Page 69 - npqh NATIONAL POLICY FOR QUALITY IN HEALTHCARE : Bridging Silos, Accelerating Improvements 2022-2026

National Policy for Quality in Healthcare
National Policy for Quality in Healthcare
Bridging Silos, Accelerating Improvements
Bridging Silos, Accelerating Improvements

This change in governance structure for quality is fundamental in bridging the silos
between different quality initiatives and enhance communication between all quality
players. The effective governance and monitoring system should avoid unnecessary
bureaucracy in order to facilitate information and knowledge sharing. In addition, existing
laws or prevalent work cultures that may hinder knowledge sharing or coordination may
need to be reviewed. A platform should also be provided by the governing body to consider
the views of all stakeholders, inclusive of patients and user representatives and form a
basis for policy reviews based on the stakeholders’ inputs. These platforms should be
autonomous in their functions thereby guaranteeing impartiality. [Refer 3.7.4: Engaging
and Communicating with Stakeholders]

3.7.2.3 Investing in Quality

A combination of inaccurate diagnosis, prescription errors, inappropriate and unnecessary
treatment, insufficient or unsafe clinical facilities or practices are all prevalent across the
globe, resulting in poor quality health services (1). For an instances, despite the fact that
acquired infections can be easily avoided through better hygiene, improved infection
control practices, and appropriate use of antimicrobials, 10% of patients hospitalised in
low- and middle-income countries can expect to acquire an infection during their stay,
compared to 7% in high-income countries. The economic and social costs of poor-quality
care, including long-term disability, impairment and lost productivity, imposes additional
spending for families and health systems.

Therefore, optimal and prudent financial resource management are vital to the successful
implementation of all components of quality improvement programmes. Attention must
be focused on ensuring that QI-specific financial allocation has been made and the best
value for money is attained. It is axiomatic that resources are scarce and that innovative
strategies and methods should be explored to address funding limitations.
This includes (but not limited to) allocation for:

- Training / Continuous Professional Development

- Reward and recognition
- Implementing intervention

- Conducting research

- Monitoring and evaluation
- Supporting local innovation

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