Three Mediclinic hospitals in the Western Cape received Katrin Kleijnhans Quality Trophies from The Council for Health Service Accreditation of Southern Africa NPC (COHSASA) recently.
The Katrin Kleijnhans Trophy (pictured left) was instituted by COHSASA. It is awarded to an individual, a unit, a department or a discipline in a healthcare facility that has made the most impressive or substantial contribution to quality improvement during the COHSASA accreditation process. The recipient is not selected by COHSASA but chosen by an appropriate authority at the healthcare facility.
The 22-cm glass trophy honours the memory of COHSASA colleague, Dr Katrin Kleijnhans, who died in 2016 after a long illness. It is intended that the trophy carry forward her legacy and commemorate the enormous contribution that Dr Kleijnhans made to improving of the quality of health care in Africa.
The long-term goal of the award is that it becomes an annual internal floating trophy, given to a deserving recipient at the facility.
First up was Mediclinic Paarl. The Hospital Manager, Jeanine Visser, presented the trophy to the TSEBO Housekeeping Team on 10 April 2019. Sr Riëtte Miller, the Unit Manager of Theatre, was the joint recipient of the award.
Then it was the turn of Mediclinic Vergelegen which handed out the Katrin Kleijnhans Trophy on 25th April 2019 along with several other achievements by hospital staff.
Michelle Zietsman, Learning and Development Facilitator, received the Katrin Kleijnhans trophy for her sterling work in implementing the quality improvement and accreditation process at the hospital.
The quality improvement gatekeepers at Mediclinic Panorama for clinical and administrative services were recognised for their work in quality and patient safety when they were rewarded at a short ceremony, organised by the hospital manager Riaan Vorster, at the hospital on May 7, 2019.
The Council for Health Service Accreditation of Southern Africa NPC (COHSASA) is deeply honoured and proud to announce that its CEO, Ms Jacqui Stewart (right) has been elected to the International Academy of Quality & Safety in Health Care (IAQS), established by the International Society for Quality in Health Care (ISQua), to recognise distinguished individuals who have made a significant contribution in the field of quality and safety in healthcare.
Ms Stewart was a member of the South African Lancet Commission on High Quality Health Systems and is an ISQua Expert. She is currently an ISQua Board member and serves on the Accreditation Council of ISQua. She has a Master of Professional Studies Health from Middlesex University, London and was recently chosen as one 100 Most Impactful Healthcare Leaders by the World Health & Wellness Congress for 2019.
Luminaries in the quality improvement universe
She joins luminaries in the universe of quality improvement and patient safety. These are professionals such as Sir Liam Donaldson, Donald Berwick, Jeffrey Braithwaite, Charles Vincent and Bill Runciman. Her fellow members of the academy from South Africa are Laetitia Rispel, Professor of Public Health, University of the Witwatersrand and Professor Morgan Chetty, Chair of the Independent Practitioners Association Foundation in South Africa.
Those elected to the academy from the continent of Africa are Dr Gilbert Buckle, Executive Director, Africa Institute of Health Quality Safety and Accreditation (AfIHQSA), Ghana (he is also a COHSASA Board Member), Sodzi Sodzi-Tettey, Executive Director and Head, Institute for Healthcare Improvement, Africa Region, Ghana and Emmanuel Aiyenigba Improvement Advisor for the Institute for Healthcare Improvement, Nigeria.
According to the ISQua website (https://www.isqua.org/networks/isqua-academy.html), the Academy recognises excellence of leadership within research, academia or service delivery in quality and safety in healthcare. Membership of the Academy is one of the highest honours that an individual working in this area can receive.
The 35 founding members of the IAQS were nominated and then elected by ISQua Experts and the Board in June 2018. Membership of the Academy is for life. Professor David Bates, President of ISQua from 2013-2015 and the Medical Director of Clinical and Quality Analysis, Information Systems, Partners HealthCare System, Inc., Chief Division of General Internal Medicine, Brigham and Women’s Hospital, USA, leads the Academy.
