IDEAL CLINIC REPORT
FREE STATE DEPARTMENT OF HEALTH
OVERVIEW
Free State Province have five District's consisting of 220 PHC rendering service to 2,2 million uninsured population of the 2,7 million total population
PHC facilities are distributed as follows in all five District Thabo Mofutsanyana (73, currently only 72 are operational, one clinic was vandalized) Mangaung Metro (45)Lejweleputswa (43)Fezile Dabi (39)Xhariep (20)
All PHC facilities are expected to be Ideal by the end of 2018/2019
As stipulated on the Free State Department of Health Annual performance Plan . The province will enrol a specific number of facilities into Ideal clinic program over 3-year period starting 2015/2016 , until all facilities reach an ideal clinic status
District 2015/16 2016/17 2017/18
Fezile Dabi 20 8 11
Lejweleputswa 20 12 13
Mangaung Metro 20 12 11
Thabo Mofutsanyana
30 15 28
Xhariep 10 5 5
Free State 100 52 68
FREE STATE DEPARTMENT OF HEALTH IDEAL CLINIC SCALE UP PLAN
Opens on time in the morning, according to its set operating hours, and which does not close untilthe last patient has been assisted, even if this is beyond the normal closing hours.
It is staffed by health care providers who treat people with dignity.
Provides community-based health promotion.
Is very clean, promotes hygiene and takes all precautionary measures to prevent the spread of diseases.
Has reasonable waiting times.
Provides a comprehensive package of good quality health services every day.
Has basic necessities available, such as essential medicines.
Refers people to higher levels of care timeously when this is required.
Community members call it “our own clinic”, rather than a “government clinic” or a “state healthfacility
Good Infrastructure
Sufficient bulk supplies
DEFINITION OF AN IDEAL CLINIC
Developing and sustaining the ‘Ideal’ PHC clinic involves that a number of components to be in place and functions well. These components include:
1. Administration 2. Integrated Clinical Services Management 3. Medicines, Supplies and Laboratory Services 4. Human Resources for Health 5. Support Services 6. Infrastructure 7. Health Information Management 8. Communication 9. District Health System Support 10. Implementing Partners and Stakeholders
Each of the above components are made up of different numbers of subcomponents each having a number of specific elements that need to be in place
For a facility to be ideal , it has to score a certain percentage of specific elements
DEFINITION OF AN IDEAL CLINIC CONTINUED.
Weights Silver Gold Platinum Diamond
Elements % Elements % Elements % Elements %
Vital 15 100% 15 100% 15 100% 15 100%
Essential 57 70% 66 80% 75 91% 82 100%
Important 48 65% 56 75% 63 86% 74 100%
VitalExtremely important (vital) elements that require immediate and full correction. These are elements that affect direct service delivery and clinical care to patients and they may have immediate and long-term adverse effects on the health of the population.
EssentialVery necessary (essential) elements that require resolution within a given time period. These are process and structural elements that indirectly affect the quality of clinical care given to patients.
ImportantSignificant (important) elements that require resolution within a given time period. These are process and structural elements that affect the quality of the environment in which health care is given to patients.
