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Enhancing Quality and Data Integration in PBF Schemes for Optimal Health Outcomes

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The COP working groups bring together experts to analyze and improve Performance-Based Financing (PBF) schemes. Group discussions focus on critical topics, such as linking quality of care with funding, and integrating PBF systems with Health Management Information Systems (HMIS). Immediate actions include upgrading existing applications in Rwanda and Burundi, while medium-term objectives involve developing interconnected modules between PBF and HMIS. Participant collaboration fosters innovative solutions, with an emphasis on adaptability and continuous improvement in health system evaluations.

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Enhancing Quality and Data Integration in PBF Schemes for Optimal Health Outcomes

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  1. The COP working groups

  2. Why a working group? You have the knowledge and expertise!!! COP membersmeet and discuss a specifictopicin order to : • Analyse issues and problems in existingsystems • Share practices and lessonslearnt • Team up to identify solutions/best practices/guidelines • ImprovePBF schemes

  3. Group 1: PBF and quality of care PBF links fundingwithquality. How? How do youmeasurequality? • Group 2: PBF and HMIS PBF schemesneedsdata fromhealthfacilities Whatis the linkbetween HMIS and PBF?

  4. WHO?

  5. Overview of our discussionsPBF and HMIS • PBF database and HMIS are twodifferentsystemsthatcanbeinterconnected • A PBF databaseincludes a smallnumberof reliable and verifiable data (<70 data elements). Needs to be transparent (web based). • HMIS systemscollect a comprehensive set of data on the health system (1000>10.000 data elements).

  6. Nextsteps Short term : • Improvethe existing Rwanda and Burundi PBF web application (database) and make a standard application available to agencies/entities in charge of purchasing. www.fbpsanteburundi.bi Medium term : • Interconnect the existing PBF application withthe DHIS HMIS software • Contribute to the development of a simple DHIS HMIS module (<300 data elements), web based, and interconnectedwith the PBF module

  7. Working group 2 – PBF and quality • How to measurequality ? • How to linkthe fundingwithquality?

  8. Measuringquality in healthcenters? • Who ? • Supervisor (district) • Hospital • How? Accreditation (whoisincluded in the scheme) Regularevaluation : scorecard No bigconcern on thatside

  9. Measuringqualityathospitallevel Who? • Supervisor(district, region) • Peer evaluation • Mix peerevaluation and central level • Experts (university) • Auto-evaluation How ? Accreditationprocess Regularevaluation (scheduled or not)

  10. Recommendations • Complementary approaches • Be-dynamic!!!! Change your evaluation systems regularly • Peer evaluation at hospital level is a good practice • In several schemes : Focus on the quality of care (and not the conditions for providing the service)

  11. Nextsteps • A document sumerizing the findings

  12. Otherworking groups? • PBF and drugprocurement? • PBF and healthinsurance? Up to you!!!!

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