2017 International Forum on Quality and Safety in Health Care
The International Forum on Quality and Safety in Health Care is the premier international learning event on improving health care. Sponsored by the British Medical Journal and the Institute for Healthcare Improvement, the International Forum aims to improve outcomes for patients and communities, provide practical ideas that can be implemented in the workplace, promote research into quality and safety improvement, foster effective innovation, and connect health care leaders and practitioners worldwide. The 2017 Forum was held in London, England, April 26-28, 2017. The USAID ASSIST Project staff led the following sessions.
Thursday April 27, 2017:
|8:30- 9:00||“Gender is critical to improving quality of care” presented by Taroub Faramand, WI-HER, LLC||Achieving sustained and equitable improvement in quality of care requires a gender-sensitive approach that takes the different needs, constraints, and opportunities of women, men, girls, and boys into account and responds to them strategically in program design, implementation, and evaluation. In the USAID ASSIST Project, we do this by conducting a gender analysis, collecting and analyzing sex-disaggregated and gender-sensitive data, and using findings to systematically identify and analyze gaps in behaviors and outcomes to determine what causes poorer outcomes among one group. We then design targeted interventions to respond to those gaps, leading to more person and family centered care.|
|11:00- 11:30||“Analyze and improve across the care continuum for febrile illness in Malawi” presented by Lisa Dolan-Branton and Tiwonge Tracy Moyo||
This session focused on how improving the accurate diagnosis of malaria improves case management and may also help to reduce the emergence and spread of drug resistance by reserving anti-malarial medications for those who actually have the disease. The presentation focused on how the application of a comprehensive clinical skills and process assessment guide for the facility level and high leverage changes have improved the quality of care for febrile patients in Malawi.
|11:00- 12:15||“Community-level improvement teams increase patient-centeredness in Uganda, Tanzania and Botswana” presented by Kim Stover, Kesaobaka Dikgole, Stephen Hobokela, and Esther Karamagi||USAID ASSIST has been applying an innovative model combining community engagement and improvement to improve person- and family-centered care, community-based services, and facility linkages. Case studies from Tanzania, Uganda and Botswana highlighted how improvement teams consisting of community leaders, patients, and community groups improved HIV care in rural settings. The outcome was better person-centered care and improved retention through bringing HIV care into their homes and communities and giving patients and caregivers a critical voice in identifying and solving problems.|
|13:15- 14:30||“The sound of improvement: Insights from the Salzburg Global Seminar on how do we learn about improving healthcare” presented by M. Rashad Massoud and Leighann Kimble||With more significant results being achieved in the field of improvement, questions have arisen regarding whether the results achieved can be attributed to the interventions conducted. On July 10th – 15th, 2016, the Salzburg Global Seminar Session 565, “Better Health Care: How do we learn about improvement?” was convened. A panel of participants from the seminar shared insights on learning as well as next steps.|
|13:15- 14:30||“What we’ve learned from cost-effectiveness studies of improvement interventions” presented by Edward Broughton||More than ten economic analyses have been completed by the USAID-funded improvement projects in the last 5 years. Generally, the interventions were highly cost-effective or cost saving. However, there is danger in assuming all improvement efforts are efficient and it is important to the field to conduct economic analyses to provide the best evidence that we are using the optimal methods to achieve health service delivery improvements. This session discussed the learning from these studies, both results and methodology, and the direction of future research on this topic in low-, middle-, and high-income countries.|
In addition, ASSIST staff presented two posters at the Forum:
- “National-level scale-up of a maternal and newborn health intervention in Niger” presented by Maina Boucar
- “Improvement strategies to reduce preventable newborn death and stillbirth” presented by Tamar Chitashvili
ASSIST also sponsored three MOH Uganda staff to attend the International Forum: Henry Mwebesa, Joshua Muzinguzi, and Anthony Mbonye. ASSIST Chief of Party Esther Karamagi accompanied the MOH delegation and presented in the community health session.