USAID Health Care Improvement Project (HCI) | Georgia

Overview

URC is applying the collaborative improvement approach to improve the quality, consistency, and continuity of medical care for priority high-burden adult and child diseases (cardio-vascular disease, chronic obstructive pulmonary diseases, asthma, and pneumonia) in one demonstration region of Georgia.

The project aims to support Georgian health care providers to deliver “best-buy,” high-impact medical services at each level of care, ensure coordination of care between different levels of the health care delivery system, and support institutionalization of best practices at the national level. In addition, the project is supporting national level activities to streamline the health sector regulatory environment and improve access to and the use of evidence-based medical information.

For more information, visit the Georgian-language page on the HCI website, which features clinical tools, job aids, and training materials developed or supported by the HCI Georgia project. The page aims to provide access to quality improvement (QI) methods; modern, evidence-based medical practices; and implementation tools for Georgian health care facility managers and providers.

Key Activities

  • Plan and implement an improvement collaborative to improve the quality of care for high-burden adult and child diseases, specifically:
    • Define a feasible set of common improvement objectives;
    • Form and support facility QI teams though integrated, competency-based clinical and QI trainings;
    • Develop continuing medical education training modules for providers;
    • Regularly coach facility QI teams to reinforce clinical and QI training and foster teamwork;
    • Choose and measure simple indicators of the quality of care;
    • Test changes, track progress, analyze results, and continuously refine interventions; and
    • Conduct regular “learning sessions” (shared learning and rapid dissemination of best practices) in facilities participating in the collaborative.
  • Promote countrywide access to evidence-based medicine by creating a user-friendly medical portal and other sources.
  • Support collaboration with Georgian Medical Diaspora to share their QI experiences.
  • Regularly survey relevant specialty international literature and prepare/ disseminate evidence-summaries through a quarterly newsletter, “Journal Watch.”
  • Share information on QI best practices/ high-performing QI teams.
  • Support institutionalization of best QI practices and the use of evidence-based medical information countrywide, specifically:
    • Conduct operations research to measure and promote the effectiveness and efficiency of tested approaches;
    • Define a minimum insurance benefit package that covers “best buy,” high-impact evidence-based screening and management services for public and private insurance schemes;
    • Promote the institutionalization of performance indicators in national health information systems and routine reporting forms;
    • Promote performance-based incentives targeting insurance companies, health care facilities, and care providers;
    • Support the deliberate linking of continuing professional development for providers to formal regulatory mechanisms and incentives (accreditation, contracting mechanisms, etc.).
Duration
2011 to 2014
Funders 
US Agency for International Development (USAID)
Partners 
Georgia Ministry of Labor, Health, and Social Affairs
National Center for Disease Control and Public Health Georgia
Georgian Medical Diaspora in the US
Regions/ Countries 
Geographic Scope 
Collaborative improvement interventions in the Imereti region; other project interventions countrywide.