Diabetes Leadership Forum develops collective approach

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QCHP Vision

Advancing patient care

Special feature

National clinical practice guidelines being developed

Progress of Qatar's National Mental Health Strategy

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Strategic plans to ensure practitioners deliver quality services

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THE BI-MONTHLY NEWSPAPER FOR THE NATIONAL HEALTH STRATEGY PROJECT COMMUNITY

ISSUE 8 NOVEMBER/DECEMBER 2016

Diabetes Leadership Adopting innovation Forum develops to improve patient collective approach care

Collaborative event brings together stakeholders to build implementation framework for National Diabetes Strategy

Experts discuss the international challenge of diabetes at the Qatar Diabetes Leadership Forum

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he Diabetes Leadership Forum was hosted in Qatar on 26 and 27 September. Held under the patronage of His Excellency Sheikh Abdullah Bin Nasser Bin Khalifa Al-Thani, the Prime Minister and Minister of the Interior, the event brought together global experts and local stakeholders in addressing the challenges posed by diabetes. Similar forums have previously been held in New York, Moscow, Beijing, Copenhagen, Dubai, and Istanbul. The focus of the 2016 event, organized by MOPH and Action on Diabetes

and their partners, was to develop a collaborative framework to successfully implement the Qatar National Diabetes Strategy. It also explored the most effective model for bringing together ministries and different organizations interested in tackling diabetes to coordinate activity and engagement. Commenting on the event’s importance, Her Excellency Dr. Hanan Mohamed Al-Kuwari, Minister of Public Health, emphasized its significance in empowering all stakeholders to efficiently work together

NHS Matters is printed on recycled paper.

to implement the Qatar National Diabetes Strategy, which was launched in 2015. “The forum presents a unique opportunity for leaders in our country from both the government and private sectors to come together to discuss the huge challenge presented by diabetes to our society,” she said. Dr. Al-Anoud Mohammed Al-Thani, Co-Chair of the National Diabetes Committee, MOPH explained how the forum was the ideal platform from which to put the strategy into action to achieve the vision “Preventing Diabetes Together”.

Patient care is at the center of what we do. Our combined efforts as individuals and teams at the MOPH, and within the wider healthcare sector in Qatar, aim to give patients the best and most appropriate care possible. In order for this to happen, there is continual progression and development. The MOPH is in a fortunate position to have the vision and scope to facilitate this constant innovation. We should always be eager to appraise new theories in healthcare best practices, whether this is gained from our own knowledge or in analyzing the ideas of others. There are many examples of this occurring within the MOPH and just a few are reported in this issue of NHS Matters. The National Mental Health Program is moving forward across several areas. Mental health awareness training and increased access to services continue to be advanced. Other plans are due to be implemented over the next 12 months. The Qatar Council for Healthcare Practitioners has recently developed its five-year strategic plan that will see the organization’s vision become a reality. It is already receiving international peer acknowledgement as it develops a number of partnerships with similar organizations. Notably, quality improvement of Qatar’s health force under the CPD/CME accreditation

system is benefitting from the high uptake of registrants. More than 260,000 CPD participation submissions from healthcare practitioners have been recorded through the e-portfolio, from March 2016 to the end of October 2016.

We should always be eager to appraise new theories in healthcare best practices, whether this is gained from our own knowledge or in analyzing the ideas of others. There are many examples of this occurring within the MOPH…” These innovations would not be possible without the ongoing evolution of the MOPH’s governance structures, which ensure operations are conducted to meet our mission, vision and goals. While we aspire to conduct operations in a manner that is ethical, efficient and accountable, we continuously seek to improve the quality of services offered to patients. Her Excellency Dr. Hanan Mohamed Al-Kuwari Minister of Public Health

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PROJECT UPDATES

IN SHORT High uptake for screening services The uptake of national screening services implemented as a result of the National Cancer Program has been highly successful and is saving lives, by identifying earlystage cancers. Statistics for the first eight months of operation of the PHCC services are as follows: • Bowel cancer screening attended by 2330 people • Breast cancer screening attended by 2980 individuals. Visit www.ncp.qa