If you missed the Quality Management Conference at Africa Health Exhibition and Congress at Gallagher Estate on 29 and 30 May, you missed a great deal. The two-day conference, with masterclasses from experts all over the world, was a packed-out success. Nobody left, not even in the death-throes of the last afternoon.
People interested in improving quality and patient safety heard the latest thinking on issues of quality from experts in the field. COHSASA also hosted a stand at Africa Health and manned the ISQua stand next door. The main promotion was to encourage registration for ISQua’s Annual Conference to be held for the first time on the African continent in Cape Town from October 20-23 later this year.
Both COHSASA and ISQua partnered with Informa for the conference, so there was lots of publicity for ISQua, Cape Town 2019. The theme was ‘Public or Private Health Care – Quality is Everyone’s Business’.
Nino Dal Dayanghirang, Technical Officer for Service Delivery, Quality and Safety at WHO/AFRO started the first day with an overview of WHO quality and safety initiatives. He described the challenges facing those dealing with the Ebola outbreak in the DRC. He talked about the support that WHO is giving to countries to implement National Policies on Quality and Safety as well as the huge range of resources that are available from WHO, such as the Global Learning Laboratory.
This was followed by a presentation by Pat O’Connor, Executive Director of QI Discovery in Dundee, Scotland about some of the quality developments and innovations in the UK. While working for NHS Tayside, Pat pioneered a patient safety system that became the national system for NHS Scotland. Her key message was the importance of getting buy-in from all levels of the organisation and making sure that everybody understands what is being measured and why. She stressed that we must relate the data to the reality of patient care.
Dr Siphiwe Mndaweni, the CEO of the Office of Health Standards Compliance (OHSC) in South Africa set the context of the need for regulation and the development process of national core standards to arrive at regulations. She was realistic about the challenges that the OHSC faces and how important it has been to ensure that all are clear about where the responsibilities lie for the implementation of the regulations and the application of sanctions.
The key-note speaker on the first day was Professor Laetitia Rispel, the co-chair of the Lancet National Commission on High Quality Health Systems (South Africa) and an inaugural member of ISQua’s International Academy of Quality and Safety in Health Care (IAQS). She covered the key findings of the report and emphasised the importance of good governance, leadership and management and how challenged the South African health system has been by this.
Garth Hankey, Improvement: Process Coordinator at Groote Schuur Hospital in Cape Town shared the reality and challenges of introducing change into an organisation, in this case Lean methodology, but called the Groote Schuur Project. He shared strategies for engaging staff across the organisation and the importance of getting, and keeping, the team on board.
Dr Grey Dube, CEO of Leratong Hospital in Johannesburg also talked about implementing Lean methods. He received mentoring from John Toussaint of ThedaCare in the US. He stressed the importance of being realistic and started the programme in a few departments – patient registration, laboratory, pharmacy and OPD where there were long waits for patients and lots of complaints.
Grace Kiwanuka, the Executive Director of the Ugandan Health Federation, shared the work being done in Uganda linking the public and private healthcare sectors and trying to establish common standards and assessments. She emphasised the importance of building excellent relationships and mutual understanding.
Russell Rensburg, Director of the Rural Health Advocacy Project in South Africa opened the second day with the real-life challenges facing patients trying to access services. He used the example of a patient with mental illness who could no longer afford private care and the challenges she faced trying to get into the public health system. He made the claim that 75% of patients who need psychiatric treatment in South Africa do not get it.
Jacqui Stewart, CEO of COHSASA, who chaired the conference and assembled the speakers, spoke about external evaluation and accreditation being a driver for improvement – the standards provide part of the improvement toolkit. The healthcare facility team should set their own timeline – achieving accreditation is a marathon, not a sprint and we should not be afraid to set a trajectory towards excellence.
Dr Gilbert Buckle from Ghana gave a key-note address ‘Forget about Outputs, Focus on Outcomes’. He suggested that we need outcomes that are meaningful for patients – what if surgeons were rated on the number of complications during surgery or midwives on the number of stillbirths of babies with foetal heart distress? He posed the question, “Could an outcome be happy patients?”
