Tools for Health Te Using WHO's inte Tools for Health Te Using WHO's inte Technology Package Healthcare Qua Technology Package Healthcare Qua Healthcare Qua www.ih Healthcare Qua www.ih T om WHO Health Tec National Project Director Kaise National Project Director , Kaise Atlanta, G 8º Congreso Colombiano de Hospitales y Clínicas, Abril 20 echnology Planning: grated Healthcare echnology Planning: grated Healthcare e (iHTP) To Improve lity and Delivery e (iHTP) To Improve lity and Delivery lity and Delivery htp.info lity and Delivery htp.info m Judd chnology Consultant er Permanente Clinical Technology er Permanente Clinical Technology Georgia USA 008
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Tools for Health Technology Planning: Using WHO's ... · Tools for Health Te Using WHO's inte Technology Package Healthcare QuaHealthcare Qua Tom WHO Health Tec National Project Director
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Tools for Health TeUsing WHO's inte
Tools for Health TeUsing WHO's integ
Technology PackageHealthcare Qua
gTechnology Package
Healthcare QuaHealthcare Quawww.ih
Healthcare Quawww.ih
TomWHO Health Tec
National Project Director KaiseNational Project Director, KaiseAtlanta, G
8º Congreso Colombiano de Hospitales y Clínicas, Abril 20
echnology Planning: grated Healthcare
echnology Planning: grated Healthcare ge (iHTP) To Improve lity and Delivery
ge (iHTP) To Improve lity and Deliverylity and Deliveryhtp.infolity and Deliveryhtp.info
m Juddchnology Consultanter Permanente Clinical Technologyer Permanente Clinical TechnologyGeorgia USA
008
AgendaAgendagg
Why iHTP Why iHTP
iHTP Concept and Methodop
iHTP System Overview
Country Implementations witHealthcare Quality and DelivHealthcare Quality and Deliv
iHTP Tool Support
8º Congreso Colombiano de Hospitales y Clínicas, Abril 20
logygy
th Impacts on veryvery
008
Wh iHTPWh iHTPWhy iHTP Why iHTP
8º Congreso Colombiano de Hospitales y Clínicas, Abril 20
……
008
Process ImprovementProcess Improvement
If you cannot measure something,
t ityou cannot manage it.
If you cannot manage it,
you cannot improve it !
8º Congreso Colombiano de Hospitales y Clínicas, Abril 20008
C t SiC t SiCurrent SiCurrent Si
8º Congreso Colombiano de Hospitales y Clínicas, Abril 20
t tit tituation …tuation …
008
Given challengesg
Within WHO technical programsgare known, but rarely linked to te
Program and implementation str Program and implementation strwithout looking at resource plan
Caesarean rates) can be model to over specific years
Allows scaling up Allows scaling up
8º Congreso Colombiano de Hospitales y Clínicas, Abril 20
eseseses
008
Health package modelHealth package modelgg
8º Congreso Colombiano de Hospitales y Clínicas, Abril 20
linglinggg
008
Reports - StaticReports - Static
St ti h lth t h l Static healthcare technology reports (for pharmaceuticals; medical equipment; human resources and facilities)
Can be used for static equipment lists i.e. pedicure equipment procurement; technology scope evaluationgy p
Does not indicate quantity
8º Congreso Colombiano de Hospitales y Clínicas, Abril 20008
Reports - DynamicReports - Dynamicyy
Dynamic healthcare technology ry gycalculation is based on workload
Provides operational costs; dynaiopportunity cost
Takes into consideration healthca
Reports provided “drill down techdrivers
8º Congreso Colombiano de Hospitales y Clínicas, Abril 20
reports includes quantities –p qand schedule
mic quantities; recurrent and
are technology availability
hnology” – ideal in evaluating cost
008
Drill-down CapabilityDrill-down Capabilityyy
8º Congreso Colombiano de Hospitales y Clínicas, Abril 20008
Making Pregnancy SafMaking Pregnancy SafMaking Pregnancy SafMaking Pregnancy Saf Routine antenatal care (1st visit) - Prima Routine antenatal care (2nd visit)-Prima Routine antenatal care (3rd visit)-Primar Routine antenatal care (4th visit)-Primar Routine antenatal care (4th visit) Primar Severe anemia in pregnancy - Primary/S STIs and RTIs in pregnancy - Primary/S
Mild l i P i /S d Mild pre-eclampsia - Primary/Secondary Malaria in pregnancy - Primary/Seconda HIV in pregnancy - Primary/Secondaryp g y y y Antenatal infection - Primary/Secondary Routine labor and delivery - Primary/Sec Obstructed labor Primary/Secondary Obstructed labor - Primary/Secondary Antepartum hemorrhage - Primary/Seco Postpartum hemorrhage - Primary/Secon
8º Congreso Colombiano de Hospitales y Clínicas, Abril 20
