SCA Training Module 1
Contents
1. T Scores Infrastructure Equipment following areas are present and clearly separated patient reception phlebotomy specimen reception testing area microbiology section 1 room designated for all TB procedures only storage and staff eating meeting area Control of room temperature available and monitored daily No power outages Running and distilled water available 100 of the working day power back up generator or batteries available and functioning Excellent illumination and ventilation 100 equipment functioning Pipettes calibrated twice per year Preventative maintenance performed as required Excellent record keeping Service contracts available for 100 of equipment All equipment is connected to UPS SCA Tool Design Functional areas are consistent across all components allowing for analysis of scores by program component and by functional area The SCA provides guidance on how to determine the rating and indicates which document s to review The SCA provides a space to record the rating electronically through a laptop or manually through paper form The SCA has expanded glossary on the meaning of some of the terminologies used in the modules and a user manual e The SCA is intended to be used with the health facility on an annual basis by the local partners and the program manager responsible for health faci2. wy C ana Age irem ient ey Cans ent H Adolescent HS Cana s mie a vaut petir Wang ad na pir Ane pouth privacy J pracbces in ine Pere HaT anh pinag 4 n youm ma are dedicated meng yaun ad bach youi n parcite apr ard tice dl Ines it YOU aan cry actis neam ia der SCA Tool Dashboard COPS Once data has been entered into the central data base via internet connectivity it creates the SCA Dashboard The SCA Dashboard aggregates data at the global country and facility levels by component and functional areas The dashboard isa data visualization tool to aid in decision making at all levels It portrays visually appealing and meaningful color coded maps charts and tables make it easy to analyze the assessment score results at different levels of detail 5 Site Capacity Assessment Dashboard p 2009 AlDSRelief Site Percent Sustainable of Facilities Pediatric Fin amp Comp Strategic Info lt Advo Fund amp PR Adolescent Healthcare Mgt Pharm Mgt Laboratory Percent Sustainable Over Time Facilities Assessed Percent F
3. 4 Percent Sustainable Over Time 5 4 396 Percent Facilities 1 2009 2010 it berm od Ul Bash Site Capacity Assessment Dashboard Selecta c Approaching n nent Afita Higeria Humber azsezsad in 12 mantha 3 Humber with verage Mot sustainable Average Approaching 1 Average fooni 2 Average scone High Performers 0 Component annals requiring improvenmaent dolascent HIY Care Advocacy Fundraising Health Care Functional araa s requiring irnprovernaenti Budagating Planning Corsmoaditiea Suppliat Human Resources Management Supervision amp Communications Racord Keeping AIDS Rever rHsgh 0 Co able 0 Eustainabla 2 33 Global Country Facility SCA Data Upload Help Admin Logout Ey Component 2010 Number of Sustainable Sites by Country Had Site Capacity Assessment Dashboard AIDS Pic SOA Dara Uplsad Help County Higera 2010 Country Hama Score Trand TRA Easily see Facility segments within a country Facility aggregated Scores Components or functional areas that need improvement or high performing Facility
4. The SCA does not assess program outcomes instead assesses the capacity of program operations The SCA indicates which health facility is meeting the minimum standards needed to provide quality HIV care and treatment services on a continuing basis with overall technical and management support from the local partner or AIDSRelief e The SCA is intended to be used on an annual basis by the local partner or AlDSRelief program manager responsible for health facilities Fure 5 __8 Ocrs f Futures CM MB SECTION 2 SITE CAPACITY 55 5 SCA SCA Tool Background and Architecture gt The SCA design considered the following factors The need to meaningfully assess the degree to which delivery system components have been implemented Provision of clear scales of implementation beyond yes and no but also to ask how much Identify and measure core functional areas that affect implementation of key program components Set Indicators that are representative of capacities critical for achieving the standard for quality service Assess the process and environment for quality services 5 SCA Tool Design e SCA is organized by 12 program components 7 crosscutting functional areas Each component lists a set of indicators that are representative of the capac