PROJECT UPDATES

Public Health Strategy launch imminent

Five-year strategic plan sets out QCHP vision

The Qatar National Public Health Strategy will strengthen the public health system

Ambitious plan means organization is already receiving international acknowledgement

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ormulated after intensive stakeholder engagement with numerous organizations, the soon to be launched Qatar National Public Health Strategy (2017-2022) provides a framework to strengthen the public health system and tackle identified health issues. The Strategy promotes shared responsibility between traditional and non-traditional public health partners and a “health in all policies” approach. The approach targets four strategic priorities that include developing the quality, scope and timeliness of data, and strengthening community

engagement. Making further progress in these areas will help to focus public health actions and programs where they will make the most difference. The Strategy has been developed as part of the National Health Strategy 201116 goal of providing improved public health. A Public Health Committee has been established with a key role to monitor the implementation of the Strategy. Chaired by Her Excellency Dr. Hanan Mohamed Al-Kuwari, the Minister of Public Health; the committee will report directly to the new MOPH Executive Board.

Public Health - Benefits of achieving the four strategic priorities Community Engagement and Data Driven Intelligence Empowerment • Comprehensive knowledge of the • Community participation • Sustainable programs and initiatives • Empowered populations • Responsive communication

health of the population • Evidence-based policy and programs • System agility • Data governance and standards

Workforce and System Capability

Leadership, regulation and accountability

• Highly skilled workforce • ‘Essential public health functions’ established • Resilience and scalability • Strategic partnerships and networks

• ‘Health in all policies’ approach • Inter sectoral and inter ministerial collaboration • Accountability and transparency • Performance management and quality improvement

PBM masterclass highlights advantages of system

MOPH hosted event brought together stakeholder investors keen to understand the implications of implementing such a solution in Qatar

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he MOPH recently hosted a Pharmacy Benefit Management (PBM) Masterclass, in partnership with Ernst &Young, MOPH staff and Pharmacy SMEs in Qatar. The Masterclass was led by Mediscor a PBM organization providing programs and services to maximize drug effectiveness while managing expenditure. WHY USE A PBM NHS 1.6 Community Pharmacy project aims to deliver to patients – “Excellent Pharmacy care close to you” - which has strong accord with the three core areas of a PBM: Technology, Administration and Clinical. NHS 1.6 has 17 recommendations and makes the case for a PBM solution. NHS 5.4 Healthcare Products Regulation aims to ensure effective use, safety and quality of healthcare products. A PBM would support the MOPH regulation of the Pharmaceutical sector by ensuring protocol and Qatar National Formulary compliance. In addition a PBM also supports claims’ processing with a customized set of rules linked to the formulary NHS MATTERS 08-2016

and drug code. This will be an important enabler for administering a National Health Insurance Scheme in the State of Qatar. A PBM supports data driven decisions with analytical and reporting capabilities offering a suite of business information. A user-friendly dashboard can display pharmaceutical utilization measures, financial measures, and claims distribution across the pharmacy network. PBM ADVANTAGES Benefits of a PBM to funders include typical savings on medicines management of between seven and 20 per cent, universal application of rules, elimination of fraud, and improved pharmaceutical care and drug safety. The advantage of a PBM to healthcare providers similarly includes an effective claim submission system, prevents inappropriate use, and empowers pharmacists to consult with patients. Patients also potentially gain reliable claim responses, reduction in unnecessary upfront payment at the

pharmacy, and improved patient experience with real-time and scheduled messages available from the application of PBM. For the MOPH regulatory function, benefits include protocol compliance, formulary compliance, and an influence on prescribing at point of access. QATAR-CENTRIC VALUE Pharmacy SMEs highlighted that introducing a PBM for the first time in Qatar would require a customized solution to reflect the Qatar National Formulary, Pharmacovigilance Laws and link to the E-Health Strategy and multiparty I.T solutions.

