1. Effective Quality Assurance in Healthcare, Kyrgyzstan
12th Meeting of the Sector Network Health and Social Protection Asia and Eastern Europe
14-17 November, 2011
Pattaya, Thailand
Cholpon Asambaeva
GIZ Kyrgyzstan

2. Outline National accreditation system in healthcare
Accreditation – key instrument for quality assurance
How accreditation improves ‘rule of law’?
Success factors leading to improved 'rule of law’
Challenges and how to address them

3. National Accreditation System
Accreditation of Health Facilities
Accreditation Program
Standards, accredited by ISQua
Procedures
Regulations
Independent Accreditation Body -Commision
Supervisory Board
Certified and Qualified Experts

4. Quality Management System
Ministry of Health
(steering and coordination role)
Mandatory Health Insurance Fund
(expertise of treatment cases and financing)
Accreditation
(external evaluation of Health Facilities in accordance with standards)
Professional associations and NGOs (patients rights)
Quality of Health Services
(System of internal quality management in Health Facility: self-appraisal, internal audit)

5. Accreditation Effect Quality Management Accreditation Quality Service
Standards
Training
Consulting
Accreditation
Effective Planning
Analysis
HR-management
Risk management
Self-appraisal
Internal audit
Quality and Safety Committee
Quality Management
Affordability
Access
Evidence based services
Safety
Patient’s satisfaction
Quality Service
Accreditation Effect

6. How accreditation improves “Rule of Law”?
Accreditation is a strategic tool for quality assurance;
Accreditation gives fair external assessment of Health Facilities and recommendations for improvement;
Accreditation assures delivery of evidence based health services;

7. Success factors Acknowledgement and commitment of
health sector to accreditation
Regulatory basis (4 National laws)
Partial financing of accreditation body
International relations, membership in
ISQua

8. Challenges
Insufficient support and lobbying of accreditation tool at policy level;
Low awareness of local authorities, population on benefits of accreditation;
No incentives and low motivation for accredited Health Facilities;
Inefficient quality management in Health Facilities;
Insufficient feedback of accreditation body with clients;
Financial instability (accreditation body and costs for accreditation);

9. Advocacy and Sustainability
How to address?
Improve standards according to evidence based practices
Capacity building of assessors and experts
Improve knowledge of users
Feedback from patients and NGOs
Success stories
Process Improvement
Work with mass-media
IEC materials for clients and population
Web-site
Raising awareness
Networking for quality of care
Accreditation based financing
Fundraising
Consulting service
Work with private sector
Advocacy and Sustainability

10. Cooperation with GIZ Tajikistan
Development of regulatory basis for accreditation system in healthcare;
Development of Accreditation Program (standards, guidelines and procedures) for Health Facilities with focus to reproductive health;
Training of experts on accreditation and standard's users;
Kyrgyzstan
Revision of standards, guidelines and procedures for maternal healthcare;
Capacity development of accreditation experts;
Capacity building of health facilities to be accredited;
Strengthening and promotion of accreditation system in maternal healthcare;