Rationale for improving integrated service delivery: Reduced cost and improved care in Georgia Poster

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At the International Forum that took place in Gothenburg, Sweden on April 12-15, 2016, Tamar Chitashvili presented the poster, 'Rationale for improving integrated service delivery: Reduced cost and improved care in Georgia'.

To improve prevention and care of NCDs and pediatric RTIs, the USAID ASSIST Project supported a collaborative improvement intervention in 17 ambulatory clinics and village practices and 3 hospitals in Imereti Region of Georgia from June 2012 through January 2015. Key elements of the intervention were:

  • Formation of quality improvement (QI) teams comprised of facility managers and medical personnel in each facility
  • Intensive clinical and improvement trainings and on-the-job coaching
  • Development and distribution of job aids and other tools to reinforce evidence-based (EB) case management for NCDs and RTIs
  • Baseline assessment that identified quality gaps and guided improvement design
  • Teams at the facilities made changes in their local health care processes using plan-do-study-act (PDSA) cycles
  • Improvement progress was monitored though monthly review of medical charts
  • QI teams focused on improving integrated prevention and management of cardiovascular disease (CVD), hospital management of acute coronary syndrome (ACS), chronic obstructive pulmonary disease (COPD), and asthma and their cross-cutting risk factors in adult patients and on care of RTIs and asthma in children; teams placed particular emphasis on improving diagnosis, severity assessment, case-management, and coordination of care


Publication Date 
April 2016
Resource Type 
Promotional Materials
Regions/ Countries