Chapter 16 IPC Governace and Management_PPT_V1.pptx

Ipc

1. Chapter 16: IPC Governance and Management Infection Prevention and Control Training for Healthcare Centers

2. Chapter Objective By the end of this chapter the participant will be able to design the management structure for specific IPC function in line with national IPC policies and strategies to continually improve IPC practices using quality improvement incentives and multimodal strategies.

3. Enabling Objectives At the end of this chapter participant will be able to Outline national IPC policy and strategic plan pertaining to health centers Create an organizational structure for IPC program management Highlight the attributes of effective infection prevention and control (IPC) programs Identify the major infection prevention and control program activities Design IPC continuous quality improvement model using multimodal strategies

4. Chapter outline 16.1. Overview to the national IPC policy and strategic plan 16.2. IPC program governance and Management 16.3. The attributes of effective infection prevention and control (IPC) programs 16.4. Major infection prevention and control program activities 16.5. Using Quality improvement model and multimodal strategies to improve IPC practices 16.5. Chapter Summary

5. Session 16.1: Overview to the National IPC Policy and Strategic Plan Pertaining to Primary Healthcare Facilities

6. Overview of National IPC Policy and Strategic Plan Think in pair and share 1. How many of you know the Ethiopia has National IPC policy and strategy? 2 . How is the IPC program structure/organized in your facility? 3 . How would you describe the implementation in your facility or beyond? Time Allowed: 5 minutes to discuss and 5 Minutes to reflection

7. Overview of National IPC Policy and Strategic Plan IPC programs must have clearly defined objectives based on the facility context according to Risk assessment and Functions that align with and contribute to the prevention of HAI and the spread of AMR in health care. Developing an IPC policy and strategy provides a framework to develop and implement IPC guidelines and standard operating procedures (SOPs) in order to improve the quality of service in healthcare facilities.

8. Overview of National IPC Policy and Strategic Plan Cont’d … Ethiopia’s National Infection Prevention and Control Policy, Strategy, and Strategic Roadmap are based on WHO eight core components. The rational for developing the national IPC document was to establish the foundations for IPC programs at the national, regional, and healthcare facility levels and across both public and private health sectors.

9. Overview of National IPC Policy and Strategic Plan Cont’d … Workload, staffing & bed occupancy Built environment, materials & equipment Research and development Monitoring, Evaluation, Audit and Feedback Advocacy, Social Mobilization and Partnership Resource allocation and mobilization The policy focus areas includes: IPC Program Management and Institutional Coordination Structure National Infection Prevention and Control Standards and Guideline IPC education, training, and quality improvement HAIs’ surveillance Multimodal strategies and policy implementation

10. Session 16.2: IPC Program Governance and Management

11. Components of Effective Client Education Program Have clear policies and procedures Have a clear assignment of roles and responsibilities Incorporate training on procedures and basic principle for patient education into the educational curricula Develop and include an evaluation component Background of evidence on effective patient/client education program

12. IPC Program Governance and Management Major role in the oversight of a successful program include: Administrative leadership: IPC committee: Task forces/working groups: National or regional public health authorities: Facility level staffs

13. Session 16.3: Attributes of Effective Infection Prevention and Control (IPC) Programs

14. Attributes of Effective IPC Programs Think in pair and share Time : 10 Minutes 1. What do you think are the requirements/attributes for effective IPC program implementation at Primary facility level?

15. Attributes of Effective IPC Programs Tangible support from facility leadership Adequate resources for IPC activities Partnerships with key stakeholders and front-line HCWs Effective communication about IPC A successful IPC program must acquire and retain the following attributes: Designated staff member/Team who is responsible and accountable for IPC at the facility Competent IPC Program leaders with appropriate training and education Formal authority granted to the IPC program

16. Session 16.4: Major Infection Prevention and Control (IPC) Program Activities

17. Major IPC Program Activities Individual Reflection Time: 10 Minutes What are the some of the major activities that you would consider as if assigned as an IPC program leader at your Primary facility?

18. Major IPC Program Activities Successful IPC programs are based on understanding the facility’s problems and needs, prioritizing activities , and using available resources effectively. The designated program leader should ensure that these activities are carried out: Facility Infection Prevention and Control Risk Assessment Program planning, Implementation strategies for evidence-based practice IPC Program evaluation

19. Session 16.5: Using Quality Improvement Models and Multimodal Strategy to Improve IPC Practices

20. Quality Improvement Models and Multimodal Strategy Individual Reflection Time: 10 Minutes 1. What is quality in healthcare service? 2. What is quality improvement? 3. What is the quality improvement model?

21. Quality Improvement Models and Multimodal Strategy Quality is defined by the US Institute of Medicine as “ T he degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge ”.

22. Quality Improvement Models and Multimodal Strategy Cont’d … There seven dimensions of quality of care Safe: Timely: Efficient: Effective: Equitable: Patient-centered: Integrated:

23. Quality Improvement Models and Multimodal Strategy Cont’d … A major function of an IPC program is to make healthcare facilities safer to work-in and be cared for by identifying areas in which improvements in quality of care are needed. Quality improvement (QI) consists of systematic and continuous actions that lead to measurable improvement in health care services and the health status of targeted patient groups. Quality improvement models offer a systematic approach for assessing and improving care services . Using QI models help an improvement team to focus on changes that have already proven to be effective.

24. Quality Improvement Models and Multimodal Strategy Cont’d … Model for improvement focuses on three questions: To set the aim or organizational goal, To establish measures/define measurements and Select changes/find promising ideas for change. It also incorporates plan-do-study-act (PDSA) cycles to test changes on a small scale.

25. Central principles of improvement There are five fundamental principles of improvement we need to take into consideration while attempting to improve quality . Know why you need to improve (aim or purpose of improvement effort) Have a way to get feedback to let you know if improvement is happening (observation, use of indicator data, feedback from service users etc.) Develop a change that you think will result in improvement Test a change before any attempt to improve Implement a change

26. Multi-Modal Strategy A multimodal strategy consists of several of elements or components (3 or more; usually 5) implemented in an integrated way with the aim of improving an outcome and changing behavior at the facility. Incorporate the best practices into day-to-day care. It includes tools, such as bundles and checklists, developed by multidisciplinary teams that take into account local conditions.

27. Multi-Modal Strategy The 5 most common components include: System change (that is, availability of the appropriate infrastructure and supplies to enable IPC good practices) Education and training of health care workers and key players (for example, managers) Monitoring infrastructures, practices, processes, outcomes and providing data feedback Reminders in the workplace/communications and Culture change with the establishment or strengthening of a safety climate

28. Summary Establishing a successful IPC program in healthcare facilities is based on Understanding the problems/needs, Prioritizing activities, Using continuous quality improvement incentives Designing evidence based multimodal strategies to improve the problems and Using available resources effectively. .