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The COP working groups

The COP working groups. Why a working group?. You have the knowledge and expertise!!! COP members meet and discuss a specific topic in order to : Analyse issues and problems in existing systems Share practices and lessons learnt

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The COP working groups

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  1. The COP working groups

  2. Why a working group? You have the knowledge and expertise!!! COP membersmeet and discuss a specifictopicin order to : • Analyse issues and problems in existingsystems • Share practices and lessonslearnt • Team up to identify solutions/best practices/guidelines • ImprovePBF schemes

  3. Group 1: PBF and quality of care PBF links fundingwithquality. How? How do youmeasurequality? • Group 2: PBF and HMIS PBF schemesneedsdata fromhealthfacilities Whatis the linkbetween HMIS and PBF?

  4. WHO?

  5. Overview of our discussionsPBF and HMIS • PBF database and HMIS are twodifferentsystemsthatcanbeinterconnected • A PBF databaseincludes a smallnumberof reliable and verifiable data (<70 data elements). Needs to be transparent (web based). • HMIS systemscollect a comprehensive set of data on the health system (1000>10.000 data elements).

  6. Nextsteps Short term : • Improvethe existing Rwanda and Burundi PBF web application (database) and make a standard application available to agencies/entities in charge of purchasing. www.fbpsanteburundi.bi Medium term : • Interconnect the existing PBF application withthe DHIS HMIS software • Contribute to the development of a simple DHIS HMIS module (<300 data elements), web based, and interconnectedwith the PBF module

  7. Working group 2 – PBF and quality • How to measurequality ? • How to linkthe fundingwithquality?

  8. Measuringquality in healthcenters? • Who ? • Supervisor (district) • Hospital • How? Accreditation (whoisincluded in the scheme) Regularevaluation : scorecard No bigconcern on thatside

  9. Measuringqualityathospitallevel Who? • Supervisor(district, region) • Peer evaluation • Mix peerevaluation and central level • Experts (university) • Auto-evaluation How ? Accreditationprocess Regularevaluation (scheduled or not)

  10. Recommendations • Complementary approaches • Be-dynamic!!!! Change your evaluation systems regularly • Peer evaluation at hospital level is a good practice • In several schemes : Focus on the quality of care (and not the conditions for providing the service)

  11. Nextsteps • A document sumerizing the findings

  12. Otherworking groups? • PBF and drugprocurement? • PBF and healthinsurance? Up to you!!!!

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