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Ben RHM II - LZG.NRW

Ben RHM II - LZG.NRW

Benchmarking Regional Health Management II (Ben RHM II) ___________________________________________________________________________________________________________________________________________________________________ programme. HIQA will not be responsible to the new HSE, but will report directly to the Minister and Department of Health & Children. The role of HIQA will be to: � develop, set and monitor quality standards for the delivery of health and personal social services � assure, measure and improve the delivery of health and personal social services through accreditation programmes, information systems and health technology assessment; � and having regard to available resources for provision of health and personal social services, promote practices that evidence has shown produce high quality and best possible outcomes. 4. The Breast Screening programme has been organised and delivered by a statutory body, originally the National Breast Screening Board, which was established in 1998 as a joint Health Board initiative The Board was not subsumed into the new HSE but was re-established following the abolition of Health Boards and became a national statutory body reporting directly to the Minister and Department of Health and Children. The first Board initiated a national screening programme named BreastCheck in February 2000 and under Phase 1 of this programme free breast screening was offered to women aged 50-64 in Health Board areas in the Eastern/North Eastern/Midland region. This area now comprises two new regions under the HSE, i.e. Dublin/North-East and Dublin/Mid-Leinster. There was a partial extension of BreastCheck in 2004 to the south-east area which is now part of the new HSE Southern region and Government approval has been given for Phase 2 which will involve the full expansion of BreastCheck nationwide. The expanded service is projected to commence in 2007 and two new clinical units (with static and mobile screening units) are planned to supplement the two existing units in Dublin. One of these hospital based units will be in Cork to serve the HSE Southern region and the other in Galway to serve the Western region. BreastCheck has its own dedicated budget, funded directly by the Department for Health & Children. It is managed from a Central Office in Dublin and has a Chief Executive and support staff. It currently has two Screening Units, each of them located on the campus of a major teaching hospital, one on the north side of - 152 -

Benchmarking Regional Health Management II (Ben RHM II) ___________________________________________________________________________________________________________________________________________________________________ Dublin and the other on the south side. They each have associated mobile units, which provide screening in local areas. BreastCheck has arrangements with the two host hospital specialist units to provide beds and operating theatres for patients referred from its screening service. Following surgery, women are referred to hospital symptomatic breast services for follow-up and further treatment, if required. BreastCheck employs its own staff, including Consultant medical staff, e.g. Surgeons and Radiologists who are attached to the breast units at the two host hospitals. BreastCheck is responsible for all aspects of the programme • Compiling of Population Register • Scheduling and issuing appointments for screening • Issuing result letters to women and their GP’s • Inviting women to triple assessment clinics where appropriate. • Organising hospital admission and surgery where appropriate. • Recalling women for screening every two years. BreastCheck has developed its own computerised information system and employs an Epidemiologist as well as a Statistician and also a Communications Manager and a Health Promotion Officer. A Clinical Director is responsible for each of the Clinical Units. There is an emphasis on quality assurance in line with EUREF guidelines and data is published annually. Breastcheck published its own guidelines for Quality Assurance in Mammography Screening in 2000 and a revised edition was published in 2003. BreastCheck has set a number of performance parameters against which it measures its performance and the results are published. One such parameter was a target of 70% rate of acceptance of invitation to the screening programme by eligible women, i.e.participation rate. Rates in excess of this target have been consistently achieved. External evaluation has shown that the BreastCheck programme is performing to a high standard. A consumer research report on women’s experiences was positive. A womens charter was drawn up setting out BreastCheck’s commitment to detailed standards of service in the following areas: • In the screening process - 153 -

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