Download presentation
Presentation is loading. Please wait.
1
QUALITY ASSURANCE IN PRIMARY HEALTH CARE
ASIF IMAM, M.D. MARCH, 2011 SINA HEALTH EDUCATION AND WELFARE TRUST
2
THE ORIGINS OF SINA HEALTHCARE SYSTEMS
STARTED AS A PROTOTYPE PRIMARY HEALTH FACILITY IN BALDIA TOWN, KARACHI IN 1998 OBJECTIVES : To evaluate the existing primary healthcare systems in Pakistan To develop an indigenous, practical, evidence-based, quality-managed, auditable primary healthcare system for developing countries
3
Vision Quality primary healthcare should be accessible to everyone in our society Increase font size SINA HEALTH EDUCATION AND WELFARE TRUST
4
Our quality mission TO DEVELOP A STANDARDIZED, QUALITY-MANAGED,
INDIGENOUSLY COMPATABLE PRIMARY HEALTHCARE SYSTEM FOR WIDESPREAD APPLICATION IN PAKISTAN SINA HEALTH EDUCATION AND WELFARE TRUST
5
SINA Healthcare System And Quality Assurance
SINA HEALTH EDUCATION AND WELFARE TRUST
6
DEVELOPMENT OF QUALITY MANAGEMENT COMPONENTS
STANDARD OPERATING PROCEDURES QUALITY MANAGEMENT DOCUMENTS AND PROCEDURES TRAINING OF STAFF IN THE STANDARDIZED SYSTEM QUALITY AUDITING PROCEDURES AND TOOLS REMEDIAL AND REPRIMANDING POLICIES ON AUDIT RESULTS
7
SINA HEALTHCARE QUALITY-MANAGEMENT COMPONENTS
DOCTOR TO PATIENT HEALTHCARE DELIVERY QUALITY PARAMEDIC TO PATIENT HEALTHCARE DELIVERY QUALITY PHARMACY TO PATIENT SERVICE QUALITY LABORATORY SERVICES QUALITY INFECTIOUS DISEASE CONTROL / FACILITY HYGIENE QUALITY MEDICAL INSTRUMENTS CALIBERATION / MAINTENANCE FACILITY ADMINISTRATION / PATIENT SATISFACTION QUALITY
8
Recordkeeping System:
Registration Card Patient Files SINA HEALTH EDUCATION AND WELFARE TRUST
9
DOCTOR TO PATIENT HEALTHCARE DELIVERY QUALITY
DOCTOR RECRUITMENT CRITERIA PRE-EMPLOYMENT ( INDUCTION) SYSTEM TRAINING DOCUMENTING OF PATIENT CARE ON QUALITY MONITORING TOOLS AUDIT OF DOCUMENTED PATIENT HEALTHCARE ON-GOING ON JOB RE-TRAINING (CME) REMEDIAL MEASURES OR REPRIMAND ON QUALITY AUDIT RESULTS
10
Employment System: Doctors Selection Criteria:
Family Medicine experience FCPS / MRCGP, prefered Entrance Test Pre-employment ( Induction) Training To be system trained before doing clinics SINA HEALTH EDUCATION AND WELFARE TRUST
11
Candidate Evaluation Form
12
SINA CME SINA HEALTH EDUCATION AND WELFARE TRUST
13
Half yearly 1-to-1 review
Feedback on MCQ and SMS performance Monthly audit and 1-to1 teaching CME SMS Service X3/ week CME Half yearly 1-to-1 review and PDP development Monthly ½ day group teaching Pre-reading materials Learner-led sections Pre and post Session MCQs
14
Patient Registration Cards 14 Algorithmic Protocols
Recordkeeping System Patient Files Patient Registration Cards 14 Algorithmic Protocols Compromise On Quality SINA HEALTH EDUCATION AND WELFARE TRUST
15
FEVER PROTOCOL Don’t get too carried away by the wizzy graphics – if you use too many types of movement of the text people start focusing on what’s going to happen next rather than the content of the slides themselves
16
SINA Audit System SINA HEALTH EDUCATION AND WELFARE TRUST
17
Monthly Doctors’ Audit:
Protocol based audits Clinic based audits Proper one to one feedback to every doctor Review for improvement every month Proper record keeping Font size/line spacing SINA HEALTH EDUCATION AND WELFARE TRUST
18
Protocol Based Audit
19
Clinic Based Audit
20
Half Yearly Evaluation Of Doctors
Every six months Record of the last 6 months performance One to one feedback Discuss about the weaknesses and solutions for improvement Personal development planning forms SINA HEALTH EDUCATION AND WELFARE TRUST
21
Half Yearly Evaluation Form
22
PDP form
23
SINA Paramedics Evaluation
SINA HEALTH EDUCATION AND WELFARE TRUST
24
SINA Health Manpower Training Program : Internal
Lack of quality human resource Training upon employment Continuous education Periodic exams & evaluation Performance feedback
25
SINA Paramedics OSCE SINA HEALTH EDUCATION AND WELFARE TRUST
26
OSCE CHECKLIST
27
TPR Station:
28
Dressing station:
29
Dispensing station:
30
SINA Pharmacy System SINA HEALTH EDUCATION AND WELFARE TRUST
31
SINA Pharmacy Services
Standard Formulary GMP Certified Medicines Central Purchasing FIFO Inventory Control Hygienic Practices Trained Staff Quality Control SINA HEALTH EDUCATION AND WELFARE TRUST
32
SINA Laboratory Services
SINA HEALTH EDUCATION AND WELFARE TRUST
33
LABORATORY QUALITY CONTROL
Internal Assessment Continuous quality improvement External Assessment Monthly comparative testing with AKUH lab Adherence to SOP manuals Quarterly audits
34
SINA Infrastructure Maintenance
SINA HEALTH EDUCATION AND WELFARE TRUST
35
Medical Centre Audit: Monthly audit by head office staff
Follow proper checklist All registers and written documentations are checked Medical equipments checking Corrective actions taken SINA HEALTH EDUCATION AND WELFARE TRUST
36
MEDICAL CENTRE AUDIT CHECKLIST
37
SINA Infectious Disease Control System
SINA HEALTH EDUCATION AND WELFARE TRUST
38
Standard Operating Procedures
Instrument Sterilization Clean the dirty instruments with cotton swabs. Wash with tap water. Dip the instruments in antiseptic solution for 5-10 min. Wrap the instrument in cotton and keep in the instrument tray Keep the tray in sterilizer at 150 F for 20 min. SINA HEALTH EDUCATION AND WELFARE TRUST
39
Clinical Waste Segregation
SINA Waste Management Service Clinical Waste Segregation Red Bags Hazardous Waste Danger Box Sharps & Needles Green Bags General Waste SINA HEALTH EDUCATION AND WELFARE TRUST
40
SINA Waste Management Service
78 km twice a week BALDIACLINIC MACHAAR CLINIC CDGK INCINERATOR SABZIMANDI CLINIC HIJRAT CLINIC SINA HEALTH EDUCATION AND WELFARE TRUST
41
SINA Management System
SINA HEALTH EDUCATION AND WELFARE TRUST
42
SINA Management System
Monthly Meeting of Clinical Coordinator and Clinic Manager Solutions Provided To Clinic Manager Minutes By Clinic Managers Clinical Coordinator Trustees and Operation Manager SINA HEALTH EDUCATION AND WELFARE TRUST
43
Thankyou For Listening
Just ‘thank you for listening’ is enough I think SINA HEALTH EDUCATION AND WELFARE TRUST
Similar presentations
© 2025 SlidePlayer.com. Inc.
All rights reserved.