5. Emphasize that the lead should analyze the health facility currently taking into consideration the past Thus the tool produces a snap shot of the health facility at the point in time of the assessment not of past or future performance Interview Guidelines Don t be tempted to answer for the lead or rush onto the next indicator End the interview by asking if there are any other critical indicators that were not covered in the assessment If there are such issues write it down in the notes tab During the interviews issues that are important to staff but are not directly pertinent to the review may emerge Don t discourage them Tell the staff that you would like to hear their issues when you can fully focus on them and schedule time after the review to meet and discuss AIDS Reucr i m T icm Review of Supporting Evidence Review the health facility documentation to support the information provided by the component lead The existence of all required documents must be verified by sight Foreach document enter into the SCA spreadsheet whether or not it was seen Conduct physical inventory of commodities infrastructure and observe practices Make a final decision on the appropriate component scores based upon the information provided by the lead evidence in the documents and direct observations Foreach criteria all bullets in a given level m
6. Oces d Yos Futures m SITE CAPACITY ASSESSMENT SCA TOOLKIT Introduction SCA Toolkit Training Program Module 1 P EE iil gt Copyright and Acknowledgements 2010 Catholic Relief Services United States Conference of Catholic Bishops CRS Futures Group International LLC Futures and the University of Maryland School of Medicine Institute of Human Virology The AlDSRelief Site Capacity Assessment Tool SCA Tool is adapted with permission from the IHV Clinical Site Capacity Assessment Tool which was modified by CRS Futures and IHV to fit the needs of AlDSRelief This publication was made possible by Grant Number U51HA02521 from the Health Resources Services Administration HRSA Its contents are solely the responsibility of the authors and do not necessarily represent the official views of HRSA Any reproduction translation derivation distribution or other use of this work is prohibited without the express permission of CRS Futures or Any adaptation or other derivative work shall not assert or imply any sponsorship of or endorsement by the original authors without the separate written consent of the authors AIDSjR amp r SCA Toolkit Training Program _ Ex Purpose To equip project managers to use the SCA Toolkit raining Program Steps Orientation with the SCA Training Modules 1 and 2 Study the SCA User Guide Study the SCA
7. SCA Data Upload Log out Nigeria Facility Segment Rural Urban Peri Urban By Component Segment Rural Facilities Adult HIV Care Facility Name rx Average Score Country Segmentation Facility Long Name 4 District A 4 2 v E Urban Facility Long Name 5 District A 4 1 A B Rural Facility Long Name 8 District B 3 9 El Peri Urban Facility Long Name 1 District A 3 9 A Facility Long Name 19 District F 3 9 v Facility Long Name 10 District B 3 7 Facility Long 9 District 2 9 47 Overall Average Score by Component Functional Area Rural Facilities 10 il Adult HIV Care I Top and Bottom Performers by Component Functional Area i O wm Nursing 5 CBTS aaa QIP 8 Adolescent Care E 34 i Finance 2 Health Care Mgt Pharmacy Mgt i mmm 21 Laboratory Maternal 8 Child Health Em LPTF3 LPTF21 LPTF29 Strategic Information Adv Fundraising amp PR Country Average amp Rural Facilities Average EN Not Sustainable Approaching Sustainability Sustainable High Performer Developed by Futures Group International Version 1 0 July 2009 cdi Facility Abuja Clinic Country Year Nigeria Facility Name Clinic out of 30 sites Faci
8. 77 How FFill i in an Action Plan Workbook 8 1 Open an Action workbook 2 Select a component tab 3 Review the indicators and criteria associated with each indicator Remove criteria rows that you don t want by highlight the row and right click your mouse and select delete 4 For each row enter the activities that you and your team will perform to meet the criteria the priority resources and staff needed and schedule information 5 As activities progress through the status phases or on a periodic basis update the spreadsheet for each component 6 As the work is completed the summary information at the top of each tab and in the summary page is also update AIDSjR amp Summary Tab 2 e The summary page gives you a snapshot of completed activities across components As activities are completed for each component status field is changed to Complete in the component tabs the summary page statistics update AIDSjR amp cr
9. 3 3 42 Tap and POT EDIDI uc M77 002 Min Pas v iu sg a i amp NN Top 10 Country i a 5 DSR Tub Contact us ten od use Mach i Facility Easily see Facilities that need improvement or are high performing Individual component or functional areas that need improvement Details at the indicator level Comparison between the facility and country average Al DS RE E Suslanasiy Perma a Site Capacity Assessment Dashl County Facitty Example Facility Comz ngt Facsny Gy Gesgr 1 Lompenent Only Emar bef AIDS Pir Country SCA Daia Uplead Help Adi quu and Funcional Arta Sewes Ansa Score Care 18 Adut Hv 15 un draisirea 14 3 83 Finance Camplsance 343 Care 33 Laborat ry ia amp Chad eam 181 142 Mgl 3 Du 11 Adolescent Care Furrsional Anca
