With an objective to reduce perinatal and neonatal mortality in the states of Telangana and Andhra Pradesh by 15 per cent over the baselines over a four year period through quality improvement, ACCESS Health International designed a Continuous Quality Improvement project "Safe Care Saving Lives", based on the Breakthrough Series Model, developed by Institute for Healthcare Improvement (IHI).
The project is funded by Children's International Investment Fund Foundation (CIFF). The Aarogyasri Health Care Trust of Government of Telangana and Dr. NTR Vaidya Seva Trust of Government of Andhra Pradesh, have provided an unique opportunity to engage hospitals in both Private and Public in quality improvement work for implementation of the Safe Care Saving Lives project across all Special new-born care Units and attached labour rooms in the public sector and selected Neonatal Intensive Care Units in the private sector empaneled with both Health Care Trusts in Telangana and Andhra Pradesh. The objective is to make better use of the states' resources to facilitate adoption of quality improvements. The Safe Care, Saving Lives program supports establishing a quality collaborative across all network healthcare facilities that provide newborn care services in both the States.
The program is being implemented in a phased manner across both states (Telangana and Andhra Pradesh). In Telangana the program has been rolled out in 15 health facilities (9 public and 6 private) from August 2014. These facilities are expected to serve as a "proof of concept" to demonstrate how to rapidly improve the quality processes of care and improve maternal and neonatal health outcomes. This will also contribute to the evidence-base for effective strategies to improve quality and outcomes in maternal and new-born health. Transparency with data generated by the work and openness about the activities carried out to improve outcomes forms the cornerstone for quality improvement. The facilities through the perinatal and neonatal collaborative of the Safe Care Saving Lives project share and learn the successes of the Quality Improvement work. This collaboration generates interest among other network hospitals empaneled with the Aarogyasri Healthcare Trust to adopt Quality Improvement processes.
The project brings together local, national, and international clinical and quality improvement experts. It trains clinical and administrative teams to help build capacity for incremental quality improvement experiments at the participating hospitals. To identify the leading causes of morbidity and mortality in the delivery rooms, special newborn care units and neonatal intensive care units and to implement strategies to tackle these causes. To improve the quality of obstetric and newborn care services provided in the public facilities under the Commissioner Health and Family Welfare and the Aarogyasri network healthcare facilities.
ACCESS Health supported the training of State and District Quality Assurance team members in Telangana on Quality Improvement and has started joint visits to facilities. The Quality Consultants are pursuing the online Quality Improvement course from the Institute for Healthcare Improvement's open school. This building the capacity of the staff on Quality Improvement and help ensure sustainability of Continuous Quality Improvement.
Under the Safe Care Saving Lives Program, ACCESS Health has supported the Aarogyasri Healthcare Trust in setting up a Quality Cell. The Quality Cell is developing a differential incentives based accreditation system for empanelled health facilities. The cell will also help in expanding the quality improvement initiative beyond the newborn period based on learning from the Safe Care Saving Lives program.
CIFF is an independent philanthropic organisation, headquartered in London with offices in Nairobi and New Delhi. CIFF works with a wide range of partners to transform the lives of poor and vulnerable children in developing countries. The major focus areas are Survive & Thrive, Climate Change and Child Protection. CIFF is funding the Safe Care Saving Lives program implemented by ACCESS Health International in partnership with the Aarogyasri Health care trust in Telangana and Dr. NTR Vaidya Seva Trust in Andhra Pradesh and the Department of Medical Health and Family Welfare. CIFF has funded the development of the Standardization of Labour rooms Information Technology platform.