Standards for Health Promotion in Hospitals
Network of Health Promoting Hospitals in Denmark
Health Promotion as a Quality issue
11th International Conference onHealth Promoting Hospitals
Firenze May 18 – 20, 2003
Standards for Health Promotion in Hospitals
Network of Health Promoting Hospitals in Denmark
Health promotion: “The process of enabling people to increase control over, and to improve, their health” (Ottawa Charter).
• Health education, • disease prevention • rehabilitation services. • health enhancement by empowering patients,
relatives and employees in the improvement of their health-related physical, mental and social well-being.
Standards for Health Promotion in Hospitals
Network of Health Promoting Hospitals in Denmark
Quality assurance is a systematic process through Which achievable and desireable levels of quality are described,the extent to which these levels are achieved is assessed,and action is taken to enable them to be reached.This definition implies the need to set standards, to develop tools to audit their achievement and to engage in organizational and/or professionaldevelopment where performance falls short of the standard expected."
R Parish in: ” Evaluation in health promotion.Principles and Perspectives”. WHO Regional Publications,European Series No. 92, 2001, 171-184
Network of Health Promoting Hospitals in Denmark
Standards for Health Promotion in Hospitals
Standard.
The quality target, which should be achieved or maintained for a given activity within a limited time frame, i.e. the realistic target.
Perspectives.Standards for Health Promotion.
Network of Health Promoting Hospitals in Denmark
I: A common set of standards can:
Provide a framework for health promotion initiatives
Give hospitals a platform for the planning of HP
For documentation and evaluation of HP
Support implementation of activities
Be part of the hospitals' quality management.
Perspectives.Standards for Health Promotion
Network of Health Promoting Hospitals in Denmark
II: A common set of standards can:
Support learning internally in the organization
Provide a platform for comparisons
Uncover needs for disease prevention
and health promotion
Support co-operation between sectors
Support the training of staff
Network of Health Promoting Hospitals in Denmark
Development of Standards: Alpha Programme
Critical review of litterature
Critical review of litterature
Proposal forstandards
Proposal forstandards
ReviewReview
Preliminary standards
Preliminary standards
”Final standards””Final standards”
ImplementationImplementation
Revision and adjustment
Revision and adjustment
Pilot testing
Standards for Health Promotion in Hospitals
Network of Health Promoting Hospitals in Denmark
The standards relate to the patient’s pathway.
The standards define health promotion • responsibilities • activities • integration in the hospitals services.
Network of Health Promoting Hospitals in Denmark
HPH – Patients´ Pathway
Patients´ pathway
HospitalHospitalPrimary Health Care Sector
Primary Health Care Sector
Primary Health Care Sector
Primary Health Care Sector
Network of Health Promoting Hospitals in Denmark
A Model for Quality Assessment in Hospitals
Diagnostics
Treatment
Rehabilitation
Healthpromotion
Admission Assessment and plan
Evaluation ofclinicalefforts
Discharge
Clinical perspective
Care
Network of Health Promoting Hospitals in Denmark
A Model for Quality Assesment in Hospitals
Information/communication
Coordination Continuity
Patients’ rights
Safety
Patients´ perspective
Network of Health Promoting Hospitals in Denmark
A Model for Quality Assesment in Hospitals
Leadership/Governance
Planning ofactivity
Managementof information
Quality and riskmanagement
Integration withother agents
Recruitment/Maintenance
of staffCulture Facility
management Technology Staff qualification
and education
Organisation and Structure
Standards for Health Promotion in Hospitals
Network of Health Promoting Hospitals in Denmark
Standard 1: Management Policy Standard 2: Patient Assessment Standard 3: Patient Information and Intervention Standard 4: Promoting a Healthy Workplace Standard 5: Continuity and Cooperation
Standards for Health Promotion in Hospitals
Network of Health Promoting Hospitals in Denmark
Standard 1. Management Policy The organization has a written policy for health promotion. The policy is implemented as part of the overall organization quality improvement system, aiming at improving health outcomes. This policy is aimed at patients, relatives and staff.
Objective:The objective of this standard is to describe the framework for the organization's activities concerning health promotion as an integral part of the organization’s quality management system.
Standards for Health Promotion in Hospitals
Network of Health Promoting Hospitals in Denmark
Standard 2. Patient Assessment The organization ensures that health professionals, inpartnership with patients, systematically assess needs for health promotion activities. Objective:The objective of this standard is to support patient treatment, improve prognosis and to promote the health and well being of patients.
Standards for Health Promotion in Hospitals
Network of Health Promoting Hospitals in Denmark
Standard 3. Patient Information and Intervention The organization provides patients with information on significant factors concerning their disease or health Condition and health promotion interventions are established in all patient pathways. Objective:The objective of this standard is to ensure that the patient is informed about planned activities, to empower the patient in an active partnership in planned activities and to facilitate integration of health promotion activities in all patient pathways.
Standards for Health Promotion in Hospitals
Network of Health Promoting Hospitals in Denmark
Standard 4. Promoting a healthy Workplace
The management establishes conditions for the development of the hospital as a healthy workplace. Objective:The objective of this standard is to support the establishment of a healthy and safe workplace for staff, and to support health promotion activities.
Standards for Health Promotion in Hospitals
Network of Health Promoting Hospitals in Denmark
Standard 5.Continuity and Cooperation The organization has a planned approach to collaboration with other health service sectors and other institutions on an ongoing basis. Objective:The purpose of this standard is to ensure collaboration with relevant partners and to initiate networks in order to optimise the integration of health promotion activities in patient pathways
Pilot test.Standards for Health Promotion in Hospitals
Network of Health Promoting Hospitals in Denmark
Pilot Test:Standards for Health Promotion in Hospitals
Network of Health Promoting Hospitals in Denmark
Standards arerelevant and applicable: 32/36 hospitals.proper and necessary, suitable for practical use.
Compliance:Only few standards were actually realised in the test hospitals
Conclusion:Room for improvement of HP in HPH Tool for self- assessment or external assessment.
Pilot test.Standards for Health Promotion in Hospitals
Network of Health Promoting Hospitals in Denmark
Comments, suggestions:
• Clarifications in preample
• Improved graphical set up
• Give examples of concrete activities or structures
• Use statistical criteria
• Primarily for self assessment.
Network of Health Promoting Hospitals in Denmark
Standards for Health Promotion in Hospitals
Network of Health Promoting Hospitals in Denmark
Next step:
Translate standards to national languagesDisseminate standards to:
Health Promoting HospitalsOther HospitalsAccreditation Organizations
Develop tool for self assessmentBenchmarking
National?International?
Accreditation?
Standards for Health Promotion in Hospitals
Network of Health Promoting Hospitals in Denmark
Conclusions:
• Standards have been developed in a proces involving National networks across HPH
• Standards are Relevant and Applicable
• Standards can be a strong tool in the implementation of Health Promotion in Hospitals
Standards for Health Promotion in Hospitals
Network of Health Promoting Hospitals in Denmark
Acknowledgements The standards for health promotion in hospitals would not have materialized without the strong commitment of the authors and contributors, who agreed to develop many drafts to fit the overall aim. Specially thanks are due to the core Standards Working Group members, all the National and Regional Health Promoting Hospitals Coordinators, and experts in the field of health promotion and standards development.