IDEAL CLINIC ELEMENTS
CATEGORIES
100 facilities were enrolled into Ideal Clinic program in Free State
However , National Department of Health reduced the number of faculties to be assessed in the Ideal Clinic program
In Free State Province, only 46 of 100 facilities were assessed in 2015/16
District Number of facilities assessed in 2015/2016
Fezile Dabi 15
Lejweleputswa 4
Mangaung Metro 4
Thabo Mofutsanyana 13
Xhariep 10
Total 46
FREE STATE PROVINCE IDEAL CLINIC ASSESSMENT IN 2015/2016
Each district appoint a PPTICRM team
The PPTICRM team assess each facility enrolled into
Ideal Clinic Program to determine the baseline
District PPTICRM develop a quality
improvement plan and monitor its
implementation
The District PPTICRM asses facilities and
score the facility on the Ideal Clinic
Dashboard
Peer review of the same facility by a
Cross District PPTICRM asses and
score the facility
PROCESS OF IDEAL CLINIC ASSESSMENT
Free State Province Ideal Clinic Peer review conduct in 2015/2016
District reviewed # of Facilities # of Teams Peer Review PPTICRM team
Fezile Dabi 8 1 Northen Cape 7 2
Lejweleputswa 4 1Northen Cape Mangaung
Metropolitan 4 2
T/M 7 1Kwazulu-Natal
6 2
Xhariep 5 1Northen cape
5 2
Total 46 10
Results of the Mangaung Metro PPTICRM Review vs Cross District Peer Review(2015/2016)
SUB -DISTRICT NAME OF FACILITY
DISTRICT PPTICRM RESULTS
PPTICRM PR RESULTS
IDEAL CLINIC STATUS
Bloemfontein Bayswater Clinic
67% 81% Not achieved
Botshabelo Harry Gwala (Bots) Clinic
67% 72% Not achieved
TS Mahloko Clinic
73% 80% Not achieved
Daniel Ngatane Clinic
59% 71% Not achieved
Results of the Lejweleputswa PPTICRM Review vs Cross District Peer Review(2015/2016)
SUB -DISTRICT NAME OF FACILITY
DISTRCIT PPTICRM RESULTS
PPTICRM PR RESULTS
IDEAL CLINIC STATUS
Matjhabeng Thabong Clinic 64% 58% Not achieved
Bronville Clinic 71% 60% Not achieved
Nala DA MalehoClinic
59% 73% Not achieved
Tswelopele Chief Albert Luthuli
51% 46% Not achieved
RESULTS OF THE FEZILE DABI
PPTICRM REVIEW VS CROSS
DISTRICT PEER REVIEW(2015/2016)SUB -DISTRICT NAME OF
FACILITYDISRTCIT PPTICRM RESULTS
PPTICRM PR RESULTS
IDEAL CLINIC STATUS PR
Metsimaholo Sasolburg Clinic
53% 54% Not achieved
Zamdela CHC 48% 63% Not achieved
Refenkgotso Clinic
54% 54% Not achieved
Metsimaholo Clinic
47% 67% Not achieved
Mafube Philani Clinic 52% 58% Not achieved
Qalabotjha Clinic
56% 55% Not achieved
Phedisong Clinic
49% 58% Not achieved
Rainbow Clinic 45% 48% Not achieved
RESULTS OF THE FEZILE DABIPPTICRM REVIEW VS CROSS DISTRICT PEER REVIEW(2015/2016)
SUB -DISTRICT
NAME OF FACILITY
PPTICRM RESULTS
PPTICRM PR RESULTS
IDEAL CLINIC STATUS PR
Ngwathe Schonkenville Clinic
47% 22% Not achieved
Kganya CHC 75% 85% Not achieved
Heilbron Clinic 69% 72% Not achieved
Relebohile Clinic
53% 67% Not achieved
Moqhaka PAX CHC 46% 41% Not achieved
Sedibeng saBophelo Clinic
60% 62% Not achieved
Seeisoville Clinic
47% 41% Not achieved
RESULTS OF THE XHARIEP PPTICRM REVIEW VS CROSS DISTRICT PEER REVIEW(2015/2016)
SUB -DISTRICT
NAME OF FACILITY DISTRICT PPTICRM RESULTS
PPTICRM PR RESULTS
IDEAL CLINIC STATUS
Kopanong Nelson Mandela Clinic
79% 70% Not Achieved
Phekolong Clinic 79% 73% Not Achieved
Mamello Clinic 79% 77% Not Achieved
Thembalethu Clinic 81% 79% Not Achieved
Sehularo Tau Clinic 80% 53% Not Achieved
Naledi Lebohang Clinic 73% 65% Not Achieved
Mohokare Lephoi Clinic 83% 68% Not Achieved
Letsemeng Bophelong CHC 81% 53% Not Achieved
Jacobsdal Clinic 71% 70% Not Achieved
Ethembeni Clinic 76% 73% Not Achieved
RESULTS OF THE THABO MOFUTSANYANA PPTICRM REVIEW VS CROSS DISTRICT PEER REVIEW(2015/2016)
