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Changes to QTA

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Medical Development Team

on 18 August 2015

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Transcript of Changes to QTA

Changes to QTA
the long-term vision
Systems underpinning readiness include:

Clinical governance

Facilities and supplies management

Technical competence

structural changes
substantive changes
scoring changes

For example, a clinic that does not have contraceptive commodities, trained staff, and basic equipment does not have the potential to provide quality services. Such a clinic is simply not ready to provide family planning services of any kind, let alone quality services. On the other hand, the presence of commodities, trained staff, and basic equipment is not a guarantee that quality services actually will be received by a client.
QTA is a process to monitor the extent to which a country programme is "ready" to provide quality services.
Measuring the quality of services received by clients is equally important, and is being addressed through the development of the Quality Assurance Framework
These structural changes will enable the SMT within programmes to easily identify areas of responsibility that belong to different teams across a country programme, making it easier to transform evidence into action. The new structure also re-enforces the message that responsibility for high quality service delivery cannot sit with a single clinical department and must be owned by a country programme as a whole.

Evidence to action!
new to QTA?
functional changes
New automated graphs to facilitate analysis of results by country programmes and international operations
process changes

will continue to be coordinated by Nelly (Africa programmes) and Navneet (Asia programmes) but will be overseen MDT rather than regional offices

Site selection:
MDT will continue to carry out site selection based on a randomised methodology designed in conjunction with RME.
As in 2014, MDT will strive to visit a minimum of six points of service delivery during centres and OR QTA, and 10% of franchises during SF QTA (capped at 25).

before continuing with this presentation, get some context by checking out 'QTA 2014 at a glance':
creation of a checklist for distribution of MA...
6 indicators covering clinical and product quality standards as defined the the MA standards launched in April 2014
The review will be conducted at the support office, during a programme's centres and outreach QTA. It should take no more than 1/2 a day to complete
country programmes should strive to reach 80%
applies to centres, OR, SF, and obs
The QTA checklist has been re-organised so that indicators fall into three categories:

Clinical governance
Technical competencies
Facilities and supplies management
thank you!
in 2015 there is a checklist for reviewing the support office, which includes indicators related to clinical governance, as well as to supplies & facilities.
clinical governance is now assessed at the point of service delivery as well as at the support office -- although governance systems are set by the support office; we should expect to see evidence of clinical governance practices being embedded at the point of service delivery. The updated QTA will now allow us to check this.
Changes to indicators include...
Please note changes apply to centres and OR, and SF. Due to the more particular nature of services delivered in obstetrics, please reach out to your link MA for more information.
clinical governance indicators have also been -re-organised into sub-sections
key change #3
: subsections within clinical governance also have different weightings
key change #1:
the support office is worth 15% of the final compliance score
key change #2:
clinical governance, technical competence, and facilities & supplies management are each worth fixed proportions of a site's score
key changes...
find out more...
Key change #1
will ensure that the support office is equally reflected in all country programme scores regardless of the number of sites assessed
key change #2
supports the new structure of the tool and will support programmes to transform evidence into action
Key change #3
supports the new subsections within clinical governance and ensures proportionate representation within the clinical governance score
(still have questions? please contact your link Medical Adviser)
mirrors the new checklist structure!
Full transcript