Introducing QI Tools and Approaches

Community COPE®

APPENDIX FSession F

Facilitative Supervision for Quality Improvement Curriculum

2008

EngenderHealth’s QI Package

QI Approaches Facilitative

supervision

Whole-site training (including Inreach)

QI Tools COPE®

Community COPE

Quality Measuring Tool

Cost Analysis Tool

Medical Monitoring

Goal of the Community COPE Intervention

To understand the community’s needs and its definition of quality services

To close the gap between the community’s definition of quality and the site’s actual performance

To foster a partnership between the community and a site

Learning Community Members’ Views

Community COPE: Lets site staff learn why some community

members do not seek services, do not gain access to services, or stop using services

Provides another way to learn clients’ views about services

Helps the site provide more relevant, accessible services

Builds trust between clients and site staff

Learning Community Members’ Views (2)

Community COPE: Makes site’s services more sustainable Promotes empowerment, increased

awareness, and behavior change in the community

Ensures ongoing, two-way communication between a site and the community

Makes staff’s work more interesting and satisfying

Information-Gathering Activities

Individual interviews– With current users of services at site

– With former users of the services at site

– With those who have never used the services at site

Group discussions

Site walk-through

Participatory mapping

Community COPE Process (1)

Orient site staffin Community

COPE® activities

Staff meet w/ local leadersand representatives

Identify groups for participatory activities

Select and plan activitiesIndividual interviews

Group discussionsSite walk-through

Participatory mapping

Community COPE Process (2)

If Yes If No

Develop Action Plan,prioritize recommendations

w/community

Develop Action Plan,prioritize recommendations

w/staffReview site’s QI

Committee membership

Review site’s QICommittee membership

ImplementAction Plan

Conduct action planning

with community(?)

Ongoing Monitoring and Feedback

Establish follow-up committees

Revise status of action plans and inform community members

Communicating Progress to the Community (1)

Report at community meetings

Ask satisfied clients to talk about improvements in the services

Ask local leaders, NGOs, and health committees to help to communicate progress to the community

Communicating Progress to the Community (2)

Post information about the site’s QI activities and results in the waiting room or reception area.

Ask community representatives on the QI Committee to report progress to community groups.

Announce the site’s improvement in a site newsletter, in local newspapers, and on radio and TV

Community COPE Process—Lesson 1

The community is not a uniform group, but a diverse groups with different needs.

Community discussions might reveal more information than client interviews in earlier COPE exercises.

Community COPE Process—Lesson 2

The issue of how to communicate with the community is important, and some methodologies are more effective than others.

Community COPE Process—Lesson 3

Community involvement is more than soliciting the community perspective of the services; including community members in the action planning process is also vital.

The QI Process

Information gathering and analysis

Action plan developmentand prioritization

Implementation

Follow-up/evaluation