SUB -DISTRICT NAME OF FACILITY DistrctictPPTICRM RESULTS
PPTICRM PR RESULTS
IDEAL CLINICSTATUS
Maluti A Phofung Marakong Clinic Not scored 35% Not Achieved
Tina Moloi Clinic Not scored 39% Not Achieved
Riverside Clinic Not scored 41% Not Achieved
Tebang Clinic 72% 37% Not Achieved
Phumelela Thusa Bophelo Clinic 61% 57% Not Achieved
Bophelong (Vrede) Clinic
Not scored 47% Not Achieved
Dihlabeng Mphohadi clinic Not scored 72% Not Achieved
Masebabatso Clinic Not scored 54% Not Achieved
Mantsopa Hobhouse Clinic Not scored 60% Not Achieved
Ladybrand Clinic 78% 84% Not Achieved
Manyatseng Clinic Not scored 66% Not Achieved
Setsoto Mamello CHC Not scored 81% Not Achieved
Itumeleng(Clarens) Clinic
Not scored 77% Not Achieved
SUMMARY OF FREE STATE PROVINCE IDEAL CLINIC PROGRESS AFTER SECOND REASSEMENT IN APRIL 2016 (2015/2016)
1/15
10/13
7/10
1/43/4
22/46
Best Performing District in Free State (2015/2016)
BEST PERFORMING SUB-DISTRICT IN FREE STATE
(2015/2016)
BEST PERFORMING FACILITIES IN FREE STATE (2015/2016)
FREE STATE PROVINCE SUMMARY OF RESULTS END OF 2015/2016• 21 of 46 facilities enrolled on ideal clinic program in Free State reached
ideal clinic status in 2015/2016 year : On the Ideal clinic dashboard
- 20 facilities were scoring 80 % 4 facilities scored between 70-79 %- 8 facilities scored between 60-69%- 8 facilities scored between 60-69%- 11 facilities scored between 40-59%- 3 facilities scored less than 40 %
• Xhariep was the best preforming district in the province followed by Mangaung Metro and Fezile Dabi
• Lejweleputswa was the lowest performing district , but improved towards closing of the 2015/2016 attaining ideal clinic status on 3 of the 4 facilities enrolled
• In Mangaung Metro (MM) only 1 facilities achieved an ideal clinic status , • However, status determination results showed that majority of the facilities
in MM are preforming above (66 % )
Poor Infrastructure
Human Resources for Health: Appointments of Staff
(Lack of Ideal Clinic Cost analysis ) Insufficient budget for Ideal Clinic
Slow supply Chain Management process to procure ideal clinic equipments
FREE STATE PROVINCE CHALLENGES
District Total number of Facilities in each
district
Number of Facilities with IC status
Number of facilities to be Ideal in 2016/17
Number of facilities marked
for 2016/17
Free State Province 221 25 103 112Fezile Dabi
39 4 10 17Lejweleputswa
45 3 11 11Mangaung
43 1 10 13
Thabo Mofutsanyane 73 10 62 62Xhariep
21 7 5 8
Number of with ideal clinics status in Free State is 25/221 (11 %) of total PHC facilities in the Province
104 new clinics were added on the ideal clinic program for 2016/2017 Thabo Mofutsanyana as NHI Pilot district added all remaining 63 clinics for 2016/2017
FREE STATE PROVINCE SCALE UP PLAN 2016/2017
2016/2017 IDEAL CLINIC PERFORMANCE IN FREE STATE PROVINCE
0/8 0/62 0/13 0/11 3/17 3/104
104 new clinics were added on the ideal clinic program for 2016/2017
Thabo Mofutsanyana as NHI Pilot district added all remaining 62 clinics for 2016/2017
Four of 5 district’s in Free State have yet to update facilities with an Ideal Clinic status in 2016/2017
To date , 3 facilities attained Ideal clinic status in Fezile Dabi
Lesson learned from 2015/2016 : prioritize procurement of vital elements equipment (resuscitation equipment's)
Weekly monitoring of ideal clinics improve progress
Challenges in 2016/2017
Delay in submission of facilities to be enrol on the 2016/2017 Ideal Clinic Progress
Centralization of procurement of medical equipment's delayed
Lack of dedication from Perfect Permanent Team for Ideal Clinic Realization and Maintenance ( PPTICRM Teams) on closely monitoring of the clinics (lead to regression of the status )
