Health Promoting Hospitals Technically supported by Health Promoting

Health Promoting Hospitals Technically supported by: Health Promoting Hospitals: 18 HPH Core Strategies and their implementation WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Jürgen M. Pelikan (juergen. pelikan@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, Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation University of Vienna 12 th International Conference, Moscow, May 26 -28, 2004 Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26 -28, 2004 Sponsored by Federal Ministry for Health and Women Co-ordinated by: World Health Organization European Office for Integrated Health Care Services, Barcelona

Health Promoting Hospitals Overview Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care • • Framework of WG Comprehensive Concept of HPH 18 Core Strategies Implementation by (Quality) Management • Relationship Strategies and Standards • Further information Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26 -28, 2004 At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Co-ordinated by: 2 World Health Organization European Office for Integrated Health Care Services, Barcelona

Health Promoting Hospitals Framework for and Product of the Working Group Technically supported by: Basic documents: • Ottawa HP • Budapest HPH • Ljubljana HC • Vienna HPH • Jakarta HP 18 HPH core strategies Developments in Health promotion: • Empowerment • Health literacy • Healthy Alliances • Evidence based HP • Quality assurance of HP + 7 HPQM Strategies for sustainable implementation WHO network experiences: • Pilot and model projects • National / regional networks • Models of good practice • Guidelines and recommendations Developments in Health care: • Cost containment by quality development: • Quality management systems • Evidence based health care • Q-Instruments (standards, guidelines, tools) • HPH Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26 -28, 2004 3 WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Co-ordinated by: World Health Organization European Office for Integrated Health Care Services, Barcelona

The 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. Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine - By strategies of HP quality management & HP strategic (re-) positioning of the hospital. at the Institute for Sociology, University of Vienna - 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. Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26 -28, 2004 Health Promoting Hospitals Sponsored by Federal Ministry for Health and Women Co-ordinated by: 4 World Health Organization European Office for Integrated Health Care Services, Barcelona

HP initiatives in hospitals follow general Health Promotion Principles, defined by a WHO-WG on evaluation of 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 5 communication – in combination Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26 -28, 2004 Health Promoting Hospitals Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Co-ordinated by: World Health Organization European Office for Integrated Health Care Services, Barcelona

Health Promoting Hospitals 18 HPH Core Strategies HP for. . . Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine The health of which stakeholders should benefit from the HPH Core Strategies ? at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Co-ordinated by: Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26 -28, 2004 6 World Health Organization European Office for Integrated Health Care Services, Barcelona

Health Promoting Hospitals 18 HPH Core Strategies HP for. . . Patients Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine The health of which stakeholders should benefit from the HPH Core Strategies ? 1. at the Institute for Sociology, University of Vienna The health of hospital patients Sponsored by Federal Ministry for Health and Women Co-ordinated by: Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26 -28, 2004 7 World Health Organization European Office for Integrated Health Care Services, Barcelona

Health Promoting Hospitals 18 HPH Core Strategies HP for. . . Patients Staff Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine The health of which stakeholders should benefit from the HPH Core Strategies ? 1. 2. at the Institute for Sociology, University of Vienna The health of hospital patients The health of hospital staff Sponsored by Federal Ministry for Health and Women Co-ordinated by: Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26 -28, 2004 8 World Health Organization European Office for Integrated Health Care Services, Barcelona

Health Promoting Hospitals 18 HPH Core Strategies HP for. . . Patients Staff Community Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine The health of which stakeholders should benefit from the HPH Core Strategies ? 1. 2. 3. at the Institute for Sociology, University of Vienna 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 Sponsored by Federal Ministry for Health and Women Co-ordinated by: Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26 -28, 2004 9 World Health Organization European Office for Integrated Health Care Services, Barcelona

Health Promoting Hospitals 18 HPH Core Strategies HP for. . . HP by. . . Patients Staff Community Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care From what types of strategies should the health of the stakeholders benefit? At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Co-ordinated by: Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26 -28, 2004 10 World Health Organization European Office for Integrated Health Care Services, Barcelona

Health Promoting Hospitals 18 HPH Core Strategies HP for. . . HP quality development HP by. . . Patients Staff Community Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care From what types of strategies should the health of the stakeholders benefit? At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine (A) From HP quality development strategies, improving the HP characteristics of existing hotel & clinical core services of the hospital. at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Co-ordinated by: Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26 -28, 2004 11 World Health Organization European Office for Integrated Health Care Services, Barcelona

