1. Health Management
Hospital Outcome
Monitoring Parameters
Aesculapius Healthcare Consultants (AHC)

2. About Us
What We Offer
What We Have Done
• Only Patient Safety firm in
Nigeria
 Hospital Reengineering and
Outsourced Management
• Healthcare Quality
Management
 Hospital Process
Improvement Advisory
• Healthcare Business
Development
 Hospital Quality
Management Advisory
 Care Coordination Trainings
• Health Insurance Advisory
 Patient Safety Trainings
 Health Insurance Advisory

3. Evolution
2009- Aesculapius VNProject Management
Firm part time
2010- Project
Management and Lean
Six Sigma Training and
Advisory full time
2014:TargetsHQI Web Portal uptake
across different
Application platforms
2013 Lagos State Patient Safety and Food
Safety Consultants
 The AGPMPN Quality Program
 Beta testing for HQI Patient
Satisfaction Module-Q4,2013
2011- Started
developing HQI
part time
2012 AVN Consulting
 Aesculapius Healthcare
Consultants (AHC),
 TeamSTEPPS Master
Trainer at Duke Health
System, Durham

4. Monitoring Hospital Outcomes
Patient Focused Care

5. Nigerian Experience
• Assessment conducted by HMOs for Provider
Hospitals
• No National Assessment tool like JHACO,
COHSASA, NIAZ
• No Tool for Patient to Assess Hospitals

6. Analysing Hospital Outcomes
• Numerous Inputs into the
Healthcare System: Funds,
People, Equipment
• Difficulty in assessing Output
• Lack of International Standard
Evaluation Tool to assess
Output
• Lack of defined Quality
Management Standards for
Hospitals
Benchmark Outputs and
Processes against
International Healthcare
Standards
Develop Tools to optimize
Results and improve
Quality from present
Funding
Develop Tools that
Empower Patients
regarding their care

8. Clinical Performance Standards in Nigeria
Developmental Partners –USAID, Maternal and Child
Health Integrated Program (MCHIP), JHPIEGO, access
• Performance Standards for Emergency Obstetric and
Newborn Care (EmONC) in Kano, Katsina and
Zamfara States
• Performance Standards for Malaria in Pregnancy
(MIP) Program in Akwa Ibom State
• Performance Standards for Family Planning in Nigeria

9. Quality Framework for Monitoring Outcomes
(Donabeldian)
Glickman S W et al. Int J
Qual Health Care
2007;19:341-348

10. Hospital Outcome Monitoring Parameters
Input
Indicators
Outcome
Indicators:
Process
Indicators
•
Clinical
Outcomes
•
Hospital
Performance
Indicators

11. Thinking Solutions
Crowdsourcing- to improve Healthcare Quality
and Patient Safety
Transforming
Generation Y/ Internet
savvy Patients into
Change Agents by
providing Tools to
participate in
Healthcare Outcomes
Process of getting work done by a crowd of People, usually online

12. Hospital Quality Index (HQI)
• Support Standardization and
Accreditation
• Independent Quality
Assurance Tool for
Healthcare Stakeholders
• Rate Healthcare Facilities
based on Patient
Perceptions
• Performance-based
Healthcare Standards with
clear Outcomes .
• Healthcare Standards
delivered in an Innovative
Web-based solution.
• Rating creates Friendly
Competition

13. Assessment Tool
HQI Portal
Patient Assessment
Hospital Self-Assessment
with Performance Scores
Hospital Rating
Hospital Outcomes Improvement

14. Hospital Self Assessment
Resource
Management
People
Management
Risk and Patient
Safety
Management
Leadership &
Hospital
Management
Strategic
Planning
Management
Outcomes
Care Process
Management
Quality
Management

15. Improve Performance by
establishing Optimal
Achievement Goals
Healthcare gains of Health
Policies and Funding can
be objectively determined
Initiate Friendly Competition
amongst Hospitals
Benefits
of HQI
Standardize Healthcare
Service Delivery
Healthcare Costs Reduction with
increased Service Efficiency and
Effectiveness
Showcase Good Hospitals
Strengthen the public’s
confidence in quality of
Comparative Rating of
healthcare
Hospitals.
Improvement of Healthcare
Service Delivery
Objective Assessment of
Hospitals

16. Hospitals Demonstrate
Continuous
Learning
Patient
Safety
Leadership
Commitment
HQI
Patient
Satisfaction
Good
Working
Environment
Commitment
to Quality of
Care

17. Why Us?
Because We Can, Passion & Interest
Independence
Stability
• Such Tools should be consistently assessed and updated in a timely
way, hence ?Government
Conflict
• Third-party assessment like HQI gives better guarantee of Continuity
and Independence.
Public Trust
• Major Users like Corporate Organizations and the Public will trust
Independent Assessments more.

18. • Through policy
decisions such as
recognition
Providing leverage, e.g. by
giving preference to highscoring facilities, such as in
recognition and patronage
Government Can Help
Use PERFORMANCE as a
criterion in its own funding
decisions, e.g. in capital and
recurrent expenditure.
Provide financial support for
continuing development of HQI

19. Aiding Uptake of HQI
Intuitive Web Portal
Appropriate Technology- Smartphones and Tablets
Visible Effort at Rating
Industry Stakeholders- HMOs, Governments, Patient
Groups etc.

20. Sustaining HQI
• Freely available online.
• Blackberry, Android, Windows and Apple
Applications
Options for Sustainability Challenge
Users pay for Applications?
Hospital pay for Evaluation Reports?

21. Timeline
Web Portal
Development
2014 MANSAG-AGC
Beta Testing
Progress Report
Applications
Development

22. Engage Us
@AesHealthCon
aesculapiusvn@gmail.com
info@aesculapiusvn.com
+234-805206437 | +234-8023277559 | +234-8177791051

23. Download Presentation
Aesculapius Healthcare Consultants
Facebook | Slideshare

24. Dr Olufemi Aina