The two-day event gave time for three excellent master classes by Lauren de Kock, Regional Director: Continuous Quality Improvement and Training at the Aurum Institute in Johannesburg, Pat O’Connor and Gilbert Buckle.
A panel discussion gave three great take-away messages. Dare to be different – if we keep doing the same, we shall continue to get the same. Accountability to the communities that we serve. We need to treat patients and staff with dignity – to give us dignified health systems
Some of these speakers will be on the programme for ISQua 2019 in Cape Town. If attendance was anything to go by, this Quality Management Conference is a sure winner.
For the latest in QI head on over to the Gallagher Estate in May. Details are available here:
Conference Name: Quality Management Conference
Venue: Gallagher Convention Centre, Johannesburg
Theme: Public or private healthcare – quality is everyone’s business
Download the full programme here
The Decontamination & Sterlisation (CSSD) conference will take place from the 28-30 May 2019 at the Gallagher Convention Centre, Johannesburg, South Africa.
Developed with the support of CFSA and APPSA attend to:
Debate the implementation of current standards – who is getting it right?
Identify and mitigate risks existing within CSSDs
Discover best practice from hospitals operating outside South Africa and benchmark your hospital’s CSSD practices
Hear from leading field experts including:
Marietjie du Toit, National Infection Prevention and Control Specialist Nursing, Life Healthcare Group; Chairperson, Gauteng Infection Control Society, Johannesburg, South Africas
Xana Jardine, National Chairperson, CFSA, Johannesburg, South Africa
Marilyn de Meyer, President – Gauteng Chapter, Association for Peri‐operative
Practitioners in South Africa (APPSA); Theatre Manager, Life the Glynnwood Hospital, Johannesburg, South Africa
Terry McAuley, MSc Medical Device Decontamination, Director, STEAM
Consulting, Melbourne, Australia
Dr Londa appointed as Quality Improvement Manager
Imagine the scene: you are suturing a rebel in the war-torn Democratic Republic of Congo. The theatre table wobbles and there is no operating light. Nor is there antiseptic. Under these conditions, you might want to change the status quo.
Thus it was that Dr Leonard Londa, who has joined the senior management team at COHSASA as the Quality Improvement Manager, became intensely aware that he wanted to change and save lives by improving the safety and quality of healthcare in any situation in which he found himself.
Dr Londa arrived as a refugee from the Congo in 2010. He obtained his medical degree at Lubumbashi University in the Democratic Republic of the Congo (DRC) in December 2008 and afterwards worked at the academic teaching hospital in Lubumbashi.
Promoted to superintendent of a hospital in a rural area, the Malemba-Nkulu Territory in the Haut-Lomani Province of the DRC, Londa had to start flexing his muscles as a clinician under pressure. This area, in the South East of the country, was also slap-bang in the middle of fighting between factions: a perennial feature of the DRC political landscape.
Says Dr Londa: “The maternal and infant mortality ratios were very high. We had one ambulance but that was out of order. So pregnant woman had to get to hospital by any means possible. They rode bicycles and we swept them up from canoes on the Congo River! Unfortunately, some arrived too late and presented with a ruptured uterus and sepsis.
“Worse, the hospital was dirty, the theatre was dirty and there was no equipment. There was a chronic shortage of staff.”
Determined to make changes
Dr Londa, who has quality improvement imprinted in his DNA, made some changes. For one, he trained many community health workers to undertake tasks to assist mothers. He gave radio talks to educate and create awareness of potential problems in pregnancy.
“I was determined to make changes for the better. I had to change the mindset of my peers and the community. I worked with NGOs in the area and recruited villagers to be health workers.
“Communication was a big issue and we never had enough air-time for our phones! I renovated the theatre and secured equipment. I tried to make changes. However, I had to flee eventually because of the war.”
