scholarly journals Philippine Performance Evaluation and Assessment Scheme (PPEAS): Experiences in Newborn Screening System Quality Improvement

2020 ◽  
Vol 6 (4) ◽  
pp. 95
Author(s):  
Carmencita D. Padilla ◽  
Bradford L. Therrell ◽  
Karen Asuncion R. Panol ◽  
Riza Concordia N. Suarez ◽  
Ma. Elouisa L. Reyes ◽  
...  

Newborn Bloodspot Screening (NBS) has existed for over 60 years, having been initiated by Guthrie in the U.S. In the Philippines, NBS was introduced in 1996 and later was supported by legislation. The NBS program now includes 29 conditions, covering 91.6% of the newborn population in 2019. Program growth and expansion necessitated development of a formal performance evaluation and assessment scheme (PEAS) for monitoring performance and for continuously improving quality. This study’s objective was to present the development, implementation, and results to date of the Philippine Performance PEAS (PPEAS). Using the comprehensive listing of laboratory and non-laboratory elements in the model PEAS system in the U.S., PPEAS tools were developed for critical Philippine NBS system components: regional Department of Health (national health agency, Philippines) (DOH) offices (CHDs), NBS laboratories (NSCs), NBS specimen submitters (NSFs), and long-term case management centers (NBSCCs). Data generated from the various PPEAS have been periodically reviewed and analyzed for NBS system impact. PPEAS were developed to facilitate quality improvement at various levels of the Philippine NBS system. PPEAS identified successes, gaps, and challenges to be addressed by NSCs, NSFs, CHDs, and NBSCCs with the assistance of the Newborn Screening Reference Center and the Department of Health.

CHEST Journal ◽  
2020 ◽  
Vol 158 (4) ◽  
pp. A1320-A1321
Author(s):  
Saraswathi Lakkasani ◽  
Muqueet Kadri ◽  
Muhammad Hussain ◽  
Kok Hoe Chan ◽  
Bhavik Patel ◽  
...  

2021 ◽  
Vol 7 (2) ◽  
pp. 30
Author(s):  
Carmencita D. Padilla ◽  
Bradford L. Therrell ◽  
Maria Melanie Liberty B. Alcausin ◽  
Reynaldo C. de Castro ◽  
Maria Beatriz P. Gepte ◽  
...  

The Philippine newborn bloodspot screening (NBS) program began in 1996 with 24 hospitals and was formalized by legislation in 2004. The NBS panel was recently expanded to include a number of additional hereditary congenital conditions. Expertise and experiences from other NBS programs already screening for hemoglobinopathies were essential to its successful integration into the ongoing dried bloodspot NBS program in the Philippines. Building on clinical experiences and population data from Filipinos born in California, USA, hemoglobinopathies (including thalassemias) were selected for inclusion in the expanded screening panel. Hemoglobinopathy NBS, using high performance liquid chromatography, was implemented in a stepwise manner into the seven regional NBS screening laboratories. A central university laboratory provides confirmatory testing using both capillary electrophoresis and molecular methodologies. NBS results indicating carriers are followed up with educational fact sheets, while results of presumptive disease are referred for confirmatory testing and follow-up with a hematologist. Long-term care is provided through newborn screening continuity clinics across the country. Hemoglobinopathy NBS is now included in the national insurance package and screening uptake continues to increase nationally, exceeding 90% of all newborns in 7400+ hospitals and birthing centers nationwide prior to the COVID-19 pandemic.


2016 ◽  
Vol 57 (1) ◽  
pp. 50-56 ◽  
Author(s):  
Patrick J. Rosopa ◽  
Jesus Alfonso D. Datu ◽  
Stephen A. Robertson ◽  
Theresa P. Atkinson

2017 ◽  
Vol 17 (4) ◽  
pp. 1168-1177 ◽  
Author(s):  
B. B. Magtibay

Developing a water safety plan (WSP) is now a requirement for all service providers of drinking water in the Philippines. To assist compliance with the Philippine Department of Health (DOH), this study develops an index model that the DOH can use for evaluating WSPs and covers the WSPs of 14 water districts and 11 health care facilities. The WSP Index model was developed using a nine-step process and was tested in 25 WSPs to determine the robustness of its weights and benchmark. Approximately 21 WSPs received a passing mark when the 60% benchmark was used but only nine WSPs passed when the benchmark was raised to 74%. This Philippine model may be utilized by countries in evaluating the WSPs, and further adapted to their local context and considerations.


2019 ◽  
Vol 66 (1) ◽  
pp. 36-42
Author(s):  
Svetlana Jovanović ◽  
Maja Milošević ◽  
Irena Aleksić-Hajduković ◽  
Jelena Mandić

Summary Health care has witnessed considerable progresses toward quality improvement over the past two decades. More precisely, there have been global efforts aimed to improve this aspect of health care along with experts and decision-makers reaching the consensus that quality is one of the most significant dimensions and features of health system. Quality health care implies highly efficient resource use in order to meet patient’s needs in terms of prevention and treatment. Quality health care is provided in a safe way while meeting patients’ expectations and avoiding unnecessary losses. The mission of continuous improvement in quality of care is to achieve safe and reliable health care through mutual efforts of all the key supporters of health system to protect patients’ interests. A systematic approach to measuring the process of care through quality indicators (QIs) poses the greatest challenge to continuous quality improvement in health care. Quality indicators are quantitative indicators used for monitoring and evaluating quality of patient care and treatment, continuous professional development (CPD), maintaining waiting lists, patients and staff satisfaction, and patient safety.


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