Network of Health Promoting Hospitals in Denmark Standards

Network of Health Promoting Hospitals in Denmark Standards for Health Promotion in Hospitals Health Promotion as a Quality issue 11 th International Conference on Health Promoting Hospitals Firenze May 18 – 20, 2003

Network of Health Promoting Hospitals in Denmark Standards for Health Promotion in Hospitals 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.

Network of Health Promoting Hospitals in Denmark Standards for Health Promotion in Hospitals 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 professional development 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.

Network of Health Promoting Hospitals in Denmark Perspectives. Standards for Health Promotion. 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.

Network of Health Promoting Hospitals in Denmark Perspectives. Standards for Health Promotion 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 Proposal for standards Review Preliminary standards Pilot testing ”Final standards” Implementation Revision and adjustment

Network of Health Promoting Hospitals in Denmark Standards for Health Promotion in Hospitals 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 Primary Health Care Sector Hospital Patients´ pathway Primary Health Care Sector

Network of Health Promoting Hospitals in Denmark A Model for Quality Assessment in Hospitals Clinical perspective Admission Assessment and plan Diagnostics Treatment Care Rehabilitation Health promotion Evaluation of clinical efforts Discharge

Network of Health Promoting Hospitals in Denmark A Model for Quality Assesment in Hospitals Patients´ perspective Information/ communication Coordination Continuity Patients’ rights Safety

Network of Health Promoting Hospitals in Denmark A Model for Quality Assesment in Hospitals Organisation and Structure Leadership/ Governance Recruitment/ Maintenance of staff Planning of activity Culture Management Quality and risk Integration with management other agents of information Facility management Technology Staff qualification and education

Network of Health Promoting Hospitals in Denmark Standards for Health Promotion in Hospitals 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

Network of Health Promoting Hospitals in Denmark Standards for Health Promotion in Hospitals 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.

Network of Health Promoting Hospitals in Denmark Standards for Health Promotion in Hospitals Standard 2. Patient Assessment The organization ensures that health professionals, in partnership 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.

Network of Health Promoting Hospitals in Denmark Standards for Health Promotion in Hospitals 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.

Network of Health Promoting Hospitals in Denmark Standards for Health Promotion in Hospitals 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.

Network of Health Promoting Hospitals in Denmark Standards for Health Promotion in Hospitals 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

Network of Health Promoting Hospitals in Denmark Pilot test. Standards for Health Promotion in Hos

Network of Health Promoting Hospitals in Denmark Pilot Test: Standards for Health Promotion in Hos Standards are relevant 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.

Network of Health Promoting Hospitals in Denmark Pilot test. Standards for Health Promotion in Hos 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

Network of Health Promoting Hospitals in Denmark Standards for Health Promotion in Hospitals Next step: Translate standards to national languages Disseminate standards to: Health Promoting Hospitals Other Hospitals Accreditation Organizations Develop tool for self assessment Benchmarking National? International? Accreditation?

Network of Health Promoting Hospitals in Denmark Standards for Health Promotion in Hospitals 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

Network of Health Promoting Hospitals in Denmark Standards for Health Promotion in Hospitals 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.