The Relationship Between Health Reform and Quality Improvement

1

• The Relationship Between Health Reform and
  Quality Improvement

2
Relationship Health Reform and Quality
Improvement

• Content of Clinical Practice Based on Evidence
  and Quality Improvement are part of Health Reform
• Presentation Discusses Some Health Reform
  Elements Not Directly Addressed in Conference

3
Outline of Health Reform Elements

• Institutional Structure/Roles, Policy, Legal and
  Regulatory Framework
• Health Financing
• Overall Functions
• Reinvestment of Savings
• Outpatient Drugs
• Population

4
Institutional Roles, Policy, Legal

• Role of Government Organizations
• Government, MOH, Medical Universities, EBM
  Center, Service Delivery
• Role of Non-Government Organizations
• Professional Associations, Consumer Associations
• Policy Dialogue and Development
• Legal and Regulatory Framework
• Monitoring and Evaluation

5
Health Financing Functions
6
Reinvestment of Savings

• Why Important?
• It Allows Facilities to Restructure
• Reductions in Utilization and Cost from
  Practicing EBM can be Reinvested in Other Health
  Services
• What Required?
• Government Maintain Level of Health Budget
• Budget Formation Pooling Funds and Paying on
  Health Outputs not Inputs
• Provider Payment Systems Allowing Facilities More
  Autonomy

7
Outpatient Drug Benefit

• Good PHC Not Possible Without Drugs
• Allows Implementation of CPGs and Programs such
  as IMCI
• Reduces Hospital Utilization and Savings
  Reinvested in Hospitals and PHC

8
Population and Community Involvement

• Role of Associations such as Diabetes Association
• Educate the Population
• Health Promotion
• Empower the Population
• Free Choice and Enrollment
• Patient Bill of Rights
• Community Councils

9
Population and Community Involvement

• Increase Awareness of Reform
• Align Peoples Expectations with EBM/CPGs
• Advocacy