Health Systems Improvement Across the Globe: Success Stories from 60 Countries


PrefaceThe Book in ContextHow We Went about Initiating and Compiling This CompendiumThe World in ContextStructure of the BookOur ReadershipI The Americas Paul ShekelleArgentina. Successful Initiatives in Quality and Patient Safety in ArgentinaDescription of Selected Government Activities that Proved to be Successful in the Field of Quality of CareExternal Quality and Patient Safety Evaluation InitiativesTraining Initiatives on Quality and Patient SafetyHealth Technology AssessmentBrazil. Knowledge Management for Quality Improvement in BrazilCollaborative Center for Quality of Care and Patient SafetyA Successful PathwayUnderlying StrategiesTransferability of the Proqualis ModelProspects for Further Success and Next StepsCanada. Improving Stroke Outcomes in Canada: The Accreditation Canada Stroke Distinction ProgramStroke in Canada: By the NumbersCanadian ContextAccreditation Canada Distinction ProgramLessons Learned: How to Spread This Canadian Success InternationallyChile. Constructing Symbolic Capital: A Case Study from ChileDetails of the Success StoryClinical ManagementFinancial SustainabilityOperational EfficiencyQuality of CareImplementation: Transferability of ExemplarProspects for Further Success and Next StepsEcuador. Improving Hospital Management as Part of the Health Reform Process in Ecuador: The Case of Abel Gilbert Ponton HospitalHealth Sector Reform ProcessBeginning of a Success StoryPathwayThe ImpactConclusionGuyana. Holistic Geriatric Mega-Clinics for Care of the Elderly in GuyanaDevelopment: Initial Training and Support PartnershipsGeriatric Mega-Clinic ImplementationImpact of the Success StoryWhy Has the Selected Program Been Successful?Implementation and ReplicationProspects for Further Success and Next StepsConclusionMexico. Monitoring and Evaluation Strategy of Mexican Health Reform: Content, Conditions for Implementation, and SustainabilityWhat Was Done?Monitoring of Personal and Public Health ServicesConclusionsThe United States of America. The Use of Report Cards and Outcome Measurements to Improve the Safety of Surgical Care: The American College of Surgeons National Surgical Quality Improvement ProgramDevelopment of ACS NSQIPComponents of the ProgramImpactMorbidity and MortalityCost SavingHarmTransferabilityVenezuela Misidn Barrio Adentro: Universal Health Coverage Efforts in VenezuelaBackgroundDetails of the Success StoryDetails of the Impact of the Success StoryImplementation: Transferability of the ExemplarConclusionII AfricaGhana Arresting the Brain Drain in GhanaBrain Drain: Patterns Observed in the Early 1990sReasons for Brain Drain: Pull and Push FactorsEffects of Brain DrainInterventionsAllowances and WagesEstablishment of a Postgraduate Medical CollegeCurrent SituationConclusionNamibia A Public Health Approach to Quality Management: How a Disease-Specific Improvement Program Propelled a National Health-Systems-Wide Quality Program in NamibiaIntroduction of Quality Improvement in NamibiaDevelopment and Implementation of a Disease-Specific QI ProgramEvolution from a Disease-Specific Model to a National, Health-Sector-Wide Quality ProgramAchievement of a National Quality Program in NamibiaProspects for Further Success and Next StepsConclusionNigeria Removing the Imaginary Walls That Divide and LimitCurrent Efforts to Enhance CareProspects for Further Success and Next StepsRwanda Community-Based Health Insurance in Rwanda: How It Fostered Achievement of the Millennium Development GoalsDetails of the Success StoryWhy Has CBHI Been a Success?Transferability of CBHIProspects for Further Success of CBHIConclusionSouth Africa The Development of an Equitable National Juristic Body to Regulate Public and Private Healthcare Establishments in South Africa: A Progress ReportHistorical BackgroundMovement toward EquityOHSC Composition, Mandate, Vision, Mission, Values, and PrinciplesSummary of Achievements of the OHSC to DateWest Africa (Guinea, Liberia, and Sierra