451 Family Medicine Development In Kosovo And Quality Improvement

Dr.Robert Hedley, Dr.Bajram Maxhuni, Dr.Genc Halili, Mr. David Simpson
Introduction/research question
Historically health care services in Kosovo were oriented toward secondary level and hospital specialists, while primary health care services have been provided by non-specialist GP's and inadequately trained nurses. A new Health Policy for Kosovo identifies primary health care as a cornerstone of the health care system.
Method The Centre for Development of Family Medicine (CDFM) was established to develop family medicine in Kosovo. The organization is focused on two parallel activities, education and institutionalisation. National stakeholders developed the strategy for implementation of family medicine, including quality improvement. The strategy contains a detailed plan of action and identifies responsible institutions and individuals.
For the purpose of improving clinical performance, health care providers were trained in Clinical Governance, including Clinical Audit, Peer review, Development of Clinical Guidelines, CPD and microsystems approach.
Results · A Quality assurance office was established within CDFM.
· Sixteen clinical guidelines have been developed.
· Peer review groups were established.
· Health care professionals trained in clinical governance.
· A system of CPD based on assessment of needs of doctors and patients with the use of personal portfolio and linked to revalidation, has been introduced.
· Microsystems approach has been accepted in some of health care centres to stimulate quality improvement in service delivery.
For the successful implementation of change four key questions need to be answered; a) is the time right,
b) are the right priorities being addressed at the right time
c) is there commitment and ownership.