Introducing QI Tools and Approaches The Quality Measuring Tool APPENDIX F Session D Facilitative Supervision for Quality Improvement Curriculum 2008

EngenderHealth’s QI Package QI Approaches Facilitative supervision Whole-site training (including Inreach) QI Tools COPE® Community COPE Quality Measuring Tool Cost Analysis Tool Medical Monitoring

Quality Measuring Tool (QMT) The QMT: Is based on the COPE Self-Assessment Guides Measures progress in improving quality over time Quantifies results of the efforts to improve quality Encourages staff participation in monitoring

How Often Is the QMT Used? Who Uses the QMT? Internal supervisors involving staff External supervisors involving staff How Often Is the QMT Used? Annually

The QMT: Was piloted in 93 sites in Tanzania from 1995-1999, and a global version of it has been developed. Is adaptable.

Quality of Care at a Site (1996-1998) Clients' Rights and Staff's Needs This slide demonstrates the results of the use of the QMT at an actual health care facility, presented as a graph. The staff at the facilility used the QMT in December 1996, December 1997, and December 1998. The graph shows the resulting changes in service quality at the facility, with the lowest bar representing the 1996 level and the highest bar representing the 1998 level for each area. For example, staff at the site observed clients’ right to information approximately 50% of the time in 1996, about 70% of the time in 1997, and around 95% of the time in 1998.