1. NATIONAL CENTRE OF QUALITY, SAFETY, AND ACCREDITATION OF HEALTH INSTITUTIONS 2006-2009 Activity Plan of NCQSA-HI with World Bank Project (WB)

2. NATIONAL CENTRE OF QUALITY, SAFETY, AND ACCREDITATION OF HEALTH INSTITUTIONS WB PROJECT: ACTION PLAN FOR HTA DEVELOPMENT TIME FRAME Set up HTA steering group with MOH, HII, IPH, FOM Month 2 Draft regulation presented to MOH for approval Month 2-4 Set out a framework for the scope/methodology of HTA develop. Month 4 MoH & NCQSA set priorities in line with national strategies Month 5 For priority issues, review & adapt foreign HTA Month 7-10 Design a pathway: HTA a key step in decision-making Month 9 Design communication & dissemination plan for HTA guidance Month 10 Evaluation and review of impact of HTA Month 11 Plan for the next 2-3 years for HTA program Month 12

3. NATIONAL CENTRE OF QUALITY, SAFETY, AND ACCREDITATION OF HEALTH INSTITUTIONS WB PROJECT: ACTION PLAN FOR CPG DEVELOPMENT TIME FRAME Establishing a stakeholder steering group for CPG development Month 2 Collection/Review of existing CPGs. AGREE instrument. Month 3-4 Establish priority areas for CPGs development Month 6 Plan for CPGs to cover 20 most prevalent conditions in PHC. Month 7 Adaptation for Albania CPGs already developed. Month 10-15 Program for piloting implementation of CPGs. Month 15-20 National roll out program for the CPG handbook publishing. Month 21

4. NATIONAL CENTRE OF QUALITY, SAFETY, AND ACCREDITATION OF HEALTH INSTITUTIONS CAPACITY BUILDING FOR HTA DEVELOPMENT: Foreign consultants Introductory training on HTA Two days/Month 3 Expertise exchange International Universities Master degree in HTA Several weeks Senior & Assistant HT Distance training in HTA 12 weeks assessors CAPACITY BUILDING FOR CPG DEVELOPMENT: Foreign consultants Introduction to critical review techniques Two days Training on clinical audit and variance analysis CPGs/ICPs Two days Annual conference On CPGs and integrated clinical pathways Five days Expertise exchange Study tour to a country where CPGs have been successfully implemented WB PROJECT

5. NATIONAL CENTRE OF QUALITY, SAFETY, AND ACCREDITATION OF HEALTH INSTITUTIONS WB project: ACTIVITIES FOR ACCREDITATION OF PUBLIC & PRIVATE HOSPITALS Establish legal & governance framework Set up Advisory Counsil Training for accreditation programme staff Revise & update hospital standarts Final ratification of standarts by Advisory Counsil Recruit hospitals to accreditation programme & training the managers Develop materials & assesment tools for hospitals Awarding rules & procedures of accreditation Month 1-4 Month 2 Month 5 Month 6 Month 7 Month 9 NATIONAL CENTRE OF QUALITY, SAFETY, AND ACCREDITATION OF HEALTH INSTITUTIONS

6. NATIONAL CENTRE OF QUALITY, SAFETY, AND ACCREDITATION OF HEALTH INSTITUTIONS WB project: ACTIVITIES FOR ACCREDITATION OF PUBLIC & PRIVATE HOSPITALS Training sessions for participating hospitals Recruitment & training of peer reviewers Pilot surveys & write up reports Produce a report on future developments & improvements for implementation of national accreditation scheme Incentive schemes for hospitals achieving accreditation Revision on standarts in light of health care developments Month 10- ongoing Month 11-12 Month 14 Month 15 Month 16 Month 18- ongoing NATIONAL CENTRE OF QUALITY, SAFETY, AND ACCREDITATION OF HEALTH INSTITUTIONS

7. NATIONAL CENTRE OF QUALITY, SAFETY, AND ACCREDITATION OF HEALTH INSTITUTIONS WB-project: CAPACITY BUILDING FOR ACCREDITATION Foreing consultans for training of: 1.Surveyers 2.Accreditation programme staff 3.Advisory Counsil 4.Health providers Expertise exchange NATIONAL CENTRE OF QUALITY, SAFETY, AND ACCREDITATION OF HEALTH INSTITUTIONS

8. NATIONAL CENTRE OF QUALITY, SAFETY, AND ACCREDITATION OF HEALTH INSTITUTIONS The activities for the re-licensing of physicians  Project plan  Set up working group and invite stakeholder representation.  Criteria's and Methodology of the re-licensing process.  Establish the legal framework for professional licensing  Capacity building, Trainings out or in Alb. from experts.  Target completion date by month  On-going  Months 4 – 8  Months 8 - 18  Months 6 – 18 NATIONAL CENTRE OF QUALITY, SAFETY, AND ACCREDITATION OF HEALTH INSTITUTIONS

9. NATIONAL CENTRE OF QUALITY, SAFETY, AND ACCREDITATION OF HEALTH INSTITUTIONS The activities for the re-licensing of physicians  Links: Licensing - Order of Physician Association (CME) Continuing Medical Education – Ministry of Health (EFM) Education for Family Medicine Practitioners – Medicine Faculty Accreditation - NCQSAHI (CPG) Clinical Guidelines based on best Practice - NCQSAHI NATIONAL CENTRE OF QUALITY, SAFETY, AND ACCREDITATION OF HEALTH INSTITUTIONS