Title: Health Promoting Hospitals: 18 HPH Core Strategies and their implementation
1Health Promoting Hospitals18 HPH Core
Strategies and their implementation
- Jürgen M. Pelikan (juergen.pelikan_at_univie.ac.at)
- Karl Krajic, Christina Dietscher, Peter Nowak
- Ludwig Boltzmann-Institute for the Sociology of
Health Medicine, - WHO-CC for Health Promotion in Hospitals Health
Care, University of Vienna
Investing in Health for the Future Positioning
health promotion in health care provision
supporting effective implementation 12th
International Conference, Moscow, May 26-28, 2004
2Overview
- Framework of WG
- Comprehensive Concept of HPH
- 18 Core Strategies
- Implementation by (Quality) Management
- Relationship Strategies and Standards
- Further information
3Framework for and Product of the Working Group
- Basic documents
- Ottawa HP
- Budapest HPH
- Ljubljana HC
- Vienna HPH
- Jakarta HP
- WHO network experiences
- Pilot and model projects
- National / regional networks
- Models of good practice
- Guidelines and recommendations
- Developments in Health promotion
- Empowerment
- Health literacy
- Healthy Alliances
- Evidence based HP
- Quality assurance of HP
- Developments in Health care
- Cost containment by quality development
- Quality management systems
- Evidence based health care
- Q-Instruments (standards, guidelines, tools)
- HPH
4The Comprehensive Concept of HPH ....
- reorients (quality) management of the hospital at
the systematic achievement
- of the optimal somatic, psychological social
health gain that can be influenced / reached by
the hospital
- (measured as clinical outcome quality of life,
personal satisfaction health literacy impact
of hospital on health)
- for patients, staff citizens of the community.
- By strategies of HP quality management HP
strategic (re-) positioning of the hospital.
- By developing services empowering persons
- for HP self-management (i.e. maintenance
development) of their health for HP lifestyle
development
- and for HP co-production of health for HP
illness management
- and by creating/ developing supportive hospital
( community) settings.
5HP initiatives in hospitals follow general
Health Promotion Principles, defined by a WHO-WG
on evaluation of HP initiatives
- HP initiatives have to be
- Empowering Enabling individuals and communities
to assume more power over the personal,
socioeconomic and environmental factors that
affect their health - Participatory Involving all concerned at all
stages of the process - Holistic Fostering physical, mental, social and
spiritual health - Intersectoral Involving the collaboration of
agencies from relevant sectors - Equitable Guided by a concern for equity and
social justice - Sustainable Bringing about changes that
individuals and communities can maintain once
initial funding has ended) - Multistrategy Using a variety of approaches
including policy development, organizational
change, community development, legislation,
advocacy, education and communication in
combination - (Rootman et.al., 2001)
618 HPH Core Strategies
The health of which stakeholders should benefit
from the HPH Core Strategies ?
718 HPH Core Strategies
- The health of which stakeholders should
- benefit from the HPH Core Strategies ?
- The health of hospital patients
818 HPH Core Strategies
- The health of which stakeholders should
- benefit from the HPH Core Strategies ?
- The health of hospital patients
- The health of hospital staff
918 HPH Core Strategies
- The health of which stakeholders should
- benefit from the HPH Core Strategies ?
- The health of hospital patients
- The health of hospital staff
- The health of all other people in the
community, possibly in contact with the hospital
1018 HPH Core Strategies
From what types of strategies should the health
of the stakeholders benefit?
1118 HPH Core Strategies
- From what types of strategies should
- the health of the stakeholders benefit?
- From HP quality development strategies,
improving the HP characteristics of existing
hotel clinical core services of the hospital.
1218 HPH Core Strategies
- From what types of strategies should
- the health of the stakeholders benefit?
- From HP quality development strategies,
improving the HP characteristics of existing
hotel clinical core services of the hospital. - (B) From HP strategic (re-)positioning of the
hospital by investing more into specific HP
services projects for patients, staff
community
1318 HPH Core Strategies
- From what types of strategies should
- the health of the stakeholders benefit?