After a long and winding road, Dr Londa arrived in South Africa. In October 2010, he worked as a medical officer at the Maluti Adventist Hospital in Lesotho. Here, he was involved in a wide range of clinical work including the management of HIV/AIDS/TB patients. He also took care of trauma cases and worked in the orthopaedic and gynaecology sections. He was the Quality Improvement Officer.
Since 2013 (and until he joined COHSASA) Dr Londa worked as the South Region programme manager and the Clinical and Quality Assurance Master Trainer at JHPIEGO in Lesotho. He was the manager at an HIV/AIDS/TB clinic and a trainer of voluntary medical male circumcision providers. He also took care of surgical emergencies.
Taking COHSASA’s mission forward
He hopes to take COHSASA’s mission forward.
“I want to give input into the COHSASA mission and make sure that whatever COHSASA stands for is being applied in the field.”
He will be overseeing the activities of all the COHSASA quality advisors. He has an interest in clinical research and wants to examine what obstacles stand in the way of a successful accreditation programme.
“I want to improve the quality and safety of health to change lives and thus lead to the creation of a more productive society. Many HIV patients only work 10 days in a month. This must change.”
Dr Londa is married with two children.
The CEO of The Council for Health Service Accreditation of Southern Africa (COHSASA), Jacqui Stewart, has been selected as one of the 100 Most Impactful Healthcare Leaders by the World Health & Wellness Congress for 2019 scheduled for 14th February in Mumbai, India.
The World Health & Wellness Congress is a not-for-profit body that organises the annual meeting with the objectives of learning and development, networking and recognising leaders who have contributed value to the profession or their organisation and who, through a positive impact, have made a difference.
The Congress attracts leaders from the continents of Asia, the USA, Africa and the Gulf Cooperation Council (GCC), an alliance of six countries in the Arabian Peninsula: Bahrain, Kuwait, Oman, Qatar, Saudi Arabia and the United Arab Emirates.
The organisers have informed Ms Stewart as follows:
“Our approach is towards thought leadership and along with thought leaders international we would like to confer on you the “100 Most Impactful Healthcare Leaders – Global Listing”
“The award reflects your professional achievement and our belief that you are a thought leader in healthcare industry and a valuable contributor.
“To reach to this conclusion we have approached your peers who have recommended your name. This recommendation has been vetted by the advisory board of World Health & Wellness Congress.”
The Health and Wellness Conference takes place on 14th and 15th Feb 2019 at The Taj Lands End, Mumbai, an iconic venue overlooking the Arabian Sea.
Responding Ms Stewart said, “I am deeply honoured and very humbled. Thank you very much to you and the advisory board for this great honour.”
Says Chair of the COHSASA Board, Ms Sharon Slabbert, “The COHSASA board congratulates Jacqui on another great achievement which is testament to her dedication to quality assurance internationally, but, particularly in Africa.”
Unable to accept the award in person in Mumbai since the dates clashed with COHSASA’s Annual General Meeting and Board Meeting, Ms Stewart has asked that Mumbai resident, Mr Anisur Rehman Jagrala, accept on her behalf.
The healthcare facilities listed in the table below have recently been awarded accreditation by The Council for Health Service Accreditation of Southern Africa (COHSASA), a not-for-profit company (NPC) based in Cape Town.
COHSASA accreditation award means the healthcare organisations have entered a rigorous quality improvement programme and have been assessed against, and comply with, standards recognised by the International Society for Quality in Health Care (ISQua), the global body overseeing accreditation and quality improvement programmes in healthcare organisations in 70 countries around the world. COHSASA itself is accredited by ISQua as are its standards.