Sepsis in pregnancy - Primary/Secondar Pre-labor rupture of membranes - Prima Eclampsia - Primary/Secondary Fetal distress - Primary/Secondary Fetal distress Primary/Secondary Caesarean section - Primary/Secondary Routine postpartum care - Primary/Seco
P t t f il l i P i /S Postpartum family planning - Primary/Se Postpartum infection - Primary/Secondar Routine newborn care - Primary/Secondy Low birth weight - Primary/Secondary Birth asphyxia - Primary/Secondary Newborn infection Primary/Secondary Newborn infection - Primary/Secondary Newborn malformation - Primary/Second
8º Congreso Colombiano de Hospitales y Clínicas, Abril 20
dddd
ryry/Secondary
ondarydecondary
ryaryy
dary
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Integrated Manageme( C )
Integrated Manageme( C )Illnesses (IMCI)Illnesses (IMCI)
118 WHO Ideal CPGs mapped in 200● Pneumonia, cold, bronchiolitis, croup● Diphtheria, Pertussis (whooping coug● Diarrhea, Dehydration, Dysentery, Ma● Meningitis, Measles, Typhoid Fever, MMeningitis, Measles, Typhoid Fever, M● Otitis Media, UTI, Heart Failure, Hypo● HIV/AIDS in Child, Pneumocystis Car
B F t H d I j i● Burns, Fractures, Head Injuries
8º Congreso Colombiano de Hospitales y Clínicas, Abril 20
nt of Childhood nt of Childhood
05, at primary/secondary care levels:pgh), TBalnutrition, Typhoid FeverMalaria , Dengue FeverMalaria , Dengue Fever
othermiarinii Pneumonia (PCP)
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iHTP VenuesiHTP VenuesiHTP VenuesiHTP Venues Kyrgyzstan and Mozambiqu Namibia, China (PRC), and Ukraine WHO internal programs
● MPS ● IMCI● Surgery, HIV, TB
S l Senegal Mexico, Malawi, and Sri Lan
DRC DRC USA (KP), Lux Developmen
8º Congreso Colombiano de Hospitales y Clínicas, Abril 20
ue 2001South Africa 2002
2003
200320052006
20042004nka 2005
20062006nt (several countries) 2007
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iHTP Impact on HealtiHTP Impact on HealtiHTP Impact on HealtiHTP Impact on Healt Quality: Accelerate health re
CostingImplementation iHTP Team: Established in MoH Quality Group Levels/Venues: 3 key Rural District Hospitals - p CPGs: Mapped 13 from MPS IMCI Malaria and CPGs: Mapped 13 from MPS, IMCI, Malaria and
Key FindingsDi t i t H it l G A l i District Hospital Gaps Analysisversus Actual CPGs demonstrate
8º Congreso Colombiano de Hospitales y Clínicas, Abril 20
ssss
primary/secondaryTBTB
Id l CPG b d ti l: Ideal CPGs based on national normd significant resource efficiencies
008
China iHTP ImpactsChina iHTP ImpactsChina iHTP ImpactsChina iHTP ImpactsImplementation: Fudan University Health Tec Levels/Venues – Tertiary Hospital focus
● 9 tertiary hospitals in 3 large cities in Zhejiang CPGs
Mexico iHTP Impacts 2Mexico iHTP Impacts 2Mexico iHTP Impacts 2Mexico iHTP Impacts 2 Mexican Ministry of Health (MoHy (
value in rapid prototyping and cprocess maps of clinical proced
In 2006, CENETEC (The Center fled by biomedical engineer Adriwith a team of 40 engineers phwith a team of 40 engineers, phPAHO had a small team with prpartner, et al.- lead pilot use of ito evaluate care in 2 Mexico CitInsurance Catalog (90 different of charge to Mexico’s significanof charge to Mexico s significan
A CENETEC consultant also be
8º Congreso Colombiano de Hospitales y Clínicas, Abril 20
2006200620062006H) deployment demonstrates iHTP ) p y
cost modeling based on using dures and resource databases.
for Excellence in Technology in Healthcare)iana Velazquez, #3 level in MoH,
hysicians etc ) in partnership withhysicians, etc.) in partnership with roject manager and physician iHTP for the perinatal care CPGs (4) ty clinics - as part of the Popular procedures) provided by MoH free t percentage of poor people.t percentage of poor people.
egan Spanish translation of iHTP.
008
Mexico iHTP Impacts 2Mexico iHTP Impacts 2Mexico iHTP Impacts 2Mexico iHTP Impacts 2 In early 2007, the MoH on beh
a national health initiative: “Cacare / outreach clinic allowing - to several of Mexico’s remote- to several of Mexico s remotewere sent throughout all states
C C CENETEC using iHTP assistefor Caravan in this implementadeliver caredeliver care.
Later in 2007, CENETEC alsod l i ll Cli i l P tideveloping all Clinical Practicewith various national experts.
8º Congreso Colombiano de Hospitales y Clínicas, Abril 20
2007200720072007half of President Calderon beganaravan” – a traveling primary timely referrals to hospital care
e rural areas 50 Caravanse rural areas. 50 Caravans s of Mexico.
ed the MoH planning departmentation, studying optimal ways to
o gained responsibility for G id li (CPG ) f M He Guidelines (CPGs) for MoH