10. Approaching Sustainability Sustainable High Performer Developed by Futures Group International Version 1 0 July 2009 Ocrs 1 Futures SECTION 5 lt 55 5 5 SCA Action Plan P gt Objective of this Training Module Understand the importance of action plans as tool for implementing activities that address capacity gaps identified by the SCA Understand key features of action plans e Introduce the auto generated action plan worksheet Learn how to generate the action plan workbook in the SCA dashboard Understand the various fields the SCA action plan workbook and how they are filled How to manage and monitor implementation of activities using the SCA action planning tool AIDSjR amp 1 After the completion of the administration of the SCA tool the Program Manager should work with health facility and relevant component experts to develop action plans 2 action plan can be developed by two methods 1 Manually using the principles discussed earlier in this presentation 2 Select your indicators for improvement and download from the SCA Dashboard AIDSjR amp cr The SCA Action feature creates a customized component by component work plan at the indicator and criteria level Based on the health facility s assessment scores sel
11. amp Communication Commodities amp AIDSXReEvEF Futuresll SECTION 3 SITE CAPACITY ASSESSMENT SCA SCA Tool Preparation and Administration SG a 5 Program managers administering the SCA tool must successfully completed the full SCA training program They should have acquired an in depth understanding of the Importance of capacity assessment and purpose of the SCA tool The technical content of each SCA component in order to accurately score each indictor including the use of documentation The methodology for administering the tool including the documentation in order to accurately score each indicator Program managers should not administer the SCA at those health facilities that they routinely manage in order to avoid some inevitable biases in scoring Preparatory Activities ies o e Before undertaking the assessment an annual SCA program administration and monitoring schedule should developed and distributed to the health facilities to be assessed Wellin advance of scheduled SCA assessment the health facility should receive Awritten notification of the proposed date of the visit Alist of all health facility documents they should gather in advance Ahard copy of the SCA tool for their review prior to the visit Review the tool thoroughly before the visit review each component indicator and
12. country and facility levels by component and functional areas Color coded maps charts and tables make it easy to analyze the results at different levels of detail Web based interface does not require any application installation AIDSjR amp dashboard is a visualization tool to aid decision making at all levels Global Level Users HQs Country Managers Health Facility Managers Compare aggregated results between countries and within a country Identify and address over arching problems Country Managers Compare selected facility segments and regions View component and facility score trends over time Health Facility Managers Drill down to the site indicators Plan program improvement care and treatment plans and review progress AIDSjR amp r Site Capacity Assessment Dashboard AIDS ER sv BoM Aica Global Page Easily see Country score aggregated averages Component level issues View by country and year Trends over time Soria EE nis d musta aba 2 21 Humber of Sus by Coury 1 2008 05 Suitenable BApproaching Gibai Country Faiy SCA Data Upload Help admin Logout By Corgans 2000 user of Sum anise 20
13. effective implementation of ongoing programs Capacity assessment can provide Identification of gaps Areas of strengths and weakness Areas of opportunity for improvement AIDS Reucr Capacity Assessment The SCA Capacity assessment is an important exercise for effective health systems strengthening initiative However meaningful capacity assessment requires a tool suited for the health system being assessed The SCA Tool was developed to assess the health facility s overall capacity of program operations to deliver quality HIV care and treatment in a consistent and sustainable The administration of the SCA by AlDSRelief and local partners informs health systems strengthening initiatives for health facilities AIDSjR amp t gt Capacity Assessment The SCA tool The information from the assessment is used to prioritize activities to strengthen capacity when a need is identified and or to identify areas of excellent capacity that may be used to exemplify best practices The SCA is designed to promote learning by facilitating conversations with the health facility staff to identify root causes and to develop strategies for improvement Additional targeted technical assessments are also conducted when additional information is needed to identify root causes AIDSjR amp cr Capacity Assessment The SCA tool
