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Will providers across specialties climb out of silos in an age of joint accountability?
Action to be taken to develop a single outcomes framework to promote joint accountability for delivering services that are joined up.
"If you have a private provider just offering to do one bit of that, we're very worried that the service won't be joined up, that medical records won't be open to everyone and there won't be joint accountability".
Decentralize nutrition information systems to strengthen data collection and analysis at district level supporting and reinforcing the MoHs' lead role and joint accountability among the MoH and partners for improving quality.
In the patient safety context, these platforms have been crucial in integrating health service delivery within the context of other health systems issues, thus generating a culture of joint accountability between scientists and health policy makers.
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Consider the difference between measuring the number of "proposals submitted" (a lagging indicator) versus "customers requesting proposals to jointly review". While subtle, the former is a simple activity measure and the latter is a measure of customer commitment to move forward with joint accountabilities.
One of my mentors, John Hoskins, often said "if you want to learn how to sell, learn how buyers buy". When forecasting, include milestones of customer behavior and joint accountabilities like "mutually reviewing a proposal together" versus "proposal sent" to have a considerable impact on forecast accuracy.
While all of medicine is under pressure to increase transparency and accountability, joint replacement subspecialists will face special scrutiny.
(Academic) Many informants thus emphasized the need for improved coordination and collaboration between different levels, tiers and authorities of the public health sector to bridge the separate "silos" of SRH and HIV programming, as well as the need for joint responsibility and accountability of outcomes.
Although the report lacked measures of teamwork or evidence of effect at the beneficiary level, the authors asserted that the teams had advantages over a "vertical CHW" approach in the areas of mutual accountability, joint problem-solving, improved delivery of preventive and curative health services, and consistent health education messages.
Accountability Some joint gender programmes made strong individual efforts to build a culture and practice of accountability for gender equality results.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com