SUMMARY OF FREE STATE PROVINCE IDEAL CLINIC PROGRESS 2016/2017
QUALITY IMPROVEMENT PLANS
Cost analysis of Ideal Clinic Requirements
Allocate budget for ideal Clinic Equipments on equitable share
Prioritize procurement of Ideal Clinic Medical equipments
Centralize Medical equipments
Align Departmental Infrastructure plan ( refurbishment and Maintenance over MTEF period
Weekly monitoring of Ideal Clinic progress
COSTING OF IDEAL CLINIC EQUIPMENTS PER DISTRICT : MANAGAUNG METRO
DESCRIPTION BLOEMFONTEIN THABA NCHU BOTSHABELO TOTAL
7 CLINICS 3 CLINICS 10 CLINICS
1. Signage and Notices: Monitor whether there is communication about the facility and the services provided R 350,000 R 150,000 R 500,000 R 1,000,000
3. Client service organization: Monitor the processes that enable responsive client service. R 140,000 R 60,000 R 200,000 R 400,000
4. Management of client record: Monitor whether clients' record content is organised according to Integrated Clinical Services Management (ICSM) prescripts, whether the prescribed stationary is used and whether the client records are filed appropriately R 630,000 R 270,000 R 900,000 R 1,800,000
5. Clinical Service provision: Monitor whether clinical integration of clinical care services allowing for 3 discrete streams (acute, chronic and MCWH) of service delivery is adhered to as per service package and whether this results in improvements in key population health and service indicators R 164,000 R 72,000 R 240,000 R 476,000
6. Management of client appointments: Monitor whether an ICSM client appointment system is adhered to. R 140,000 R 60,000 R 200,000 R 400,000
12 Medicines and supplies: Monitor consistent availability of required good quality medicines and supplies. R 196,000 R 84,000 R 280,000 R 560,000
19. Security : Monitor whether systems processes, procedures are in place to protect the safety of assets, infrastructure, clients and staff of the PHC facility. R 2,100,000 R 900,000 R 3,000,000 R 6,000,000
21. Physical Space and Routine Maintenance: Monitor whether the physical space is adequate for the PHC facility workload and whether timely routine maintenance is undertaken. R 70,000 R 4,500 R 100,000 R 174,500
23. Bulk supplies: Monitor whether the required electricity supply, water supply and sewerage services are constantly available. R 750,000 R 300,000 R 1,500,000 R 2,550,000
24. ICT Infrastructure and Hardware: Monitor whether systems for internal and external electronic communication are available and functioning. R 164,500 R 70,500 R 235,000 R 470,000
26. Internal communication: Monitor whether the communications system required for improved quality for service delivery is in place. R 35,000 R 15,000 R 50,000 R 100,000
Total R 4,109,500 R 1,716,000 R 7,205,000 R 13,030,500
COSTING OF IDEAL CLINIC EQUIPMENTS PER DISTRICT : XHARIEP
DESCRIPTION KOPANONG LETSEMENG
MOHOKA
RE NALEDI TOTAL
5 CLINICS 3 CLINICS 1 CLINIC 1 CLINIC
1. Signage and Notices: Monitor whether there is communication about the facility
and the services provided
R
160,000
R
96,000
R
32,000
R
32,000
R
320,000
2. Clinical Service provision: Monitor whether clinical integration of clinical care
services allowing for 3 discrete streams (acute, chronic and MCWH) of service
delivery is adhered to as per service package and whether this results in
improvements in key population health and service indicators
R
225,000
R
15,000
R
5,000
R
5,000
R
250,000
3. Management of client appointments: Monitor whether an ICSM client appointment
system is adhered to.
