Standards for Health Promotion in Hospitals Network of Health Promoting Hospitals in Denmark Health...

Standards for Health Promotion in Hospitals

Network of Health Promoting Hospitals in Denmark

Health Promotion as a Quality issue

11th International Conference onHealth Promoting Hospitals

Firenze May 18 – 20, 2003

Standards for Health Promotion in Hospitals

Network of Health Promoting Hospitals in Denmark

Health promotion: “The process of enabling people to increase control over, and to improve, their health” (Ottawa Charter).

• Health education, • disease prevention • rehabilitation services. • health enhancement by empowering patients,

relatives and employees in the improvement of their health-related physical, mental and social well-being.

Standards for Health Promotion in Hospitals

Network of Health Promoting Hospitals in Denmark

Quality assurance is a systematic process through Which achievable and desireable levels of quality are described,the extent to which these levels are achieved is assessed,and action is taken to enable them to be reached.This definition implies the need to set standards, to develop tools to audit their achievement and to engage in organizational and/or professionaldevelopment where performance falls short of the standard expected."

R Parish in: ” Evaluation in health promotion.Principles and Perspectives”. WHO Regional Publications,European Series No. 92, 2001, 171-184

Network of Health Promoting Hospitals in Denmark

Standards for Health Promotion in Hospitals

Standard.

The quality target, which should be achieved or maintained for a given activity within a limited time frame, i.e. the realistic target.

Perspectives.Standards for Health Promotion.

Network of Health Promoting Hospitals in Denmark

I: A common set of standards can:

Provide a framework for health promotion initiatives

Give hospitals a platform for the planning of HP

For documentation and evaluation of HP

Support implementation of activities

Be part of the hospitals' quality management.

Perspectives.Standards for Health Promotion

Network of Health Promoting Hospitals in Denmark

II: A common set of standards can:

Support learning internally in the organization

Provide a platform for comparisons

Uncover needs for disease prevention

and health promotion

Support co-operation between sectors

Support the training of staff

Network of Health Promoting Hospitals in Denmark

Development of Standards: Alpha Programme

Critical review of litterature

Critical review of litterature

Proposal forstandards

Proposal forstandards

ReviewReview

Preliminary standards

Preliminary standards

”Final standards””Final standards”

ImplementationImplementation

Revision and adjustment

Revision and adjustment

Pilot testing

Standards for Health Promotion in Hospitals

Network of Health Promoting Hospitals in Denmark

The standards relate to the patient’s pathway.

The standards define health promotion • responsibilities • activities • integration in the hospitals services.

Network of Health Promoting Hospitals in Denmark

HPH – Patients´ Pathway

Patients´ pathway

HospitalHospitalPrimary Health Care Sector

Primary Health Care Sector

Primary Health Care Sector

Primary Health Care Sector

Network of Health Promoting Hospitals in Denmark

A Model for Quality Assessment in Hospitals

Diagnostics

Treatment

Rehabilitation

Healthpromotion

Admission Assessment and plan

Evaluation ofclinicalefforts

Discharge

Clinical perspective

Care

Network of Health Promoting Hospitals in Denmark

A Model for Quality Assesment in Hospitals

Information/communication

Coordination Continuity

Patients’ rights

Safety

Patients´ perspective

Network of Health Promoting Hospitals in Denmark

A Model for Quality Assesment in Hospitals

Leadership/Governance

Planning ofactivity

Managementof information

Quality and riskmanagement

Integration withother agents

Recruitment/Maintenance

of staffCulture Facility

management Technology Staff qualification

and education

Organisation and Structure

Standards for Health Promotion in Hospitals

Network of Health Promoting Hospitals in Denmark

Standard 1: Management Policy  Standard 2: Patient Assessment Standard 3: Patient Information and Intervention Standard 4: Promoting a Healthy Workplace  Standard 5: Continuity and Cooperation

Standards for Health Promotion in Hospitals

Network of Health Promoting Hospitals in Denmark

Standard 1. Management Policy The organization has a written policy for health promotion. The policy is implemented as part of the overall organization quality improvement system, aiming at improving health outcomes. This policy is aimed at patients, relatives and staff.

Objective:The objective of this standard is to describe the framework for the organization's activities concerning health promotion as an integral part of the organization’s quality management system.

Standards for Health Promotion in Hospitals

Network of Health Promoting Hospitals in Denmark

Standard 2. Patient Assessment The organization ensures that health professionals, inpartnership with patients, systematically assess needs for health promotion activities.  Objective:The objective of this standard is to support patient treatment, improve prognosis and to promote the health and well being of patients. 

Standards for Health Promotion in Hospitals

Network of Health Promoting Hospitals in Denmark

Standard 3. Patient Information and Intervention The organization provides patients with information on significant factors concerning their disease or health Condition and health promotion interventions are established in all patient pathways.  Objective:The objective of this standard is to ensure that the patient is informed about planned activities, to empower the patient in an active partnership in planned activities and to facilitate integration of health promotion activities in all patient pathways.

Standards for Health Promotion in Hospitals

Network of Health Promoting Hospitals in Denmark

Standard 4. Promoting a healthy Workplace

The management establishes conditions for the development of the hospital as a healthy workplace.  Objective:The objective of this standard is to support the establishment of a healthy and safe workplace for staff, and to support health promotion activities.

Standards for Health Promotion in Hospitals

Network of Health Promoting Hospitals in Denmark

Standard 5.Continuity and Cooperation The organization has a planned approach to collaboration with other health service sectors and other institutions on an ongoing basis. Objective:The purpose of this standard is to ensure collaboration with relevant partners and to initiate networks in order to optimise the integration of health promotion activities in patient pathways

Pilot test.Standards for Health Promotion in Hospitals

Network of Health Promoting Hospitals in Denmark

Pilot Test:Standards for Health Promotion in Hospitals

Network of Health Promoting Hospitals in Denmark

Standards arerelevant and applicable: 32/36 hospitals.proper and necessary, suitable for practical use.

Compliance:Only few standards were actually realised in the test hospitals

Conclusion:Room for improvement of HP in HPH Tool for self- assessment or external assessment.

Pilot test.Standards for Health Promotion in Hospitals

Network of Health Promoting Hospitals in Denmark

Comments, suggestions:

• Clarifications in preample

• Improved graphical set up

• Give examples of concrete activities or structures

• Use statistical criteria

• Primarily for self assessment.

Network of Health Promoting Hospitals in Denmark

Standards for Health Promotion in Hospitals

Network of Health Promoting Hospitals in Denmark

Next step:

Translate standards to national languagesDisseminate standards to:

Health Promoting HospitalsOther HospitalsAccreditation Organizations

Develop tool for self assessmentBenchmarking

National?International?

Accreditation?

Standards for Health Promotion in Hospitals

Network of Health Promoting Hospitals in Denmark

Conclusions:

• Standards have been developed in a proces involving National networks across HPH

• Standards are Relevant and Applicable

• Standards can be a strong tool in the implementation of Health Promotion in Hospitals

Standards for Health Promotion in Hospitals

Network of Health Promoting Hospitals in Denmark

Acknowledgements The standards for health promotion in hospitals would not have materialized without the strong commitment of the authors and contributors, who agreed to develop many drafts to fit the overall aim. Specially thanks are due to the core Standards Working Group members, all the National and Regional Health Promoting Hospitals Coordinators, and experts in the field of health promotion and standards development.