» Compliance framework for MTIs and Audits

Management and Governance Framework Audit

On behalf of the Policy Board, six MTIs were asked to submit their Self-Assessment on the Management and Governance Self-Assessment Tool.

This tool comprises questions on the 24 standards given in the Management and Governance Framework developed by the Policy Board. In the initial phase, the Secretariat team conducted a desk review of the submitted documents followed by a virtual review to seek clarifications and validate the information given from the focal persons -Secretary BOGs. The broad domains of analysis included:

Domains of Analysis

Effective Governing Body
Safe and Quality Care
Qualified Management
Strategic Plan
Laws and Regulations Compliance Rate
Staffing Plan
Scope of Services
Change Process
Smooth Operations
Policies and Procedures
Vision and Mission
Contracts
Values and Code of Conduct
Rotations during off Duty Hours
Committees
Safe Management of MSD
Quality Improvement
Qualified Heads
Planning Process
Organizational Charts
Budgeting Process
Customers’ Needs and Feedback
Department Policies and Procedures
Sufficient Resources

MTIs Governance Framework

An activity was conducted with the Focal persons of MTIS to assess their readiness on the MTI Governance Framework.

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Compliance Framework for MTIs

Evaluation is the critical assessment, through rigorous processes, of an aspect of healthcare and education to assess whether it fulfills its objectives. Aspects of healthcare and education which can be assessed include: Governance Structure, Human Subject Research and Medical Education.