Working group 3: Our 3-month update

Our last five months have been busy focusing on how to achieve the quality defined by Working Group 1, utilize the measures being developed by Working Group 2 and align with Working Group 4 to achieve quality health care for all. Our work is framed by the recognition that to achieve these goals we will need to expand our thinking beyond micro (local) level quality improvement approaches and instead consider…

Working group 1: describing the state of quality

By Catherine Arsenault Since the launch of the HQSS commission, our working group’s approach to describing quality has considerably evolved. Our group has three broad objectives: To describe quality across SDG conditions and health system platforms. To describe the variation in quality and its determinants To describe the impact of poor quality on health outcomes, utilization and out of pocket spending. To achieve our objectives, we’ve identified cross-national data sources…

Emilia Ling and Anna Gage: Our three month update

It has been just over three months since our inception Commission meeting in March. Since then, Commissioners, the HQSS secretariat, and National Commissions have been busy compiling data and conducting analyses to better understand, measure, and improve quality across low and middle-income countries. On Monday, July 10th, working group chairs, research leads, and the research secretariat convened in Boston to discuss the Commission’s overall progress. This meeting served as an…

Working group 4: where ethics and equity fits

By Keely Jordan and Ole F. Norheim The HQSS ethics and equity working group has identified several important themes and questions that we are exploring through working papers, commissioned publications, and collaborations with other working groups. Key questions about the ethics and equity of quality include: What is the right to quality care in settings with few resources? The right to health must take a country’s level of development and…

Working group 2: what we’re measuring

By Svetlana Doubova, Hannah Leslie, and Tanya Marchant Since the inception meeting of the HQSS Commission in March, the Measurement Working Group has refined the focus areas for quality measurement in the HQSS report and has identified a range of key analyses to support the overall findings. In broad strokes, the measurement section of the report will address: Why measure? Linking measures to purpose, placing measurement in a typology that…

Emilia Ling, Researcher: Part 2. Our progress to date and current HQSS challenges

By HQSS researcher and communications lead, Emilia Ling Since completing Bootcamp, HQSS Commissioners and the research secretariat have kept busy. In addition to hosting the HQSS Inception Meeting in March, we have begun our work on quality description, measurement, improvement, and ethics and equity. Across these four areas, we have focused our work on health conditions and service platforms outlined in the Sustainable Development Goals (SDGs). The field of health…

Adriana Ramirez, Researcher: Part 1. Flashback to Bootcamp

By HQSS researcher Adriana Ramirez In early January, the HQSS research secretariat underwent a three-week “Commission Bootcamp”. While we didn’t run drills or do pushups, our intensive planning and preparation workshop certainly helped us shape up for the Commission analytic work ahead. We tackled PubMed, wrangled EndNote, and used Stata to query text. Over the course of three weeks, we conducted literature reviews to understand and give definition to existing…

Co-chair Pate: The added value of our Commission

By HQSS Co-chair Muhammad Pate It was my pleasure to launch the HQSS Commission with Dr. Kruk last month in wintry Boston. Since then, I have had a chance to reflect on the significance of the Commission’s work and its direction. In recent travels, I have listened carefully to policymakers, health professionals and others react positively to the idea of a focused look at quality health systems in the era…

Ashish Jha, Advisory Council: Quality is the next frontier

By Ashish Jha and Liana Woskie We were delighted to co-host the launch of the Lancet Global Health Commission on High Quality Health Systems with Dr. Margaret Kruk and welcome Commissioners to Boston. Across the globe, the need to improve healthcare quality is becoming more and more apparent every day.  In a typical village in India, your chance of getting care that is unnecessary or harmful is greater than the…

Commissioner Guanais: User’s perspective is key

By Commissioner Frederico Guanais I’m thrilled to be a member of the Lancet Global Health Commission on High Quality Health Systems in the SDG Era. Judging by the contents of the discussion during the inception event and the first round of meetings, the Commission is bound to generate a great, positive shake-up on the way we talk about and act upon universal health coverage. In low and middle-income countries, quality…

Researcher Todd Lewis: No ‘fluoride in the water’ for quality improvement?

By Todd Lewis, Working Group 3 researcher There is a great deal of room for improvement in “quality improvement”—this was a key takeaway from my first discussion with the Commissioners and researchers of Working Group 3, which focuses on quality improvement approaches. As we broached the goals of the working group, we quickly realized that while questions were abundant, clear answers were not. For example, I was surprised to find…

Commissioner Barker: Right timing, right people, and right opportunity

Commissioners Alex Rowe, Frederico Guanais, and Pierre Barker on a panel about quality improvement at scale during the inception meeting of the HQSS Commission.

By Commissioner Pierre Barker I could not be more enthusiastic about the emergence of the Lancet Global Health Commission on High Quality Health Systems in the SDG Era and really honored to be part of this highly talented and influential group of 30 global health experts. The Commission’s timing is prescient. There is an increasing awareness that health system quality has been neglected in the urgent efforts to achieve universal…

Commissioner Rowe: My thoughts on the March 13-15 HQSS inception meeting

By Commissioner Alexander Rowe The first meeting of the Lancet Global Health Commission on High Quality Health Systems in the SDG Era got off to a strong start. I was impressed by the expertise, diversity, and energy of the Commissioners, Commission Advisory Council members, researchers, and support staff. As I looked around the room, I saw senior policy-makers (including the former Minister of Health of Nigeria), epidemiologists, program specialists, measurement…

Welcome to the HQSS Commission website!

On behalf of the HQSS Commission, we are pleased to welcome you to the HQSS Commission website. We will be updating this website frequently with new research, Commission activities, and news related to our work. Why quality? Low and middle income countries have made substantial improvements in health care delivery and coverage of care since the launch of the Millennium Development Goals (MDGs). However, emerging health systems and population research has shown that there is still much…