Developing indicators for monitoring the quality improvement and patient safety continuity post-accreditation for community health centers: an action research

Purpose:  Developing indicators for monitoring the QIPS continuity post-accreditation of primary health care center (PHCC).  Methods : This research using an action research design. The research subjects are the PHCC Accreditation Mentor Team and the PHCC Quality Team in Jember District. Data was based on in-depth interviews to identify the indicator components, literature, and guideline review also workshop to compile a list of potential indicators, analysis of trials, and the final workshop to set the indicators.  Result : The absence of post-accreditation monitoring instruments become a major obstacle in the post-accreditation QIPS monitoring process, so some instruments in the form of indicators are needed to facilitate the process. The forming of indicators went through the literature review process, selection and initial consensus, trials, evaluation of trial results, until 18 indicators were formulated (8 indicators of structure component and ten indicators of process component).  Conclusion : The implementation of indicators for monitoring the QIPS continuity post-accreditation of primary health care center needs to be supported by the policies, revamping the information system, and revitalizing the role of District Health Office as PHCC accreditation mentor.