Leone) Quality Improvement in Ebola-Affected Countries: From Recovery to ResilienceSuccess StoryImpact of the Success StoryImplementation: Transferability of the ExemplarProspects for Further Success and Next StepsConclusionIII EuropeAustria Stroke Units in Austria: Incubators for Improved Health OutcomesDetails of the Success StoryDetails of the Impact of the Success StoryImplementation: Transferability of the ExemplarProspects for Further Success and Next StepsConclusionDenmark Cancer Patient PathwaysBackground and Development of CommitmentDevelopment and Monitoring of Cancer Patient PathwaysTransferability of the ExemplarEngland A NICE Success Story from the English National Health ServiceIntroduction and National Policy ContextEvolution of NICEApproach and ActivitySuccessesTransferability of NICE Methods to Other Countries and RegionsConclusionEstonia Primary Healthcare Reform as a Promoter of Quality in the Estonian Healthcare SystemHealth Systems Improvement Across the GlobeDetails of the Impact of the Success StoryImplementation: Transferability of the ExampleProspects for Further Success and Next StepsConclusionFinland Evidence-Based Medicine and Health Information Technology: Transforming Clinical Practices in FinlandCurrent Systems Improvement Initiatives in FinlandDetails of the Success StoryThe eHealth InfrastructureTools for All StakeholdersDetails of the Impact of the Success StoryWhat's the Nature of the Success?Implementation: Transferability of the ExemplarProspects for Further Success and Next StepsConclusionsFrance The French Healthcare System and Its Alternative Approach to Patient SafetyCare-Centered versus System-Centered ApproachImproving the System: Legislating Patients' RightsImpactTransferabilityConclusionGermany Scaling Up a Population-Based Integrated Healthcare System: The Case of "Healthy Kinzigtal" in Germany"Healthy Kinzigtal": Germany's Population-Based Integrated Healthcare SystemDiffusion and TransferabilityOutlookIreland St. James's Hospital National Haemophilia SystemSolutionsElectronic Patient RecordCold Chain Delivery ServiceGS1 Global Standards (Medication Barcoding)Smartphone Scanning AppNational Electronic Patient RecordCold Chain Delivery Service and GS1 Barcode ScanningSmartphone App and GS1 Barcode ScanningTransferabilityConclusionIsrael A Nationwide Health Information Exchange Program in Israel: A Unique Case StudyDevelopment and Implementation of the Ofek ProgramImpact of the Ofek HIE ProgramProspects for Further Success, Next Steps, and TransferabilityConclusionItaly Post-Marketing Successful Strategies to Manage Pharmaceutical InnovationDetails of the Impact of the Success StoryImplementation: Transferability of the ExemplarProspects for Further Success and Next StepsConclusionMalta Reform of the Medical Profession and Reversal of Brain Drain in Malta: A Success StoryAccession to the EU and Reform of the Medical Profession in MaltaImprovements as a Result of the ReformsIn-Country Data to Illustrate the Success of the ReformImpact of the Reforms on the Maltese Medical ProfessionImplementation: Transferability of the ExemplarProspects for Further Success and Next StepsConclusionThe Netherlands Patient Safety in Dutch Hospitals: How Can We Explain Success?Theoretical BackgroundExplaining SuccessExperience in Project WorkMarket CompetitionPublic Pressure: Scandals and InquiriesActivities of Regulatory AgenciesPublic ReportingConclusionNorthern Ireland Adopting a Collaborative Approach to Improve Care for Women and Their Babies in Northern IrelandDetails of the Identified Success Story and Its ImpactHealth Systems Improvement Across the GlobePromoting Normalization of Pregnancy and ChildbirthEffective Communication (Inter-Professional and with Women/Families)Safe Labor and DeliveryImplementation: Transferability of the ExemplarProspects for Further Success and Next StepsConclusionNorway. Improving Patient Safety in Norwegian Hospitals through a Standardized Approach toward the Measurement and Monitoring of Adverse EventsWhy Did Norway