Monitoring and evaluation framework, clinical

Transcript:Monitoring and evaluation framework, clinical:
Monitoring and evaluation framework, clinical governance and key health indicators in planning Abongile Tanga Bhekithemba Mazibuko Nothando Magwaza PRESENTATION OUTLINE Monitoring and evaluation Definitions Types of monitoring and evaluations Correlation between monitoring and evaluation Clinical Governance Definition Need for clinical governance 7 pillars of clinical governance Health Indicators Definition Characteristics of indicators Classification of indicators Monitoring and Evaluation is a regular, systematic collection and analysis of information to track progress of a project, programme or service. While monitoring seeks to explain “what” is happening, an evaluation attempts to explain “why” it’s happening, and to learn and share important lessons. Monitoring Monitoring is a continuous process of collecting and analysing data on information to compare how well a project; program or policy is performing against expected results. TYPES OF MONITORING PERFORMANCE Compliance Quality Frontline monitoring Evaluation Evaluation is a process which attempts to determine, as systematically and objectively as possible, the relevance, effectiveness, efficiency and impact of activities in the light of specified objectives. Evaluation may focus on different aspects of service or program: Inputs Activities Outputs Outcomes Types of evaluations Self-evaluation Participatory evaluation Base-line surveys and Ex-ante evaluation (estimate) Mid-term evaluation On-going evaluation Ex-post evaluation (complete) MONITORING AND EVALUATION THROUGHOUT THE LIFESPAN OF AN OPERATION CLINICAL GOVERNANCE “Clinical governance is a framework that helps managers and clinicians (such as nurses, doctors, physiotherapists) to improve the quality of their services and safeguard standards of care, continuously, thoughtfully and in a coordinated fashion, by creating an environment in which excellence in clinical care will flourish.” CLINICAL GOVERNANCE Umbrella term for term for everything that helps to maintain and improve high standards of patient care. In order for this to work, Every member of the health facility staff recognizing their role in providing high quality of care. Patient care needs to be improved using whatever method is the most suitable – by Identifying aspects of care that need improvement. making plans to improve them, And, monitoring the success. Learning from experience Not only identifying the wrong Identify good practice and what works well. Puts patient experience at the heart of clinical care. Accountability Developing true partnership involving Managers Clinical staff Patients Need for clinical governance? To reduce the inappropriate variation in health care To minimize risks To maintain high quality care Pillars of Clinical Governance Clinical effectiveness Clinical effectiveness can described as achieving, Right care – the right care is provided to the