EARLY WARNING INDICATORS OHSC CONSULTATIVE WORKSHOP ON THE

EARLY WARNING INDICATORS OHSC CONSULTATIVE WORKSHOP ON THE WORK OF THE OHSC AS THE REGULATOR PRESENTATION BY OHSC DATE: 05 DECEMBER 2018

Outline § How the OHSC protect and promote the health and safety of users § Functions of the OHSC - EWS § Purpose § Indicators § How indicators were developed 1

How does the OHSC protect and promote the health and safety of users • Protect: § Advise on the determination of norms and standards to be prescribed § Inspect and certify HEs § Investigate complaints § Monitor indicators of risk § Make recommendations for intervention § Collect or request information from HEs • Promote: § Advise on the review of norms and standards § Publish information in relation to prescribed norms and standards § Recommend quality assurance and management systems for the national health system § Issue guidelines for HEs to assist compliance § Collect or request information § Liaise with other regulatory authorities

Functions of the OHSC (a) advise the Minister on matters relating to the determination of norms and standards to be prescribed for the national health system and the review of such norms and standards; (b) inspect and certify health establishments as compliant or noncompliant with prescribed norms and standards or, where appropriate and necessary, withdraw such certification; (c) investigate complaints relating to breaches of prescribed norms and standards; (d) monitor indicators of risk as an Early Warning System relating to serious breaches of norms and standards and report any breaches to the Minister without delay; (e) identify areas and make recommendations for intervention by a national or provincial department of health, a health department of a municipality or health establishment, where it is necessary, to ensure compliance with prescribed norms and standards; (f) publish information relating to prescribed norms and standards through the media and, where appropriate, to specific communities; (g) recommend quality assurance and management systems for the national health system to the Minister for approval; (h) keep records of all its activities; and (i) advise the Minister on any matter referred to it by the Minister.

PURPOSE OF EWS Monitor indicators of Risk Contribute to ongoing research on areas of risk to patient safety Identify and prioritise high Risk health establishments 4 Proactive in predicting risk for prompt corrective action

EWS INDICATORS 12 Critical indicators 17 Indicators FREQUENCY OF REPORTING Within 24 hours of the incident Monthly 19 Measures that are monitored as part of inspections For health establishments that are inspected 15 Indicators that are reported by Monthly health establishments as part of the monthly routine from the National Indicator Data Set (NIDS) REPORTING MECHANISM Online reporting by health establishments Generated by inspection database report Sourced from the National Health Information Repository Database (NHIRD) 5

HOW WERE EWS INDICATORS IDENTIFIED § Delphi study was conducted § 3 Rounds of discussions were conducted to identify indicators § 14 expert panel members consisting of nurses and doctors in medical management § Delphi panel reached consensus on 29 Indicators 6

How should we take you along this journey Explain the objectives, ambition and scale for change relating to EWS monitoring Make it clear Make it known Make it Real Make it happen Communicate the change vision and case for change and begin to create ownership of EWS monitoring and reporting We shall work with all involved and move towards the end state and equip officials to work in new ways Translate the change vision into reality for all involved across the public and private sectors and define what it means for them 7

THANK YOU 8