BS4: Heidelberg University – Quality Improvement in healthcare as a vector of innovation: Where is the evidence?

BS4: Heidelberg University – Quality Improvement in healthcare as a vector of innovation: Where is the evidence?

Invited Session
Location: Room 14 Date: April 21, 2016 Time: 8:00 am - 9:00 am

Background:

WHO defines quality care as care that is “effective, efficient, accessible, acceptable/patient-centered, equitable and safe”. The necessity of a stronger focus on improving the quality of healthcare emerges among others from the high numbers hospitalizations resulting in adverse events per annum (42.1 million cases worldwide) due for example to insufficient hygiene measures or insufficient adhesion to standard operating procedures (SOPs).
In recent years, quality improvement measures certainly received a stronger focus, however they continue to face a number of challenges. These can be categorized as 1) Resource barriers (supposedly too high transaction costs in terms of both financial and human resources); 2) Context barriers (e.g. in terms of acceptance and integration at the systemic level); 3) Evidence barriers (accusations of subjectivity, weak measurement methods, etc.); all barriers leading to poor acceptance.

 

General objective:

evaplan Ltd. at the University Hospital, Heidelberg and AQUA - Institute for Applied Quality Improvement and Research in Health Care Ltd. have developed a systemic and evidence-based approach for continuous quality improvement and accreditation of health services called GAIN Quality.
It is dedicated to overcoming all three categories of barriers associated with QI measures, and offers an innovative approach to the evidence barrier as it uses a validated and adapted indicator-based framework, multi-perspective instruments and includes measures to accompany processes of change as well as visualisation tool (VISOTOOL©).
We would like to present and discuss this approach, its methodological basis and illustrations of its added value through the lens of 3 case studies from countries that have been implementing QI measures according to the GAIN Quality concept: Algeria, Kenya and Tanzania.

 

Specific topic addressed:

In recent years, evaplan and AQUA have been implementing QI projects the above named countries according to the GAIN Quality approach. All projects were dedicated to improving the level of care as well as collecting evidence on their efficiency. Hence, they have been addressing the overarching question: Where is the evidence? Further sub-questions include:

 

-           To what extent does GAIN Quality overcome the barriers most common to QI approaches?

-           What is the added value of an indicator framework such as GAIN Quality?

-           To what extent can QI approaches such as GAIN Quality be integrated into existing health systems?

-           What are the issues related to collecting evidence on Quality Improvement? (Feedback from 2nd International Quality Forum in Heidelberg, 2015)

-           How can we know whether the results achieved can be attributed to the intervention conducted?

 

Presentations:

ID Title of the presentation Name of the speaker Organisation Country
BS4/1

Measuring & improving quality- where is the
evidence? Indicator based approach as a driver to quality
improvement in health care - experience from Algeria, Kenya,
Tanzania, Tajikistan

Michael Marx

evaplan, Institute of Public Health Heidelberg University

Germany

BS4/2

What are the issues related to collecting
evidence on Quality Improvement?
Feedback from 2nd International Quality
Forum in Heidelberg, 2015

Sylvia Sax

evaplan, Institute of Public Health Heidelberg University

Germany

BS4/3

Panel discussion

Michael Marx

Srinivasan Kannan

Cyril Pervilhac

Mohan Rao

Sylvia Sax

evaplan, IPH Heidelberg University

University of Trivandrum

University of Geneva

J Nehru University - New Delhi

Institute of Public Health Heidelberg University

Germany

India

Switzerland

India

Germany

 

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