Health Promoting Hospitals 18 HPH Core Strategies HP for. . . Staff Community Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care From what types of strategies should the health of the stakeholders benefit? At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine (A) 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: at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women HP strategic (re)positioning HP quality development HP by. . . Patients Co-ordinated by: Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26 -28, 2004 12 World Health Organization European Office for Integrated Health Care Services, Barcelona

Health Promoting Hospitals 18 HPH Core Strategies HP for. . . 1. Enabling for HP self manage-ment in living Staff Community Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care From what types of strategies should the health of the stakeholders benefit? At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine (A) From HP quality development strategies, improving the HP characteristics of existing hotel & clinical core services of the hospital. Oriented at communication & interaction processes: 1. Enabling for HP self management at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women HP strategic (re)positioning HP quality development HP by. . . Patients Co-ordinated by: Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26 -28, 2004 13 World Health Organization European Office for Integrated Health Care Services, Barcelona

Health Promoting Hospitals 18 HPH Core Strategies HP for. . . 1. Enabling for HP self manage-ment in living 2. Enabling for HP coproduction of health Staff Community Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care From what types of strategies should the health of the stakeholders benefit? At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine (A) From HP quality development strategies, improving the HP characteristics of existing hotel & clinical core services of the hospital. Oriented at communication & interaction processes: 1. Enabling for HP self management 2. Enabling for HP co-production in health care HP strategic (re)positioning HP quality development HP by. . . Patients at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Co-ordinated by: Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26 -28, 2004 14 World Health Organization European Office for Integrated Health Care Services, Barcelona

Health Promoting Hospitals 18 HPH Core Strategies HP for. . . HP strategic (re)positioning HP quality development HP by. . . 1. Enabling for HP self manage-ment in living 2. Enabling for HP coproduction of health 3. Development of a HP hospital setting Patients Staff Community Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care From what types of strategies should the health of the stakeholders benefit? At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine (A) From HP quality development strategies, improving the HP characteristics of existing hotel & clinical core services of the hospital. Oriented at communication & interaction processes: 1. Enabling for HP self management 2. Enabling for HP co-production in health care Oriented at the material, social & cultural structures of the hospital: 3. Development of a HP hospital setting Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26 -28, 2004 at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Co-ordinated by: 15 World Health Organization European Office for Integrated Health Care Services, Barcelona

Health Promoting Hospitals 18 HPH Core Strategies HP for. . . HP strategic (re)positioning HP quality development HP by. . . 1. Enabling for HP self manage-ment in living 2. Enabling for HP coproduction of health 3. Development of a HP hospital 4. Enabling setting for HP illness managemen t Patients Staff Community Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care From what types of strategies should the health of the stakeholders benefit? At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine (B) From HP strategic (re-)positioning of the hospital by investing more into specific HP services & projects for patients, staff & community: at the Institute for Sociology, University of Vienna By offering educative HP services: 4. Enabling for HP illness management Sponsored by Federal Ministry for Health and Women Co-ordinated by: Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26 -28, 2004 16 World Health Organization European Office for Integrated Health Care Services, Barcelona

Health Promoting Hospitals 18 HPH Core Strategies HP for. . . HP strategic (re)positioning HP quality development HP by. . . 1. Enabling for HP self manage-ment in living 2. Enabling for HP coproduction of health 3. Development of a HP hospital 4. Enabling setting for HP illness managemen 5. Enabling t for HP lifestyle developme nt Patients Staff Community Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care From what types of strategies should the health of the stakeholders benefit? At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine (B) From HP strategic (re-)positioning of the hospital by investing more into specific HP services & projects for patients, staff & community: at the Institute for Sociology, University of Vienna By offering educative HP services: 4. Enabling for HP illness management 5. Enabling for HP life style development Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26 -28, 2004 Sponsored by Federal Ministry for Health and Women Co-ordinated by: 17 World Health Organization European Office for Integrated Health Care Services, Barcelona

