Lo scenario futuro della rete HPH internazionale

“Il valore degli ospedali per la promozione della salute in Toscana”

Conferenza Regionale Della Rete HPH Toscana

10 Maggio 2006, Firenze

Oliver GröneTechnical Officer, Quality of Health Systems and

Services

How do Health Promoting Hospitals (HPH) link to WHO Strategy?

What are the directions of the HPH Network?

How can HPH development be sustained in the future?

Questions

WHO Strategy:

- WHO Regional Office for Europe: 52 Member States, 850 million Citizens.

- Biannual Collaborative Agreements with 29 Member States.

- Supporting Member States in developing their health systems.

WHO’s areas of work that relate to Health Promoting Hospitals

Hospitals for Europe working party:

‘Every 10th patient

suffers from preventable harm’

How are hospitals doing …Research in hospitals:

-Harvard Medical Practice Study

-Utah Colorado Study

-Australia

-Canada

-Denmark

-Japan

-New Zealand

-Singapore

-UK

Adverse events caused by negligence 2.9-3.7%

Adverse events 7.5 – 16.6 %

Preventability > 50%

Research on patient experiences Germany, UK, Australia,

Canada, New Zeeland, US

7-10% of patients developed an infection while hospitalized (except for Germany)19-26% of patients reported communication gaps>10% reported medical and medication error60% errors estimated to occur outside the hospital

Safety risks Poor care

coordination Deficiency in

care of chronic conditions

C. Schoen, R. Osborn, P. Trang Huynh, M. Doty, K. Zapert, J. Peugh, K. Davis. ‘Taking the pulse of health care systems: Experiences of patients with health problems in six countries’, Health affairs, 2005

Resolution WHA55.18 URGES Member States:• to pay the closest possible attention to the

problem of patient safety• to establish and strengthen science-based

systems, necessary for improving patient safety and the quality of health care, including the monitoring of drugs, medical equipment and technology

The Health Promoting Hospitals strategy can be considered to

complement existing quality and safety initiatives.

Functions and goals of Health Systems

Sustaining Health Promoting Hospitals?

How can we establish a strategic link with these current challenges

without loosing the vision and principles of the Health Promoting

Hospitals Network?

Independent Secretariat

Project management at WHO Collaborating Centre for Evidence-based health promotion in Copenhagen, Denmark.Responsibilities:- Administration of members- Internal and external communication strategy- Database update and development, and - Monitoring of membership fees.

Research at WHO CC Copenhagen

- Introduction of HPH strategies and standards,

- Identify evidence of successful health promoting activities,

- Advice on teaching and training of staff in (E-B) health promotion,

- Further development of standards and indicators for health promotion in hospitals.

Transparent GovernanceHPH General Assembly to establish: - guidelines for the HPH Network, - criteria for membership, strategies, and objectives. - task forces.

Constituted of representatives of national, regional and thematic HPH Networks, Task Forces, and international coordinating institutions (WHO and WHO CCs).

Transparent Governance

Steering Committee to support strategic HPH Network development:

- Strategic planning & actions on strategy,- Collaboration between network coordinators, Task Force Leaders, Working

Groups, and external partners; - Input to scientific conferences; - Preparation of documents and General Assembly.

Transparent Governance

Internationalization

Development of International HPH Network mostly with the support of European hospitals. But: Increasing interested from other continents. New networks and applicants:- Australia, Canada, South Africa, Taiwan, USAIn the future the HPH Network will remain international with stronger participation of hospitals from other continents.

Quality standards and indicators for HPHs

Systematic identification of priority areas and implementation of projects using the HPH Self-assessment tool. Application:- Possible annual self-assessment- Systematic derivation of three health promotion activities from periodic assessment- No public disclosure, but recognition of

achievement and benchmarking.

Conclusion

With the setting up of the new HPH secretariat, the network has become more independent from WHO.Main trends for the network are improved transparency, internationalization and systematic implementation of health promotion using quality standards and indicators.Health Promoting Hospitals are no longer a baby of WHO – they need to become a strong partner for WHO.

ConclusionWHO puts stronger emphasis on strengthening Member States’ health systems.HPH can collaborate through ministerial requests and contribute to piloting tools and shaping health systems.HPHs could also contribute through thematic foci, such as a year on patient safety from the perspective of Health Promoting Hospitals.

Thus, the relationship is changing from paternalism to

partnership.