Ideal Hospital Realisation and Maintenance Framework Manual

1 Ideal Hospital Realisation AND Maintenance Framework MANUAL2018 VERSION ONED raft (next version end Oct)Draft (next version end Oct)Draft (next version end Oct) Ideal Hospital Realisation AND Maintenance Framework MANUAL2018 VERSION ONEivDraft (next version end Oct)AcknowledgementsThe National Department of Health conceptualised the Ideal clinic Realisation and Maintenance (ICRM) programme in 2013. Operation Phakisa was launched in November 2014 to rapidly scale up the Ideal clinic Model across all PHC facilities.

2 In 2015 the ICRM programme was officially launched. The main intention of the ICRM programme was to enhance the Primary Healthcare system towards achieving the goals of universal health access to a high quality of ICRM has resulted in the following benefits to the health system: Improved oversight on the status of clinics Data immediately available on equipment and infrastructure status of all clinics-thus able to quantify needs and related costs Serves to motivate staff at clinics and district officials to improve facility status and service delivery The successful implementation of the ICRM programme created the impetus to extend the goals of universal health access.

3 Cost effective and efficient services of a high quality and standard by creating a similar Framework for Ideal hospitals as the Ideal clinic development of the Ideal Hospital Realisation and Maintenance Framework (IHRM-F) is a critical strategy and intervention to facilitate improved health service delivery and strengthen health system effectiveness by capacitating hospitals to identify and address key issue. The IHRM-F will serve as a benchmark mechanism to monitor Health System Strengthening activities, to improve efficiency gains in service provision and to improve patient Jeanette Hunter, Deputy Director-General, Primary Health Care in the National Department of Health led its completion.

4 I am pleased to acknowledge the work undertaken by a technical working group consisting of: Mr Ramphelane Morewane, Mr Bennet Asia, Dr Shaidah Asmall, Ronel Steinh bel; Dr Ozayr Mahomed and Dr Saajida Mahomed. The development and publication of this document has been made possible with the support of the United States Agency for International Development (USAID) under the United States President s Emergency plan for AIDS Relief (PEPFAR) through Right to & layout: Hospital Realisation AND Maintenance Framework 1 Draft (next version end Oct)TABLE OF CONTENTSACKNOWLEDGEMENTS.

5 IISECTION 1 INTRODUCTION ..4 SECTION 2 BACKGROUND: INTEGRATED HEALTH SERVICE DELIVERY PLATFORM ..7 SECTION 3 Ideal Hospital ..12 SECTION 4 PURPOSE OF THE Manual ..14 SECTION 5 ABOUT THE Manual ..15 SECTION 6 ASSESSMENT METHODOLOGY ..16 SECTION 7 Ideal Hospital COMPONENTS, SUB-COMPONENTS AND ELEMENTS ..20 SECTION 8 ASSESSMENT OF Ideal clinic ELEMENTS ..34 REFERENCES ..256 SECTION 1 Ideal Hospital Realisation AND Maintenance Framework 2 Draft (next version end Oct)LIST OF FIGURESF igure 1: Integrated healthcare service delivery platform.

6 7 Figure 2: District Health System- ..8 Figure 3: Services across different levels within Health Service Delivery Platform ..10 Figure 4: Components of the Hospital Package of Services ..11 Figure 5: IHRM-F Components and Sub components ..13 SECTION 1 INTRODUCTION 3 Draft (next version end Oct)

7 LIST OF ABBREVIATIONSANC Antenatal CareART Antiretroviral treatmentCCMDD Central Chronic Medicine Dispensing and Distribution CHW Community Health WorkerDCST District Clinical Specialist TeamDHIS District Health Information System DHMT District Health Management Team DHS District Health SystemDoH Department of HealthDPSA Department of Public Service and Administration DSP District support partnerEML Essential Medicine ListEMS Emergency Medical ServicesHIV Human Immunodeficiency VirusHRH Human Resource for HealthHTS HIV testing serviceICSM Integrated Clinical Services Management ICRM: Ideal clinic Realisation and MaintenanceIHRM-F.

8 Ideal Hospital FrameworkIPC Infection Prevention and ControlMCWH Maternal Child Women s Health MOU Maternal Obstetric UnitNCD Non-communicable diseasesNDP National Development PlanNGO Non-Governmental Organisation NMC Notifiable Medical ConditionsNHLS National Health Laboratory ServicesOHSC Office of Health Standards CompliancePDoH Provincial Department of Health PEC PEC Patient Experience of CarePHC Primary Health CarePMDS Performance Management and Development System PPE Personal protective equipmentPSI Patient Safety IncidentSANC South African Nursing CouncilSLA Service Level AgreementSOP Standard Operating Procedure TBTB TuberculosisWBPHCOT Ward Based Primary Health Care Outreach Team WISN Workload Indicator Staffing NeedsUHC Universal Health CoverageIDEAL Hospital Realisation AND Maintenance Framework 4 Draft (next version end Oct)SECTiON 1 INTRODUCTIONThe Ideal Hospital Realisation and Maintenance Framework (IHRM-F)

9 Is a critical strategy and intervention to facilitate improved health service delivery and strengthen health system effectiveness by capacitating hospitals to identify and address challenges. The IHRM-F will serve as a benchmark mechanism to monitor Health System Strengthening activities, to improve efficiency gains in service provision and to improve patient DEPARTMENT S FIVE YEAR STRATEGIC GOALS ARE TO: Prevent disease and reduce its burden, and promote health Make progress towards universal health coverage through the development of the National Health Insurance scheme and improve the readiness of health facilities for its implementation Re-engineer primary healthcare by.

10 Increasing the number of ward based outreach teams, contracting general practitioners, and district specialist teams; and expading school health services Improve health facility planning by implementing norms and standards Improve financial management by improving capacity, contract management, revenue collection and supply chain management forms Develop an efficient health management information system for improved decision making Improve the quality of care by setting and monitoring national norms and standards, improving systems for user feedback.