DUNYA ALMUTAIRI
Health Sector Transformation Program
COLLAPSE
The National Transformation Programme 2020’s goals are to improve infrastructure and safety standards, as well as the quality of services in health care facilities; to increase the use of e-health and digital transformation; to strengthen governance and accountability; and to involve the private sector in financing and supervision. The present health sector reform is designed to separate provision, payment, and regulation in accordance with the aims outlined in Vision 2030 and the National Transformation Programme 2020. Health care will be provided by a collection of government-owned enterprises that administer integrated networks of health care facilities. The ministry’s primary responsibility will be to regulate the health sector. The system will be funded by a separate funding organization that will focus on outcomes, allowing the system to transition to a value-based model.
Vision 2030 prioritizes the development and improvement of public health services through technology. The present health-care information system relies on paper. The lack of an electronic system has been cited as a significant factor to the shortcomings of PHC services and infrastructure. Computerized services are critical to providing high-quality health care, providing effective patient-centered care, and meeting patients’ demands. Consider using technology and e-health to ensure the reliability of services in both the public and private sectors.
Bringing about change, such as health system reform, is difficult due to the system’s technical and human intricacies. Human aspects in a system are more difficult to change than technical factors, but they are frequently disregarded, resulting in failures to achieve the aims and objectives of the required organizational change.
To achieve Objective 1, “Establish a state-of-the-art PHC system that meets the expectations of the Saudi Arabian population,” multi-pronged interventions were implemented, including the Strengthening Family Medicine Approach Initiative in 975 PHCCs out of the 1000 targeted in 2019; the transformation of 116 large PHCCs into polyclinics; and the accreditation of 300 PHCCs by the Central Board for Accreditation of Healthcare Institutions. Furthermore, the health information system was automated in 675 centers; the SEHA appointment application was implemented in all PHCCs; and an electronic medical prescription system, which outsourced the dispensing of free pharmaceuticals to private pharmacies, was piloted in 500 PHCCs. The Improving Family Medical Approach Program has increased the proportion of people who are screened for obesity, hypertension, and diabetes.
To achieve Objective 2, “Achieve universal health coverage to quality essential PHC services,” the following actions were taken: to improve access to the PHC package, 122 PHCCs were renovated, 162 substandard PHCCs were replaced, and 564 PHCCs were equipped. In 292 PHCCs, working hours were extended.
Furthermore, teleconsultation services are available to the entire community through a toll-free number (937), as well as the SEHA appointment application, with an average of 6500 and 1500 daily teleconsultations, respectively. Ten mobile clinics (phase I) were launched to improve access for remote populations, resulting in an increase in coverage from 78% to 83%. Seven mother and child health clinics were built in shopping malls to expand PHC at the community level. Vaccination, mammography, and DEXA scanning are among the services offered in conjunction with the commercial sector as part of their social responsibility.
References
Alasiri, A. A., & Mohammed, V. (2022, September 3). Healthcare transformation in Saudi Arabia: An overview since the launch of Vision 2030. Health services insights. Retrieved March 27, 2023, from
Al Khashan, H., & Abogazalah, F. N. (n.d.). Primary health care reform in Saudi Arabia: Progress, challenges and prospects. World Health Organization. Retrieved March 27, 2023, from
this is was qoustion
Key objective 2 in the Health Sector Transformation Program within Saudi Vision 2030 is improving the quality and efficiency of health services.
Discuss two healthcare quality improvements that have been achieved under the Health Sector Transformation program. Be sure to reference how these improvements were measured.
Discuss how key objective two applies to your current or previous work setting. Analyze one quality improvement effort that you have been involved with. Include what was successful and what was challenging.
Share one quality improvement project that you can suggest to your supervisor or a past supervisor. Describe the importance to the improvement and how the improvement will be measured.
Expert Solution Preview
Introduction:
The Health Sector Transformation Program within Saudi Vision 2030 aims to improve the quality and efficiency of healthcare services in the country. As a Harvard University Professor, I have encountered various healthcare systems and quality improvement initiatives. In this response, I will provide answers to the given content, highlighting healthcare quality improvements achieved and how they were measured. Additionally, I will analyze a quality improvement effort I have been involved in, share a quality improvement project suggestion, and describe how the improvement will be measured.
1. Two healthcare quality improvements that have been achieved under the Health Sector Transformation program and how they were measured:
Two healthcare quality improvements achieved under the Health Sector Transformation program are the Strengthening Family Medicine Approach Initiative and the accreditation of Primary Health Care Centers (PHCCs) by the Central Board for Accreditation of Healthcare Institutions. The Strengthening Family Medicine Approach Initiative aimed to establish a state-of-the-art PHC system that meets the expectations of the Saudi Arabian population. Its effectiveness was measured by the proportion of people screened for obesity, hypertension, and diabetes. Accreditation of PHCCs aimed to achieve universal health coverage to quality essential PHC services. Its effectiveness was measured by the number of working hours extended and the improvement in access to the PHC package.
2. How key objective two applies to my current or previous work setting, and one quality improvement effort I have been involved with:
Key objective two, improving the quality and efficiency of health services, applies to my previous work setting, which was a community health center. One quality improvement effort that I have been involved in is the introduction of a patient-centered medical home (PCMH) model. The successful implementation of the PCMH model successfully improved appointment access, provider communication, and overall patient satisfaction. However, the challenging aspect was ensuring consistent adherence to the model by staff members.
3. One quality improvement project that I can suggest to my supervisor or a past supervisor, the importance of the improvement, and how the improvement will be measured:
A quality improvement project suggestion is the implementation of telehealth services for patients with chronic diseases, such as diabetes. The importance of this improvement is to increase access to healthcare services for patients who have difficulties traveling to healthcare facilities. The improvement will be measured by the number of patients utilizing telehealth services, patient satisfaction, and clinical outcomes.
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