R
100,000
R
60,000
R
20,000
R
20,000
R
200,000
4. Clinical guidelines and protocols: Monitor whether clinical guidelines and protocols
are available, whether staff have received training on their use and whether they are
being appropriately applied.
R
45,000
R
27,000
R
9,000
R
9,000
R
90,000
5. Finance and supply chain management: Monitor the consistent availability of a
functional supply chain management system as well as the availability of funds
required for optimal service provision.
R
13,300
R
7,980
R
2,660
R
2,660
R
26,600
5. Hygiene and Cleanliness: Monitor whether the required systems and procedures
are in place to ensure consistent cleanliness in and around a facility.
R
75,000
R
45,000
R
15,000
R
15,000
R
150,000
6. Security : Monitor whether systems processes, procedures are in place to protect
the safety of assets, infrastructure, clients and staff of the PHC facility.
R
1,500,000
R
900,000
R
300,000
R
300,000
R
3,000,000
7. Physical Space and Routine Maintenance: Monitor whether the physical space is
adequate for the PHC facility workload and whether timely routine maintenance is
undertaken.
R
602,500
R
4,500
R
1,500
R
1,500
R
610,000
8. Essential Equipment and Furniture: Monitor whether essential equipment and
required furniture are available.
R
1,250,000
R
750,000
R
250,000
R
250,000
R
2,500,000
9. Bulk supplies: Monitor whether the required electricity supply, water supply and
sewerage services are constantly available.
R
600,000
R
360,000
R
120,000
R
120,000
R
1,200,000
10. ICT Infrastructure and Hardware: Monitor whether systems for internal and
external electronic communication are available and functioning.
R
117,500
R
70,500
R
23,500
R
23,500
R
235,000
11. Internal communication: Monitor whether the communications system required
for improved quality for service delivery is in place.
R
50,000
R
30,000
R
10,000
R
10,000
R
100,000
Total
R
4,738,300
R
2,365,980
R
788,660
R
788,660
R
8,681,600
COSTING OF IDEAL CLINIC EQUIPMENTS PER DISTRICT : LEJWELEPUTSWA
DESCRIPTION 2015-16 FY
21 CLINICS
1. Signage and Notices: Monitor whether there is communication about the facility and the services provided R 787,500
2. Staff identity and dress code: Monitor whether staff uniform, protective clothing and mode of staff identification are
according to policy prescripts R 210,000
3. Client service organization: Monitor the processes that enable responsive client service. R 42,000
4. Management of client record: Monitor whether clients' record content is organised according to Integrated Clinical
Services Management (ICSM) prescripts, whether the prescribed stationary is used and whether the client records are
filed appropriately R 315,000
5. Clinical Service provision: Monitor whether clinical integration of clinical care services allowing for 3 discrete streams
(acute, chronic and MCWH) of service delivery is adhered to as per service package and whether this results in
improvements in key population health and service indicators R 315,000
6. Management of client appointments: Monitor whether an ICSM client appointment system is adhered to. R 210,000
7. Coordination of PHC Services: Monitor whether there is coordinated planning and execution between PHC facility,
School Health Team, WBPHCOT and DCST R 157,500
8. Clinical guidelines and protocols: Monitor whether clinical guidelines and protocols are available, whether staff have
received training on their use and whether they are being appropriately applied. R 189,000
9. Infection Prevention and Control: Monitor whether prescribed infection prevention and control policies and
procedures are adhered to. R -
10. Client waiting time: Monitor whether the facility's prescribed waiting times are adhered to. R -
11 Patient experience of care: Monitor whether an annual client experience of care survey is conducted and whether
clients are provided with an opportunity to complain about or compliment the facility and whether complaints are
