional coordinators Quality Improvement
    team coordinators

14
(No Transcript)
15
Phase 2
  • Assessment of standards compliance
    (April-May2004).
  • Consult with Quality Improvement (QIP)teams at
    institutions (applicability and areas of
    clarification).
  • Indicator development (identification and data
    collection)

16
Pilot project process (cont.)
  • Phase 3 QIP plan development (June -December
    2004)
  • Based on the gaps after the assessment of
    compliance to standards
  • Phase 4 Reporting to World Health Organsiation
    (Sept-Dec 2004)
  • Meta-analysis form (results to be computed by WHO
    and feedback given)
  • Finalisation of tools by WHO

17
Benefits FOR KZN DOH, South
Africa
  1. Monitoring Evaluation Unit has a WHO Standard
    HPH tool strategy
  2. Able to monitor trends in change / improvements
    in HPH over time
  3. Has potentail to offer leadership for Public
    Health sector in S A

18
Benefits FOR KZN DOH, South Africa
  • Participation in the International arena of
    Quality Improvement, HPH Performance
    Measurement
  • Participation in the global HPH network
  • Decentralisation of data capturing to
    institutions
  • Empowering hospitals to use their own data
  • Methods to expand existing QIP projects

19
Benefits FOR KZN DOH, South
Africa
  • A self monitoring tool to identify areas of need
  • Adaptable to all levels of care
  • Encourages participation by all categories of
    staff management
  • A data base for different areas eg Human
    resources, Employee Assisstance Programmes,
    Occupational Health,PATH Tool from WHO.

20
Conclusion
  • Hospitals were encouraged to use the adapted
    self-assessment tool to
  • improve health promotion activities,
  • accelerate continuous quality improvement for
    improved quality of care and
  • expand the scope for participatory research.

21
Acknowledgement
  • Dr S. Sirkar Path Technical Co-ordinator
  • Dr C. Bhagwandeen Human Resource Support Unit

  • Ms V. Moodley Health Promotion Unit
  • Mrs A. Khathi Quality Assurance
    Accreditation Unit
  • Ms J. Maher Quality Assurance Accreditation
    Unit
  • Mr C. Shawe Quality Assurance Accreditation
    Unit
  • Dr V. Maistry Edendale Hospital
  • Ms H. Findlay Greys Hospital
  • Ms. V. Bawany Lower Umfolozi War Memorial
    Hospital
  • Ms R. Jele Ngwelezana Hospital
  • Ms U. Sooruth Northdale Hospital
  • Ms N. Mbambo Inkosi Albert Luthuli Central
    Hospital


22
THE ENDHEALTH PROMOTING HOSPITALS SOUTH AFRICA
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DEVELOPING HPH STANDARDS IN PUBLIC HOSPITALS IN SOUTH AFRICA RAMDASS PD, JINABHAI CC, CASSIMJEE MH, GEDDES R

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Title: DEVELOPING HPH STANDARDS IN PUBLIC HOSPITALS IN SOUTH AFRICA RAMDASS PD, JINABHAI CC, CASSIMJEE MH, GEDDES R


1
DEVELOPING HPH STANDARDS IN PUBLIC HOSPITALS IN
SOUTH AFRICARAMDASS PD, JINABHAI CC, CASSIMJEE
MH, GEDDES R
  • Kwazulu-Natal HPH Committee
  • Dept. of Health
  • School of Public Health.

2
(No Transcript)
3
BACKGROUND
  • The WHO Health Promoting Hospitals (HPH) project
    aims to incorporate health promotion into the
    culture and management of hospitals to improve
    patient and staff health.
  • The Department of Health, Kwazulu-Natal, piloted
    the WHO self-assessment tool, in six public
    hospitals, as part of the international
    collaboration.

4
70 of global total
SAHARA
SUB SAHARAN AFRICA
SOUTH AFRICAN DEVELOPMENT COMMUNITY (SADC)
KWAZULU -NATAL
SOUTH AFRICA
5
(No Transcript)
6
The hospitals are distributed over an area of
about 93 000 km² but access is difficult due to
poor roads.
Although the KZN Province inherited a number of
disadvantaged hospitals from the previous
apartheid government, it is working at improving
them.
7
(No Transcript)
8
Objectives of Pilot Project in S A
  • Adapt contextualise the Self-Assessment Tool
    (SAT) performance standards indicators
  • Assess existing Hospital Information Systems
  • Develop quality improvement plans based on
    Indicator assessment compliance with standards
  • Integrate the HPH data sets into the local
    Hospital Information Systems
  • Recommend the implementation of HPH in all Public
    Hospitals in South Africa Africa

