Facilitating New Governance in Hospitals in the Southern Health Board, Ireland

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Facilitating New Governance in Hospitals in the
Southern Health Board, Ireland

• Catherine Murphy
• R.G.N., R.M. B.A. (Public Mgt)
• M.A. in Health Promotion
• Health Promotion Manager
• Southern Health Board, Ireland
• 11th International Conference on Health Promoting
  Hospitals Florence, Italy
• May 18 20, 2003

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Facilitating New Governance in Hospitals

• Challenges presenting ?
• Complex / simple solutions ?
• Regional response ?
• Progress to date ?
• Where to from here ?

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Challenges Presenting

• Current economic climate / Market Orientation
• Slow down in developments / competition
• Technology
• Demands of the public
• Reform of health care systems in Ireland
• And we expect Health Promoting Hospitals ?

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Complex / simple solutions

• Models
• Frameworks
• Networks
• Approaches
• Training / Education
• Promotion / Policy development
• Empowerment / Enable
• Facilitate / Representation
• Dedicated staff / commitment to Health Promotion

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Regional Response

• 9 Acute / Maternity Hospitals
• One HPO in Cork University Hospital ( post since
  vacant)
• Regional Health Promotion Department with 5
  offices (Health Promotion Officers, Community
  Dietitians and Smoking Resource Officers)

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Regional Response

• Formation of Regional HPH Committee Chaired by
  Health Promotion Manager
• Representation from all 9 hospitals, Health Board
  (7) and voluntary (2)
• Affiliation to National HPH Committee mixed
• Much enthusiasm to develop Regional Network

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Focus of Regional Committee

• Structures / HPH Committees
• Workshop to assess needs
• Development of presentation for local hospital
  committees
• Facilitation of regional meetings and support to
  Hospital representatives in facilitating /
  chairing their meetings

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Focus of Regional Committee

• Guest speakers at Regional meetings
• Facilitation of Regional representatives to
  undertake
• Action Planning
• Monitoring
• - Evaluation

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• Policy Development
• (Tobacco / Nutrition / Physical Activity)
• Creating supportive environments (waste mgt.,
  Hospital Walkways, Corporate Leisure Scheme)
• Strengthening Community action (standardised
  presentations, Training Education / Health
  Promotion)

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• Developing personal skills (Training, Education,
  facilitation, knowledge base, capacity,
  inclusion)
• Re-orientate Health Services
• (outputs, projects, skills development,
  evaluation, integration with community services)

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Progress to Date

• Regional Committee well established
• 9 hospitals have registered as full members of
  the HPH National Network
• Projects registered with the National Network
• 5 hospitals have established HPH Committees

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Evaluation of Regional HPH Committee

• Contribution of committee to HPH development
• Suggested improvements
• Health Promotion Departments role in
• facilitating
• How the HPD could further contribute to the
• network

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Where to from here ?

• Seminar (Regional) of Southern Health Board
  Health Promoting Hospitals in Autumn 2003
• Further development of network
• 18 community hospitals engaged
• 2 Mental Health Hospitals engaged