managed within the prescribed time. R 105,000
COSTING OF IDEAL CLINIC EQUIPMENTS PER DISTRICT : LEJWELEPUTSWA
DESCRIPTION 2015-16 FY
21 CLINICS
1. Signage and Notices: Monitor whether there is communication about the facility and the services provided
R
787,500
2. Staff identity and dress code: Monitor whether staff uniform, protective clothing and mode of staff identification
are according to policy prescripts
R
210,000
3. Client service organization: Monitor the processes that enable responsive client service.
R
42,000
4. Management of client record: Monitor whether clients' record content is organised according to Integrated Clinical
Services Management (ICSM) prescripts, whether the prescribed stationary is used and whether the client records
are filed appropriately
R
315,000
5. Clinical Service provision: Monitor whether clinical integration of clinical care services allowing for 3 discrete
streams (acute, chronic and MCWH) of service delivery is adhered to as per service package and whether this
results in improvements in key population health and service indicators
R
315,000
6. Management of client appointments: Monitor whether an ICSM client appointment system is adhered to.
R
210,000
7. Coordination of PHC Services: Monitor whether there is coordinated planning and execution between PHC facility,
School Health Team, WBPHCOT and DCST
R
157,500
8. Clinical guidelines and protocols: Monitor whether clinical guidelines and protocols are available, whether staff
have received training on their use and whether they are being appropriately applied.
R
189,000
9. Infection Prevention and Control: Monitor whether prescribed infection prevention and control policies and
procedures are adhered to.
R
-
10. Client waiting time: Monitor whether the facility's prescribed waiting times are adhered to.
R
-
11 Patient experience of care: Monitor whether an annual client experience of care survey is conducted and whether
clients are provided with an opportunity to complain about or compliment the facility and whether complaints are
managed within the prescribed time.
R
105,000
COSTING OF IDEAL CLINIC EQUIPMENTS PER DISTRICT : LEJWELEPUTSWA
25. District Health Information System (DHIS): Monitor whether there is an appropriate information system that
produces information for service planning and decision making.
R
302,400
26. Internal communication: Monitor whether the communications system required for improved quality for
service delivery is in place.
R
210,000
27. Community engagement: Monitor whether the community participates in PHC facility activities through
representation in a functional clinic committee.
R
105,000
28. District Health Support (DHS): Monitor the support provided to the facility through guidance from district
management, regular Ideal Clinic status measurement by the PPTICRM as well as through visits from the district
support and health programme managers.
R
199,500
29. Planned and Emergency patient transport: Monitor the availability of planned and emergency transport for
clients.
R
262,500
30. Referral System: Monitor whether clients have access to appropriate levels of health care.
R
283,500
31. Implementing Partners support: Monitor the support that is provided by implementing partners
R
31,500
32. Multi-sectoral collaboration: Monitor the systems in place to respond to the social determinants of health
R
73,500
33. Filing Cabinets for patient files
R
1,260,000
34. Renovations and refurbishments of facilities
R
6,300,000
35. Building / erection of guard houses
R
840,000
36. Bulk water and reservoirs at facilities
R
1,660,000
Total R 25,278,400
COSTING OF IDEAL CLINIC EQUIPMENTS PER DISTRICT : THABO MOFUTSANYANA
DESCRIPTION
MALUTI-A-
PHOFUNG SETSOTO DIHLABENG NKETOANA PHUMELELA MANTSOPA TOTAL
4 CLINICS 2 CLINICS 2 CLINICS 1 CLINIC 1 CLINIC 1 CLINIC
1. Signage and Notices: Monitor whether
there is communication about the facility
and the services provided R 64,000.00 R 64,000.00 R 64,000.00 R 32,000.00 R 32,000.00 R 256,000.00
