On Performance Improvement of Health Services
Philippine Health Insurance Corporation
Quality Assurance Research and Policy Development Group
The Benchbook lays out basic concepts on the value of quality assurance in health care and how the accreditation process supports continuous quality improvement.
Francisco T. Duque, MD, MSc
President and CEO
3 main parts:
Part I explains the context of PhilHealth’s paradigm shift from an accountability framework to that of continuous quality improvement. It provides an overview and brief history of quality improvement from a global perspective. It also highlights some of the milestone ideas in quality improvement in industries and how these were gradually appropriated for improving quality in health care. Based on these trends, the PhilHealth developed Part II.
Part II contains the benchmark of performance improvement. It lists seven major groups of standards, to wit:
Goals are set to serve as targets for improvement. These goals are concretized by standards which delineate the best possible condition that should exist in the organization for it to attain quality performance. Finally, one or more criteria flesh out the standards. These criteria lay down specific actions that need to be done to meet standards.
Part III deals with performance improvement. Using as framework the Plan-Do-Check-Act cycle, it discusses a Total Quality Management approach to performance improvement. Highlighting the need for documentation, evaluation and action in improvement efforts, Part III also tackles activities and tools needed to attain quality health care.
PhilHealth Benchbook is essentially a Quality Assurance Framework
Assessment Focus Points
Dimensions of Quality Health Care
Continuity of Care
Education and Training
Implementation of QA Framework
Clinical Practice Guidelines and Clinical Pathways
Quality of Care Assessment
Starting 2006, the PhilHealth BenchBook will be used as a basis for accreditation of hospitals!!!!!