3069.0: Monday, October 22, 2001 - Board 2

Abstract #26796

Continuous quality improvement (CQI): Do different services need different CQI tools?

Eléonore Rabelahasa, MD, MPH, MSH/PRISM Project, Management Sciences for Health, Immeuble le Golfe, 7ème étage, Quartier Lanséboundji, Conakry, Guinea, 224-46-56-21, development@msh.org, Abdoulaye Bah, l’Hôpital Préfectoral de Faranah, Suzanne Millimono, Médecin Gynéco-Obstétricienne, Maternité de Faranah, and Alain Joyal, MSH/PRISM project.

From 2000-2001, GTZ, a German technical assistance organization, introduced the “quality circle” (QC) in the surgery department of the prefectoral hospital in Faranah, Republic of Guinea. At this time, the PRISM project introduced the COPE (Client-Oriented and Provider Efficient) tool in the maternity service of that hospital. QC and COPE are both auto-evaluation tools designed to assess and improve the quality of health care services.

Immediately following the introduction of the CQI tools, and again 6 months later, PRISM applied a service-adapted version of the “Management and Organizational Sustainability Tool” (MOST) to both the surgery and maternity departments. MOST was designed by MSH to evaluate the stages of institutional development and thus capture the impact of quality interventions on service performance capacity.

This presentation will discuss comparative data on the stages of development of the surgery department and the maternity division, in light of the different CQI instruments used in each service. Conclusions will focus on the advantages and disadvantages of each tool, and of the potential for their combined introduction within the district hospitals in rural Africa.

Learning Objectives: At the end of this presentation, the participant will: 1) Know the salient features of COPE and the Quality Circle 2) Be familiar with the MOST tool for assessing impact of quality on service delivery and management capacity 3) Understand their potential impact of CQI on Institutional / management capacity of a hospital in Rural Guinea

Keywords: Quality, Service Delivery

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: Management Sciences for Health
Disclosure not received
Relationship: Not Received.

The 129th Annual Meeting of APHA