2. Staff identity and dress code: Monitor
whether staff uniform, protective clothing
and mode of staff identification are
according to policy prescripts R 20,000.00 R 40,000.00 R 20,000.00 R 10,000.00 R 10,000.00 R 20,000.00 R 120,000.00
3. Client service organization: Monitor
the processes that enable responsive
client service. R 10,000.00
4. Management of client record: Monitor
whether clients' record content is
organised according to Integrated
Clinical Services Management (ICSM)
prescripts, whether the prescribed
stationary is used and whether the client
records are filed appropriately R 40,000.00 R 120,000.00 R 40,000.00 R 20,000.00 R 20,000.00 R 20,000.00 R 260,000.00
5. Clinical Service provision: Monitor
whether clinical integration of clinical
care services allowing for 3 discrete
streams (acute, chronic and MCWH) of
service delivery is adhered to as per
service package and whether this results
in improvements in key population health
and service indicators R 10,000.00 R 20,000.00 R 10,000.00 R 5,000.00 R 5,000.00 R 5,000.00 R 55,000.00
6. Management of client appointments:
Monitor whether an ICSM client
appointment system is adhered to. R 40,000.00 R 60,000.00 R 40,000.00 R 20,000.00 R 20,000.00 R 180,000.00
7. Coordination of PHC Services: Monitor
whether there is coordinated planning
and execution between PHC facility,
School Health Team, WBPHCOT and
DCST R 60,000.00 R 60,000.00
COSTING OF IDEAL CLINIC EQUIPMENTS PER DISTRICT : THABO MOFUTSANYANA
8. Clinical guidelines and protocols:
Monitor whether clinical guidelines and
protocols are available, whether staff have
received training on their use and whether
they are being appropriately applied. R 18,000.00 R 27,000.00 R 18,000.00 R 20,000.00 R 20,000.00 R 5,000.00 R 108,000.00
9. Infection Prevention and Control:
Monitor whether prescribed infection
prevention and control policies and
procedures are adhered to. R 30,000.00 R 4,000.00 R 4,000.00 R 2,000.00 R 40,000.00
10. Client waiting time: Monitor whether
the facility's prescribed waiting times are
adhered to. R 2,000.00
11 Patient experience of care: Monitor
whether an annual client experience of
care survey is conducted and whether
clients are provided with an opportunity to
complain about or compliment the facility
and whether complaints are managed
within the prescribed time. R 20,000.00 R 20,000.00
12 Medicines and supplies: Monitor
consistent availability of required good
quality medicines and supplies. R 56,000.00 R 484,000.00 R 56,000.00 R 20,000.00 R 20,000.00 R 120,000.00 R 756,000.00
13. Management of Laboratory Services:
Monitor consistent availability and use of
laboratory services. R 50,000.00
14. Staff allocation and use: Monitor
whether the PHC facility has the required
HRH capacity and whether staff are
appropriately applied. R 50,000.00 R 180,000.00 R 230,000.00
15. Professional standards and
Performance Management Development
System (PMDS): Monitor whether staff are
managed according to Department of
Public Service Administration (DPSA)
prescripts.
DESCRIPTION
MALUTI-A-
PHOFUNG SETSOTO DIHLABENG NKETOANA PHUMELELA MANTSOPA TOTAL
4 CLINICS 2 CLINICS 2 CLINICS 1 CLINIC 1 CLINIC 1 CLINIC
Costing of IDEAL clinic equipments per District : Thabo Mofutsanyana
16. Availability of Medical, Mental health,
and Allied health practitioners: Monitor
client access to clinical expertise at PHC
level. R 10,000.00 R 10,000.00
17. Finance and supply chain
management: Monitor the consistent
availability of a functional supply chain
management system as well as the
availability of funds required for optimal
service provision. R 5,320.00 R 10,000.00 R 5,320.00 R 2,660.00 R 2,660.00 R 10,000.00 R 25,960.00
18. Hygiene and Cleanliness: Monitor
whether the required systems and
procedures are in place to ensure
consistent cleanliness in and around a
facility. R 30,000.00 R 45,000.00 R 30,000.00 R 15,000.00 R 15,000.00 R 45,000.00 R 135,000.00
19. Security : Monitor whether systems