Health Promoting Hospitals 18 HPH Core Strategies HP for. . . HP strategic (re)positioning HP quality development HP by. . . Patients Staff Community 1. Enabling From what types of strategies should for HP self the health of the stakeholders benefit? manage-ment in living 2. Enabling for (B) From HP strategic (re-)positioning of the HP cohospital by investing more into specific HP production of services & projects for patients, staff & health community: 3. Development By offering educative HP services: of a HP 4. Enabling for HP illness management hospital 4. Enabling 5. Enabling for HP life style development setting for HP illness By participating in HP community development managemen 5. Enabling projects for improvement of the material, social t for HP & cultural structures of the community: lifestyle 6. Development of a HP community setting developme 6. Development nt of a HP Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective community 18 implementation 12 International Conference, Moscow, May 26 -28, 2004 setting th Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Co-ordinated by: World Health Organization European Office for Integrated Health Care Services, Barcelona

Health Promoting Hospitals 18 HPH Core Strategies HP for. . . HP strategic (re)positioning HP quality development HP by. . . Patients Staff 1. Enabling PAT-1: STA-1: for HP self HP living in the HP work life in manage-ment hospital for the hospital for in living patients staff 2. Enabling for PAT-2: STA-2: HP Co. HP co. HP Coproduction of staff in work health patients in processes 3. PAT-3: STA-3: treatment Development HP hospital of a HP setting for staff hospital patients 4. Enabling PAT-4: STA-4 setting for HP HP illness manage-ment for managemen patients staff 5. Enabling PAT-5: STA-5: t for HP HP lifestyle develop-ment for developme patients staff PAT-6: STA-6: 6. Development nt HP community of a HP Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective setting for staff community implementation 12 International Conference, Moscow, May 26 -28, 2004 patients setting th Community COM-1: HP access to the hospital for citizens COM-2: HP Coproduction with services in region COM-3: HP hospital setting for citizens COM-4 HP illness manage-ment for citizens COM-5: HP lifestyle develop-ment for citizens COM-6: HP community setting for 19 citizens Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Co-ordinated by: World Health Organization European Office for Integrated Health Care Services, Barcelona

Health Promoting Hospitals 18 HPH Core Strategies HP for. . . HP strategic (re)positioning HP quality development HP by. . . Patients Staff Community 1. Enabling PAT-1: STA-1: COM-1: for HP self HP living in the HP work life in HP access to the manage-ment hospital for the hospital for in living patients staff citizens 2. Enabling for PAT-2: STA-2: HP Co. COM-2: HP Co. HP co. HP Coproduction of production with production of staff in work services in region health patients in processes 3. PAT-3: STA-3: COM-3: 1. Objectives of strategy treatment Development HP hospital forfor strategy of a HP setting 2. for. Indications setting staff setting for hospital patients citizens 4. Enabling PAT-4: COM-4 3. Main topics. STA-4 / routines: selected setting for HP HP disease and evidence examples, guidelines illness manage-ment for managemen patients citizens staff 5. Enabling PAT-5: STA-5: COM-5: t for HP HP lifestyle develop-ment for developme patients staff citizens PAT-6: STA-6: COM-6: 6. Development nt HP community of a HP Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective setting for staff setting for 20 community implementation 12 International Conference, Moscow, May 26 -28, 2004 patients citizens setting th Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Co-ordinated by: World Health Organization European Office for Integrated Health Care Services, Barcelona

Which subsystems of a hospital have to be HP-quality assured & improved by HP-Quality Management (HPQM)? Management Clinical services* • Human resource management • Finance management • Purchasing management • Safety & occupational health management • Quality Management • Health Promotion Management • Etc. • Admission > Discharge • Diagnosis • Therapy • Rehabilitation • Patient education • Prevention • Etc. Other Support services Hotel services • Transport • Maintenance • Waste management • Etc. • Nutrition • Cleaning • Etc. Health Promoting Hospitals Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Co-ordinated by: *) Medical, nursing, therapeutic, educative Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26 -28, 2004 21 World Health Organization European Office for Integrated Health Care Services, Barcelona

How can (Quality) Management assure & improve comprehensive HP of a Hospital? > 7 HPQM Strategies Health Promoting Hospitals Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Co-ordinated by: Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26 -28, 2004 22 World Health Organization European Office for Integrated Health Care Services, Barcelona

