SAFE for Health Institutions Evaluation Tool

SAFE for Health Institutions Evaluation Tool

The first evidence-based, institutionally comprehensive tool to propose social accountability standards for healthcare service delivery.

Purpose

To provide a practical tool that can assess capacity for and direct transformation towards a social accountability framework in healthcare service delivery. The evaluation tool breaks down key functions of a healthcare service delivery institution against proposed social accountability standards.

How is the tool implemented?

Health institutions can use the tool for self-assessment. We also offer a more robust implementation process with the SAFE for Health Institutions Peer Review. In either case, transformation towards a social accountability framework is a journey beyond a ‘pass or fail’ evaluation or a ‘tik box’ exercise. As the tool is quite comprehensive, it is not expected that a health institution will excel across all proposed social accountability standards.

Who should use the tool?

The SAFE for Health Institutions Evaluation Tool is intended for any healthcare service delivery setting such as hospitals, Emergency Departments or medical clinics. Health administrators, managers, healthcare leaders, health professionals, researchers, politicians and community organizations that advocate for greater social justice in healthcare will find this tool useful.

How was the tool developed?

The SAFE for Health Institutions Team engaged in a multi-part methodology to translate what is known about social accountability in health professional education to the context of healthcare service delivery. The methodology included a modified Delphi process, a cross-sectional review of high impact social accountability literature, a pilot of the tool and developmental evaluations.

What is included in the tool?

The tool is a complete package that includes evidence-based reasoning for its implementation and instructions on how it should be used. There are 257 social accountability standards organized into 4 major sections, 17 key components, 39 aspirations and 197 indicators along with a comprehensive glossary of terms frequently encountered in social accountability and related works.

Major Sections of the SAFE for Health Institutions Evaluation Tool

  1. Who does the health institution serve and what are their needs?

Institutional Focus

  • Health needs assessment
  • Description of who a health institution serves
  • Identification of priority health needs, social needs and health inequities
  • Awareness of current healthcare system resources that address needs
  1. How does social accountability help organize the health institution?

Institutional Focus

  • Vision, mission, purpose and strategic planning
  • Partnerships and community engagement
  • Governance and decision making
  • Resource management
  1. How does the health institution deliver healthcare services, direct research and engage in health professional education?

Institutional Focus

  • Human resource planning and continual professional development
  • Healthcare service delivery
  • Research
  • Involvement with health professional education programs
  1. Has the health institution’s activities transformed the healthcare system and impacted the needs of those it serves?

Institutional Focus

  • Healthcare system and key stakeholder transformation
  • Impact of research
  • Impact of involvement with health professional education programs
  • Impact on priority health needs, social needs and health inequities

Example Set of Social Accountability Standards

Major Section 1 – Who does the health institution serve and what are their needs?