What is the standard system to measure quality?

 

 

Organizational Levels of Care

When developing indicators to monitor the quality of maternal care, one needs to consider various organizational levels of the health care system (operational/facility, intermediate, and strategic). The indicators will vary based on the level and on the specific standards selected for measuring quality (QAP/URC,2001c). Whenever possible, the QA team should select indicators that use available data collected through the routine health information system. A brief description of organizational levels follows.

• Operational level - refers to the facility where processes that directly affect users and generate the monitoring data are carried out.
• Intermediate level - involves decision-makers who influence quality and the delivery of care, such as heads of departments, sections, or services.
• Intermediate level - involves decision-makers who influence quality and the delivery of care, such as heads of departments, sections, or services.
• Strategic level - includes top management and political decision-makers at local, provincial, and national levels.

The table below describes the differences among these levels.

LevelMonitoring ObjectiveProcessPeople InvolvedOperational

Track service delivery processes, results, and the availability of inputs

Emphasize individual processes or services at the facility level Management and improvement teams that examine the quality of processes at the facility level Intermediate Compare processes carried out at the operational level Emphasize the results and products of the combined processes or services Heads of departments, programs, and services at the district level Strategic Evaluate the overall system results, compare results with objectives, act on differences, assure the quality of the entire system Emphasize the overall results of the system and strategy to better meet objectives Top organizational management at the national, regional, or local government levels

Testing of all material after used