14. score AIDSjR amp Preparatory Activities Take the following steps prior to administering the SCA tool 1 Confirm one week prior to the scheduled visit that the health facility has received the SCA tool prepared the documents for review and is ready for a 2 3 day visit for administration of the SCA tool 2 Setup briefing orientation meeting at the health facility During the meeting Describe detail the SCA administration process to the health facility administrator the medical director and HIV program staff Emphasize that the SCA is not an audit of the facility but a collaborative process to help the health facility by gathering information to identify best practices and opportunities to further strengthen the programs Preparatory Activities E e In addition discuss the tool with the other key health facility Staff potential respondents and ensure that the people you need to meet with are available during the assessment Explain the goal of the assessment and the use of the data collected Indicate when assessment results will be received and how Staff will be involved in any improvement efforts Explain the level of confidentiality in the assessment process Review the SCA tool components indicators and observable statements with staff to familiarize them with the tool Preparatory Activities During the meeting su
15. Tool including component instructions Mentor in the use of the SCA Toolkit which includes Accompanied administration of the SCA Tool Familiarization with the SCA Dashboard Development of an SCA Action Plan AIDSjR amp SCA Toolkit Training Module 1 Section 1 Section 2 Section 3 Section 4 Section 5 AIDSjR amp Contents SCA Tool Capacity Assessment SCA Tool Background and Architecture SCA Tool Preparation and Administration SCA Dashboard SCA Action Plan SECTION 1 SITE CAPACITY ASSESMENT SCA Capacity Assessment The Foundation of Capacity Development and Program Outcome Improvement P gt Capacity assessment is a systematic measurement and review of key organizational and or program indicators with the view of taking action to improve capacity and or performance Capacity assessment can be done comprehensively to cover the whole organization program or more focused to specific aspects only Assessment can be driven externally or through a self assessment approach AIDSjR amp dio Why Capacity Assessment Capacity assessment is the foundation of capacity strengthening efforts since meaningful improvements only be effected on what is known and can be measured Used to identify gaps in the service operations or in the implementation of programs Used to monitor for the
16. acilities Facilities Sustainable Ethiopia Not Sustainable Approaching Sustainability Sustainable High Performer Developed by Futures Group International Version 1 0 July 2009 Site Capacity Assessment Dashboard Number Facilities assessed in last 12 months 25 Number Facilities with Average score Not sustainable 2 Average score Approaching Sustainability 4 Average score Sustainable 18 stainable Facilities Average score High Performer 1 2009 Component area s requiring improvement Nursing Laboratory Funding amp Advocacy Functional area s requiring improvement Physical Infra Mgt and Supervision Supplies aa All AlDSRelief Site Percent Sustainable 54569 m EG Os o S u lt c2 o tn 5 o 2 r Percent Sustainable Over Time Facilities Assessed Percent Facilities 2 5 o 2 o o g 5 Ethiopia Not Sustainable Approaching Sustainability Sustainable High Performer Developed by Futures Group International Version 1 0 July 2009 Site Capacity Assessment Dashboard AIDS R u SE as Country Year Nigeria 2009 Global Country Facility
17. are generated and how they are calculated AIDSjR amp r Field Name Data Source ___ 1 Functional Area 2 Indicator 3 Current Score 4 Planned Score 5 Criteria Needed to Reach Level 3 or Above 6 Facility Planned Activities AIDSjR amp r Text Text Integer Integer Text Text Dash Board database Dash Board database Dash Board database Dash Board database Dash Board database Text source is the SCA tool criteria Empty to be filled by the facility ook FIELD NAME TYPE DATA SOURCE 7 Priority Select list High Medium Low Empty field to be filled in by the facility 8 Resources Funding currency Integer Empty field to be filled in by the facility 9 Resources sources of funds Text Empty field to be filled in by the facility 10 Staff facility staff member in Text Empty field to be filled in by the charge facility 11 Staff AIDSRelief Team member Text Empty field to be filled in by the to support facility 12 Schedule Target date for Date Empty field to be filled in by the completion facility 13 Schedule status Select list Not started In progress Empty field to be filled by the delayed will not be done complete facility 14 Schedule Days over due Integer Calculated if target date today s date displays nothing If target day gt today s date and status complete calculate work days overdue If status z complete display nothing
