Clinical Audit: Federal Ministry of Health of Ethiopia
Clinical Audit: Federal Ministry of Health of Ethiopia
Clinical Audit: Federal Ministry of Health of Ethiopia
• Introduction
• Rational
Quality
structures
ZHD, WoHO QU, Quality officers
REMARK /
QUALITY MEASURES SCORE VERIFICATION
QUALITY CRITERIAS
REMARK /
QUALITY MEASURES SCORE VERIFICATION
CRITERIAS
REMARK /
QUALITY MEASURES SCORE VERIFICATION
CRITERIAS
HEALTH SERVICE QUALITY STANDARDS
• Staff interview
• Review of records
• Observation
• Resource is limited
PRIRORITIZE • Prioritize
• Severity
• Impact
• Feasibility
Stage 1 – Planning for audit
• Understand purpose
Plan for
• Involve the right people with the right skill
auditing
• Training – roles of each player,….
Stage 2 - Standard and quality measure selection
• Sources
• Guidelines – local or international
• Literature review
Identify the
standards • standard describes and defines the quality of care to be
and achieved
audit criteria • for each standard a quality statement and quality
against which the measures
audit will be
• A quality measure
conducted • gives the detail of what needs to be achieved for the
standard to be reached
• should be SMART
Stage 3 – Measuring performance
1. data collection
2. data analysis
Four steps
3. drawing conclusion
4. presentation of results
Stage 3 – Measuring performance
• Data types
• Categorical (nominal/ordinal)
• quantitative or numerical (discrete/continuous)
Data
• Data items - ADEQUATE AND NOT EXCESSIVE
collection • infringe compliance
• Sampling
• not possible or necessary to gather data on all service users, events
Data or item
• Should be representative
collection • numerous sampling methods
• random sampling and convenience sampling are most
commonly used
• Sample size
• small enough to allow for speedy data collection but large enough
to be representative
Stage 3 – Measuring performance
Change
the most ‘Audit that simply measures but does not drive change to address
problems identified, is NOT GOOD AUDIT’
difficult part
of the audit
• PRIORITIZE problems
• Set the aim statement
• Develop change ideas
Stage 5 – Sustaining improvements
• Re – auditing
• Further improve to reach the standard of interest
Audit cycle or exceed it
• Sustain the improvement
a continuous
process • Share findings – bulletins, journals, social medias,
seminars etc
• Scale up the practice
Bisidimo Hospital HSTQ Assessment
Table 1: HSTQ assessment of Bisidimo Hos. Feb, 2017 G.C
No. Standard Total Score Hos. Score Hos. Quality Score
Expected (%)
1 Maternal Health 1404 1272 90.59
2 Neonatal & Child Health 985 914 92.79
3 Communicable Ds
Malaria 126 125 99.2
TB 400 388 97
HIV/AIDS 774 707 91.34
4 NCD 895 730 81.56
5 STG Adherence 270 260 96.29
6 Surgical Service 659 600 91.04
7 Health Care Data Quality 905 766 84.64
8 CRC 187 163 87.1
9 Nursing & Midwifery 388 356 91.75
10 Patient Safety Quality 240 219 91.25
Cont’d
Table 2: NCD HSTQ assessment of Bisidimo Hos. Feb, 2017 G.C
No. Non Communicable Ds Standards Bis Hos. Score Standard
1 NCD 1 13 23
2 NCD 2 16 32
3 NCD 3 26 66
5 NCD 5 79 79
6 NCD 6 97 133
9 NCD 9 80 90
10 NCD 10 85 95
11 NCD 11 2 24
Cont’d
Table 3 HCDQ HSTQ assessment of Bisidimo Hos. Feb, 2017 G.C
No. Health Care Data Quality Standard Bis Hos Score Standard
1 DQ 1 58 59
2 DQ 2 450 550
3 DQ 3 188 191
4 DQ 4 70 105
THANK YOU!