Choose to Monitor Adverse Events in All Hospitals?How the Monitoring Was Mandated and OrganizedWhy Did the Monitoring of Adverse Events Succeed?ConclusionPortugal. Reducing Hospital-Acquired Infection in Portuguese Hospitals: A Collaborative Approach toward Quality ImprovementThe Economic, Political, Social/Cultural, and Technological Forces Influencing Improvement EffortsHospital-Acquired Infection: A Safety Issue That Keeps Us Awake at NightStop Infegao Hospitalar!: A Model and a Way to Improve CareData Collected and Preliminary Results: Safety Culture and Contextual FactorsProcess Measures for CAUTIEconomic ImpactTransferability Scale and Spread within PortugalConclusionRussia Progress in Healthcare Quality in RussiaMove to QualityTransferability: Lessons LearnedConclusion: ProspectsScotland. Partnership and Collaboration as the Hallmark of Scottish Healthcare ImprovementExamples of Partnership WorkingManaged Clinical NetworksPartnership with StaffPublic InvolvementTransferabilityProspects for Further SuccessSerbia. Using Data to Protect Vulnerable ChildrenDetails of the Identified Success StoryDetails of the Impact of the Success StoryImplementation: Transferability of the ExemplarProspects for Further Success, Next Steps, and ConclusionSpain. Organ Donation and Transplantation: ONT's Success StoryDetails of the Identified Success StoryDetails of the Impact of the Success StoryImplementation: Transferability of the ExemplarProspects for Further Success and Next StepsConclusionSweden. Sweden Mines the Gold in Clinical Data for Research and Better Patient CareDefinitions of Terms Used in This ChapterDetails of the Success StoryDetails of the Impact of the Success StoryConclusionSwitzerland. Switzerland's Use of Breakthrough Collaboratives to Improve Patient SafetyQuality and Governance in the Swiss Health SystemBreakthrough Collaboratives in Swiss HealthcareNational Safe Surgery Program of the Swiss Patient Safety FoundationAdverse Drug Event Prevention Collaborative from the Hospital Federation of VaudImplementation Success Factors and Transferability of the ExemplarProspects for Further Success and Next StepsConclusionTurkey. Establishment of a National Healthcare Accreditation SystemDetails of the Turkish Success StoryDetails of the Impact of the National Accreditation SystemImplementation: Transferability of the ExemplarProspects for Further Success and Next StepsConclusionWales. Implementing Shared Decision-Making in Practice: Demonstrating Strategic ImprovementSummary of Current Efforts to Enhance CareDetails of the Identified Success StoryDetails of the Impact of the Success StoryImplementation: Transferability of the ExemplarProspects for Further Success and Next StepsIV Eastern MediterraneanAfghanistan. Improving Afghanistan's Hospital Services: Implementation of Minimum Required StandardsPrivate Health Sector Growth and Government StewardshipEnsuring Patients' Safety at Private Health Facilities: MRSParameters for the Success of the MRS ExperienceLessons Learned for Other Developing CountriesPotential for Scale-Up and SustainabilityConclusionThe Gulf States (Bahrain, Kuwait, Oman, Qatar, Saudi Arabia, and the United Arab Emirates)Sharing Experiences with Other Regional Pool Procurement SystemsConclusionIran. Iran's Health Transformation PlanImpact of the HTPProspects for Further Success and Next StepsTransferability of the HTPConclusionJordan. Health Care Accreditation Council of Jordan: Driving System Reform, Patient Safety, and QualityDetails of the Success StoryImpact of the Success StoryProspects for Further Success and Next StepsTransferability of the ExemplarLebanon. "You Don't Have to be Superman to Save Lives. Give Blood": Improving the Health System through Social Innovation—The Case of Donner Sang CompterPlanting the Seed through Social MediaPartnering with HospitalsPartnering with the CommunityNext Steps and TransferabilityConclusionOman. Al-Shifa Electronic Health Record System: From Simple Start to Paradigm ModelDetails of the Success