18. contracts SOPs 1 small room available as laboratory space but not 100 dedicated for laboratory activities No separation between sections No space dedicated only for sample collection No waiting area for patients No control of room temperature No electricity and running water available No power back up Poor illumination and ventilation No functioning equipment in the been calibrated preventative maintenance records available No service contracts available The 1 room available for all laboratory activities No separation between sections Space dedicated for sample collection No waiting area for patients No control of room temperature Electricity and running water available 50 of the working day No power back up e Poor illumination and ventilation 225 of equipment in thg laboratory is functioning Pipettes have never been calibrated 2596 of required preventative maintenance performed No records available No service contracts available UPS in place but not working or not connected to any equipment At least two rooms available for um level for sustaina 2 rooms available for laboratory activities plus space for laboratory activities plus storage Separation between different sections chemistry microbiology hematology Space designated for TB sample processing only Space dedicat
19. e minimum standard for quality services in that area AIDSjR amp SCA Tool Scoring Continuum Red Flag Yellow Flag Green Flag Blue Flag Not Meeting Approaching Meeting Exceeding Minimum Minimum Minimum Minimum Standard Standard Standard for Standard Quality Services Consider for Significant Targeted Support Needed Assistance Training Purposes Needed AIDSjR amp r de cm Key Components for Meeting Stan e 112 SCA tool components are important for quality services Some components are critical causing the health facility to not meet minimum standard even if the total averages for the health facility fall within the green range of meeting minimum standards for quality services The core components critical for quality services include Adult HIV Care Community Based Treatment Services Laboratory Pharmacy Management Finance and Compliance AIDSjR amp jueuieAo4duu 21 peseg 9 eoueiduio 22514 Physical Infrastructure amp Equipment Human Resources Planning amp Budgeting Record Keeping amp Reporting Practices Activities Mangement Supervision
20. e 1 Reporting Send a preliminary report produced from the SCA excel spreadsheet focus group notes and other key observations to the health facility for review within two weeks of the visit Based upon health facility feedback and internal AIDSRelief local partner review produce a final report and share with the health facility and relevant partners Identify and note best practices 4 whe Phase 2 Follow up and Action Planning Schedule a follow up meeting with the health facility and appropriate AlDSRelief or local partner component experts Work with health facility and relevant component experts to develop action plans Identify and schedule component expert technical assistance needed to implement action plans Coordinate and monitor capacity strengthening initiatives Phase 3 Monitoring Use SCA Dashboard to monitor health facility status relative to meeting the minimum standards for quality services and relative to all other health facilities over time AIDSjR amp cr Futuresll SECTION 4 SITE CAPACITY ASSESSMENT SCA SCA Dashboard SEG a lt SCA Database and Dashboarc Database e E first data entry during assessment with a detailed Excel workbook e Upload workbook to central server with internet connectivity Dashboard Aggregates data at the global
21. ect the assessment indicators within each component that that you want in the action plan Once you have gone through the selection process the system creates an Excel action plan workbook using a pre defined template AIDSjR amp rating an SCA Action Plan 7 Steps to Build an Action Plan Wor 1 Select a component by clicking on the component name in the component area grid The name of the component and the indicator score for the selected component will display in the lower grid 2 Select the indicators that you would like in your action plan Indicators with a score of 1 are automatically selected but you can de select them if you wish 3 Once you have selected all of the indicators for a component click the Submit Indicators button A Done check mark displays in the component grid at the top left 4 Repeat the process of selecting a component in the top grid selecting indicators for the component in the bottom grid and clicking Submit Indicator button 5 When you have building the action plan component by component click on the Create Plan button The system will automatically create an action plan Excel workbook and save it to your computer SCA Action Planning Workbool After accessing and building an action planning template an action workbook will appear The Action Plan Workbook Comprises A tab for each component selected in the SCA Dashboard set up Asu
