Joint Annual Performance Review 2007 - Ministry of Health

In order to support the MoH to implement the provisions of the National Policy, a
roadmap (also referred to as master plan for QI) was created which identifies 5 key
strategies – empowering consumers, institutional management, clinical practice,
professional development and management development. These have to be spearheaded
by dedicated working groups that will take lead in the different but related activities for
each strand.
In 2006, 1 formal group – Clients Rights WG – and 2 informal groups – Health
Technology Assessment (HTA) Core Group and the Hospital Reform Group showed
specific outputs which are related to the National Policy. These 3 groups are being
considered to take the role for the first 3 strategies.
Reports and minutes of meeting detailing the activities of the Clients Rights WG, the
HTA Core Group and the Hospital Reform group are available with the QAO, NCHP and
GTZ.
Two other working groups – on professional development and management development
need further work but the key players have already been identified by the QIWG. The
QAO will take lead in furthering the discussions.
• Assist in the development and testing of a national licensing and accreditation system for
public and private health facilities according to the agreed priorities;
Preliminary work on development of accreditation standards and tools for private clinics
started in November 2006 in collaboration between PSI-KfW-GTZ-QAO, as another
piece in implementing the National Policy. The QAO is the chair of the Task Force on
Accreditation for this collaboration.
The QAO has been involved from the beginning as regards the development of an
Accreditation system for the Cambodian health sector. Hence, they have been active
members in the consultancy missions in 2006 of Dr Charles Shaw and Dr Madeleine
Valera. They attended meetings and worked on documents that were pertinent to the
consultancies.
• Ensure availability and accessibility of resource materials related to quality assurance, in
coordination with the MoH library and NIPH and website;
The QAO keeps an inventory of the most recent documents shared by other organizations
and partners on QI. Ideally, these documents can be better used if they were integrated
and shared by most, if not all, relevant agencies in the health sector. This has been
mentioned several times in many reports, including that of Dr Shaw's. This is all very
good and the QAO and other health partners agree with this. But the current situation in
Cambodia does not yet permit us to achieve this in full.
Primarily, the QAO has no authority over the vertical programs to enable it to set
directions on how to proceed with, for instance, clinical guideline development. The
QAO is currently seen as keeper of the documents, not yet an analyser nor an expert that
can provide input to the vertical programs.,The vertical programs themselves have their
own systems for technical and administrative matters. To some degree they do not yet see
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