Ei dian otsikkoa

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HEALTH CARE - QUALITY MANAGEMENT
HOPE PERPECTIVES AND TOOLKIT
Matti Liukko, MD, MQ, PD (be) (Kings Fund
auditor, iso 9000 auditor) chairman of
the HOPE SCC quality working party The Finnish
Association of Local and Regional
Authorities Matti.Liukko_at_Kuntaliitto.fi fax 358
9 - 7712652 tel - 7712611/ - 50 66394 Address
Toinen Linja 14, 00530 Helsinki,
Finland Elisabeth Holmgren, Director Department
of Health Care Improvement Swedish Federation of
County Councils CEO Skellefteå Health Care
Service 1994 2000 Elisabeth Holmgren_at_lf.se
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HOPE Standing Committee of the Hospitals of the
European Union
members national hospital associations of EU
countries Plenary Assembly, Executive Committee,
Presidential meeting, Secretariat,
Sub-committees HOPE exchange program Publications
Seminars
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HOPE key executives 1999
President Jorma Back, Finland Vice-President
Gerard Vincent, France sub-committee for
economics and planning Pres. WJ de Gooijer NL
Vicepres D McKenzie UK subcommittee for
co-ordination Pres. K Essinger S, Vicepres. A
del Rio E Secretary General Kris Schutyser
Belgium Heads of delegations
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WHAT IS THE ISSUE
WRITE WHAT YOU DO - DO AS YOU WRITE (good
practice etc quidelines for care and
prevention) TRANSPARENT PROCESSES
(ISO) MEASURABLE OUTCOMES (EFQM) ORGANISATIONAL
STRUCTURE (HEALTH CARE ACCREDITATION) DEMONSTRATE
THAT YOU DO WHAT YOU HAVE PROMISED - CREDIBLE
THIRD PARTY (INDEPENDENT) AUDIT
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Quality of hospital/health care activities.
www.hope.be engl/french/russian
TQM - quality / management technics
QUALITY IMPROVEMENT - SPC - QFD - Taguchi/6
sigma - Design - Customers voice - featrures
MISSION WHY ?
TASKS, DUTIES WHAT ?
MANAGEMENT SYSTEM - ISO 9000 - EFQM
QUALITY LEVEL - Health Care Accreditation -
Lisencing - Comptetency - Quality criteria -
requirements
HOW ?
MEASUREMENT SYSTEM - Indicators, measures -
Benchmarking - Balanced Scorecard (BSC) - Audits
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TOWARDS COMMON QUALITY PRINCIPLES - HOPE
PERSPECTIVES

• HOPE recognises the mandate of the European Union
  to be limited in relation to health care, but it
  also recognises that this mandate is gradually
  widening, because of free movement of European
  Union citizens and their need of health care in
  the European Union area
• HOPE encourages national governments to actively
  take actions together with other member countries
  in clarifying certain basic concepts, rules and
  principles.
• The European Co-operation for Accreditation has
  produced the basic concepts to be used in
  relation to third party audits. Concepts like
  accreditation and certification are used in
  relation to different activities in health care.
  HOPE encourages The European Union and the
  European Co-operation for Accreditation to
  aBnalyse and clarify the use of these concepts in
  European health care.
• There is strong evidence that processes are not
  managed well enough considering the preventable
  harm done and patient independent high variation
  among health care providers. HOPE encourages
  health care organisations to focus on patient
  care processes and building the quality system to
  support that.
• HOPE encourages the member states and the
  European Union to ensure the credibility of third
  party audits by the principles of EA. This
  requires clear policies from the ministries
  dealing with the health care issues in respective
  countries and collaboration of the organisation
  giving out marks and certificates with EA.
• HOPE encourages collaboration between these
  models to ensure the best elements of each
• Limiting the number of errors and management of
  process variation (ISO 9000)
• Introducing the client perspective and continuous
  quality improvement philosophy (EFQM)
• Considering appropriate health care structure and
  competency as the building block to ensure the
  capability to carry out good health care practice
  according to guidelines based on scientific
  evidence. (Health Care Accreditation)

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HOPE POLICIES - PERPECTIVES

• The biggest challenge however is the focus. The
  quality management schemes can produce good
  quality only if they are used to manage the key
  function of health care the patient care
  process. The number of errors and variations
  between patient groups demonstrate clearly that
  health care has a great challenge in front of it.
  This challenge requires new attitudes and ways of
  work from health care managers and clinicians.
• HOPE continues the work within the health quality
  issue. The quality working party is the key group
  for HOPE on this issue. HOPE will be actively
  involved and will explore the activities of
  European Co-operation for Accreditation, The
  European Commission, The European Committee for
  Standardisation, The European Society for
  Quality, The European Foundation for Quality
  Management, The European Society for Quality in
  Health Care and The International Society for
  Quality In Health Care. The Quality working party
  will continue to explore the developments in the
  area of concepts and principles relating to
  quality management and their recognition.

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HOPE TOOLKIT FOR QUALITY

• FOR WHO
• tool kit for health care managers,
• support management patient processes, including
  support services
• WHAT
• list of good literature, under each topic
• general literature preferred in english,
  literature in other lanquages c0onsidered by case
• list of good techniques / tools subcommittee
  members suggestion
• quality systems.
• general quality management tools
• booklet of anaes
• other books
• examples
• health care quality management tools ,
  applications
• Berwick Donald, Paul Plsek
• Brent James,
• list of homepages

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HOPE TOOLKIT FOR QUALITY

• HOW
• box of tools in
• electronic version base to reach other sources
  of information
• introduction to the HOPE yearboook, annoucement.
• platform
• titles of the main topics
• issues
• methodology and practice categories
• mailbox forsuggestions
• TIMING .
• platform in the webb December 2001
• first round of issues under the topics june 2002.

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TOOLKIT topics

• Total quality management ideology
• Measurement systems
• Bechmarking
• Data management
• Projects / Reports / Tools
• Quality management systems
• Document management ( how to manage a quality
  manual in a hospital)
• Patient process management
• Patient information
• General management
• Human resource management
• Impact of society

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TOOLKIT PAPER rules

• COVER PAGE FOR THE TOOLKIT
• instructions Matti Kris
• instructions how to use
• LINKS TO ASSOCIATIONS
• INDIVIDUAL PAPERS
• leghts 2-3 pages
• links to more information
• if links are not available, full text and half
  page abstract (for texts longer than 2 pages) in
  the beginning
• cover page
• name(s) reponsible for the text
• date
• title
• keywords
• search engine
• reference

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Idealized Design of Clinical Office Practices?
Mission / toolkit examples 1
We will design, test, and deploy new models of
office-based practices in health care capable of
fundamentally improved performance levels
better clinical outcomes, lower costs, higher
satisfaction, and improved efficiency. Our aim is
to demonstrate that clinical office practices,
with appropriate redesign, can achieve
significant improvements in performance relevant
to todays urgent social needs for better,
higher-value health care.
From IHI, Boston in collaboration
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THE QUALITY BROOM / toolkit examples 2
CLINICAL QUIDELINES PSYCHOTHERAPY
CLINICAL JUDGMENTS CARE, EMPATHY
STANDARD PROCEDURES - MEASUREMENTS (BP, FIM,
.) - LAB. - SURGERY. - MED.TECHNOL.
VARIABILITY OF THE PROCESS OR CUSTOMER
EXPECTATION
QUALITY SYSTEM (ISO 9000)
QUALITY CULTURE (MB - EFQM)
HC ACCREDITATION