The 12-PILLAR CLINICAL GOVERNANCE PROGRAMME (12-PCGP) FOR THE WHOLE HEALTH SECTORAND SYSTEM TRANSFORMATION -
Is for all healthcare workers: specialist and generalist doctors, nurses, midwives, pharmacists, laboratory scientists, community health practitioners; non-clinical staff, administrators; others. It is multidisciplinary, multispecialty, multi-sectoral in operation.
The 12-PCGP programme was designed, homegrown, and piloted in 2004 in Cross River State, Nigeria, for the whole health sector and system transformation, ‘Protecting Patients, supporting Practitioners in Tandem’, in response to the shocking findings of a comprehensive situation analysis of the failing state health sector. The positive improvement across all indicators of quality occurred quickly: access, safety, effectiveness, patient-centred care, timeliness, equity, and staff satisfaction and reward. With the realities that the COVID-19 pandemic has shown the world about the importance of strong responsive health systems, in both high and low-resource countries, implementing the 12-Pillar Clinical Governance programme has become an even bigger imperative:
Health ACT/Policy/Mgt. Funding Mix. Infrastructure. Equipment. Utilities & WASH. Education/Training. Clinical Effectiveness. RiskManagement. Clinical Audit/Research. Patient/Public Involvement. Staffmanagement. ICT.
(Source: Centre for Clinical Governance Research & Training, Cross River State Ministry of Health(CRSMOH), Calabar, Nigeria. 2004).
The series was launched on Thursday, 12th January, 2023, titled: First Edition: about the series - clinical governance lecture/seminar/workshop series 2023.
We are glad to share the HIGHLIGHTS, SO FAR, FROM THE L-S-W SERIES 2023 -
SECOND (2ND) EDITION. FOCUS: ‘LAW, POLICY & MANAGEMENT’ PILLAR . Thursday 16th MARCH, 2023
TAKE HOME MESSAGES:
- 12-Pillar Clinical Governance Programme (12-PCGP) is multidisciplinary, multisectoral health sector & system (Vertical, Horizontal, Bottom-up).
- Definitionand Scope of 12 Pillar Clinical Governance (‘Protecting patients, supporting practitioners in Tandem’)
- Achieving ‘putting patients first’ through 12 Pillar Clinical Governance Programme
- Facility Board, Management, Staff - in place and proactive.
- mission, vision, values
- scorecards for ensuring compliance at every level
- supportive supervision, mentoring, monitoring and evaluation (SSMM&E)
- Less TALK More ACTION – transforming Facilities to Perform, be Safe and deliver Quality
-------------------------------------------------------------------------------------------------
THIRD (3RD) EDITION . FOCUS: FUNDING MIX PILLAR . Thursday 16th MARCH, 2023
TOPICS –
i) Health Facility Financing Public perspective - Prof Joseph Ana FoCG Lead Senior Fellow CCGR&PS
ii)H ealth Facility Financing – Private Perspective. - Dr Austin Okogun, FoCG CEO, Lily Hospitals LTD
TAKE HOME MESSAGES:
- PUBLIC OWNED HEALTH FACILITY (ARE NOT-FOR-PROFIT) – created to deliver on governmentsocial contract with all the population, rich or poor! but must balance the books, avoid waste, still deliver quality!. better use of the little fund savailable to improve quality !
- PRIVATE HEALTH FACILITY (ARE FOR PROFIT) - doing much better. Hence calls in some quarters that they take-over, forgetting the Government’s Social Responsibility in Healthcare For ALL! No country has achieved Universal Health Coverage (UHC) for its population through dominance of the private sector (the reverse is true: countries with dominance of private care do not achieve UHC!)
- Continuous Supportive Supervision, Mentoring, Monitoring & Evaluation is essential to ensure compliance with accepted Best Standards ! (‘BALANCE THE BOOKS WITHOUTSACRIFICING QUALITY CARE’!)
Source: Centre for Clinical Governance Research & Patient Safety (CCGR&PS) @ HRIGlobal www.hriglobal.org
Joseph Ana
---------------------------------------
Prof Joseph Ana
Lead Senior Fellow/ medicalconsultant.
Center for Clinical Governance Research &
Patient Safety (ACCGR&PS) @ HRI GLOBAL
P: +234 (0) 8063600642
E: info@hri-global.org
8 Amaku Street, State Housing, Calabar,Nigeria.
www.hri-global.org
HIFA profile: Joseph Ana is the Lead Senior Fellow/Medical Consultant at the Centre for Clinical Governance Research and Patient Safety in Calabar, Nigeria, established by HRI Global (former HRIWA). He is a member of the World Health Organisation’s Technical Advisory Group on Integrated Care in primary, emergency, operative, and critical care (TAG-IC2). As the Cross River State Commissioner for Health, he led the introduction of the Homegrown Quality Tool, the 12-Pillar Clinical Governance Programme, in Nigeria (2004-2008). For sustainability, he established the Department of Clinical Governance, Servicom & e-health in the Cross River State Ministry of Health, Nigeria. His main interest is in whole health sector and system strengthening in Lower, Low and Middle Income Countries (LLMICs). He has written six books on the 12-Pillar Clinical Governance programme, suitable for LLMICs, including the TOOLS for Implementation. He served as Chairman of the Nigerian Medical Association’s Standing Committee on Clinical Governance (2012-2022), and he won the Nigeria Medical Association’s Award of Excellence on three consecutive occasions for the innovation. He served as Chairman, Quality & Performance, of the Technical Working Group for the implementation of the Nigeria Health Act 2014. He is member, National Tertiary Health Institutions Standards Committee of the Federal Ministry of Health. He is the pioneer Secretary General/Trustee-Director of the NMF (Nigerian Medical Forum) which took the BMJ to West Africa in 1995. Joseph is a member of the HIFA Steering Group and the HIFA working group on Community Health Workers. (http://www.hifa.org/support/members/joseph-0 http://www.hifa.org/people/steering-group). Email: info AT hri-global.org and jneana AT yahoo.co.uk
