Action Labs, Parallel Paper Sessions, Conference Workshops
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Action Labs, Parallel Paper Sessions, Conference Workshops: Monday, May 19, 2003, 16.30-18.00 1 Action Lab: Indicators for Health Promoting Hospitals Chair: John Kenneth Davies Developing European Health Promoting Hospital Indicators: the EUHPID Project John DAVIES, Jürgen PELIKAN Promoting Hospital Indicators: the EUHPID Project – Strand 1 of the European Commission (EC) Public Health Programme has the goal of establishing a European Health information and knowledge system as a policy tool to be used at European Community, national and regional levels. As part of this programme EUHPID has been funded by the EC to establish a European Health Promotion Monitoring System, including the development of a set of common health promotion indicators. The EUHPID Consortium of health promotion experts from universities and schools of public health in all the member states, together with Norway and Switzerland, has come together to share their knowledge and experience and co-ordinate the project. EUHPID has concentrated on developing a convincing model that emphasises social-mental system structure, socio-cultural environmental structure and social-cultural processes. It has addressed the following key issues - definition of indicators, definition of use and users, development of an underlying theoretical framework and designing a political process for framework definition and selection of relevant indicators. Current work includes development of indictors that can be used in settings or health promotion arenas. This work is utilising existing indicators as well as identifying gaps and needs for new indicators. The background and further details of this work will be presented at the Florence Conference and some possible indicators for the health promoting hospitals setting will be proposed and discussed with key stakeholders present at the Conference. John DAVIES University of Brighton Falmer BN1 9PH Brighton UK Phone: ++44 (0)1273643476 Fax: ++44 (0)1273643324 [email protected] Demonstrating participatory decision making via the UK Government Standard of Excellence – Charter Mark Award – From concept to reality Margaret EASTHAM; Marie SWINNERTON "The search is on for measurable outcomes – tangible evidence that the vast sums of public money invested in health are actually doing good” BHRV Trust implemented the HPH initiative in September 1997, and to ensure successful integration of health promotion throughout the organisation an in-house, self-serve, Health Promotion Centre was established at the offices of the Directorate of Nursing and Quality providing a facility from which the Trust„s integrated health promotion service is managed. The Centre for Health Promoting Hospitals provides a leading role in Health Policy Development and is a key partner in local healthy alliances such as membership of the public health steering groups and influences local regeneration programmes i.e. Healthy Living Centres. The Centre also provides an access point to the local community to collaborate and participate in health promotion conferences/seminars. A priority from the UK Government is to reform and modernise the country „s vital public services and redesign them around the customer. The case study presented offers recommendations for those involved in HPH/Health Promotion Settings to consider utilising Quality Models to measure effectiveness such as the UK Government „s Charter Mark Award, which monitors standards of excellence against ten measurable criteria including the unique challenges of cultural diversity and the fundamental basis of participatory decision making in the HPH initiative thus enabling/empowering the individual. The measurable standards of excellence include: raising awareness of the changing determinants of health and actively encouraging participation in the decision making process regarding HPH supporting the development of collaboration and networks for health development mobilising resources for health promotion accumulating knowledge on best practice enabling shared learning promoting solidarity in action 1 fostering transparency and public accountability in health promotion Margaret EASTHAM Blackburn, Hyndburn and Ribble Valley Health Care NHS Trust Queen's Park Hospital Haslingden Road BB2 3HH Blackburn, Lancashire UK Phone: ++44 (0)1254 293014 Fax: ++44 (0)1254 294900 [email protected] Patient orientation by means of Health related Quality of Life (HRQoL) measurements in routine care Margareta KRISTENSON, Preben BENDTSEN The Swedish network of HPH has chosen HRQoL measurements as one strategy for a more patient focused health care. The theoretical thoughts behind this approach have been a pragmatic and empirical experience from a pilot project in one of the member hospitals. It has been shown from this pilot project that the patients are willing to come 15 minutes before scheduled time in order to answer the 36 questions in the SF-36 HRQoL questionnaire. The network has developed a computerised version of the questionnaire where the patient can mark their answer on a touch screen facilitating the calculation of the results so the physicians have the results of the evaluation when seeing the patient. By asking questions not only concerning their physical symptoms they experience an opportunity to describe the impact of their disease in a number of areas of their daily life. Inspired by this pilot project the computerised version of SF-36 has been made available to all 25 member hospitals in Sweden. At the moment around 10 of these hospitals have started introducing routine measurement of HRQoL in patient groups such as: obesity, smokers, lung diseases and in patients with mental diseases. The measurements are typically used at repeated visits and the change in the individual patients score are discussed as a complement to the normal procedure during the visit. The measurements are also aggregated on the group level for an outcome analysis of various patient roups. This is used as a feed-back to the staff in order to discuss the quality and results of the care. This has shown to be an excellent way of broaden up the health perspective from focusing on diseases and symptoms to health in a more wide perspective. Margareta KRISTENSON Health Promoting Hospital, Sweden, FHVC University Hospital 581 85 Linköping SWEDEN Phone: ++46702324615 [email protected] Patient orientation as a dimension of Hospital Performance Assessment in Lihuania: Still the hospital's concern Juozas PUNDZIUS, Irena MISEVICIENE, Vytenis KALIBATAS Patient orientation as a dimension of Hospital Performance Assessment in Lihuania: Still the hospital's concern Patient orientation is one of the important issues of hospital daily activities. In order to be successful on the health care market, hospitals nowadays have to pay much more attention to their patients. Rapidly changing health care environment, raising patients‟ expectations and pressure from the authorities force hospitals to take actions, oriented to closer collaboration with patients in Lithuania. Patient orientation, as the dimension of Hospital Performance Assessment (HPA), should be included in the set of HPA indicators. Aim: To investigate possibilities to assess the hospital‟s patient orientation activity using current national Hospital Performance Assessment indicators. Methods: Analysis of current national HPA indicators was performed in order to look for possibilities to assess the hospital‟s patient orientation activity at the national level. Results: Hospital Performance Assessment in Lithuania is based on general statistical information. There is no special model of HPA – just a set of different indicators. It was found, that different HPA indicators represent some hospital performance dimensions. It was possible to distinguish some specific hospital performance dimensions, such as clinical effectiveness, production efficiency, etc. But, despite the wide enough range of different HPA indicators, none of them could represent patient orientation activity of the hospitals at the national level. Conclusions: Despite the increasing requirements and interest to patient orientation (patient rights, informed consent, choice of provider, etc.), the measurement of hospital patient orientation activity is not available using current HPA indicators at the national level. The measurement of patient orientation indicators is still the hospital‟s concern. 2 Juozas PUNDZIUS Kaunas Medical University Hospital Department of Social medicine of Kaunas University of Medicine Eiveniu str. 2 3007 Kaunas LITHUANIA Phone: ++37068647007 [email protected] 2. Action Lab: Pain-Free Hospitals Chair: Andrea Messeri Pain-Free Hospital: Tuscany experience Andrea MESSERI, Paolo MORELLO MARCHESE The project Pain Free Hospital (PFH) is part of the HPH project of the Tuscany region; all the hospitals and sanitary units have supported the PFH project. Pain is valued in different ways in the variated Tuscany reality. This leads to extremely different starting-lines from one reality to the other. The PFH project is an expression of the cultural and historical development, of the economical resource of the units and it takes various characteristics in different regional contests. In spite of all this, the co- ordinators of the project have established a few basic qualifications to which the various Tuscan hospitals will have to comply, using different timing and ways for each unit. In agreement with the ministerial guidelines (G.U.29.06.01 – measure of the 24th of May 2001), the basic qualifications known