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Country Programme Assurance through Accreditation

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Medical Development Team

on 24 September 2014

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Transcript of Country Programme Assurance through Accreditation

Key Next Steps
1. Develop minimum operational standard for Accredited IMOG CPs
2. Complete review of existing CP reporting and data feeds and specify additional information for CP quarterly reporting
3. Develop and adapt QTA model to focus on systems assurance for Accredited IMOG CPs and more focused assessment of improving and poor performing CPs.
4. Develop implementation plan (including communications) commencing Q1 2015

What does an accredited IMOG clinical quality assurance structure look like?
Wave 1. CPS
Country Programme Clinical Quality Assurance through Accreditation


‘Transitioning Country Programmes to an In-Programme Model of Governance’


Which CPs will be Accredited (IMOG)
Wave 1. Implementation of 8 High Performing CPs (2015 - 2017)
CP Typologies
Building on the QTA - Why we are adapting the way we assure programme clinical safety and effectiveness?
Implementation of robust In-programme Models of Governance (IMOGs) that ensure CPs provide effective and safe services to clients through locally managed and operated quality improvent systems
Current QTA: MSI principle systems of clinical quality assurance
Key Changes - High Performing Accredited IMOG CPs)
• Under the ‘accredited – IMOG’ approach
CPs would formally establish their own systems of governance;
including the key quality improvement functions required for operational efficacy (clinical audit; incident management; internal audit; infection control programme; managed training programme; systems that ensure that evidenced based practice is utilised operationally; clinical supervision; etc.).
• Under the ‘accredited – IMOG’ approach
CPs will be required to provide an annual report that will include a specified minimum data set
.
• Under the ‘accredited – IMOG’
CPs would not be required to undergo a routine annual QTA assessment
• Under the ‘accredited – IMOG’
CPs would will be required to provide routing quarterly reporting
of specified data (‘MDT are currently reviewing the data that CPs already submit and it is envisioned that additional data items for reporting will be kept to the absolute minimum’).
• Under the ‘accredited – IMOG’ CPs will be required to
implement a

programme-wide risk register
and the assurance functions necessary to ensure that the risk register is informed, maintained and meaningful.
• Under the ‘accredited – IMOG’ CPs will be required to
implement a quality dashboard
(based upon
the QAF) and the quality improvement functions necessary to ensure that the risk register is informed, maintained and meaningful.
QTA Strengths
• The QTA has worked well and CPs understand and accept the process
• Development of Peer-to-Peer assessment has been a success
• Weighting of key client safety criteria

QTA Limitations
• The current systems of clinical quality assurance are
highly depependent
on the
annual QTA
• The annual QTA can only provide a
‘snap-shot’
assessment
'a single point in time'
• The current QTA will always have
limited reach
'there are only so many clinics and out-reach services that an assessment team can visit'
• The QTA may
not actually witness all client procedures
in a live context and will in many cases have to rely on
'role play' scenarios for evaluation
• CPs know the location of the services that will be visited and this
introduces some
element of positive bias
into the assessment
• The annual QTA is a
resource intensive overhead
for CPs
• The existing QTA
is difficult to scale-up for expanding CPs
and a
changing business model
(more SF/and single-handed practitioners

CHALLENGE
MSI is
rapidly expanding service provisio
n through both existing and new channels (2020 Target of 100,000,000 CYPs)
Rapid
expansion of service provider base
Rapid
expansion of service provision
through
existing
and
new provider channels
(SF and single-handed practitioners)

SOLUTION
In-programme Model of Governance
(IMOG)
that is
locally owned and managed
(continuous quality improvement model).
Oversight through monitoring
quality systems
assurance - (rather than process
compliance testing)

How will IMOG be implemented
Phased Approach (2015 -2017) for Wave 1 CPS
Full transcript