Dr Opio C K (TM)Dr Opio C K (TM)

Quality assurance Quality assurance at at

FOM FOM Quality assurance committeeQuality assurance committee

Dr Opio C K (TM)

Mission of FOMMission of FOM

  "We are dedicated to improving the "We are dedicated to improving the health of the people of Uganda and health of the people of Uganda and

beyond and promoting health equity by beyond and promoting health equity by providing quality education, research providing quality education, research

and health services. We achieve this by and health services. We achieve this by enhancing capacity and participation of enhancing capacity and participation of stakeholders; strengthening systems stakeholders; strengthening systems and partnerships; and harnessing the and partnerships; and harnessing the power of new sciences and technology power of new sciences and technology

so as to build and sustain excellence and so as to build and sustain excellence and relevance."relevance."

Dr Opio C K (TM)

What has been done What has been done

► We have developed a working document We have developed a working document that we hope will be the basis for Q&A in the that we hope will be the basis for Q&A in the department of medicine department of medicine

► Currently we are in the process of receiving Currently we are in the process of receiving additional input regarding the best and most additional input regarding the best and most cost effective manner of achieving the goals cost effective manner of achieving the goals set in the working document through the set in the working document through the current committee frame work.current committee frame work.

► A work shop is planned to this order with the A work shop is planned to this order with the relevant stake holders relevant stake holders

Dr Opio C K (TM)

Operational definitions Operational definitions

► Quality:Quality: The totality of features of a product or service The totality of features of a product or service that bear on its ability to satisfy a given need.that bear on its ability to satisfy a given need.

► Quality assurance: ThisQuality assurance: This is a management process is a management process which ensures that properly defined systems are in which ensures that properly defined systems are in place to deal with the most important problems.place to deal with the most important problems.

► A A problemproblem is defined as failure to achieve the is defined as failure to achieve the appropriate objectives.appropriate objectives.

► ImportantImportant refers to prioritization and the refers to prioritization and the process of prioritization should involve process of prioritization should involve stakeholdersstakeholders

► Total quality ManagementTotal quality Management► Quality controlQuality control

Dr Opio C K (TM)

General objectiveGeneral objective

►To maintain and enhance quality in the To maintain and enhance quality in the functions of the FoM (teaching and functions of the FoM (teaching and learning; research and health services) learning; research and health services) and to identify and disseminate good and to identify and disseminate good practice practice and to satisfy external audit and to satisfy external audit proceduresprocedures

Dr Opio C K (TM)

MethodsMethods

► The quality assurance/management system will The quality assurance/management system will provide and ensure continuous, systematic, provide and ensure continuous, systematic, critical analysis of the quality of education, critical analysis of the quality of education, research and health services provided by the research and health services provided by the FoM. FoM. 

► This will be done through continuous SWOT This will be done through continuous SWOT (Strengths, Weaknesses, Opportunities and (Strengths, Weaknesses, Opportunities and Threats) analysis at the stages AND within the Threats) analysis at the stages AND within the stages of planning and implementation of goal stages of planning and implementation of goal directed activities of FOM.directed activities of FOM.

► It will emphasize internal (vertical and horizontal) It will emphasize internal (vertical and horizontal) and external participation (stake holders/ and external participation (stake holders/ consumers). All this will be done within the consumers). All this will be done within the context of available resources and current context of available resources and current university policy. university policy. 

Dr Opio C K (TM)

  Education Education To adopt, strengthen and promote a system that will To adopt, strengthen and promote a system that will

ensure that:ensure that:

1.1. SMART objectives for education are set and documented SMART objectives for education are set and documented (and are distributed) (and are distributed)

2.2. Strategies (work plan) to achieve these objectives exist and Strategies (work plan) to achieve these objectives exist and conform to the university policy conform to the university policy

3.3. The work plan is time bound, has defined responsibility, The work plan is time bound, has defined responsibility, activities, mode and means of implementation of activities activities, mode and means of implementation of activities (Resources& Empowerment), in addition to having (Resources& Empowerment), in addition to having mechanisms for evaluation and monitoring  mechanisms for evaluation and monitoring 

4.4. The work plan is revised following appraisal at the different The work plan is revised following appraisal at the different stages of implementation stages of implementation

5.5. Standards, performance indicators and targets are Standards, performance indicators and targets are available. They must enable objective evaluation of the available. They must enable objective evaluation of the appropriateness of the objectives and the adequacy of the appropriateness of the objectives and the adequacy of the strategies. strategies.

6.6. There is a mechanism for action when performance There is a mechanism for action when performance indicators identify a quality shortfall. indicators identify a quality shortfall.

Dr Opio C K (TM)

Research and evidence-based medicineResearch and evidence-based medicine To adopt, strengthen and promote a system that will To adopt, strengthen and promote a system that will

ensure that:ensure that:

1.1. Objectives for human and non human research are set and Objectives for human and non human research are set and documented and are SMART documented and are SMART

2.2. Strategies to achieve these objectives exist and conform to Strategies to achieve these objectives exist and conform to current guidelines and policy on research current guidelines and policy on research

3.3. Guidelines and policy on research are present and relevant Guidelines and policy on research are present and relevant 4.4. Ethics form the core of researchEthics form the core of research5.5. Research should market FOM and be a source of financial Research should market FOM and be a source of financial

and material resource and material resource 6.6. Objectives for development and implementation of Objectives for development and implementation of

evidence-based medicine are set, documented and are evidence-based medicine are set, documented and are SMART SMART

7.7. A work plan for these objectives is available and is A work plan for these objectives is available and is implemented implemented

Dr Opio C K (TM)

Specific issues that will be assessed for quality Specific issues that will be assessed for quality

through the systemthrough the system

1.1. Academic programs (curriculum development, curriculum Academic programs (curriculum development, curriculum implementation/ realization, curriculum review, teaching methods, implementation/ realization, curriculum review, teaching methods, assessment, communication etc.)  assessment, communication etc.) 

