HEALTHCARE QUALITY AND MEDICAL ERRORS

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POLISH SOCIETY FOR QUALITY PROMOTION IN HEALTHCARE
NATIONAL QUALITY POLICY IN POLAND
Barbara Kutryba, Poland
WORKSHOP 1, ENQual Programme Utrecht, 28 29
November, 2003
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NHS PRINCIPLES

• POLISH CONSTITUTION (ART.58)
• FREE ACCESS
• SOLIDARITY
• EQUALITY
• FREE CHOICE OF PROVIDER

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OVERVIEW OF HEALTHCARE SYSTEM

• Total health spending(public and private) 4.1
  GDP
• 629 USD per capita
• Organization structure of NHS
• central gov. administration MoHNCQA
• local government health authorities ( municipal,
  district provincial)

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OVERVIEW OF HEALTHCARE SYSTEM
NGOs SQPHSupreme Medical Council Supreme
Council of Nurses Midwives Scientific Medical
Societies Polish Association of Hospital
Managers Polish Association of Hospitals Polish
Society of Healthcare Managers Polish
Association of Hospital Infections
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FINANCING OF HEALTHCARE SYSTEM

• 1989 1998 NHS financed by state budget
• 1999 March 2003 Universal Health Insurance ( 17
  Sick Funds)
• April 2003 National Health Fund (NHF)

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INITIATIVES OF THE 90S

• Introduction of the Family Physician concept
• Introduction of the public autonomous healthcare
  providers
• Ownership of public healthcare providers
  transferred to local governments
• Privatization of pharmacies

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NHS RESTRUCTURINGNOVEMBER 2003

• ACT ON PUBLIC ASSISTANCE AND RESTRUCTURING OF
  AUTONOMOUS HEALTHCARE PROVIDERS

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STATUTORY INSPECTION BODIES

• SANITARY INSPECTORATE
• SUPREME CHAMBER OF CONTROL
• NATIONAL LABOUR INSPECTORATE

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QUALITY INITIATIVES IN POLAND

• LEGISLATION FOR HEALTHCARE
• QUALITY
• STRATEGIC POLICY OF MoH (2002-2003)
• NATIONAL CENTER FOR QUALITY
• ASSESSMENT IN HEALTH CARE (NCQA)
• NGOs INITIATIVES

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LEGISLATION FOR Q

• Amended Healthcare Organizations Act 1997
• Regulations on infrastructure sanitary
  requirements healthcare management
  qualifications requirements medical records
  GMPminimal staffing staff qualifications
  specialty surveillance physician /nurse
  accountability

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LEGISLATION FOR Q

• Act on the Profession of Physician Act on the
• Profession of Nurse Pharmacy Law Act GLP
• Act Infectious Disease Act Medical
• Chamber Act Act on Nurses and Midwives
• Chamber Pharmacy Chamber Act GMP Act
• NHF Act

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LEGISLATION FOR Q

• Act on Physician Chamber
• Act on Nurse Chamber
• Corporate Regulations
• Physician Ethics Code
• Nurse Ethics Code

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Q INITIATIVESMoH STRATEGY

• Continuous improvement of health services
  according to patients needs
• Making NHS more effective and efficient
• Identification of best providers
• Increase motivation of medical professionals

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Q INITIATIVES NCQA

• ACCREDITATION
• QUALITY ASSURANCE ( TRAINING EDUCATION FOR QA
  TEAMS)
• CLINICAL GIUDELINES
• INDICATORS
• PATIENT SATISFACTION SURVEYS
• QI PROJECTS

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Q INITIATIVES SQPH

• NATIONAL PATIENT SAFETY PROJECT
• HEALTH TECHNOLOGY ASSESSMENT
• ACCREDITATION CONSULTANCY
• CLINICAL GUIDELINES
• ESQH KRAKOW OFFICE FOR HEALTHCARE QUALITY
  PROMOTION
• QI PROJECTS

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8th Conference Quality in Health Care European
ForumInformation in Healthcare
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PATIENT EMPOWEREMENT

• CHARTER OF PATIENT RIGHTS 1998/2001
• PATIENT OMBUDSMAN at NHF 2003
• BUREAU OF PATIENT RIGHTS at MoH - 2001
• INPATIENT Q INITIATIVES Patient
• Ombudsman patient opinion surveys
• patient education