NEXT STEP The Community Pharmacy Strategy can be viewed online at:

www.nhsq.info/strategy-goalsand-projects/comprehensiveworld-class-healthcare/ community-pharmaciesstrategy/communitypharmacies-strategy

The three core elements of Pharmacy Benefits Management TECHNOLOGY • Electronic connectivity • Submission solutions • Product database

ADMINISTRATION • Benefit design • Claims adjudication • Claims payment • Pharmacy Network Management • Member services • Business intelligence and reporting

CLINICAL • Treatment plans / protocols • Formulary design and maintenance • Therapeutic / generic substitution • Appropriate utilisation management • Disease management • Pharmaceutical care

he Qatar Council for Healthcare Practitioners' (QCHP's) overarching mission is to ensure that practitioners are competent and safe to deliver quality healthcare services in Qatar. As Dr. Samar Aboulsoud, Acting Chief Executive Officer, QCHP, emphasized in a recent interview with NHS Matters: “Competency and safe practice is why we exist. Regulation is an obvious and necessary element of this. “Our profession deals with the lives of people. It needs to be accountable, efficient and up to date. The five-year strategic plan won’t just provide care but excellent care.” The organization’s fiveyear strategic plan, which has recently been developed, plots out implementation of QCHP goals going forward on a practical level. The organization’s vision is to become an internationally recognized body for accreditation and regulatory services for

healthcare practitioners. QCHP is unique in many aspects compared to other regulatory organizations around the world. The usual model is for the regulation of different healthcare professionals by different authorities. “Here in Qatar the QCHP regulates everyone together. This is because we believe the clinical care team is one that works together and so should be regulated together - for the sake of providing optimum care to the patient,” Dr. Aboulsoud explained. “Besides being a regulator, another unique feature is that we are also an accreditation and licensing body, and an accreditation authority for medical education, successfully launching a system which links Continuing Professional Development (CPD) and Continuing Medical Education (CME) with a regulatory and accreditation organization. A motto for QCHP is: work together, learn together.”

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Several members of the QCHP team at the launch event

QCHP STRATEGIC THEMES • Sustainable growth • Excellence and quality • Partnership and engagement • High-performing organization Implementation plans have been put in place to help meet these ambitious objectives. They include seeking (and

gaining) recognition by international accreditation organizations; the increasing automation of systems; increasing partnerships with other regulatory bodies; coordination of education resources in Qatar; and auditing of QCHP.

NEXT STEP For further information contact:

[email protected] [email protected] [email protected]

QCHP DEPARTMENT UPDATES Accreditation & Medical Education

QCHP’s international agreements and partnerships with peer-level licensing organizations also provide practical benefits to healthcare practitioners licensed in more than one country. For instance, physicians registered in both Qatar and the US will be able to use CPD and CME credits from both countries at the time of relicensing. Prof. Ibrahim A. Janahi as QCHP board member, explained how such schemes improve the quality of care provided to patients. “CPD programs such as the one instigated by QCHP assure better healthcare based on practitioners being up to date in their knowledge. In turn, practitioners can be expected to practice the latest and most-evidenced diagnostic and therapeutic modalities in the treatment of patients,” he said.

Registration and Licensing

QCHP’s Registration and Licensing Department is currently developing popular social media as a stream for communication with healthcare practitioners, employer representatives and stakeholders. The department’s new Facebook & Twitter pages will offer support and guidance to healthcare professionals in Qatar, while offering an additional channel on which to post circulars, highlight events, and updates; it will also enable healthcare practitioners to post questions and inquiries, in addition to comments or recommendations associated with registration and licensing. A fully dedicated team will be assigned to respond to all inquiries and prepare periodical reports regarding the page. Facebook: QCHP – Registration & Licensing Department Twitter: QCHP Reg & Lic Dept @QCHP_RLD

Fitness to Practice

This department exists to ensure protection for the public from incompetence, unsafe or unethical practice while promoting and supporting high standards of professional practice.

Patient’s Bill of Rights & Responsibilities (BoR) The BOR assures that the health care system is fair and works to meet patients’ needs. It gives patients / providers a way to address any problems they may have & to resolve them accordingly. • Patient Bill of Rights distribution: 465 locations • No. enquiries received (public / health providers):10