- (A) From HP quality development strategies,
improving the HP characteristics of existing
hotel clinical core services of the hospital. - Oriented at communication interaction
- processes
- Enabling for HP self management
1418 HPH Core Strategies
- From what types of strategies should
- the health of the stakeholders benefit?
- (A) From HP quality development strategies,
improving the HP characteristics of existing
hotel clinical core services of the hospital. - Oriented at communication interaction
- processes
- Enabling for HP self management
- Enabling for HP co-production in health care
1518 HPH Core Strategies
- From what types of strategies should
- the health of the stakeholders benefit?
- (A) From HP quality development strategies,
improving the HP characteristics of existing
hotel clinical core services of the hospital. - Oriented at communication interaction
- processes
- Enabling for HP self management
- Enabling for HP co-production in health care
- Oriented at the material, social cultural
- structures of the hospital
- Development of a HP hospital setting
1618 HPH Core Strategies
- From what types of strategies should
- the health of the stakeholders benefit?
- (B) From HP strategic (re-)positioning of the
hospital by investing more into specific HP
services projects for patients, staff
community - By offering educative HP services
- Enabling for HP illness management
1718 HPH Core Strategies
- From what types of strategies should
- the health of the stakeholders benefit?
- (B) From HP strategic (re-)positioning of the
hospital by investing more into specific HP
services projects for patients, staff
community - By offering educative HP services
- Enabling for HP illness management
- Enabling for HP life style development
1818 HPH Core Strategies
HP by ...
- From what types of strategies should
- the health of the stakeholders benefit?
- (B) From HP strategic (re-)positioning of the
hospital by investing more into specific HP
services projects for patients, staff
community - By offering educative HP services
- Enabling for HP illness management
- Enabling for HP life style development
- By participating in HP community development
projects for improvement of the material, social
cultural structures of the community - Development of a HP community setting
1918 HPH Core Strategies
2018 HPH Core Strategies
1. Objectives of strategy 2. Indications for
strategy 3. Main topics / routines selected
examples, guidelines and evidence
21Which subsystems of a hospital have to be
HP-quality assured improved by HP-Quality
Management (HPQM)?
- Management
- Human resource management
- Finance management
- Purchasing management
- Safety occupational health
- management
- Quality Management
- Health Promotion Management
- Etc.
- Hotel services
- Nutrition
- Cleaning
- Etc.
- Other Support services
- Transport
- Maintenance
- Waste management
- Etc.
22How can (Quality) Management assure improve
comprehensive HP of a Hospital? gt 7 HPQM
Strategies
23How can (Quality) Management assure improve
comprehensive HP of a Hospital? gt 7 HPQM
Strategies
Quality functions/ activities for quality of Structures of services ( settings) Processes of services ( settings) Outcomes/ impacts of services ( settings)
24How can (Quality) Management assure improve
comprehensive HP of a Hospital? gt 7 HPQM
Strategies
Quality functions/ activities for quality of Structures of services ( settings) Processes of services ( settings) Outcomes/ impacts of services ( settings)
25How can (Quality) Management assure improve
comprehensive HP of a Hospital? gt 7 HPQM
Strategies
Quality functions/ activities for quality of Structures of services ( settings) Processes of services ( settings) Outcomes/ impacts of services ( settings)
Explination
26How can (Quality) Management assure improve
comprehensive HP of a Hospital? gt 7 HPQM
Strategies
Quality functions/ activities for quality of Structures of services ( settings) Processes of services ( settings) Outcomes/ impacts of services ( settings)
Explination
27How can (Quality) Management assure improve
comprehensive HP of a Hospital? gt 7 HPQM
Strategies
Quality functions/ activities for quality of Structures of services ( settings) Processes of services ( settings) Outcomes/ impacts of services ( settings)
