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1.1 Course rationale

The leaders and managers of healthcare facilities are pivotal in ensuring that, in addition to achieving the strategic goals and objectives of their healthcare facilities, the quality of services and care outcomes is always assured. AfIHQSA is of the opinion that if facility managers are not formally introduced to and given basic knowledge and competencies in quality in healthcare, it will be near impossible, for the healthcare services and care outcomes, in Ghana, to attain, let alone sustain the standards of quality desired by healthcare professionals themselves and the users of the services.

1.2 Course Design:

This course is intended to be delivered as a one-off course. The course will introduce basic concepts and skills in Healthcare Quality to participants. This is to equip the managers with the information, tools, skills, competencies and techniques required to effectively lead the sustainable improvement of quality of care practices and outcomes in healthcare facilities. The course will be facilitated by foremost leadership and healthcare quality experts over a three-day period. The sessions will provide opportunities for participants to acquire knowledge, be introduced to and practice skills to develop relevant competencies. This will be done through presentations, group discussions and assignments. To ensure relevance, facilitators will share real life experiences and participants will be encouraged to do same for purposes of learning.

1.3 Intended Course Participants and Impact

The first target group for this are cohorts of health facility managers. Preferably a team from each unit/department composed of the head, the administrator, the accountant, human resource manager and the nurse manager. Other managers / leaders such as unit heads including ward supervisors, facility quality managers can also attend and benefit immensely from the course.

1.4 Course benefits

At the end of the course participants will appreciate the fundamental concepts, principles and practices required to implement quality in the healthcare facility setting. They will leave with an understanding of why quality is a 'big deal' in healthcare. In addition, they will be exposed to and supported to develop the requisite leadership and management skills/competencies such as team building, health system transformation, developing organisational culture and working with resistance amongst others. Overall, participants will be empowered, motivated and able to identify deviations from desired quality of care outcomes and initiate and design innovative interventions to improve the quality of care they provide.

1.5 Course Outline

Time	Content for Day 1
0730-0800	Arrival and registration of participants
0800-0830	Introduction to AfIHQSA, workshop and participants
0830-0900	Session 1: History of Quality in healthcare in Ghana
0900-1030	Session 2: Theories, principles and dimensions of quality in healthcare
1030-1100	Snack Break / Group Picture
1100-1300	Session 3: Principles and Practices of Patient-Centered Care
1300-1400	Lunch
1400-1530	Session 4: Principles and Practices of Patient Safety
1530-1545	Stretch Break
1540-1645	Session 5: Quality Management Systems (Planning and design)
1645-1700	Feedback and closure

Time	Content for Day 2
0730-0800	Arrival of participants
0800-0830	Insights from Day 1
0830-1030	Session 6: Measuring and Monitoring Quality
1030-1100	Snack Break
1100-1300	Session 7: Approaches to Quality Improvement
1100-1300	Session 3: Principles and Practices of Patient-Centered Care
1300-1400	Lunch
1400-1530	Session 8: Strengthening Health systems for improved quality
1530-1545	Stretch Break
1540-1645	Session 9: Developing a mindset for providing quality (attitudes and practices)
1645-1700	Feedback and closure

Time	Content for Day 3
0730-0800	Arrival of participants
0800-0830	Insights from Day 2
0830-0930	Session 10: Sustaining Quality (accreditation standards)
0930-1030	Session 11: Leading and managing quality: practical approaches, skills and competencies I
1030-1100	Snack Break
1100-1300	Session 12: Leading and managing quality: practical approaches, skills and competencies II
1300-1400	Lunch
1400-1530	Session 13: Developing a Quality Culture: What it is and how to do it?
1500 - 1600	Next steps, Feedback, presentation of certificates and closure.

The course has been accredited for CPD points as follows Medical and Dental Council 7 points; Nurses and midwifery Council 6 points; Pharmacy council 3

2. Cost of the Program

The fee for the course is Seven Hundred & Fifty Ghana Cedis (GHS750) per participant. Group discount of 10% is available for facilities that sponsor three (3) or more participants.

