Health Management

Hospital Outcome Monitoring Parameters

Aesculapius Healthcare Consultants (AHC)

About Us

What We Offer• Only Patient Safety firm in

Nigeria

• Healthcare Quality Management

• Healthcare Business Development

• Health Insurance Advisory

What We Have Done Hospital Reengineering and

Outsourced Management

Hospital Process Improvement Advisory

Hospital Quality Management Advisory

Care Coordination Trainings

Patient Safety Trainings

Health Insurance Advisory

Evolution

2014:Targets-HQI Web Portal uptake across different Application platforms

2009- Aesculapius VN-Project Management Firm part time

2010- Project Management and Lean Six Sigma Training and Advisory full time

2011- Started developing HQI part time

2012- AVN Consulting Aesculapius Healthcare

Consultants (AHC), TeamSTEPPS Master

Trainer at Duke Health System, Durham

2013- Lagos State Patient Safety and Food

Safety Consultants The AGPMPN Quality Program Beta testing for HQI Patient

Satisfaction Module-Q4,2013

Monitoring Hospital Outcomes

Patient Focused Care

Nigerian Experience

• Assessment conducted by HMOs for Provider Hospitals

• No National Assessment tool like JHACO, COHSASA, NIAZ

• No Tool for Patient to Assess Hospitals

Analysing Hospital Outcomes

• Numerous Inputs into the Healthcare System: Funds, People, Equipment

• Difficulty in assessing Output

• Lack of International Standard Evaluation Tool to assess Output

• Lack of defined Quality Management Standards for Hospitals

Benchmark Outputs and Processes against International Healthcare Standards

Develop Tools to optimize Results and improve Quality from present Funding

Develop Tools that Empower Patients regarding their care

Clinical Performance Standards in Nigeria

Developmental Partners –USAID, Maternal and Child Health Integrated Program (MCHIP), JHPIEGO, access• Performance Standards for Emergency Obstetric and

Newborn Care (EmONC) in Kano, Katsina and Zamfara States

• Performance Standards for Malaria in Pregnancy (MIP) Program in Akwa Ibom State

• Performance Standards for Family Planning in Nigeria

Quality Framework for Monitoring Outcomes(Donabeldian)

Glickman S W et al. Int J Qual Health Care 2007;19:341-348

Hospital Outcome Monitoring Parameters

Input Indicators

Process Indicators

Outcome Indicators:

• Clinical Outcomes

• Hospital Performance Indicators

Thinking Solutions

Crowdsourcing- to improve Healthcare Quality and Patient Safety

Transforming Generation Y/ Internet

savvy Patients into Change Agents by providing Tools to

participate in Healthcare Outcomes

Process of getting work done by a crowd of People, usually online

Hospital Quality Index (HQI)

• Support Standardization and Accreditation

• Independent Quality Assurance Tool for Healthcare Stakeholders

• Rate Healthcare Facilities based on Patient Perceptions

• Performance-based Healthcare Standards with clear Outcomes .

• Healthcare Standards delivered in an Innovative Web-based solution.

• Rating creates Friendly Competition

Assessment Tool

HQI Portal

Hospital Self-Assessment with Performance Scores

Patient Assessment

Hospital Rating

Hospital Outcomes Improvement

Hospital Self Assessment

Outcomes

Leadership & Hospital

ManagementStrategic Planning

Management

Care Process Management

Quality Management

Risk and Patient Safety

Management

People Management

Resource Management

Benefits of HQI

Improve Performance by establishing Optimal Achievement Goals

Initiate Friendly Competition amongst Hospitals

Comparative Rating of Hospitals. Objective Assessment of

Hospitals

Improvement of Healthcare Service DeliveryStrengthen the public’s

confidence in quality of healthcare

Showcase Good Hospitals

Healthcare Costs Reduction with increased Service Efficiency and Effectiveness

Standardize Healthcare Service Delivery

Healthcare gains of Health Policies and Funding can be objectively determined

Hospitals Demonstrate

HQI

Continuous Learning Leadership

Commitment

Commitment to Quality of

CareGood

Working Environment

Patient Satisfaction

Patient Safety

Why Us?

Because We Can, Passion & Interest

Independence

Stability• Such Tools should be consistently assessed and updated in a timely

way, hence ?Government

Conflict• Third-party assessment like HQI gives better guarantee of Continuity

and Independence.

Public Trust• Major Users like Corporate Organizations and the Public will trust

Independent Assessments more.

Government Can Help

• Through policy decisions such as recognition

Providing leverage, e.g. by giving preference to high-scoring facilities, such as in recognition and patronage

Use PERFORMANCE as a criterion in its own funding decisions, e.g. in capital and recurrent expenditure.

Provide financial support for continuing development of HQI

Aiding Uptake of HQI

Intuitive Web Portal

Appropriate Technology- Smartphones and Tablets

Visible Effort at Rating

Industry Stakeholders- HMOs, Governments, Patient Groups etc.

Sustaining HQI

• Freely available online.

• Blackberry, Android, Windows and Apple Applications

Options for Sustainability ChallengeUsers pay for Applications?

Hospital pay for Evaluation Reports?

Timeline

Web Portal Development

Applications Development

Beta Testing

2014 MANSAG-AGC

Progress Report

Engage Us

@AesHealthCon

aesculapiusvn@gmail.com info@aesculapiusvn.com

+234-805206437 | +234-8023277559 | +234-8177791051

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Dr Olufemi Aina