“Ideal Clinic Initiative” welcomed by Cabinet

Source SAnew.gov.za   20 November 2014

Cabinet has welcomed the launch of Operation Phakisa 2 which aims to transform all public sector clinics into “ideal clinics” that will provide good quality care to all communities.

President Jacob Zuma launched Operation Phakisa 2: Scaling up Ideal Clinic Realisation and Maintenance Programme on Tuesday.

Speaking at a post-Cabinet briefing in Cape Town on Thursday, Minister in the Presidency responsible for Planning, Performance, Monitoring, Evaluation and Administration, Jeff Radebe, said Operation Phakisa 2 seeks to improve the quality of care provided in 3 500 primary health care facilities, consisting of government clinics and community health centres.

“The expected outcomes entails transformation of the existing clinics and community health centres into centres of excellence, which will be used by all South Africans, due to the enhanced quality of services they will provide,” said Minister Radebe

Over the last five weeks, a team of 164 senior managers from the national, provincial and local government spheres of government, together with their counterparts from the private sector, organised labour, academia, civil society and public entities, participated in an Operation Phakisa laboratory to devise ways and means of making the ideal clinic concept a reality.

They were supported in this process by officials from the Performance Management and Development Unit in Malaysia, where they learned about the Big Fast Results delivery model.

Operation Phakisa: Ideal Clinic Initiative was organised into eight work streams, focusing on the different building blocks of an Ideal Clinic capable of delivering good quality health services.

The work streams include service delivery, waiting times, human resources, infrastructure, financial management, supply chain management, scaling up and sustainability and institutional arrangements.

Background

In July, the President launched the first phase of Operation Phakisa which focuses on unlocking the economic potential of South Africa’s oceans.

Operation Phakisa is an adaptation of the Big Fast Results methodology that was first applied by the Malaysian Government, successfully, in the delivery of its economic transformation programme.

The operation addressed their national key priority areas such as, poverty, crime and unemployment.

It involves setting up clear targets and follows up with on-going monitoring process which makes the results public.

Through this initiative, the Malaysian government was able to register impressive results within a short period.

President Zuma said South Africa has renamed the Malaysian Big Fast Results approach as Operation Phakisa – from a Sesotho word, which means “Hurry Up”, to highlight the urgency with which government wants to deliver on some of the priorities encompassed in the NDP.

The initiative will initially be implemented in two sectors, the ocean economy and health sector, especially clinics. –SAnews.gov.za

“Ideal Clinic Initiative” welcomed by Cabinet

Source SAnew.gov.za   20 November 2014

Cabinet has welcomed the launch of Operation Phakisa 2 which aims to transform all public sector clinics into “ideal clinics” that will provide good quality care to all communities.

President Jacob Zuma launched Operation Phakisa 2: Scaling up Ideal Clinic Realisation and Maintenance Programme on Tuesday.

Speaking at a post-Cabinet briefing in Cape Town on Thursday, Minister in the Presidency responsible for Planning, Performance, Monitoring, Evaluation and Administration, Jeff Radebe, said Operation Phakisa 2 seeks to improve the quality of care provided in 3 500 primary health care facilities, consisting of government clinics and community health centres.

“The expected outcomes entails transformation of the existing clinics and community health centres into centres of excellence, which will be used by all South Africans, due to the enhanced quality of services they will provide,” said Minister Radebe

Over the last five weeks, a team of 164 senior managers from the national, provincial and local government spheres of government, together with their counterparts from the private sector, organised labour, academia, civil society and public entities, participated in an Operation Phakisa laboratory to devise ways and means of making the ideal clinic concept a reality.

They were supported in this process by officials from the Performance Management and Development Unit in Malaysia, where they learned about the Big Fast Results delivery model.

Operation Phakisa: Ideal Clinic Initiative was organised into eight work streams, focusing on the different building blocks of an Ideal Clinic capable of delivering good quality health services.

The work streams include service delivery, waiting times, human resources, infrastructure, financial management, supply chain management, scaling up and sustainability and institutional arrangements.

Background

In July, the President launched the first phase of Operation Phakisa which focuses on unlocking the economic potential of South Africa’s oceans.

Operation Phakisa is an adaptation of the Big Fast Results methodology that was first applied by the Malaysian Government, successfully, in the delivery of its economic transformation programme.

The operation addressed their national key priority areas such as, poverty, crime and unemployment.

It involves setting up clear targets and follows up with on-going monitoring process which makes the results public.

Through this initiative, the Malaysian government was able to register impressive results within a short period.

President Zuma said South Africa has renamed the Malaysian Big Fast Results approach as Operation Phakisa – from a Sesotho word, which means “Hurry Up”, to highlight the urgency with which government wants to deliver on some of the priorities encompassed in the NDP.

The initiative will initially be implemented in two sectors, the ocean economy and health sector, especially clinics. –SAnews.gov.za

PATIENT –CENTRED CARE AKA PERSON-CENTRED CARE

Chronic Care Model/ Self-management /Patient centred care

Where is South African in its response to person-centred NCDs care?

 The national Department of Health is putting its money and credibility behind its Integrated Chronic Disease Management (ICDM) Model with little consultation. (Integrated Chronic Disease Management: A step by step manual to guide implementation. Undated. Authors Dr Shaidah Asmall and Dr Ozayrprinciples of person centred care Mahomed). This ICDM model is also cited as being integral to the NCD Strategic Plan.

The SA NCD Alliance is putting forward two key aspects that are import for patients, people living with NCDs. These are

•             PATIENT –CENTRED CARE AKA PERSON-CENTRED CARE

•             SELF-MANAGEMENT (not assisted)

What is person-centred care?

A person-centred health system is one that supports people to make informed decisions about, and to successfully manage, their own health and care, able to make informed decisions and choose when to invite others to act on their behalf. This requires healthcare services to work in partnership to deliver care responsive to people’s individual abilities, preferences, lifestyles and goals.

The goal of person-centred care is to allow the patient to successfully manage their own health care – self-management. Self-management is one of the pillars for high quality care in the US Institute of Medicine’s definition.

Self management support is the job of the health care system it is fundamental and not an added extra. It is provided through graded active support.

There has be little or no consultation by the Department of Health with patients or patient group or caregivers about these matters. So we are putting up two references that back their importance.

Self management supportcan be viewed in two ways: as a portfolio of techniques and tools that help patients choose healthy behaviours; and a fundamental transformation of the patient-caregiver relationship into a collaborative partnership.”

Bodenheimer T, MacGregor K, Shafiri C (2005). Helping Patients Manage Their Chronic Conditions. California: California Healthcare Foundation
Further information on self management support can be found at www.health.org.uk/sms

The 2 resources listed below are very informative:

The Theory and evidence behind self management.  Slide presentation by Natalie Grazin, Assistant Director of The Health Foundation

A particularly important slide set that integrated the chronic care from the perspective of the patient – person living with an NCD.  It highlights how much change is necessary to implement such a model in current most chronic care settings.

Helping measure person-centred care A review of evidence about commonly used approaches and tools used to help measure person-centred care 2014 The Health Foundation: London by Dr Debra de Silva

This is an easy to ready snapshot of person-centred care with showing tools that can be used to measure different aspects of self-management.