Quality programme formative assessment
| No. | Quality programme assessment tool question | WC | KZN | NW | LP | Private |
| Quality structure | ||||||
| A.1 | Does the organisation have an organisational structure in place to plan, assess and improve the quality of care? | 2 | 1 | 1 | 3 | 5 |
| A.2 | Have adequate resources been committed to fully support the quality programme? | 4 | 2 | 0 | 2 | 4 |
| A.3 | Do the leadership support the quality programme? | 3 | 1 | 1 | 3 | 5 |
| Subtotal (max=15) | 9 | 4 | 2 | 8 | 14 | |
| Quality planning | ||||||
| B.1 | Does the organisation have a comprehensive quality improvement/management plan? | 2 | 3 | 1 | 3 | 2 |
| B.2 | Does the organisation have clearly described roles and responsibilities for the quality programme? | 4 | 1 | 0 | 1 | 4 |
| B.3 | Does the work plan specify timelines and accountabilities for the implementation of the quality programme? | 4 | 1 | 0 | 3 | 3 |
| Subtotal (max=15) | 10 | 5 | 1 | 7 | 9 | |
| Quality measurement | ||||||
| C.1 | Are appropriate outcome and process quality indicators selected in the quality programme? | 1 | 3 | 1 | 1 | 2 |
| C.2 | Does the organisation regularly measure the quality of care? | 1 | 3 | 0 | 1 | 3 |
| C.3 | Are processes established to evaluate, assess and follow-up on quality data? | 3 | 3 | 0 | 2 | 3 |
| Subtotal (max=15) | 5 | 9 | 1 | 4 | 8 | |
| Quality improvement activities | ||||||
| D.1 | Does the organisation conduct specific quality activities and projects to improve the quality of care? | 3 | 1 | 1 | 2 | 3 |
| D.2 | Are quality improvement teams formed for specific projects? | 3 | 1 | 0 | 2 | 4 |
| D.3 | Are systems in place to sustain quality improvements? | 3 | 3 | 0 | 2 | 2 |
| Subtotal (max=15) | 9 | 5 | 1 | 6 | 9 | |
| Staff involvement | ||||||
| E.1 | Are staff routinely educated about the programme’s quality programme? | 2 | 1 | 0 | 2 | 1 |
| E.2 | Does the organisation routinely engage all levels of staff in quality programme activities? | 2 | 3 | 0 | 2 | 2 |
| E.3 | Are patients involved in quality-related activities? | 3 | 0 | 0 | 2 | 3 |
| Subtotal (max=15) | 7 | 4 | 0 | 6 | 6 | |
| Evaluation of quality programme | ||||||
| F.1 | Is a process in place to evaluate the quality programme? | 3 | 3 | 0 | 2 | 1 |
| F.2 | Does the quality programme integrate findings into future planning? | 3 | 3 | 0 | 2 | 3 |
| F.3 | Does the programme have an information/data system in place to track patient care and measure quality indicators? | 2 | 3 | 0 | 1 | 3 |
| Subtotal (max=15) | 8 | 9 | 0 | 5 | 7 | |
| Total (max=90) | 48 | 36 | 5 | 36 | 53 | |
0—no plan/structure/process.
1—limited plan/structures/process in place.
2—early implementation.
3—full implementation.
4—developing systematic approach to quality.
5—full systematic approach to quality.
KZN, KwaZulu Natal; LP, Limpopo; NW, North West; WC, Western Cape.