2.2. Human resource (qualifications, number, gender? recruitment, Human resource (qualifications, number, gender? recruitment, development, scholarly activity, management etc.) development, scholarly activity, management etc.)

3.3. Non-human resources especially infrastructure for support Non-human resources especially infrastructure for support (communication, library, IT, student services, transport, core-(communication, library, IT, student services, transport, core-laboratories, training and learning materials etc. ) laboratories, training and learning materials etc. )

4.4. Financial resources (access to sources of funding, mechanisms for Financial resources (access to sources of funding, mechanisms for soliciting or attracting funding for activities, guidelines and soliciting or attracting funding for activities, guidelines and procedures of financial activities etc.) procedures of financial activities etc.)

5.5. Students (entry levels, access, equity, etc.) Students (entry levels, access, equity, etc.) 6.6. Graduates (achievement outcomes, employment, etc.) Graduates (achievement outcomes, employment, etc.) 7.7. Critique (team approaches, feedback from students, peer review, Critique (team approaches, feedback from students, peer review,

external accreditation) external accreditation) 8.8. Research (publications, IRB, international research awards, Research (publications, IRB, international research awards,

development and adoption of appropriate technology, etc.) development and adoption of appropriate technology, etc.) 9.9. Health care /services Health care /services

Dr Opio C K (TM)

Means of quality assessmentMeans of quality assessment

► Situational analysis/surveys Situational analysis/surveys ► On-going reports On-going reports ► Check lists Check lists ► Critical path analysis Critical path analysis ► Audits Audits ► Evidence based research Evidence based research ► Meetings Meetings ► External examiners External examiners ► Others Others

Dr Opio C K (TM)

Committees will define Their objectives &

work plan Q&A will help ensure The process is quality

Assured by use of The Q&A tool

Committees will define Their objectives &

work plan Q&A will help ensure The process is quality

Assured by use of The Q&A tool

Upon implementationOf work plans

Q&A will ensure This conforms to Agreed standard

i.e appraisal of work Done for quality

Upon implementationOf work plans

Q&A will ensure This conforms to Agreed standard

i.e appraisal of work Done for quality

Q&A will facilitate Committees in

Developing solutions& encourage action

Through meetingsReports, others

Q&A will facilitate Committees in

Developing solutions& encourage action

Through meetingsReports, others

Summary of process of implementation

Dr Opio C K (TM)

Objective Activity Resources Personsresponsible

Deadline Status & output

To plan for Q&A activities in the FOM

During 2006Terms of reference Work plan Reporting format

Planning and appraisal meetings

FOM Q&A committee/ task force

Every 2 wks Monday730- 800am

Ongoing -Minutes -Number of

meetings held

Develop a framework Document regarding

Q&A at FOM

Formulate document

Individual QA task force Jan 2006 Done Document available

Disseminate document and discuss with stake holders

Hold workshops Make presentations

to stake holders

FOM & donors

QA task force July 2006 pendingReport

Formulate final draft

FOM & donors

QA task force August 2006

PendingReport

Establish a working document regarding Q&A at FOM

Submit draft to Management & FOM board for ratification, Senate

FOM & donors

Management October 2006

PendingReport

Work plan 1Work plan 1

Dr Opio C K (TM)

Objective Activity Resources Persons responsible

Deadline Status &Output

Develop a general Q&A assessment tool for FOM

Formulate and pre-test tool among stake holders

FOM& DONORS Q&A committee/ task force

July 2006 Draft documentavailable

Establish Tool as the standard for process evaluation of Q&A activities at the FOM

Disseminate tool and observe and evaluate its use through departments and committees

FOM & Donors Q&A September2006

Pending Report

Evaluate activities by using tool Revise tool Draw up a report

FOM & donors Q&Acommittee

October 2006

Pending Report

Formulate work plan for assessment of priority areas in regard to QAFor the year 2007

Planning Workshop

FOM Q&ACommittees HOD’s

November 2006

Pending Report

Work plan II

Dr Opio C K (TM)

short comingsshort comings

► Reporting format Reporting format was not clear i.e. was not clear i.e. who does Q&A who does Q&A report to report to

► lack defined lack defined resources resources

or mechanism or mechanism acquisition of these acquisition of these resources for Q&Aresources for Q&A

► failure of failure of dissemination of dissemination of work to various work to various stake holders stake holders

► Duplicity of duties Duplicity of duties by members of the by members of the committee leading committee leading to reduced output to reduced output

Dr Opio C K (TM)

Acknowledgements Acknowledgements

► Ms. R. Baingana Ms. R. Baingana   ► Dr. G Bimenya  Dr. G Bimenya  ► Dr. H. Oboke  Dr. H. Oboke  ► Dr. W. Buwembo Dr. W. Buwembo ► Dr. K. Opio Dr. K. Opio   

► Ms. R. MuwesaMs. R. Muwesa► Dr. Galukande Dr. Galukande ► Dr. WabingaDr. Wabinga► Dr KijjambuDr Kijjambu