Assessment Tools

Dear ClASS Consultants and Interested Parties:

These updated and revised Administrative and Financial Modules (and accompanying Guidance documents) are based on recent revisions to U.S. government regulations. The 2 CFR 200 OMB Uniform Guidance: Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance) was implemented by the Department of Health and Human Services (HHS) as 45 CFR Part 75. The goal was to streamline guidance for Federal awards to ease administrative burden, strengthen oversight of Federal funds to reduce risks of waste, fraud and abuse, and increase efficiency and effectiveness of Federal awards.

For all trained ClASS Administrative and Finance consultants, we encourage you to review both the new Guidance and Modules in preparation for any future involvement in ClASS assessment activities.

ClASS Administrative Module

Last updated: Fri, 04/29/2016 - 14:20

The Administrative Module is a guide for assessing organizational systems at treatment facility and organizational levels. The Administrative Module is accompanied by a reference document which includes all pertinent USG Regulations, best practices and guiding principles for International Non-Governmental Organizations.  The Administrative Module is divided into eight sections.

  1. Organization Oversight
  2. Organization Structure and Management
  3. Organizational Capacity Building
  4. Human Resources
  5. Project/Program Management
  6. Grants Management
  7. Subcontractor / Grantee Monitoring
  8. Management Information Systems

The first five sections are to be used when conducting an assessment for facilities providing patient care services. The entire tool is for use with organizations meeting the Track 1.0 Local Partner definition or designated as the prime grantee.

ClASS Financial Module

Last updated: Tue, 05/10/2016 - 10:14

The Financial Module is accompanied by a Financial Guidance document which provides excerpts of all applicable laws and regulations covered in the Financial Module.  The module is divided into ten sections that cover the following areas:

  1. Program Financial Management
  2. Financial Policies and Procedures
  3. Budget Management
  4. Financial Management Systems
  5. Accounting Systems - Payroll
  6. Accounting Systems - Documentation, Internal Controls, and Cash
  7. Accounts Payable and Receivable
  8. Procurement, Purchasing, Inventory, and Travel
  9. Financial Program Monitoring and Oversight
  10. Grants and Contract Management

The first nine sections are for use at the clinical facility level. All ten sections are for use with indigenous organizations meeting the Track 1.0 local partner definition or designated as the prime grantee.

A refresher training on the use of the latest version of the financial module and the guidance document is available here: 

ClASS Leadership and Management Module

Last updated: Wed, 07/03/2013 - 07:23

The Leadership and Management Module of the ClASS Toolkit is a guide for assessing leadership and management systems at treatment facilities and other institutions. This module is divided into four sections.

  1. Leadership
  2. Management
  3. Supervision
  4. Policy and Advocacy

Each section begins with a set of core competencies based on best practices from international organizations. This module is meant as a “stand alone” assessment tool or can be used in conjunction with the ClASS Administrative Module, which outlines some similar competencies but also includes areas unique to non-government organizations (i.e. governance).

ClASS Counseling and Testing Module

Last updated: Thu, 10/23/2014 - 15:25

The HIV Counseling and Testing Module of the ClASS Toolkit is a guide for reviewers conducting assessments of facilities or programs providing HIV Testing and Counseling (HTC) services. The module assesses the comprehensiveness and quality of all models of HTC services provided, including client-initiated voluntary HTC, integrated Provider-Initiated Testing and Counseling offered to patients at health facilities, and community-based HTC which includes mobile and home-based testing and counseling services. The module also assesses linkages to all forms of HIV prevention, treatment and care, such as Voluntary Medical Male Circumcision, STIs, Opportunistic Infections, and sexual and reproductive health services. This module is divided into six sections covering the following areas:

  1. Facility, Staffing and Services
  2. HTC Protocols and Procedures
  3. Laboratory services
  4. Linkages and Referrals
  5. Community Mobilization, Outreach and HTC Promotion
  6. Quality Assurance

Each section begins with a set of core competencies followed by a series of questions that can be used to facilitate discussions with organization representatives. This module is meant to be used as a “stand alone” tool to assess non-clinic based HTC services [stand-alone voluntary HTC and community based HTC], in addition to integrated HTC services.

ClASS Clinical Module

Last updated: Thu, 07/03/2014 - 13:57

The Clinical Module of the ClASS Toolkit is a guide, not a checklist, for reviewers conducting assessments of health facilities or programs providing or supporting patient care services (e.g., local agencies such as nongovernmental or governmental organizations).  The Module is divided into 14 sections covering the following areas:

  1. Facility, Staffing & Services
  2. Clinical Care & Oversight
  3. Infection Control
  4. Maternal, Infant, Child Health & Pediatric HIV Services
  5. Referrals & Access to Relevant ServicesPharmacy & Supply Chain Management
  6. Pharmacy & Supply Chain Management
  7. Quality Improvement &Performance Monitoring
  8. Laboratory & Other Diagnostic Services
  9. Client/Patient Involvement in Care
  10. Health Management Information Systems
  11. Clinical/Technical Capacity
  12. Clinical/Technical Support Approaches
  13. Clinical/Technical Support Outcomes
  14. Ongoing Program Support:  Critical Gaps and Technical Assistance Needs

The first 10 sections module haves been used for assessing the comprehensiveness and quality of services provided at  the treatment sites or programs, and the last four for assessing the ability to provide clinical technical support and oversight to beneficiary organizations. Areas of competency have been linked with references, wherever possible, with WHO and other international standards or best practices in clinical care and treatment. Reviewers should also always reference local National standards for each country in which an assessment occurs to see if their guidelines/standards differ in any way.

Adult Chart Review Form

Last updated: Tue, 04/09/2013 - 10:28

The adult chart review focuses on whether or not the clinical records contain sufficient and updated patient information; sufficient documentation to justify diagnosis and treatment (testing and lab results specific to an adult patient) ; enrollment and follow-up data and overall whether the information can be retrieved as needed.

Pediatric Chart Review

Last updated: Tue, 04/09/2013 - 10:28

The pediatric chart review focuses on whether or not the clinical records contain sufficient and updated patient information; sufficient documentation to justify diagnosis and treatment (testing, lab results) and therapy specific to the treatment of a baby or child) ; enrollment and follow-up data and overall whether the information can be retrieved as needed.

PMTCT Chart Review Form

Last updated: Tue, 04/09/2013 - 10:29

The PMTCT chart review focuses on whether or not the clinical records contain sufficient and updated patient information; sufficient documentation to justify treatment (pre-partum HIV diagnostic tests and baseline clinical data) ; enrollment and follow-up (post-partum) data and overall whether the information can be retrieved as needed.

ClASS Program Module

Last updated: Thu, 10/23/2014 - 15:27

The Program Module is a tool for Project Officers and reviewers conducting programmatic assessments of HRSA International Partner HQ offices and local partner organizations that support MEPI, NEPI, I-TECH, HealthQual and Twinning programs. The module assesses how well both the HQ office and/or local partner offices support and implement designated program services and provide oversight, monitoring and the provision of technical assistance. The module is divided into ten sections that cover the following areas:

  1. Program Implementation
  2. Monitoring and Evaluation
  3. Continuous Quality Improvement and Knowledge Management
  4. Procurement
  5. Communication
  6. Organization Sustainability
  7. Advocacy
  8. Budget and Financial Management
  9. Governance and Management
  10. USG and Ministry Concerns and Work Plan