9
METHODS
  • Permission authorization from policy makers to
    undertake pilot in 6 hospitals
  • Consultations with Hospital staff
  • Establishment of KZN HPH committees
  • Mobilsation allocation of resources
  • Integrate indicators into Hospital Information
    Systems
  • Submission of Reports to policy makers / WHO

10
The process in KwaZulu Natal
  • The implementation of the pilot phase involved
  • the following processes
  • Infrastructure Development
  • Hospital enrolment and information sharing
  • Data collection, collation analysis
  • Presentation of Draft Report to policy makers
  • Formulation of Recommendations for full
    implementation

11
InfrastructureDevelopment
  • Senior General Manager - Dr S.M. Zungu
  • Principal Specialist Health Service - Dr P Ramdas
  • Chief Specialist - Prof M. H. Cassimjee
  • Analytical, technical support
  • Prof Jinabhai / Dr R Geddes
  • School of Public Health
  • University of KwaZulu-Natal
  • Provincial PATH (Performance Assessment Tool-WHO)
    Coordinator for the Hospitals
  • Dr. S. Sirkar
  • Office space at Northdale Hospital
  • Employment of a data Capturer Mr S. Rungasami
  • Allocation of IT equipment for the Project

12
Pilot implementation of Self-Assessment Tool
Timelines
  • Phase 1 Preparation March 2004
  • Phase 2 Assessment of standards
  • compliance April and May
    2004
  • Phase 3 Data collection for -indicators
  • June to Dec 2004
  • Phase 4 Development of quality
  • improvement plans Sept to
    Dec
  • 2004
  • Phase 5 Reporting results 2005

13
Pilot project process
  • Phase 1 Preparatory - March 2004
  • Provincial coordinating team established
  • Department of Health including Sub-Directorates
  • Nelson R Mandela School of Medicine
  • Participating Hospitals / Institutions selected
  • Inkosi Albert Luthuli Central Hospital
  • Greys,
  • Edendale,
  • Northdale Hospitals,
  • Ngwelezana
  • Lower Umfolozi
  • Provincial coordinator Dr P.D. Ramdass
  • Institutional coordinators Quality Improvement
    team coordinators

14
(No Transcript)
15
Phase 2
  • Assessment of standards compliance
    (April-May2004).
  • Consult with Quality Improvement (QIP)teams at
    institutions (applicability and areas of
    clarification).
  • Indicator development (identification and data
    collection)

16
Pilot project process (cont.)
  • Phase 3 QIP plan development (June -December
    2004)
  • Based on the gaps after the assessment of
    compliance to standards
  • Phase 4 Reporting to World Health Organsiation
    (Sept-Dec 2004)
  • Meta-analysis form (results to be computed by WHO
    and feedback given)
  • Finalisation of tools by WHO

17
Benefits FOR KZN DOH, South
Africa
  1. Monitoring Evaluation Unit has a WHO Standard
    HPH tool strategy
  2. Able to monitor trends in change / improvements
    in HPH over time
  3. Has potentail to offer leadership for Public
    Health sector in S A

18
Benefits FOR KZN DOH, South Africa
  • Participation in the International arena of
    Quality Improvement, HPH Performance
    Measurement
  • Participation in the global HPH network
  • Decentralisation of data capturing to
    institutions
  • Empowering hospitals to use their own data
  • Methods to expand existing QIP projects

19
Benefits FOR KZN DOH, South
Africa
  • A self monitoring tool to identify areas of need
  • Adaptable to all levels of care
  • Encourages participation by all categories of
    staff management
  • A data base for different areas eg Human
    resources, Employee Assisstance Programmes,
    Occupational Health,PATH Tool from WHO.

20
Conclusion
  • Hospitals were encouraged to use the adapted
    self-assessment tool to
  • improve health promotion activities,
  • accelerate continuous quality improvement for
    improved quality of care and
  • expand the scope for participatory research.

21
Acknowledgement
  • Dr S. Sirkar Path Technical Co-ordinator
  • Dr C. Bhagwandeen Human Resource Support Unit

  • Ms V. Moodley Health Promotion Unit
  • Mrs A. Khathi Quality Assurance
    Accreditation Unit
  • Ms J. Maher Quality Assurance Accreditation
    Unit
  • Mr C. Shawe Quality Assurance Accreditation
    Unit
  • Dr V. Maistry Edendale Hospital
  • Ms H. Findlay Greys Hospital
  • Ms. V. Bawany Lower Umfolozi War Memorial
    Hospital
  • Ms R. Jele Ngwelezana Hospital
  • Ms U. Sooruth Northdale Hospital
  • Ms N. Mbambo Inkosi Albert Luthuli Central
    Hospital


22
THE ENDHEALTH PROMOTING HOSPITALS SOUTH AFRICA
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