The Global Sight Initiative Intervention

This change process, or capacity building intervention, focuses on challenges faced by  many hospitals around the globe that are not performing up to their full potential. These hospitals are often located in low-income, high-need areas. They are capable of providing cataract surgeries and other services at a much higher rate, but need help to make the change. GSI funds mature, high performing institutions (mentors) to provide training, coaching and systems development to  these hospitals (mentees). The intervention focuses on priority needs of hospitals which typically include some combination of increasing community awareness of the hospital services, expanding the number of trained staff, improving patient flow and quality of services, and boosting the number of people who receive sight-saving services. The intervention also addresses the financial health and governance of the mentee hospital to ensure its vitality and independence from outside funders over time.


The Partners

The Global Sight Initiative is a rapidly growing network that functions with continual improvement as a driving force. The collaborating organizations and mentor institutions continue to improve through sharing preferred methods and opportunities for additional strengthening through collaboration and access to expert advisors. 

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Collaborating Organizations

...work to create a community among mentor hospitals, managing communications among this far-reaching network and facilitating mutual strengthening of planning, training, mentoring, research and advocacy. They also share lessons learned and promising approaches or techniques within the GSI network and the global eye care community. Collaborating organizations:

  • Convene periodic workshops to accelerate capacity building to improve performance of mentee hospitals
  • Work with mentors to access training programs to build their internal capacity as well as capacity of their mentees
  • Formalize mentor development processes
  • Provide secretariat and network function
  • Identify and use web-based tools for communications among partner organizations
  • Establish and monitor web-based data systems
  • Develop distance learning mechanisms with potential for real-time and independent study

Mentors

 ...are model institutions that works closely with other hospitals to identify strategies that improve performance. Mentors serve as a model and teacher for mentee hospitals, which learn preferred practices for high volume, high quality operations, improve patient flow and staff retention, increase hospital revenue and sustainability, and expand utilization of hospital services. Mentors:

  • Establish or expand training center for mentoring activities
  • Ensure monthly mentee data is accurate and monitor data closely to help mentees achieve performance goals
  • Manage small pool of funds to catalyze changes each mentee hospital must institute to achieve increased volume, quality, equity, and sustainability of services
  • Work with mentees to identify funding sources (from current or new donors) who will help to finance recommended improvements
  • Establish or expand learning resource centers
  • Utilize the selection criteria and needs analysis process for identifying potential mentees
  • Develop action plans with all mentee hospitals
  • Design a plan for capacity building training of mentee staff
  • Conduct consultation visits for improved management and patient care systems
  • Institute Integrated Hospital Management System (IHMS) or similar tool within mentee hospital

Mentees

...are eye hospitals that seeks to increase efficiency, systems and service delivery. Mentees work with mentor organizations to identify strategies to increase quality, volume, equity and sustainability of eye care services. Through the mentoring process, these hospitals increase efficiency, with a focus on cataract services, to help more people to see again. Mentees:

  • Independently and along with mentor identify sources for funding the necessary staff training, facility improvements, and other changes
  • Plan for use of low level of funding from mentor network (through mentor)
  • Install and use computer-based information management system with co-funding from GSI network (through mentor)
  • Participate in Vision Building Workshop (sponsored by mentors)
  • Agree to strategic plan and work agreement with their mentor 
  • Provide three years of annual baseline hospital data to mentor for analysis
  • Provide monthly data to mentor for analysis, learn to analyze monthly data to identify bottle necks in service
  • Energetically work toward putting agreed improvements into place