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Since the 2014 Ebola outbreak many public- and private-sector
leaders have seen a need for improved management of global public
health emergencies. The effects of the Ebola epidemic go well
beyond the three hardest-hit countries and beyond the health
sector. Education, child protection, commerce, transportation, and
human rights have all suffered. The consequences and lethality of
Ebola have increased interest in coordinated global response to
infectious threats, many of which could disrupt global health and
commerce far more than the recent outbreak. In order to explore the
potential for improving international management and response to
outbreaks the National Academy of Medicine agreed to manage an
international, independent, evidence-based, authoritative,
multistakeholder expert commission. As part of this effort, the
Institute of Medicine convened four workshops in summer of 2015 to
inform the commission report. The presentations and discussions
from the Pandemic Financing Workshop are summarized in this report.
Table of Contents Front Matter 1 Introduction 2 International
Cooperative Action on Pandemics 3 Pandemic Emergency Funds 4
Adapting Insurance Products for Pandemic Risk 5 Innovative
Financing Mechanisms for Preparedness and Response 6 Identifying
Triggers and Modeling Risk 7 Financing Challenges In-Country 8
Donor Considerations and Crowding-In 9 The Role of the Private
Sector 10 Incentives and Preparedness Appendix A: References
Appendix B: Workshop Agenda Appendix C: Participant Biographies
Quality of care is a priority for U.S. Agency for International
Development (USAID). The agency's missions abroad and their host
country partners work in quality improvement, but a lack of
evidence about the best ways to facilitate such improvements has
constrained their informed selection of interventions. Six
different methods - accreditation, COPE, improvement collaborative,
standards-based management and recognitions (SBM-R), supervision,
and clinical in-service training - currently make up the majority
of this investment for USAID missions. As their already substantial
investment in quality grows, there is demand for more scientific
evidence on how to reliably improve quality of care in poor
countries. USAID missions, and many other organizations spending on
quality improvement, would welcome more information about how
different strategies work to improve quality, when and where
certain tools are most effective, and the best ways to measure
success and shortcomings. To gain a better understanding of the
evidence supporting different quality improvement tools and clarity
on how they would help advance the global quality improvement
agenda, the Institute of Medicine convened a 2-day workshop in
January 2015. The workshop's goal was to illuminate these different
methods, discussing their pros and cons. This workshop summary is a
description of the presentations and discussions. Table of Contents
Front Matter 1 Introduction 2 An Overview of Quality of Care in
Low- and Middle-Income Countries 3 Six Widely Used Methods to
Improve Quality 4 Reviewing the Evidence for Different Quality
Improvement Methods 5 Synthesizing Evidence, Identifying Gaps 6
Cross-Cutting Approaches to Improve Quality References Appendix A:
Workshop Agenda Appendix B: Participant Biographies
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