How can (Quality) Management assure & improve comprehensive HP of a Hospital? > 7 HPQM Strategies Quality functions/ activities for quality of … Structures of services (& settings) Processes of services (& settings) Outcomes/ impacts of services (& settings) Health Promoting Hospitals Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Co-ordinated by: Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26 -28, 2004 23 World Health Organization European Office for Integrated Health Care Services, Barcelona

How can (Quality) Management assure & improve comprehensive HP of a Hospital? > 7 HPQM Strategies Quality functions/ activities for quality of … Structures of services (& settings) Processes of services (& settings) Outcomes/ impacts of services (& settings) Health Promoting Hospitals Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine Explination at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Co-ordinated by: Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26 -28, 2004 24 World Health Organization European Office for Integrated Health Care Services, Barcelona

How can (Quality) Management assure & improve comprehensive HP of a Hospital? > 7 HPQM Strategies Quality functions/ activities for quality of … Structures of services (& settings) Processes of services (& settings) Outcomes/ impacts of services (& settings) Health Promoting Hospitals Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine Explination at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Co-ordinated by: Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26 -28, 2004 25 World Health Organization European Office for Integrated Health Care Services, Barcelona

How can (Quality) Management assure & improve comprehensive HP of a Hospital? > 7 HPQM Strategies Quality functions/ activities for quality of … Structures of services (& settings) Processes of services (& settings) Outcomes/ impacts of services (& settings) Health Promoting Hospitals Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine Explination at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Co-ordinated by: Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26 -28, 2004 26 World Health Organization European Office for Integrated Health Care Services, Barcelona

How can (Quality) Management assure & improve comprehensive HP of a Hospital? > 7 HPQM Strategies Quality functions/ activities for quality of … 1. Definition Structures of services (& settings) Processes of services (& settings) S 1: Define HP criteria/standa rds for structures Outcomes/ impacts of services (& settings) Health Promoting Hospitals Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Co-ordinated by: Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26 -28, 2004 27 World Health Organization European Office for Integrated Health Care Services, Barcelona

How can (Quality) Management assure & improve comprehensive HP of a Hospital? > 7 HPQM Strategies Quality functions/ activities for quality of … 1. Definition Structures of services (& settings) S 1: Define HP criteria/standa rds for structures Processes of services (& settings) P 1: Define HP guidelines/ indicators for processes Outcomes/ impacts of services (& settings) Health Promoting Hospitals Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Co-ordinated by: Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26 -28, 2004 28 World Health Organization European Office for Integrated Health Care Services, Barcelona

How can (Quality) Management assure & improve comprehensive HP of a Hospital? > 7 HPQM Strategies Quality functions/ activities for quality of … 1. Definition Structures of services (& settings) S 1: Define HP criteria/standa rds for structures Processes of services (& settings) P 1: Define HP guidelines/ indicators for processes Outcomes/ impacts of services (& settings) O 1: Define HP targets for Outcomes/impa cts Health Promoting Hospitals Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Co-ordinated by: Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26 -28, 2004 29 World Health Organization European Office for Integrated Health Care Services, Barcelona

How can (Quality) Management assure & improve comprehensive HP of a Hospital? > 7 HPQM Strategies Quality functions/ activities for quality of … 1. Definition 2. Evaluation/ Monitoring Structures of services (& settings) S 1: Define HP criteria/standa rds for structures Processes of services (& settings) P 1: Define HP guidelines/ indicators for processes Outcomes/ impacts of services (& settings) O 1: Define HP targets for Outcomes/impa cts S 2: Evaluate for HP of structures Health Promoting Hospitals Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Co-ordinated by: Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26 -28, 2004 30 World Health Organization European Office for Integrated Health Care Services, Barcelona

How can (Quality) Management assure & improve comprehensive HP of a Hospital? > 7 HPQM Strategies Quality functions/ activities for quality of … 1. Definition 2. Evaluation/ Monitoring Structures of services (& settings) Processes of services (& settings) S 1: Define HP criteria/standa rds for structures P 1: Define HP guidelines/ indicators for processes S 2: Evaluate for HP of structures P 2: Evaluate for HP of processes Outcomes/ impacts of services (& settings) O 1: Define HP targets for Outcomes/impa cts Health Promoting Hospitals Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Co-ordinated by: Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26 -28, 2004 31 World Health Organization European Office for Integrated Health Care Services, Barcelona

