Plenary 1: The Hospital – A Staff Empowering ... - HPH-Conference

Contact
Prof. Dr. Dr. Werner SCHMIDT
Senior Project Manager
Immanuel Diakonie Group
Am Kleinen Wannsee 5
14 109 Berlin
GERMANY
+49 308 050 56 14
werner.schmidt@immanuel.de
Parallel Sessions
Parallel Sessions 1: Thursday, April 12, 2007, 11.00-12.30
Integrating HPH standards and quality
criteria into hospital governance
Mariella Martini, Danilo Orlandini, Lorena
Franchini, Antonio Chiarenza
Context and objectives of the project
In order to make health promotion a concrete outcome for a
healthcare organisation, policy must establish strategies to
ensure high performance standards and guarantee that the
performance is oriented towards the patients. Methodologies
based on certification and accreditation of quality systems can
form the necessary tools to achieveme these objectives.
The Regione Emilia Romagna has adopted institutional accreditation
as the model for making the health care structures meet
the standards and the quality criteria for a healthcare organisation.
However, in compliance with the provisions set out by
regional accreditation is not in itself sufficient to recognise and
satisfy the needs of patients. In order to achieve this objective
the health promotion criteria must be integrated into the quality
system of the healthcare organisation.
Methodologies
To overcome this situation, the Local Healthcare Authority (Usl)
of Reggio Emilia has decided to integrate the systemic accreditation
model and the HPH standards for health promotion,
and to assess the degree of implementation.
The action plan for improvement defined by regional accreditation
and adopted by the Local Healthcare Authority sets out the
following steps: definition of policy, planning (including product
standards), implementation of the processes, measurement
and improvement. In this action plan it has been decided to
include the HPH standards among product standards, using
specific indicators to measure the outcomes of health promotion
in all areas of the authority.
In this manner health promotion systemically involves the whole
organisation:
� It comes into the strategic planning stage.
� It translates into objectives to be achieved in the healthcare
processes.
� It is assessed through the authority’s information system
with specific indicators.
Despite the fact that many of the activities relating to the HPH
standards are already being implemented, as provided for by
the institutional accreditation (assessment of patient needs,
patient involvement in their care pathways, guarantee of
healthcare continuity and safety of the healthcare sites), it is
important that these be integrated into the system and that
continuous improvement towards achievement of the standards
is promoted.
Results and conclusions
In view of the fact that various standards for health promotion
are already part of the practice in some of the authority’s
processes, and a quality system consolidated by the regional
accreditation process is in place, the overall implementation of
these standards is facilitated.
Furthermore, the quality management system allows for the
introduction of health promotion indicators into the set of
clinical governance indicators which the authority has included
in the budget process, and which it has been regularly checking
for some years now.
This “integrated model” could be feasibly exported and applied
in all the regional authorities subject to institutional accreditation
to ensure that health promotion is an integral part of
governance in a healthcare authority.
Contact
Mariella MARTINI
Director General
AUSL of Reggio Emilia
Via Amendola, 2
42100 Reggio Emilia
ITALY
+39 052 233 53 69
mariella.martini@ausl.re.it
Session 1-6:
Health Promoting Hospitals in
their communities: Improving
partnerships and continuity of
services
HPHs develop partnerships for healthier
communities
Pantipya Sanguanchua, Marion C. Suski,
Sutham Pinjaroen, Duangsamorn Boonpadung
The Ottawa Charter (1986) set the benchmarks for the development
of health promotion, a process of "enabling people to
have control over their own lives and to improve their health".
The health services were re-oriented to enable hospitals to go
beyond their walls providing the leadership and linking with
people and organizations, especially partnerships and voluntary
alliances to assist communities in addressing their own issues.
The existence of and the level at which these boundary partners
function, is important for community empowerment.
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