Establish patient centred care and involve patients as partners in their own care

Strategic Objective 1: To improve the structural systems to support quality and efficiency of health care and place patient safety at the core at national, sub-national and healthcare facility level . Question No. These questions pertain to National and subnational StateProvince levels. Where indicated please answer in a scale of 0-4: 0= not present initiatedplanned; 1=planned and initiated but implemention is less than 25, 2= implemented between 26-50, 3= implemented between 51-75, 4= fully implemented over 76 implementation at national level. Type of Response National Subnational State Province Regional District References if any Explanation 1.1 1.1.1 Does the country have comprehensive policies and strategies aiming at quality of care in the country? Scale of 0-4 for National and subnational level 1.1.2 Is there a patient safety committee to formulate national priorities and actions? Scale of 0-4 for National and subnational level 1.1.3 What are the Key government departments and other bodies responsible for execution of the policies Descriptive 1.1.4 Is there a dedicated directorate in the country to coordinate patient safety? Scale of 0-4 for National and subnational level 1.1.5 Indicate whether there are specific laws and regulations on quality of care Scale of 0-4 for National and subnational level 1.1.6 Is there particular regulation on : 1.1.6a a. the qualitycompetency of healthcare professionals Scale of 0-4 for National and subnational level 1.1.6b b. quality of care services hospitals, nursing homes, clinics, outpatient departments including GP Clinics Dispensaries Scale of 0-4 for National and subnational level 1.1.6c c. laws on patient rights Scale of 0-4 for National and subnational level 1.1.7 Whether 3rd party payerseg: health insurance companies are encouraged to support and provide incentives for patient safety? YesNo No 1.1.8 Whether efforts have been made to sensitise and get the media and civil society involved as responsible partners in patient safety? Scale of 0-4 for National and subnational level 1.2 1.2.1 Are accreditation mechanisms for healthcare facilities including accreditation of laboratories and diagnostic facilities in place? If no go to question 1.2.6 Scale of 0-4 for National and subnational level 1.2.2 Whether the accreditation programme uses international standards and principles of accreditation such as defined by ISQUA or JCI? YesNo No 1.2.3 Whether national standards and indicators for healthcare quality for hospitals have been established that are used in accreditation YesNo No 1.2.4 Does the accreditation programme liaise and collaborate with international, regional or international health- care accreditation institutions such as JCI, ASQUA Asian safety and quality association, Australian, Thai or Indian accreditation bodies. If so which ones? YesNo, if yes please mention in explanation No 1.2.5 Please describe briefly the scoring system for hospitals and attach the scoring system for one year. Descriptive 1.2.6 In addition to accreditation programmes is there also an inspectorate of health? Scale of 0-4 for National and subnational level 1.2.7 Are there initiatives with ISO certification in the healthcare system ? Scale of 0-4 for National and subnational level 1.3 1.3.1 Is there national programme to establish quality department infection control unit in health care facilities hospitals HCF? Scale of 0-4 for National and subnational level 1.4

1.4: Establish patient centred care and involve patients as partners in their own care

1.4.1 Do patient organizations both general or disease specific exist in your country? YesNo, if yes please mention in explanation No 1.4.2 Whether policies exist with respect to the systematic measurement of patient experiences at national and subnational levels? Scale of 0-4 for National and subnational level Please note that countries where health is a StateProvincial responsibility can use this assessment at subnational levels. Please indicate the level in E4 cell 1.1: Institutionalize patient safety and strengthen the legal and regulatory framework and national policies for quality and patient safety . 1.2: Establish accreditation and other external quality assessment mechanisms 1.3: Establish culture of safety and improve communication, patient identification, handing over and transfer protocols in healthcare facilities Assessment Questionnaire for Regional Patient Safety Strategy Question No. These questions pertain to National and subnational StateProvince levels. Where indicated please answer in a scale of 0-4: 0= not present initiatedplanned; 1=planned and initiated but implemention is less than 25, 2= implemented between 26-50, 3= implemented between 51-75, 4= fully implemented over 76 implementation at national level. Type of response National Subnational State province District References Explanation 2.1.1 Is there public reporting on quality of care? If no, please go to question 2.1.3 Scale of 0-4 for National and subnational level 2.1.2 If yes, Who is the owner of this information? Descriptive 2.1.3 Does your country also publish a regular national report on the performance of the health care system? Please give refrences YesNo No 2.1.4 Please provide a list of the quality indicators currently in use at national level Descriptive 2.1.5 Is there a mechanism of assessing the overall burden of unsafe care in the country? Scale of 0-4 for National and subnational level 2.1.6 Is there a patient safety incident surveillance and a system of reporting and learning from all adverse events and “near misses” at national and sub-national levels? Scale of 0-4 for National and subnational level 2.1.7 What is the system of analysis of reported incidents adverse events as well as near misses for the root cause Give an example and describe the interventions taken on one such case to prevent their re-occurrence? Descriptive Please note that countries where health is a StateProvincial responsibility can use this assessment at subnational levels. Please indicate the level in E4 cell Strategic Objective 2: To assess the nature and scale of adverse events in healthcare and establish system of reporting and learning Assessment Questionnaire for Regional Patient Safety Strategy Strategic Objective 3: To ensure a competent and capable work force which is aware and sensitive to patient safety Question No. These questions pertain to National and subnational StateProvince levels. Where indicated please answer in a scale of 0- 4: 0= not present initiatedplanned; 1=planned and initiated but implemention is less than 25, 2= implemented between 26-50, 3= implemented between 51-75, 4= fully implemented over 76 implementation at national level. Type of response National Subnational State province District References Explanation 3.1 3.1.1 Have policies related to licensing of healthcare professionals, continuous professional education and development, professional certification and recertification been established? Descriptive 3.1.2 Has accreditation been established for healthcare professional education and training? Scale of 0-4 for National and subnational level 3.1.3 Have standard treatment guidelines and SOP’s been developed for healthcare practice? Scale of 0-4 for National and subnational level 3.1.4 Are periodic assessments of healthcare staff conducted on their understanding and awareness of patient safety principles and practice Scale of 0-4 for National and subnational level 3.1.5 Is there adequate number and appropriately trained and skilled staff in position ? Scale of 0-4 for National and subnational level 3.2

3.2: Improve the understanding and application of patient safety and risk management in healthcare