StoryImplementation: Transferability of the ExemplarProspects for Further Success and Next StepsConclusionPakistan. Health Systems, Accreditation, and Databases: Pakistan's PerspectiveOverview of Pakistan's Health SystemRole Allocation for HealthcareUrban and Rural HealthcareInternational Accreditation of AKUHImportance of Healthcare DatabasesAKUH Cardiac Surgery DatabaseChallengesWider ApplicationQatar. Successful Implementation of a Deteriorating Patient Safety Net System: The Qatar Early Warning SystemBackgroundDetails of the Success StoryFactors Contributing to the Early Warning System's SuccessWhat's the Nature of the Success?Implementation: Transferability of the ExemplarProspects for Further Success and Next StepsFinal MessagesThe United Arab Emirates. Abu Dhabi Healthcare Reform: Improving Quality through a Single Payment SystemDetails of the Success StoryThe Reform Time-LineThe Impact of the Abu Dhabi Healthcare Reform ProgramTransferability of the ExemplarProspects for Further SuccessYemen. Improvement of Basic Health Services in Yemen: A Successful Donor-Driven Improvement InitiativeBackgroundDonor-Driven Improvement InitiativeHealth Systems Improvement Across the GlobeField Visits by Quality Assessors or Sadiq (“Friend" in Arabic)On-the-Job TrainingQuality Assessment and EvaluationOngoing SupportProject Success and Achievements: Quality CertificateLessons Learned and TransferabilityConclusionV South-East Asia and the Western PacificAustralia. Two Decades of Evolving a Patient Safety System: An Australian Story of Reducing Harm to Deteriorating PatientsA Historical Perspective on Managing Patients' DeteriorationImpact and SpreadImplementation: Transferability of the ExemplarThe Recipe for Success, and Prospects for Building Further SuccessNext Steps: New Applications of the MET ExperienceChina. Self-Service Encounter System in Tertiary HospitalsSelf-Service Encounter System in Tertiary HospitalsImpact of the Self-Service Encounter SystemTransferabilityNext StepsConclusionFiji. A Context-Specific Approach to Primary Care Strengthening in FijiDetails of the Success StoryDetails of the Impact of the Success StoryImplementation: Transferability of the ExemplarProspects for Further Success and Next StepsConclusionHong Kong. Integrating Care for High-Risk Elderly Patients after Discharge from Hospitals in Hong KongIntegrated Care and Discharge Support for Elderly PatientsRisk Assessment SystemIntegrated Discharge Support ServiceCommunity Health Call CentreOverall ResultsSummaryIndia. India's Road Map to "Affordable and Safe Health for All" through Public-Private PartnershipDetails of the Success StoryImpactImplementation: Transferability of ExemplarProspects for Further SuccessConclusionJapan. Universal InsuranceDetails of the Success StoryDetails of the Impact of the Success StoryImplementation: Transferability of the ExemplarProspects for Further Success and Next StepsConclusionMalaysia. From Maternal Mortality to Maternal Health: The Malaysian ExperienceThe SystemThe BenefitsWhat Would Be Needed to Replicate the System?ConclusionNew Zealand. Ko Awatea: Improving Quality, Promoting InnovationThe 20,000 Days and Beyond 20,000 Days Campaigns: Improving Community HealthTarget CLAB Zero: Reducing Central Line Infections in Intensive Care UnitsDiscussion and ConclusionsPapua New Guinea. Establishment of the Provincial Health Authority in Papua New GuineaDetails of the Identified Success StorySuccess FactorsTransferability of the Provincial Health Authority ModelTransferability to Other CountriesProspects for Further SuccessConclusionTaiwan. Taiwan's Health Information Technology Journey: From Flash Drive to Health CloudTaiwan's USB-Based Health RecordsTaiwan's Healthcare Smart CardTaiwan's Cloud EraPharmaCloudMyHealth BankConclusionCurrent Improvement Initiatives and Enhancement Projects In-CountryWhat Constitutes Success?Prospects for Further Success and Next-Step Change Strategies: Next Generation ImprovementConclusion
 
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