ICRM Peer Review Feedback and Planning Presentation Presenter

ICRM Peer Review Feedback and Planning Presentation Presenter: Ms Maneo Dichaba Date: 21 April 2016

Outline of presentation q Background of PPTICRM q Composition of PPTICRMs and responsibilities q Current status of PPTICRM at Provinces q Challenges q Conclusion

Background of PPTICRM § Completion of pilot phase of ICRM in 2014 § Need to roll out § Establishment of programme drivers - PPTICRM § National conducted 4 Provincial workshops facilitated by HST § Outcome –PPTICRM composition, team leader, roles and responsibilities, communication channels. - Steering Committee ( enabler) composition, roles and responsibilities §

Background of PPTICRM §Core business of PPTICRM –move / change red and amber colours to green and sustained ( National Core Standards) § 6 weeks Operation Phakisa Health lab in 2014 came up with initiatives to improve service delivery from ( 8 work streams) § One recommendation from the scale up and sustainable work stream was establishment of delivery units at different levels of Health Management for ICRM to be realised.

Composition at National Executive level (NHC Tech) § National DG: (chairperson) § Provincial HODs § National DDG: PHC (National ICRM Champion) § National CFO § Co-opted Officials (Infrastructure, HR, Pharmaceutical and Health Information Management) § DG nominated stakeholders

Role of NHC Tech § Administrative oversight § Mobilise resources § Remove implementation bottlenecks § Monitoring and evaluation

Composition of National PPTICRM § DDG: PHC (chairperson) § National Provincial ICRM Managers § Chief Director : DHS § Senior Manager: PHC § Technical Support Team § Quality representative § Infrastructure Representative § Finance Representative

National PPTICRM Roles and Responsibilities § Oversee overall ICRM implementation § Support implementation in provinces § Escalate bottlenecks to the NHC Tech after communicating them to the provinces.

Provincial Executive Committee composition § Head of Department: Chairperson § Deputy Director General: Clinical Health § Deputy Director General: NHI § Provincial: CFO § Chief Director: DHS § Chief Director: HR

Provincial Executive Management Committee Role and Responsibilities § Administrative oversight § Mobilise resources § Remove implementation bottlenecks § Monitoring and evaluation

Provincial PPTICRM Composition § Provincial Manager: Quality: Chairperson § Provincial Manager: PHC § Finance Representative § District Managers § Infrastructure Representative § Finance Representative

Provincial PPTICRM Roles and Responsibilities § Oversee overall ICRM implementation § Support implementation in provinces

District PPTICRM Composition § District Manager: Chairperson § PHC Manager § Finance manager § HR Manager § Infrastructure Manager § Quality Assurance: Manager § Sub-District manager § Pharmacy Manager § : ICRM Champion choice. .

District PPTICRM Roles and Responsibilities Facilitate and support overall ICRM implementation § Status determination § Peer reviews § Facility improvement plans

Current status of PPTICRMs at Provinces Province Provincial PPTIRMs District PPTICRMs Eastern Cape delegated 1 district appointed, 7 delegated Free State 1 delegated official 5 districts appointed Gauteng 1 delegated official 3 districts except 2 Metros Kwazulu Natal 1 appointed official 11 Districts not appointed Limpopo 2 delegated official 5 districts appointed Mpumalanga appointed 3 districts appointed Northern Cape Delegated 5 districts delegated North West Delegated 4 districts delegated

Challenges of PPTICRMs § Provincial PPTICRMs in some provinces not formally appointed resulting in low levels of commitment. § Ideal Clinic activities are not seen as part of core responsibilities. § District champions are also responsible for other programs, e. g. Risk Management, MCWH, NCS, Infection control and complaints managements, etc. § Team members are allocated other ad hoc responsibilities by their immediate supervisors

CONCLUSION § The is a need for provinces/districts to operationalise resolutions of the Operation Phakisa ICRM Lab as approved by Departments of Health and The Presidency.