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