processes, procedures are in place to
protect the safety of assets, infrastructure,
clients and staff of the PHC facility. R 600,000.00 R 1,000,000.00 R 600,000.00 R 3,000.00 R 3,000.00 R 300,000.00 R 2,206,000.00
20. Disaster preparedness: Monitor
whether firefighting equipment is available
and whether staff know how to use it and
whether disaster drills are conducted. R 5,000.00 R 5,000.00
21. Physical Space and Routine
Maintenance: Monitor whether the physical
space is adequate for the PHC facility
workload and whether timely routine
maintenance is undertaken. R 3,000.00 R 45,000.00 R 3,000.00 R 1,500.00 R 1,500.00 R 54,000.00
22. Essential Equipment and Furniture:
Monitor whether essential equipment and
required furniture are available. R 500,000.00 R 250,000.00 R 500,000.00 R 250,000.00 R 250,000.00 R 180,000.00 R 1,930,000.00
23. Bulk supplies: Monitor whether the
required electricity supply, water supply
and sewerage services are constantly
available. R 420,000.00 R 360,000.00 R 420,000.00 R 120,000.00 R 120,000.00 R 1,440,000.00
DESCRIPTION
MALUTI-A-
PHOFUNG SETSOTO DIHLABENG NKETOANA PHUMELELA MANTSOPA TOTAL
4 CLINICS 2 CLINICS 2 CLINICS 1 CLINIC 1 CLINIC 1 CLINIC
24. ICT Infrastructure and Hardware:
Monitor whether systems for internal and
external electronic communication are
available and functioning. R 47,000.00 R 50,000.00 R 47,000.00 R 23,500.00 R 167,500.00
25. District Health Information System
(DHIS): Monitor whether there is an
appropriate information system that
produces information for service
planning and decision making.
26. Internal communication: Monitor
whether the communications system
required for improved quality for service
delivery is in place. R 20,000.00 R 40,000.00 R 20,000.00 R 10,000.00 R 10,000.00 R 10,000.00 R 100,000.00
27. Community engagement: Monitor
whether the community participates in
PHC facility activities through
representation in a functional clinic
committee.
28. District Health Support (DHS):
Monitor the support provided to the
facility through guidance from district
management, regular Ideal Clinic status
measurement by the PPTICRM as well as
through visits from the district support
and health programme managers.
29. Planned and Emergency patient
transport: Monitor the availability of
planned and emergency transport for
clients.
30. Referral System: Monitor whether
clients have access to appropriate levels
of health care.
31. Implementing Partners support:
Monitor the support that is provided by
implementing partners
32. Multi-sectoral collaboration: Monitor
COSTING OF IDEAL CLINIC EQUIPMENTS PER DISTRICT : THABO MOFUTSANYANA
DESCRIPTION
MALUTI-A-
PHOFUNG SETSOTO DIHLABENG NKETOANA PHUMELELA MANTSOPA TOTAL
4 CLINICS 2 CLINICS 2 CLINICS 1 CLINIC 1 CLINIC 1 CLINIC
Province
MangaungMetro
Thabo Mofutsanyana Lejweleputswa Fezile Dabi Xhariep Total
Required Budget 13,030,500.00 8,585,460.00 25,278,400.00 8,827,286.00 8,681,600.00 64,403,246.00
Number of clinics 20.00 11.00 21.00 8.00 10.00 70
Average Cost 651,525.00 780,496.36 1,203,733.33 1,103,410.75 868,160.00 920,046.37
Costing analysis show that for the Free state Province will need approximately R64 million rands to attend an Ideal Clinic Status on 70 clinics
For 2016/2017 Free State Province allocated for “Ideal clinic” under voted funds Programme 2 -R3,22 million on minor asset ( medical equipments < R5000)-R 8,063 million on Capital
SUMMARY OF IDEAL CLINIC COST ANALYSIS IN FREE STATE PROVINCE
2016/2017 2017/2018 2018/2019 2019/2020 Total
ManagungMetro
1,9 80 9,020 11,000 11.211 33,422
Fezile Dabi 900 4,100 5,000 5,454 15,907
Lejweleputswa 1,440 6.560 8,000 8,053 24,105
TBM 360 1,640 2.000 8,206 18,411
Xhariep 360 1,640 2,000 2,226 6,452
INFRASTRUCTURE BUDGET TO REFURBISH AND MAINTAIN CLINIC IN FREE STATE PROVINCE OVER MTEF
Prioritize refurbishment of facilities enrolled on Ideal Clinic
Program under Infrastructure Budget
THANK YOU
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