Online Program

Improving primary health care (PHC) services in Jordan – using collaboratives to achieve large-scale accreditation of PHC centers

Wednesday, November 6, 2013

Maram Karkatli, CPHQ, MSc, BSN, HSS II, Initiatives Inc., Boston, MA
Johan de Koning, PhD, HSS II, Initiatives Inc., Boston, MA
Donna Bjerregaard, MSW, Initiatives Inc., Boston, MA
Joyce Lyons, EdD, RN, Initiatives Inc., Boston, MA
Purpose - The Government of Jordan has made great strides in improving the quality of PHC services and related health outcomes. Yet challenges remain to ensuring full access to high quality, integrated PHC. A USAID-funded project is preparing 120 PHC centers for accreditation and assisting the MOH to take full leadership of this process. Method - The Accreditation Collaborative approach combines traditional accreditation preparations with a participatory improvement model for rapid scale-up of best practices through a planned spread strategy. The Project led an 18-month 30-center collaborative in which multidisciplinary PHC teams participated in monthly learning sessions to share experiences, understand the requirements of the 129 standards and produce action plans. Between sessions, PHC teams implement standards, collect data, and run PDSA cycles. The MOH and the project together provided technical support to address barriers encountered. At the end of the accreditation preparedness phase, centers are formally surveyed by the Health Care Accreditation Council. Through continuous capacity building, full engagement of MOH staff at all levels, and support in establishing structures at the MOH, the project prepared the MOH to assume leadership. Results – From the 30 PHC centers, 28 centers were accredited. The remaining 90 PHC centers are now in their final accreditation preparation stage; they are expected to have similar results with increasing support from MOH. Conclusion – Systematic design and application of accreditation collaboratives is feasible and effective to achieve large-scale accreditation in a middle-income country. In Jordan, improvement capacity and leadership has been vital to success.

Learning Areas:

Provision of health care to the public
Public health or related organizational policy, standards, or other guidelines

Learning Objectives:
Define the steps in a collaborative approach; Identify the inputs necessary for effective scale up; Explain the process for transferring ownership to MOH; Discuss factors that affect MOH’s capacity to sustain the approach.

Keyword(s): Accreditation, Primary Care

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the leader of the activity being reported on. I have been involved in QI activities in Jordan for over 10 years.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.