3. Course Date

21st to 23rd August 2019

4. Venue

Civil Service Training Centre (inside the Government Secretariat campus) near St. Thomas Aquinas SHS, Accra

5. Profile of Main Course Facilitators

DUNCAN, Spencer:
Prof. Spencer Duncan is a Leadership and Economic/ Management Consultant. He lectured at Haggai Institute in Singapore and Hawaii for over 18 years. Currently, he still lectures at Bethany International University, Singapore and an adjunct Lecturer at the Ghana Institute of Management and Public Administration (GIMPA) in Ghana. He is also the President of LEADERS DIGEST; a platform designed to train and develop Leaders. He is a Motivational Speaker at Conferences and an author of many books.

BUCKLE, Gilbert Benjamin: MBChB, MPH, ODCC
Gilbert is a Public Health Physician and Consultant in Health Systems Strengthening, with over 22 years of experience (in both the public and private sectors). He is an accomplished and resourceful executive, with experience in designing healthcare programs and leading healthcare systems and organisations to enhanced performance. He is adept at strengthening health systems and healthcare organisations, with a focus on improving the quality of health outcomes, in resource-limited environments. His additional competencies include critical thinking, analysis, & strategic planning; Health Systems Strengthening & Optimisation; Healthcare Quality Improvement Initiatives; Leadership Coaching & Capacity Development; and Organisational System Transformations. Gilbert is a certified executive coach with the International Coach Federation as well as an Organizational Development Certified Consultant.

He has been successful in identifying and solving complex health related concerns of communities and health systems throughout Ghana. Significant highlights of his career achievements include: Initiating and Leading a whole system transformation programme at the Korle Bu Teaching Hospital that enhanced leadership’s focus and commitment towards the provision of high quality service; raising the profile and influence of the Greater Accra Regional Hospital through the establishment of strategic partnerships with government, local, and international bodies; optimising health service delivery of the National Catholic Health Service through organizational restructuring and spearheading various primary and institutional programmes; Leading the design and execution of quality improvement interventions that resulted in improved under-five mortality rates and enhanced mental health services in health facilities.

Gilbert is an inaugural/founding member of the ISQUA Academy of Quality and Safety in Healthcare (IAQS).

OTCHI, Elom Hillary: FISQua, MPH, MA (Org. Devt), PGD, BSc

Elom is a National and an International Consultant on Healthcare Quality & Patient Safety. He is one of the WHO Global Experts on Patient Safety, and the Prevention & Management of Falls. He works presently as WHO Quality of Care (QoC) Advisor/Consultant to the Ministry of Health & Sanitation (MOHS) in Freetown, Sierra Leone. He is a conference speaker and has been a panel member of several quality & patient safety conferences. In Ghana, he has played various roles including supporting the development of the National Quality Strategy; and the National Patient Safety Policy. He also contributed to the development of the Mother-Baby Friendly Health Facility Initiative (MBFHI) training manual which seeks to improve maternal and new-born outcomes. He leads the Quality & Patient Safety program of the Korle Bu Teaching Hospital (KBTH).

Elom has facilitated and trained various categories of healthcare professionals across the continuum of healthcare in various parts of the world. He was the National Consultant on Quality Improvement (QI) for UNICEF supporting 24 hospitals and health centres in implementing the Mother-Baby Friendly Health Facility Initiative (MBFHI). This sought to among others apply quality improvement methodologies to improve maternal and neonatal outcomes in the Upper East Region of Ghana.

He has undertaken several operational researches in identifying various opportunities for improvement and contributed to publications in various peer reviewed journals and bulletins. He has also contributed to webinars across the world. He is a Blogger for the International Society for Quality in Healthcare (ISQua).

Elom is an Expert of the International Society of Quality Healthcare (ISQua) where he provides inputs, advice and guidance into various ISQua programs such as external evaluation of health services, education activities, furthering innovation in healthcare, supporting quality and safety in lower and middle-income countries, and healthcare research & development.

Elom is a Fellow of International Society of Quality in Healthcare (ISQua) and a Certified Hospital Surveyor (CHS). He is a member of the WHO Global Learning Laboratory on Quality of Care and Universal Health Coverage. He is also a PhD Candidate at the School of Public Health (SPH) of the University of Ghana.