How can (Quality) Management assure & improve comprehensive HP of a Hospital? > 7 HPQM Strategies Quality functions/ activities for quality of … 1. Definition 2. Evaluation/ Monitoring Structures of services (& settings) Processes of services (& settings) S 1: Define HP criteria/standa rds for structures P 1: Define HP guidelines/ indicators for processes Outcomes/ impacts of services (& settings) O 1: Define HP targets for Outcomes/impa cts S 2: Evaluate for HP of structures P 2: Evaluate for HP of processes O 2: Evaluate for HP of outcomes & impacts Health Promoting Hospitals Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Co-ordinated by: Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26 -28, 2004 32 World Health Organization European Office for Integrated Health Care Services, Barcelona

How can (Quality) Management assure & improve comprehensive HP of a Hospital? > 7 HPQM Strategies Quality functions/ activities for quality of … 1. Definition 2. Evaluation/ Monitoring 3. Structures of services (& settings) Processes of services (& settings) S 1: Define HP criteria/standa rds for structures P 1: Define HP guidelines/ indicators for processes Outcomes/ impacts of services (& settings) O 1: Define HP targets for Outcomes/impa cts S 2: Evaluate for HP of structures S 3: Develop P 2: Evaluate for HP of processes O 2: Evaluate for HP of outcomes & impacts Developm improved HP ent/ structures by Improvemen OD, t PD, TD Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26 -28, 2004 Health Promoting Hospitals Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Co-ordinated by: 33 World Health Organization European Office for Integrated Health Care Services, Barcelona

How can (Quality) Management assure & improve comprehensive HP of a Hospital? > 7 HPQM Strategies Quality functions/ activities for quality of … 1. Definition 2. Evaluation/ Monitoring 3. Structures of services (& settings) Processes of services (& settings) S 1: Define HP criteria/standa rds for structures P 1: Define HP guidelines/ indicators for processes Outcomes/ impacts of services (& settings) O 1: Define HP targets for Outcomes/impa cts S 2: Evaluate for HP of structures S 3: Develop P 2: Evaluate for HP of X processes O 2: Evaluate for HP of outcomes & impacts X Developm improved HP ent/ structures by Improvemen OD, t PD, TD Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26 -28, 2004 Health Promoting Hospitals Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Co-ordinated by: 34 World Health Organization European Office for Integrated Health Care Services, Barcelona

How can a comprehensive HP-Quality Management-System be quality assured? HPQMStructures HPQMProcesses HPQMOutcomes HPQM Strategies • HPQM aims: targets, principles, criteria, 1. Definition of … standards, indicators • HPQM strategic definitions: written 2. Evaluation/ HP qualitypolicies, (action-) plans, Monitoring of … programs, projects assurance & • HPQM tools: guidelines, 3. Development/ protocols, manuals Improve developmen • HPQM structures: ment of … steering committee, team, t network of contact persons • HPQM dissemination policy Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective 35 implementation 12 International Conference, Moscow, May 26 -28, 2004 • HPQM budget th Health Promoting Hospitals Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Co-ordinated by: World Health Organization European Office for Integrated Health Care Services, Barcelona

Relationship of the five Standards of the Standard WG to the Strategies of the Putting into Practice WG Health Promoting Hospitals Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care • 1. Management policy – HPQM strategies At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine • 2. Patient Assessment – PAT 1, 2 at the Institute for Sociology, University of Vienna • 3. Patient Information and Intervention – PAT 1, 2, 4, 5 Sponsored by Federal Ministry for Health and Women • 4. Promoting a healthy Workplace – STA 3, 1, 2 • 5. Continuity and Cooperation Co-ordinated by: – COM 1, 2, (PAT 6, STA 6, COM 6) Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26 -28, 2004 36 World Health Organization European Office for Integrated Health Care Services, Barcelona

Health Promoting Hospitals Further information • WHO-Collaboration Centre for Health Promotion in Hospitals and Health Care – http: //www. hph-hc. cc/ – Folder Download > Draft of Working Group “Strategies” • Paper of Working Group “Standards” – http: //www. euro. who. int/document/e 824 90. pdf 37 Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26 -28, 2004 Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Co-ordinated by: World Health Organization European Office for Integrated Health Care Services, Barcelona