NDUTH Quality Improvement Awareness Drive

Hands on training on key areas of Quality Improvement processes:
1. Risk assessment in NDUTH
2. Documentation audit
3. Clinical guidelines audit
4. Infection prevention and control in NDUTH
5. Quality Improvement circles
6. Key performance indicators

Quality improvement is our watchword

Proper and meticulous attention is given to the patient.

Ensuring that the best healthcare service delivery is rendered to all patients is our driving objective.

Quality improvement is a continuous process in Niger Delta University Teaching Hospital. We are committed in rendering quality healthcare service delivery to humanity.

Quality improvement processes involves everybody

POST COVID-19 UPDATE ON QUALITY IMPROVEMENT ACTIVITIES IN NDUTH
BY
Pharm (Dr) AUSTIN ONABOR
Chairman QICG

MEMBERSHIP
The Quality Improvement Team of the Niger Delta University Teaching Hospital is made up of highly committed members Chaired by Pharm. (Dr) Austin Onabor and is supported by the Chief Medical Director of Niger Delta University Teaching Hospital and Top Management Team of the Hospital.
NDUTH-our vision
To be a foremost Healthcare institution in Nigeria renowned for quality and safety in healthcare delivery

NDUTH-our mission
To provide Excellent Healthcare in line with International Best Practices in an environment that is suitable for training of highly skilled Healthcare Professionals as well as conducting productive health research for the good of humanity in collaboration with other bodies / institutions.

INTRODUCTION
Quality improvement consists of systematic and continuous actions that lead to measurable improvement in health care services.
Niger Delta University Teaching Hospital (NDUTH) is one of the four health facilities undergoing the quality improvement programme supported by Shell Petroleum Development Company of Nigeria in the Niger Delta region.

Key objectives of the NDUTH quality improvement programme
To institutionalize a culture of continuous quality improvement practices to achieve accreditation by COHSASA
DEFINITION OF TERMS
Quality
The degree to which a healthcare facility meets the requirements of agreed standards that meet the expectations of patients, healthcare professionals and the community.
Policy
Written statements that act as guidelines and reflect the position and values of the organization on a given subject.
Policies are working documents which state the scope of a particular service rendered and guide the worker in dealing with particular situations/events.
Policies must not only be available to all staff in a department, but such staff should also be conversant with the contents and working of the policy.

Procedure
A mode of action / or detail outlined steps required to implement a policy.

Service elements
Categorized service being rendered by the organization for e.g. pharmaceutical services
Assessment
Process by which the characteristics and needs of clients, groups or situations are evaluated or determined so that they can be addressed.
N.B. The assessment forms the basis for a plan for improving the services
Criterion
Process by which the characteristics and needs of clients, groups or situations are evaluated or determined so that they can be addressed.
N.B. The assessment forms the basis for a plan for improving the services

Critical criteria
A standard may have one or more criteria that are marked “critical”. This is where none or partial compliance will compromise patient or staff safety or where they are legal transactions.
Critical criteria that are non-compliant are incompatible with accreditation. They are referred to as “Trigger 1” deficiencies in the COHSASA Quality Information System (CoQIS) reporting processes.

Clinical Indicator
A measure that assesses a particular health care or outcome.
It is a quantitative tool for measuring the quality of service or care, e.g Patient Waiting Time (PWT)

Accreditation
A public recognition of meeting or surpassing measurable standards by a healthcare organization, demonstrated through an independent external peer assessment of that organization’s level of performance in relation to the standards.

NDUTH commenced the quality IP in 2012
A baseline 4-day assessment using the COHSASA hospital accreditation standard 6.6 gave the overall score of 24 which when translated to level of compliance was non-compliant (NC). This makes it incompatible with accreditation.

In July, 2013, NDUTH QIC, conducted a self-assessment that gave a score of 53(PC).
In 2014, a peer assessment by COHSASA surveyors was conducted in order to validate the result of the self-assessment and to identify deficiencies in the QIP.
The overall score was 47.
In 2017, NDUTH conducted a self-assessment which gave an overall score of 42 which is partially compliant (PC).
Service element Baseline survey
Score Assessment Self-assessment
Score Assessment Peer assessment
Score Assessment

MEMBERSHIP
The Quality Improvement Team of the Niger Delta University Teaching Hospital is made up of highly committed members Chaired by Pharm. (Dr) Austin Onabor and is supported by the Chief Medical Director of Niger Delta University Teaching Hospital and Top Management Team of the Hospital.

NDUTH-our vision
To be a foremost Healthcare institution in Nigeria renowned for quality and safety in healthcare delivery

NDUTH-our mission
To provide Excellent Healthcare in line with International Best Practices in an environment that is suitable for training of highly skilled Healthcare Professionals as well as conducting productive health research for the good of humanity in collaboration with other bodies / institutions.