Partnering with SQHN Njide Ndili, Secretary Medic West Africa Workshop October 14 th 2015

2 About SQHN To lead, advocate and facilitate the continuous improvement of quality and safety in healthcare in Nigeria through Education, Collaboration, Training & Accreditation Mission Statement Learning Collaboration Supportiveness World Class Standards Efficiency Values Registered in May 2006 As a Not for Profit Organization Private Sector driven Multidisciplinary Involvement Governed by a Constitution Membership is open History

3 Objectives of SQHN 1.To promote the principles and practice of quality improvement and risk management in healthcare 2.To provider a national voice on quality improvement and risk management initiatives in healthcare 3.To facilitate opportunities for communication, cooperation, and exchange of ideas and experiences in healthcare quality 4.To facilitate training and continuing education in healthcare quality 5.To establish and maintain a support network for those actively involved in healthcare quality improvement and risk management 6.To promote professional ethics as they relate to practice of healthcare quality improvement and risk management 7.To develop and foster alliance with related national and international bodies 8.To organize seminars, workshops, lectures, publish journals, newsletters and other periodicals, as its contribution towards educating healthcare practitioners and the general public on the practice of quality healthcare 9.To exchange ideas and knowledge freely between and amongst members 10.To establish, visit or hire any centre or use any means of social communication in furtherance of its aims 11.To organize and operate mediums exclusively for the sustenance of healthcare quality which operations shall be charitable and humanitarian. 12.To become the local accreditation agency for Healthcare institutions in Nigeria

Quality Issues in Nigeria Current in-country regulatory practices are licensing against set minimum standards for practice. No structured system for holistic quality improvement – more structure at the level of the individual practitioner Current licensing practices for facilities focus on minimum requirements for infrastructure on staffing NOT processes and outcomes Available standards focus on minimum infrastructure, and personnel not cross-cutting processes/systems (NPHCDA, SMOH, FMOH, treatment guidelines, protocols, etc.)

Benefits of partnership Leverage on SQHN experience in quality to improved operational efficiency Enhanced legitimacy & credibility Increased access to resources on healthcare quality & patient safety Provides a forum of networking with like minded professionals Membership and Participation

Capacity Building Trainings and Workshops

Trainings and workshops –SQHN hold frequent quarterly training workshops and annual conferences –Certificate of participation and CPD points awarded SQHN workshops for 2015 March - Partnering For Health: Practical steps of Infection control –97% attendance (34 participants) June – Patient Centered Care –125% attendance (50 participants) August – Quality Management –117%attendance (41participants) December - Risk Management

Customized trainings and workshops Customized workshops can be arranged specific to the needs of the healthcare organization Sample workshop A 2 day workshop conducted at the request of SPDC, Port Harcourt 120 participants Participant were SPDC healthcare givers Topics covered included: –Quality Management of Healthcare –Continuous Quality Improvement –Quality Improvement in hospitals and the use of QI tools –Quality in Healthcare –Engaging leaders in healthcare quality –Quality& Standards –Creating a culture of Quality Tools used: Questionnaires, Exercises, SWOT analysis, QI tools

Feedback from SQHN/Shell Workshop Workshop should be more frequent - every 3 months, every month, twice a year etc Training should exceed 2 days So much information within few hours More healthcare providers are needed to attend this workshop Improve publicity I was really inspired with the mode of delivery of the topics I love this workshop, it is quality and timely This training has been an eye opener The workshop was enlightening and worth it Very satisfied with the training The sky is the limit for this rare dream

CIQPS Certification Programme/Course Certificate Course to Introduction in Quality and Patient Safety Participants are individuals interested in learning about quality and patient safety Course runs in Lagos, Abuja and Port Harcourt (Oct 21 st and 22 nd ) Course details –Online Registration –Online pre assessment –2 day Classroom training –3 webinars (one monthly) –Action plan & project –Examination - 80% pass mark –Certificate of participation About 100 healthcare professionals are presently enrolled 14 participants have completed the programme

Trainer Programme

Train the Trainer Programmes Robust train the trainer programmes Goal to expand the resource base for healthcare quality Certified trained facilitators can anchor courses in their regions Trainers who must successfully complete CIQPS courses are compensated for their time

Technical Assistance

Quality Improvement Consultation SQHN provides technical assistance to hospitals and healthcare organizations on quality improvement Sample work: Lagoon Hospitals (2014) Designing Quality Improvement Processes Documentation Audits Application of Standards Currently in discussions with 2 other hospitals

SQHN Standards Standards were developed by a team of healthcare professionals in different specialties following an extensive research Circulated to stakeholders for comments before roll out –Patient Centered Care of Patients Assessment of Patients Patient Safety Surgical Care Medication Management –Organisation centered Hospital Hygiene & Infection control Governance & Leadership Facilities Management Human Resources Management Quality Improvement/Risk Management Clinical Empathy

Voluntary Accreditation conducted by SQHN trained surveyors Quality Rating System Accreditation available to both public and private healthcare institutions Quality report cards available to the public Drafts of Patient-Centered, Organization-Centered and Maternal and Child Health standards developed Expert review of standards concluded by committee members Piloting of standards in select public and private hospitals to commence Provide technical assistance (advisory services) to health facilities and regulatory structures to improve quality assurance frameworks Provide technical assistance to programmes with service delivery components – trainings, quality improvement advisory services Provide technical assistance for quality improvement – Make standards available – Offer quality improvement assistance towards accreditation Accreditation Systems Technical Assistance Integrate Standards Develop National Standards Capacity building SQHN Strategic Plan Training via CPD training and online module, annual curriculum being developed Platform for information exchange through annual conferences and workshops Advocacy with stakeholder, participation in strategic meetings

Partner with SQHN to improve healthcare quality one hospital at a time