22. ed for sample collection e Small waiting area for patients Control of room temperature Electricity available at least 9096 of the working day Running water available power back up generator or solar batteries available and functioning Adequated illumination and ventilation AT least 7596 of equipment in the laboratory is functioning Pipettes have been calibrated at least once since installation At least 7596 of preventative maintenance performed e Inadequate record keeping Valid service contracts available for at least 5096 of equipment Primary equipment is connected to UPS space for storage Separation between different sections chemistry microbiology Hematology e 1 room designated for TB sample processing only Space dedicated for sample collection Medium waiting area for patients Control of room temperature Electricity available 9096 of the working day Running water available power back up generator or solar batteries available and functioning Good illumination and ventilation 100 of equipment functioning Pipettes have been calibrated at least once per year 100 Preventative maintenance performed as required Adequate record keeping Valid service contracts available for at least 75 of equipment Primary equipment is connected to UPS Sample Component Rating Page Rating Scale 1 poor 3 m indicator Category __
23. ggest and discuss the order in which the component interviews will be conducted The following is an example preferred sequence 1 Clinical Components Adult HIV Care Youth HIV Services Nursing MCHC and CBTS 2 Specialist Units Components Laboratory Pharmacy Strategic Information and Quality Improvement Program 3 Management Components Finance and Compliance Fundraising and Advocacy and Health Care Management The final sequence should be determined after arriving at consensus with the administration in accordance with the logistic practicalities and staff availability AIDS Reucr Carrying Out Interviews e Before commencing actual interviews ensure that the health facility lead person for each component has received and reviewed a hard copy of their respective SCA component Read the indicator question and ask the lead for information that helps identify the observable statements that best describe the current capacity of the health facility During the interview assist them to understand the observable statements where necessary AIDSjR amp Interview Guidelines ae Read the indicator and pause allowing the component lead enough time to think before responding Wait for reactions listen carefully to what he she has to say Ask questions to help the component lead to think and speak about the observable statements Clarify the leads answers or comments when necessary
24. ities critical for achieving the standard for quality services e Provides questions to be asked each with set of observable statements on a 5 point scale Arating of level 1 represents no capacity whereas 5 represents a highly developed capacity and a potential best practice Level 3 represents the minimum level of capacity required for quality services e Observable statements enables the staff to see what is needed to move to a higher level with respect to each indicator AIDS Reucr SCA Tool 12 Components Youth HIV Services Adult HIV Care Community Based Treatment Services Finance and Compliance Fundraising Advocacy and Public Relations Health Care Management Laboratory Maternal Child HIV Care Nursing 10 Pharmacy Management 11 Quality Improvement Program 12 Strategic Information AIDSjR amp r PE gt SCA Tool 7 Functional Areas Physical Infrastructure and Equipment Human Resources Planning and Budgeting Practices Activities Management Supervision and Communication Commodities and Supplies Record Keeping and Reporting AIDSjR amp 15 SPACE adequate for optimal laboratory functioning Are UTILITIES adequate 15 EQUIPMENT working properly and regularly maintained for optimal laboratory functioning whe Observation Temperature logs Observation Observation Equipment maintenance logs Service
