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Project: Health Care Quality Assurance Project

USAID.1998.A
01/09/1998 - 30/04/2004 (68 months)

Project goals

·Tangible results of the first phase of the Quality Assurance project included evidence-based clinical guidelines, redesigned systems of care, and quality monitoring in the three clinical areas: hypertension, pregnancy induced hypertension, and neonatal respiratory distress syndrome in Tulskaya and Tverskaya oblasts. ·

Improved prevention and treatment practices led to a 90% decrease in hospitalizations for hypertension, the leading cause of death in Tula region.·

In Tver region the changes led to 63% reduction in neonatal mortality from respiratory distress, the principal cause of death for newborns. ·

Improved systems of care markedly reduced costs, particularly in pregnancy-induced hypertension in Tver.·

Russian Minister of Health Yuriy Shevchenko opened a conference in Moscow in July 2000; then-Secretary of the U.S. Department of Health and Human Services Donna Shalala launched the second phase of the project.·

The quality assurance approach has extended to all appropriate health facilities in the two regions and is now a model for nationwide application. ·

Clinical areas to be added during the second phase include: pediatric tuberculosis care and early detection and care of breast cancer in Tverskaya Oblast; and treatment of depression in general practitioner settings in Tulskaya Oblast.·

The June 2001 National Policy Seminar on Improving Health Care Quality produced a draft Policy Document on Quality Assurance.

Results

  • Tangible results of the first phase of the Quality Assurance project included evidence-based clinical guidelines, redesigned systems of care, and quality monitoring in the three clinical areas: hypertension, pregnancy induced hypertension, and neonatal respiratory distress syndrome in Tulskaya and Tverskaya oblasts.
  • Improved prevention and treatment practices led to a 90% decrease in hospitalizations for hypertension, the leading cause of death in Tula region.
  • In Tver region the changes led to 63% reduction in neonatal mortality from respiratory distress, the principal cause of death for newborns.
  • Improved systems of care markedly reduced costs, particularly in pregnancy-induced hypertension in Tver.
  • Russian Minister of Health Yuriy Shevchenko opened a conference in Moscow in July 2000; then-Secretary of the U.S. Department of Health and Human Services Donna Shalala launched the second phase of the project.
  • The quality assurance approach has extended to all appropriate health facilities in the two regions and is now a model for nationwide application.
  • Clinical areas to be added during the second phase include: pediatric tuberculosis care and early detection and care of breast cancer in Tverskaya Oblast; and treatment of depression in general practitioner settings in Tulskaya Oblast.
  • The June 2001 National Policy Seminar on Improving Health Care Quality produced a draft Policy Document on Quality Assurance.

  • Location

  • Russian Federation
  • Altay Territory
  • Arkhangelsk oblast
  • Ivanovsk oblast
  • Kostroma oblast
  • Moscow oblast
  • Murmansk oblast
  • Primorsk Territory
  • Republic of Buratiya
  • Republic of Karelia
  • Republic of Tatarstan
  • Sakha Republic (Yakutiya)
  • Samara oblast
  • Sverdlovsk oblast
  • Tula oblast
  • Tver oblast
  • Ulyanovsk oblast
  • Volgograd oblast
  • Related Organisations

    Counterparts:   no information
    Beneficiaries:   Health Department of Tula oblast
    Health Department of Tver oblast
    Financiers:   United States Agency for International Development (USAID)
    Contractors:   Central Public Health Research Institute for Organisation and Informatisation of Health Care
    University Research Corporation/Quality Assurance Project (URC/QAP)

    Project Budget

    no information

    Personnel

    The following table contains the persons involved in the project and the organisations they belong to. In order to get contact details about a person or an organisation, please click on its name.

     
    Position in project
    Name of
    the Expert
     
    Current work place
    Place of
    Performance
    Director from Russian side Korotkova A. V., MD, PhD Central Public Health Research Institute for Organisation and Informatisation of Health Care
    Vice-Director of theProject, US Massoud R.

    Project Documents

    The following table lists the documents created by or used in the project. In order to see details about a document, or to download it, please click on its title or on 'details'.

    Document Type Title Format More...
    Information material Health Care Quality - Glossary This document can be downloaded This document has been written by the project View Details of the Document
    Information material Health Care Quality Improvement in the Russian Federation This document can be downloaded This document has been written by the project View Details of the Document
    Methodological materials Clinical organisational manual on providing medical services for the patients with depression (minor and insignificant) by the GPs, rayon and factory doctors. - Tulskaya oblast, 2001. This document can be downloaded This document has been written by the project View Details of the Document
    Methodological materials Clinical-organisational manual for GPs on medical treament for patients with hypertension. - Russia-USA, 2001. - 2 copies. This document can be downloaded This document has been written by the project View Details of the Document
    Methodological materials Clinical-organisational manual for the primary health care facilities on medical prevention of the non-communicable diseases and “Behavior diseases”. This document can be downloaded This document has been written by the project View Details of the Document
    Methodological materials Clinical-organisational manual on hypertension treatment among pregnant women. - Russia-USA, 2000. -2 copies. This document can be downloaded This document has been written by the project View Details of the Document
    Methodological materials Clinical-organisational manual on services for the newborns with respiratory distress syndrome. - Russia-USA, 2000. - 2 copies. This document can be downloaded This document has been written by the project View Details of the Document
    Methodological materials Core Course on Quality Assurance This document can be downloaded This document has been written by the project View Details of the Document
    Methodological materials Quality management manual. - Russia-USA, 2000. This document can be downloaded This document has been written by the project View Details of the Document
    Topics: 

    This project is characterised by the topics below. Please click on one of these topics to see a list of other projects with that topic.

    Education for health

    Financial planning
     from section: Health care financing

    Maternal and child health

    Non-communicable diseases

    Primary health care and community health

    Quality management
     from section: Health management and planning

    ФГУ «ЦНИИОИЗ Минздравсоцразвития РФ» официальный сайт

     Copyright  2002—2019, Federal Public Health Institute
     The project is funded by WHO/CIDA Health Care Policy and Stewardship Programme in Russia
     Developed in co-operation with the EU funded Tacis "North West Health Replication Project"
    WHO EU