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Backup 이어 F.5.1 F.5.2 Health: Ethiopia developed a national system for hospital performance management to address poor service delivery Human capital นี่ Copyright 2019 by Boston Consulting Group. All rights reserved. Context With a population of over 109M, Ethiopia has a large, predominantly rural, and impoverished population with poor access to basic infrastructure As at 2010, -80% of gov't hospitals were understaffed, financially constrained and lacked reliable access to electricity and water, affecting overall service delivery What did the Ethiopian Government do? In 2009, Ethiopia partnered with Clinton Health Access Initiative and Yale Global Health Leadership Institute to develop hospital reform guidelines, including a performance monitoring system Performance monitoring system was rolled out in 2 phases: 1st phase (2010): Roll-out of minimum targets for key management 2nd phase (2011): Standardized set of KPIs for all hospitals System covered 11 aspects: hospital management, outpatient, emergency, inpatient, maternity, referral and pharmacy services, productivity, human resources, finance and patient experience Reform guidelines were consolidated in a document - NHPMIM¹, and disseminated to hospitals through a series of national workshops 1. National Hospital Performance Monitoring and Improvement Manual Source: WHO; Media Coverage; BCG Key successes By 2014, 84% of government hospitals were reporting their performance in all 11 aspects Ethiopia Between 2012 and 2013, mean adherence to operational standards increased from 68.2% to 74.5%, while the average # of successful deliveries increased by 30% (from ~12k to ~16k) Success of performance monitoring system is largely hinged to its simplicity, flexibility and transparency Learnings for Plateau State Partner with donors (e.g., WHO) and engage Ministry of Health to identify global best-in-class KPIs for hospital care services Work with the ICT Development Agency to develop a consolidated system for tracking KPIs and a training database for health personnel Work with the Ministry of Health and donor agencies (e.g., GIZ) to ensure that health personnel are trained on KPIs expectations Create a quality enforcement team to monitor hospital performance reporting and adherence of personnel to set operational standards 213

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