25. lities Forsome health facilities particularly those undergoing significant change a six monthly administration of the SCA would be helpful to track the impact of change and to identify gaps and areas that need capacity strengthening e In addition health facility staff may also use the SCA for self assessment on an ad hoc basis 5 Use of the SCA Tool __ SCA Tool User Considerations The SCA is primarily intended for a program manager responsible 5 for managing ART program with the health facilities The program manager needs to successfully complete the training program so that he she has an in depth understanding of the purpose of the tool and methodology of administration Although desirable a program manager does not need to have intimate technical knowledge of the various components to successfully administer the SCA tool The SCA tool should take no longer than 2 3 days to administer at each health facility SCA Tool Scoring e The scoring is based alto 5 scale For some questions 3 may be both the minimum and the best In that case 4 or 5 are not possible to score Average score is calculated for each component and functional area Example SI Physical Infrastructure If the 7 scores are for example 1 3 4 2 2 5 1 then the total average score will 2 6 and the site is meeting th
26. lity Geographic Location Supplies j Sek 4 4 Id VAS r G f re g x 1 Phal t 4 is 2 vou Supplies Mgt amp Super Planning Facility Score Country Average Assessment Sustainable Overall Average Score 3 55 Facility Rank in Country 66 percentile 201 Date Last Assessed 15 Nov 2009 Component area s requiring improvement Nursing Laboratory Funding amp Advocacy Functional area s requiring improvement Physical Infra Mgt and Supervision Site Capacity Assessment Dashboard AIDSRevcr Nursing CBTS Adolescent program Pediatric Finance Adult HIV Care Global Country Facility SCA Data Upload Log out ic nent and Functional Area Scores See Facility Notes Average Score Trend Compared to Prior Year 3 4 3 1 A 4 0 4 1 3 9 3 2 gt gt 14 gt 3 0 E Infrastructure Equipment Infrastructure Equipment Infrastructure Equipment Human Resources Human Resources Practices Activities Practices Activities Practices Activities Exam Rooms 4 Laboratory Diagnostics to support ART and 4 diagnose Ols Clinical Information System Physician to Patient Ratio Staff Training in HIV Care Opportunistic Infection Management Confidentiality Universal Precautions Not Sustainable
27. mmary tab that displays a summary of the number of activities selected and their completion status Each Component Tab Comprises Indicators selected during the indicator selection process in the dashboard One row per criteria there be multiple criteria rows for each indicator Criteria for a score level of Meets Minimum Standard score of 3 or higher depending on current score of the indicator AIDSjR amp 5 ction Planning Workboo The Progress Summary Tab Comprises The progress summary tab shows the number of activities completed for each component Component Tab Fields e Each tab is made up of summary fields at the top of each page and then rows with indicator and criteria information The tables below describe each field where they are generated and how they are calculated AIDSjR amp a gt An SCA Action Planning Wor GOAL Implementation Responsible Resources Performance ACTIVITY Person required Indicators AIDSjR amp r Fields the SCA Action Plan Workbook Because of its uniqueness the SCA action plan workbook has more fields that a traditional action planning workbook or template Some of the fields will be completed automatically by the SCA from the information generated from its system Other fields will be filled by the person preparing the work plan The next slides below describe each field where they
28. ust be satisfied in order to get the score corresponding to that capacity level AIDSjR amp Scoring Enter the scores directly into the laptop the SCA tool spreadsheet e Score questions that cannot be answered have no documentation During the process the lead may ask for explanations of the indicators and challenge the assumptions of the tool Use the notes tab in each component as needed for brief noteworthy insights or remarks arising from the interview with the health facility staff AIDS Reucr Focus Group Discussions E After the SCA the project manager will facilitate a focus group discussion with all key participants to Provide feedback on the findings of the assessment including strengths and areas for improvement Highlight positive findings Describe indicators that do not meet the minimum standard for quality services as opportunities not failures Discuss any challenges or concerns about the SCA and how it was administered and any recommendations for improving the SCA The focus group discussion should last no more than one hour AIDSjR amp SCA Post Assessment There area three important phases after completing the assessment that should be undertaken to complete the purpose and objective of the SCA tool e Phase 1 Reporting Phase2 Follow up and Action Planning Phase3 Monitoring AIDSjR amp Phas
Download Pdf Manuals
Related Search