Table 1
Building health management capacity at JFKMC and RDH: Illustrative QI projects.
| QI PROJECT | HOSPITAL | DESCRIPTION | GOAL |
|---|---|---|---|
| Revising Hospital Census Monthly Reporting | RDH | Created a database system for the nursing director to input departmental data, enabling automatic generation of pre-set monthly, quarterly, and yearly reports. Pilot time study of project impact indicated that processing time was reduced by 59%. | To reduce the process time in generating monthly, quarterly, and yearly reports |
| Computer literacy skills course for hospital staff | RDH | Provide ongoing computer skills training to department supervisors and staff in general computer literacy and Microsoft Word, Excel, PowerPoint, etc. | To improve administrative efficiency by utilizing computer technology in day-to-day work tasks. |
| Collaborative development and validation of 79 patient and hospital management Standard Operating Procedures (SOPs) | JFKMC | Development of 79 SOPs included work with the fiscal (financial), outpatient, and pharmacy departments. More than half of the SOPs focused on administrative and management processes. SOPs addressing outpatient department (OPD) flow included process mapping sessions with the JFKMC OPD Director and nursing staff. | Standardize and document patient, administrative, fiscal, and pharmacy management processes to train new staff and reduce patient wait times |
| Patient census database and staff database management mentoring | JFKMC | Developed patient census databases and mentored JFK Medical Records Department to more efficiently and accurately capture and report patient data for the Out-Patient, In-Patient, Pediatric and Emergency Departments. | Improve the accuracy and timeliness of patient census data analysis and reporting to inform decision-making |
Table 2
Building capacity in health management toward achieving 90-90-90 targets for PLHIV in Liberia: Illustrative QI projects.
| QI PROJECT | HEALTH FACILITY/ORGANIZATION | DESCRIPTION | GOAL |
|---|---|---|---|
| Creation of CD4 and Viral Load database; mentorship of Infectious Disease Clinic staff on data management and analysis | Infectious Disease Clinic at JFKMC | Created database to capture and track patient CD4 and viral load results | Improve management of HIV patient records and identify viral suppression trends |
| Design and implementation of new Nursing Director’s Report for HIV clinic | Chest Clinic at RDH | Collaborative revision of a key-indicator clinic report submitted by supervisors to the Nursing Director on a monthly basis. | To provide a comprehensive overview of clinical outcomes ensuring that all key elements of 90-90-90 targets are included for efficient decision-making on resource allocation |
| Creation of job aid booklets for adult and pediatric HIV care and treatment, based on national guidelines | National AIDS, HIV, and STI Control Program | Pocket size ready reference booklets summarizing new 2020 Liberian HIV Guidelines supplied to every provider. | Improve accuracy and timing of service delivery, reduce errors in care of clients living with HIV and improve results relative to 90-90-90 targets |
| Ensure regular convening of partners; develop joint work and training plans | Infectious Disease Clinic at JFKMC; Chest Clinic at RDH | Monthly meetings with external partners, clinic supervisors, and institutional leadership at JFKMC and RDH for open discussion of all HIV-related projects and goals | Coordinate and streamline the work of RRHS and other partners and engage senior leadership for buy-in to improve service delivery, incorporate HIV clinic needs in hospital needs and priorities, ensure collective problem solving, and minimize duplication of efforts |
| Adaptation of pediatric dosing wheels to comply with national guidelines | National AIDS, HIV, and STI Control Program | Job Aid ready reference for dosing of pediatric HIV drugs supplied to every pediatric provider | Improve the accuracy and timing of care of infants exposed to and infected with HIV. |
| Design and development of a comprehensive Viral Load process | Infectious Disease Clinic at JFKMC | Viral load kit containing generic workflow, roles and responsibilities, job aids and accountability processes. | Improve Viral Load Suppression in clients living with HIV. |
Table 3
Certificate in Health Systems Leadership and Management at the University of Liberia School of Public Health: Summary of three cohorts
| COHORT | ACADEMIC TERMS | # PARTICIPANTS | HEALTH FACILITIES REPRESENTED (LOCATION) | DESCRIPTION |
|---|---|---|---|---|
| 1 (inaugural) | 2018–2019 | 18 |
| Females: 14, Males: 4 1 deputy CEO (RN) 1 deputy CMO (MD) 2 hospital administrators 1 procurement director 1 compliance manager 1 nursing director (RN) 1 assistant nursing director (RN) 1 human resource director 1 medical record manager 1 nursing school administrator (RN) 7 nurse supervisors (RNs) |
| 2 | 2019–2020 | 6* |
| Females: 5, Male: 1 1 hospital administrator (RN) 1 infectious disease clinic manager (HIV) (RN) 1 laboratory room supervisor (laboratory Technician) 2 HIV nursing supervisors (RNs) |
| 3 | 2020–2021 | 16 |
| Females: 11, Males: 5 3 hospital administrators (1 MD) and 2 BSc in Administration 1 hospital consultant (MD) 2 HIV program supervisors (RN and PA) 2 Nurses training instructors (RN-Midwives) 1 laboratory room supervisor (lab technician) 7 nursing supervisors (RNs) supervising HIV units |
[i] JFKMC: John F Kennedy Memorial Medical Center
RDH: Redemption Hospital
CMO: Chief Medical officer
CEO: Chief Executive officer
RN: Registered Nurse
MD: Medical Doctor
PA: Physician Assistant
*Due to COVID-19, web-based video call was utilized to accommodate distanced participation for a student who was in need of this consideration.
**Maryland County is in the rural, underserved southeastern region of Liberia.