S1 Define HP criteria/standards for structures
28How can (Quality) Management assure improve
comprehensive HP of a Hospital? gt 7 HPQM
Strategies
Quality functions/ activities for quality of Structures of services ( settings) Processes of services ( settings) Outcomes/ impacts of services ( settings)
S1 Define HP criteria/standards for structures
P1 Define HP guidelines/ indicators for
processes
29How can (Quality) Management assure improve
comprehensive HP of a Hospital? gt 7 HPQM
Strategies
Quality functions/ activities for quality of Structures of services ( settings) Processes of services ( settings) Outcomes/ impacts of services ( settings)
S1 Define HP criteria/standards for structures
P1 Define HP guidelines/ indicators for
processes
O1 Define HP targets for Outcomes/impacts
30How can (Quality) Management assure improve
comprehensive HP of a Hospital? gt 7 HPQM
Strategies
Quality functions/ activities for quality of Structures of services ( settings) Processes of services ( settings) Outcomes/ impacts of services ( settings)
S1 Define HP criteria/standards for structures
P1 Define HP guidelines/ indicators for
processes
O1 Define HP targets for Outcomes/impacts
2. Evaluation/ Monitoring
S2 Evaluate for HP of structures
31How can (Quality) Management assure improve
comprehensive HP of a Hospital? gt 7 HPQM
Strategies
Quality functions/ activities for quality of Structures of services ( settings) Processes of services ( settings) Outcomes/ impacts of services ( settings)
S1 Define HP criteria/standards for structures
P1 Define HP guidelines/ indicators for
processes
O1 Define HP targets for Outcomes/impacts
2. Evaluation/ Monitoring
S2 Evaluate for HP of structures
P2 Evaluate for HP of processes
32How can (Quality) Management assure improve
comprehensive HP of a Hospital? gt 7 HPQM
Strategies
Quality functions/ activities for quality of Structures of services ( settings) Processes of services ( settings) Outcomes/ impacts of services ( settings)
S1 Define HP criteria/standards for structures
P1 Define HP guidelines/ indicators for
processes
O1 Define HP targets for Outcomes/impacts
2. Evaluation/ Monitoring
S2 Evaluate for HP of structures
P2 Evaluate for HP of processes
O2 Evaluate for HP of outcomes impacts
33How can (Quality) Management assure improve
comprehensive HP of a Hospital? gt 7 HPQM
Strategies
Quality functions/ activities for quality of Structures of services ( settings) Processes of services ( settings) Outcomes/ impacts of services ( settings)
S1 Define HP criteria/standards for structures
P1 Define HP guidelines/ indicators for
processes
O1 Define HP targets for Outcomes/impacts
2. Evaluation/ Monitoring
S2 Evaluate for HP of structures
P2 Evaluate for HP of processes
O2 Evaluate for HP of outcomes impacts
3. Development/ Improvement
S3 Develop improved HP structures by OD, PD,
TD
34How can (Quality) Management assure improve
comprehensive HP of a Hospital? gt 7 HPQM
Strategies
Quality functions/ activities for quality of Structures of services ( settings) Processes of services ( settings) Outcomes/ impacts of services ( settings)
S1 Define HP criteria/standards for structures
P1 Define HP guidelines/ indicators for
processes
O1 Define HP targets for Outcomes/impacts
2. Evaluation/ Monitoring
S2 Evaluate for HP of structures
P2 Evaluate for HP of processes
O2 Evaluate for HP of outcomes impacts
3. Development/ Improvement
S3 Develop improved HP structures by OD, PD,
TD
X
X
35How can a comprehensive HP-QualityManagement-Syst
em be quality assured?
36Relationship of the five Standards of the
Standard WG to the Strategies of the Putting into
Practice WG
- 1. Management policy
- HPQM strategies
- 2. Patient Assessment
- PAT 1,2
- 3. Patient Information and Intervention
- PAT1, 2, 4, 5
- 4. Promoting a healthy Workplace
- STA 3, 1,2
- 5. Continuity and Cooperation
- COM 1, 2, (PAT6, STA6, COM6)
37Further information
- WHO-Collaboration Centre for Health Promotion in
Hospitals and Health Care - http//www.hph-hc.cc/
- Folder Download gt Draft of Working Group
Strategies - Paper of Working Group Standards
- http//www.euro.who.int/document/e82490.pdf