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Community COPE®
2008
Introducing QI Tools and Approaches
Facilitative Supervision for Quality Improvement Curriculum
2
EngenderHealth’s QI Package
QI Approaches
Facilitative Supervision
Whole-site Training including Inreach
QI Tools
COPE®
Community COPE
QMT
Cost Analysis
Medical Monitoring
3
Goal of the Community COPE InterventionTo understand the community’s needs and
its definition of quality services
To close the gap between the community’s definition of quality and actual performance of the site
To foster a partnership between the community and a site
4
Learning Community Members’ views:
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 the services
Helps the site provide more relevant, accessible services
Builds trust between clients and site staff
5
Learning Community Members’ views (2):
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 staffs’ work more interesting and satisfying
6
Information Gathering ActivitiesIndividual interviews
• With current users of services at the site
• With former users of the services at the site
• With those who have never used the services at the site
Group discussionsSite walk-throughParticipatory Mapping
7
Community COPE® Process (1)
Orient site staffin Community
COPE activities
Staff meet w/ local leadersand representatives
Identify groups for participatory activities
Select and plan activities
Individual interviewsGroup discussionsSite walk-through
Participatory mapping
8
Community COPE® Process (2)
Conduct Action Planning
with Community(?)
If Yes If NoDevelop Action Plan,
Prioritize recommendationsw/Community
Develop Action Plan,Prioritize recommendations
w/StaffReview site’s QI
Committee membership
Review site’s QICommittee membership
ImplementAction Plan
9
Ongoing Monitoring & Feedback
Follow-up Committees are established
Revise status of action plans and inform community members
10
Communicating Progress to the Community
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
11
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, local newspapers, on the radio & TV
12
Process - Lesson 1
The community is not a uniform group but diverse groups with different needs
Community discussions might reveal more information than client interviews in earlier COPE exercises
13
Process - Lesson 2
The issue of how to communicate with the community is important, and some methodologies are more effective than others
14
Process - Lesson 3
Community involvement is more than soliciting the community perspective of the services; learned importance of including community members in the action planning process
The QI Process
Information Gatheringand Analysis
Action Plan Developmentand Prioritization
Implementation
Follow-up/Evaluation