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

• Monitoring Evaluation Unit has a WHO Standard
  HPH tool strategy
• Able to monitor trends in change / improvements
  in HPH over time
• 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