Joint Annual Performance Review 2007 - Ministry of Health

1. General hospital management and necessary core values
2. Job descriptions
3. Hospital autonomy
4. Nursing process
5. Feedback on the international conference: Hospital Management Asia
• Recommend strategies and identify TA needs for the continuous enhancements of
systems, policies and procedures pertaining to quality assurance. Among the technical
assistance identified and proposed by the QAO in 2006 include:
1. Quality Management Training
2. How to improve clinical practice through the use of guidelines
3. How to improve the use of guidelines in hospitals
III- Constraints :
• Despite the ever-increasing workload of the QAO, there was no attendant increase in
its current manpower, which numbers only three (3). With their functions including
travels to the provinces sometimes for days at a time and with numerous meetings and
workshops to attend for its many projects, it was difficult to distribute tasks to only 3
people.
• Even as progress is made on the Quality Assurance policy, however the transferring
from policy to the real-activities was very low. Within the MOH itself, there seems to
be little motivation from other units to coordinate activities directly with the QAO.
Other health partners continue with their plans disjointed from the overall plan set by
the National Policy. For some that do recognise the policy, more work has to be done
to improve coordination.
• Some partners and departments within the ministry itself have come to expect that the
QAO act as an extension of their manpower for specific tasks such as medical
missions and ongoing facility assessment. It is for the good of the QAO to be involved
in the develop phases since they are at the policy level, but with the current staffing of
3, it may be detrimental to their other functions to be relied upon for ongoing
repetitive tasks.
• The QIWG members seem to be inactive in supporting to QA policy. As mentioned
above, this could be partly explained by the learning curve that the QIWG is also
going through.
• There is no report from coming from the provincial QA teams on the progress of the
activities. Hence, the QAO does not have information to analyse the progress of the
QA activities in the provinces.
IV-Priorities for 2007 – 2008
We select some activities, some of which are in strategy 9 and 10, which we consider as the
prioritized ones being achieved in 2006 – 2007.
- 45 -