Evaluating STI - Health Systems Trust
Evaluating STI - Health Systems Trust
Evaluating STI - Health Systems Trust
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
– 23 –<br />
Key Step number 13 – Feedback to Clinics<br />
Key Step number 14 – Decide on Priorities<br />
Feedback is an important part of the DISCA process. The manner in<br />
which this will be done should be discussed when plans are first made<br />
to conduct the DISCA evaluation.<br />
A forum should be established to allow for feedback of findings to all<br />
staff at the clinic.<br />
Whatever feedback approach is used, it is ultimately the clinicians<br />
who need to be aware of the strengths and weaknesses in the quality<br />
of care of clients.<br />
Ideally the clinicians should be involved in the next two steps of<br />
deciding on priorities and developing action plans. They may have<br />
some important insights into why some aspects of quality are deficient<br />
and how they could be remedied.<br />
Providing feedback to clinicians is valuable for a number of reasons.<br />
◆<br />
◆<br />
◆<br />
It enables them to see the relevance of the DISCA and<br />
should increase their commitment to the correct use<br />
of this tool.<br />
It increases their awareness of aspects of quality that<br />
need improving.<br />
It enables them to be part of the decision making<br />
process for improving quality of care. People will always<br />
be more committed to carrying out action plans that<br />
they have participated in developing.<br />
Criteria for Selecting Priorities<br />
There are three key questions to answer in deciding what the priorities are:<br />
◆<br />
◆<br />
◆<br />
How important is it to address this?<br />
This would take into account the following factors:<br />
- How serious is the problem? What impact does it<br />
have on the quality of someone’s health?<br />
- How common is this problem? Does it affect large<br />
numbers of people?<br />
Can we do something about it?<br />
- Are there people with the necessary skills to be<br />
able to address it?<br />
- Are the necessary resources available? This<br />
would include any materials needed as well as<br />
the finances required.<br />
- Is it something that could be done easily and soon,<br />
or would it be a long term project?<br />
Are there people who are willing/wanting to do<br />
something about it?<br />
- Do staff within the health services feel committed<br />
to addressing this issue?<br />
- Is there a level of concern in the community about it?<br />
- Are there people in the community who could<br />
play a role in resolving the problem?<br />
- Are there people who might block the proposed<br />
action?