1 quality monitoring system; model from sultanate of oman nasser al-salmani ward nurse, rn, bsn, msc...
TRANSCRIPT
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Quality Monitoring System; Model From sultanate of
Oman
Nasser AL-Salmani
Ward Nurse, RN, BSN, MSc
Healthcare Quality Professional
Sultanate of Oman
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Outlines
• Sultanate Geography & Demography.
• Ministry of health policy and structure.
• Introduction about QMS in Sultanate of Oman.
• Quality monitoring system; Omani Model.
• Future prospective.
• Pillars in Oman QMS.
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Sultanate Geography & Demography.
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Ministry of Health Policy and Structure.
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Quality Management System in Sultanate of Oman
Initiated in 2002
Focused on primary health care (PHC) than moved to secondary/tertiary health care
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9Quality Management System9
Quality Assurance Standards in PHC
• Document
• Available in each HC
• Staff are trained
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Quality Principles in Omani Model (8)
Customer focus
Leadership commitment
Teamwork
Process focused
Systematic approach
Continual improvement
Factual approach decision making
Partnership
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Quality Dimensions in Omani Model (13)
•Efficiency
•Efficacy
•Effectiveness
•Safety
•Equity
•Timeliness
•Legitimacy
•Accessibility
•Acceptability
•Appropriateness.
•Continuity
•Technical Competence.
•Inter-personal-relationships
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Quality Monitoring System Model
Top Management
review
Customer feedback
Audit
Self Assessment
Key Performance
Indicators(KPI)
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Self Assessment
Audit
Customer’s Feedback
Top Management Review
Key Performance Indicators
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1. Self Assessment
What?
Why?
For whom?
Frequency
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2. Audit
Internal External
done by trained auditors from the same region
(once/year)
done by specialist, expertise or consultants from MOH
(once/year)
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External audit in wadi ma’awil HC, 2009
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What do we
measure?
Output
Structure
Process
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3. Customer’s Feedback
External Customer (Users/patients)
3 C Card
s
Internal Customer (Providers)
Zero-defect Day
Suggestion box
Job satisfaction
user satisfaction
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3 C Card
Complain
Comment
Complement
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Suggestions Box
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Zero- Defect Day
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4. Top Management Review
• Planned intervals (once/year)
• Review input
• Review output
• Document
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• Active participation with team Establish the quality policy Establish quality objectives• Conduct management reviews• Availability of resources
• Active participation with team Establish the quality policy Establish quality objectives• Conduct management reviews• Availability of resources
MANAGEMENT COMMITMENT TO QMS
MANAGEMENT COMMITMENT TO QMS
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5. Key Performance Indicators (KPI)
Type of indicators Numbers of indicators
1. Structure 5
2. Process 16
3. Outcome 20
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KPI for Primary Care performance
Type of Indicators Numbers of Indicators
1. Structure 12
2. Process 2
3. Outcome 7
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Number of PHC centres in Oman (1970 - 2009)
188 195 201175167161
125124100
8051
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0
50
100
150
200
250
1970 1975 1980 1985 1990 1995 2000 2005 2006 2007 2008 2009
Structure -PHC Institutions
3030
Infant Mortality Rate in Oman (1970 - 2009)(per 1000 live birth)
10.1 9 9.610.2510.2816.72029
4564
103118
020406080
100120140
1970 1975 1980 1985 1990 1995 2000 2005 2006 2007 2008 2009
Outcome- Infant mortality rate
3131
Under 5 Mortality rate 1975 – 2009(per 1000 live birth)
149
86
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3527 21.7
11.05 13 11.7 12
0
20
40
60
80
100
120
140
160
1975 1980 1985 1990 1995 2000 2005 2007 2008 2009
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Oman in WHO Reports
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Future Prospective1. National Accreditation System
2. Develop more process indicators
3. GCC Indicators ( Gulf Countries)
4. Strengthening dept of Quality assurance & patient safety.
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Pillarsin
OMANEXPERIENCE
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STRATEGY
SYSTEM
CULTURE
POLITICAL COMMITMENT
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Thank You