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

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Parallel Sessions<br />

Parallel Sessions 2: Thursday, April 12, 2007, 14.15-15.45<br />

<strong>The</strong> success was achieved through the staff working together<br />

and in partnership with the Environmental Department. <strong>Staff</strong><br />

were educated about the local internal consequences of waste<br />

management in addition to the broader societal effects. Feedback<br />

and communication were encouraged as well as a commitment<br />

by the Environmental Department to endeavour to put<br />

the needs of the hospital first and to improve the service. While<br />

hospital activity and waste volumes have risen, Phase-1 has<br />

achieved total waste cost reduction of approximately 16%,<br />

improved environmental efficiency and contributed to a higher<br />

standard of hospital hygiene. Phase-1 will never actually end<br />

since its aims will be a continuous component within the Environmental<br />

Department.<br />

Connex to <strong>HPH</strong><br />

When healthcare waste, especially healthcare risk waste (clinical),<br />

is mis-managed the negative consequences are both<br />

financial and from a patient health perspective, as mismanaged<br />

waste is a carrier of infection to the patient. <strong>The</strong><br />

correct management embraced by all staff in the hospital has<br />

improved hygiene standards and reduced costs.<br />

Contact<br />

Karl DALTON<br />

Environmental Department<br />

Connolly <strong>Hospital</strong><br />

Blanchardstown<br />

Dublin 15<br />

IRELAND<br />

+ 353 164 650 78<br />

karl.dalton@mailc.hse.ie<br />

Session 2-7:<br />

Migrant Friendly and Culturally<br />

Competent <strong>Hospital</strong>s (2): Workshop<br />

Integrating migrant-friendliness and<br />

cultural competence into hospital<br />

governance: management and quality<br />

systems<br />

Antonio Chiarenza, Karl Krajic, Werner<br />

Schmidt, Ursula Karl-Trummer<br />

Migrants and ethnic minorities often suffer from poorer health<br />

compared to that of the average population. In addition to<br />

being more vulnerable due to an often low socio-economic<br />

position, often unclear legal status and problematic migration<br />

experiences, research consistently shows that there are problems<br />

concerning health, health services and health promotion<br />

for these groups and these issues not been systematically<br />

tackled in European health systems (Bischoff 2006).<br />

Building on experiences and solutions developed before, the<br />

European Commission project ”Migrant Friendly <strong>Hospital</strong>s”<br />

(MFH) 2002-2005 demonstrated how inequalities in health and<br />

in accessing health care and services can be redressed by<br />

creating migrant-friendly and culturally competent health care<br />

services sensitive to diversity. To sustain this momentum, a<br />

“Task Force on Migrant-Friendly and Culturally Competent<br />

<strong>Hospital</strong>s” has been set up in the framework of the Health<br />

Promoting <strong>Hospital</strong> Network of WHO Europe.<br />

In this workshop, targeting primarily hospital/ health care<br />

management and professionals with management responsibilities,<br />

the organisers, representing the <strong>HPH</strong> Task Force, will<br />

present a very brief introduction (Antonio Chiarenza) into the<br />

relevance of the issue for different stakeholders, based on the<br />

“Amsterdam Declaration towards Migrant Friendly <strong>Hospital</strong>s in<br />

an ethno-culturally diverse Europe”, launched in December<br />

2004.<br />

In a second step, options for an overall strategy on how to put<br />

migrant-friendliness and cultural competence on the agenda of<br />

hospital organisations will be presented by Karl Krajic, Werner<br />

Schmidt and Ursula Karl-Trummer, developed in collaboration<br />

with Elimar Brandt and Beate Lieske (Berlin) and Jürgen Pelikan<br />

(Vienna).<br />

<strong>The</strong>se options will cover recent examples from North America,<br />

the European Union and Switzerland. Special attention will be<br />

given on how to integrate MFH criteria into elaborate quality<br />

systems like EFQM and BSC, <strong>HPH</strong> strategies and standards in<br />

a model project from Berlin. Finally, the Migrant Friendliness<br />

Quality Questionnaire (MFQQ), will be introduced as an instrument<br />

for self-assessment and benchmarking.<br />

In the second half of the workshop, these inputs will be discussed<br />

in small groups and a final plenary with the participants<br />

to facilitate relating these solutions to the problems and experiences<br />

of the participants and to clarify needs for further<br />

development for the Task Force.<br />

Facilitators<br />

Antonio Chiarenza is coordinator of the <strong>HPH</strong> Task Force on<br />

Migrant-Friendly & Culturally Competent Health Care, Azienda<br />

Unità sanitaria Locale, Reggio Emilia<br />

Karl Krajic and Ursula Karl-Trummer are senior scientists at the<br />

WHO Collaborating Centre for Health Promotion in <strong>Hospital</strong>s<br />

and Health Care, Vienna<br />

Werner Schmidt is coordinator of the working group “Service<br />

quality and policy development” of the TF MFCCH. Immanuel<br />

Diakonie Group, Berlin<br />

Contact<br />

Dr. Antonio CHIARENZA<br />

Azienda USL di Reggio Emilia<br />

Via Amendola 2<br />

IT- 42100 Reggio Emilia<br />

ITALY<br />

+39 05 22 33 50 87<br />

antonio.chiarenza@ausl.re.it<br />

43

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