05 DECEMBER 2018 EASTERN CAPE PROVINCE ANNUAL RETURNS 05 DECEMBER 2018 EASTERN CAPE PROVINCE

Outline Background NHA and OHSC Procedural Regulations Purpose of the Annual Returns Information required Submission of information Progress to date Submissions received Summary

Background National Health Act 61 of 2003 (Amended Act 12 of 2013) Section 79(2)b: The Office may collect or request any information relating to the prescribed norms and standards from health establishments and users OHSC Procedural Regulations CHAPTER 2; REGULATION 4(1) Collection of or request for information All health establishments that are required by the Office to provide information relating to norms and standards, in terms of section 79(2)(b) of the Act, must do so by 31 March of each year

Purpose PLANNING Planning of Inspections: Inspections strategy i.e. sampling Update list of health establishments and categories for the annual performance target Provide inspection teams with an overview of the health establishment for planning COMPLAINTS MANAGEMENT PROGRAM Assist with preliminary screening of complaints

Purpose REPORTING Analysis of the inspection outcome in relation to resources (inputs) e.g. infrastructure, staff complement, budget utilisations Linking compliance status with the possible contributory factors. Comparative analysis of similar health establishments RECOMMENDATIONS Section 79(1)e: The Office must identify areas and make recommendations for interventions by a national/provincial department of health/health department of a municipality where necessary to ensure compliance with prescribed norms and standards

Information required Divided into 7 sections; Facility overview Name, District , province, classification, number of approved and usable beds, common languages Contact information Name of the PIC, facility address and contact details Infrastructure Year facility built, year facility refurbished, size of building, single/multiple storey, back–up generator, running water, information system, perimeter enclosure, security system, lifts

Information required Hours of Operation Human Resources OPD and Pharmacy (day, week) Human Resources Full time, part time, vacant Administration, medical, nursing, support staff Service Offered Package of service Governance/Budget/Expenditure/Quality Expenditure on medicine, laboratory, human resources patients experience of care survey score, staff satisfaction survey score and self -assessment score, including dates

OHSC Annual Returns system Online system Requires registration; CEO/hospital manager and data capturer Rights; Data capturer: Capture and submit for CEO’s review CEO: Verify and approve Date and time for each submission is recorded Activities related to access by the 2 users recorded Submission status: Draft, submitted to the CEO, re-submitted to data capturer, approved by the CEO

Progress to date Annual Returns workshops conducted to orientate provinces on the submission process Eastern Cape workshop on 21- 22 February 2017 Pilot in 4 provinces, January to March 2017 167 submissions received(83%) Follow-up workshop 13 February 2018 Formal request for submissions 56 hospital submissions received

Submissions received(1) Ec Aberdeen Hospital Ec Dora Nginza Hospital Ec Holy Cross Hospital Ec Adelaide Hospital Ec Dr Malizo Mpehle Memorial Hospital Ec Humansdorp Hospital Ec Andries Vosloo Hospital Ec Elizabeth Donkin Hospital Ec Isilimela Hospital Ec Bambisana Hospital Ec Elliot Hospital Ec Jose Pearson TB Hospital Ec Bhisho Hospital Ec Empilweni TB Hospital Ec Livingstone Hospital Ec BJ Vorster (Kareedouw) Hospital Ec Fort Beaufort Hospital Ec Madwaleni Hospital Ec Butterworth Hospital Ec Fort England Hospital Ec Madzikane kaZulu Memorial Hospital Ec Cala Hospital Ec Frontier Hospital Ec Margery Parkes TB Hospital Ec Cecilia Makiwane Hospital Ec Glen Grey Hospital Ec Marjorie Parrish TB Hospital Ec Cloete Joubert (Barkly East) Hospital Ec Greenville Hospital Ec Midland Hospital Ec Cofimvaba Hospital Ec Grey Hospital Ec Molteno Hospital Ec Cradock Hospital Ec Hewu Hospital Ec Mount Ayliff Hospital

Submissions received(2) Ec Mthatha General Hospital Ec Sterkstroom Hospital Ec Port Alfred Hospital Ec Sundays Valley (Kirkwood) Hospital Ec PZ Meyer Hospital Ec Tayler Bequest Hospital (Matatiele) Ec SAWAS Memorial (Jansenville) Hospital Ec Taylor Bequest Hospital (Elundini) Ec Settlers Hospital Ec Temba TB Hospital Ec Sipetu Hospital Ec Umlamli Hospital Ec SS Gida Hospital Ec Willowmore Hospital Ec St Barnabas Hospital Ec Winterberg TB Hospital Ec St Lucy's Hospital Ec Zitulele Hospital Ec St Patrick's Hospital

Example Eastern Cape comparison 5 December 2018.docx

Summary All HEs to submit by 31 March each year Facilities to register 2 users, including the CEO/hospital manager CEO/hospital manager to ensure correctness of information before approval Clinic data to be obtained from the ideal clinic database

Thank you