Introducing QI Tools and Approaches Whole-Site Training Approach

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Introducing QI Tools and Approaches Whole-Site
Training Approach
APPENDIX FSession C Facilitative Supervision
for Quality Improvement Curriculum 2008
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Staff Have Needs for

• Facilitative supervision and management
• Information, training, and development
• Supplies, equipment, and infrastructure

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Some Weaknesses of Conventional Training
Training and supervision are not linked.
Trainees are often selected inappropriately.
Follow-up is lacking.
Trainees often cannot apply new knowledge to
their work.
Expanded needs for training cannot be met at
centralized level.
How can such situations be avoided?
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When Training Is the Answer Whole-Site Training
Approach

• An approach to training that
• Views a service-delivery site as a system and
  treats staff as members of the team that makes
  the system work.
• Meets the learning needs of all staff at a
  service-delivery site.
• Makes training more cost-efficient.

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Whole-Site Training Approach

• Types of training
• Service orientations
• Knowledge updates
• Skills training

• Locations of training
• On-the-job training
• On-site training
• Regional or centralized training

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Whole-Site Training Approach Six Elements

• Linking supervisory and training systems
• Assessing a sites learning needs and planning to
  meet them
• Focusing on teams, not just on individuals
• Tailoring the level of training to the needs of
  different employees
• Expanding the locales where training occurs
• Building sustainable capacity

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Changing the Role of the Supervisor

• Help identify training needs
• Act as catalyst for change
• Serve as trainer or identify appropriate
  resources
• Help sites access training resources
• Help sites plan training
• Monitor training and results
• Follow up routinely with trainees
• Ensure that staff have equipment, supplies, and
  clients with which to apply newly acquired
  knowledge and skills

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Assessing Site Learning Needs and Meeting Those
Needs

• Site staff and supervisors identify gaps in
  quality of care through the use of COPE? or other
  self-assessment tools.
• On-site and off-site supervisors help to identify
  skills and other learning needs during
  supervisory visits by means of medical monitoring
  checklists and other assessment tools.
• Site staff participate in planning and organizing
  training, orientations, and updates.

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Building Sustainable Capacity

• Supervisors routinely facilitate all aspects of
  training.
• Training follow-up becomes routine.
• Many staff are involved in training.
• Sharing of knowledge and expertise is encouraged.
• Problem solving becomes part of the performance
  improvement (PI) mindset.
• The impact of staff turnover is lessened.

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Assuring Quality of Use of Whole-Site Training
Approach

• Well-trained supervisorseffective monitoring of
  training and post-training performance
• Access to specialized training resources, when
  needed
• Adequate training handbooks and evaluation tools
• Type of training and training location are
  appropriate to learning needs
• Establishment of site resource libraries

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Benefits of Whole-Site Training Approach

• Demystifies training
• Involves everyone
• Encourages mentoring
• Provides a foundation for sustainability
• Produces long-term benefits (change in
  organizational culture)

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Inreach (1)

• Inreach is a strategy for informing clients and
  staff within a facility about other services
  available, and for referring clients to services
  in other facilities, according to the clients
  needs.

The purpose is to reduce missed opportunities
for providing services to clients. Lynam, P.
F., et al. 1994. Inreach Reaching potential
family planning clients within health
institutions. AVSC Working Paper No. 5. New York
AVSC International.
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Inreach

• Reduce missed opportunities to provide needed
  services to clients
• Establish linkages and referrals between clinics
  departments
• Provide signs and information for clients

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Inreach How?

• Staff from one department provide health talks
  for clients in other departments.
• Staff share information about key services.

• Signs, posters, and educational materials are
  made available.

• Staff are oriented about different services so
  they can orient clients in turn.
• Other services are promoted.

• A system for referrals between services is
  established.
• Integrated services are made available.