Hospitals and clinics that initially enter the programme and meet standards are awarded two-year accreditations and as the journey in excellence continues, awards of longer duration are given. A four-year accreditation award from the Council should signal to patients that a facility has sustained standards over a commendable period.
|MedAhead@Wilgers in Pretoria||2 Years Full Accreditation||15 February 2019 to 14th February 2021||Die Wilgers, Pretoria, Gauteng|
|Mediclinic Kloof||4 Years Full Accreditation||15 February 2019 to 14th February 2023||Erasmuskloof, Pretoria, Gauteng|
|Mediclinic Newcastle||3 Years Full Accreditation||15 February 2019 to 14th February 2022||Newcastle, KwaZulu-Natal|
|Mediclinic Paarl||4 Years Full Accreditation||15 February 2019 to 14th February 2023||Paarl, Western Cape|
|Mediclinic Vergelegen||4 Years Full Accreditation||15 February 2019 to 14th February 2023||Somerset West, Western Cape|
|Queen Mamohato Memorial Hospital in Lesotho||3 Years Full Accreditation||15 February 2019 to 14th February 2022||Maseru, Lesotho|
|Selebi Phikwe Government Hospital in Botswana||2 Years Full Accreditation||15 February 2019 to 14th February 2021||Selebi Phikwe, Botswana|
The Council for Health Service Accreditation of Southern Africa NPC (COHSASA), has achieved its fifth accreditation from the International Society for Quality in Health Care (ISQua), the global authority with a mission is to improve the quality and safety of healthcare worldwide.
This fifth accreditation, valid from 2018 to 2022, means that COHSASA itself, as an organisation, has been independently assessed by the most credible authority in the world in this field and has had its existing systems and operations validated. The process does not end there as the aim is to drive continuous quality improvement throughout the organisation.
COHSASA is the only health services accreditation body in sub-Saharan Africa to be accredited by this ISQua.
COHSASA has achieved accreditation from ISQua in 2002, 2006, 2010, 2014 and now in 2018. This latest accreditation further focuses attention on this not-for-profit organisation that will be co- hosting ISQua’s 36 th International conference in Cape Town, the first time that the conference will be held on African shores.
Furthermore, the COHSASA Healthcare Facility Standards (First Edition) has also achieved ISQua accreditation for the period of 2018 to 2022.
The ISQua surveyors gave the COHSASA Healthcare Facility Standards a rating of 89% and described the result as “excellent”. This was the first survey of this suite of standards which includes: Generic Service Elements, Inpatient Care standards and Ambulatory Care standards. These standards are an amalgamation of six existing sets and they have been combined to provide consistency and reduced duplication.
Based in Cape Town, the Council was founded in 1995. In the past 23 years, it has worked with 594 healthcare institutions across 35 clients in 11 countries in Africa. Using professional standards, COHSASA identifies gaps in service provision and assists healthcare staff to meet those gaps.
The Council empowers health workers to ensure that there are systems and processes in place, underpinned by professional standards, so that patients are provided with safe, quality care.
Commenting on the latest accreditation, CEO of COHSASA, Ms Jacqui Stewart said:
“I am absolutely delighted that COHSASA has been accredited by the International Society for Quality in Health Care (ISQua) for a fifth time and has achieved accreditation for twenty consecutive years. This accreditation is an indication of excellent team work within the organisation, high quality systems, a commitment to our mission, vision and values and most important, a commitment to our clients.
“I am pleased that our healthcare facility standards have also been accredited for four years. We now have just two sets of standards, healthcare facility standards for inpatient care and ambulatory care. These two flexible sets enable us to better respond to requests to accredit facilities delivering new approaches and models of health care. We are committed to maintaining high quality programmes and services for all our clients for many more years”.
Chairperson of COHSASA, Ms Sharon Slabbert said of the latest accreditation: “The Council of Health Services Accreditation of Southern Africa has for the fifth time been accredited by the ISQua following a rigorous process of evaluation. This clearly indicates that the Council is striving towards its vision of being the leading health service accreditation organisation globally. This is only possible through the total dedication and hard work of the CEO and staff. It is through absolute adherence to the principles of the highest standards of quality in the provision of healthcare that this remarkable achievement has been made possible.”
Elaine O’ Connor, ISQua Head of the International Accreditation Programme and Strategic Partnerships CC, said: “ISQua warmly thanks and congratulates all who were involved with this process and offers best wishes for the continuing success of Council for Health Service Accreditation of Southern Africa.”