The OA provides clinic and national level leaders with information geared to these key infrastructure elements.
Current organizational assessment (OA) categories:
• Performance Measurement
• Quality Improvement
• Staff Involvement
• Consumer Involvement
Assessed components of structure include team/committee membership and frequency of meetings, commitment of resources, leadership support and the presence of a comprehensive QM plan. Planning refers to annual goals with specific timelines for implementation and clearly described roles and responsibilities. Appropriate quality indicators routinely measured comprise PM. QI consists of a focus on a team approach to identify QI projects. During the implementation phase, OAs are completed for initial clinics during visits. An in-country team is trained to do the OA by didactic instruction, observation of the HQI staff lead and then perform the OA themselves with coaching from the HQI staff lead. Repeating the OA annually allows monitoring of progress. Ongoing attention to the QMP results in building capacity for and sustainability of improvement