QUALITY CARE FOR QUALITY AGING EUROPEAN INDICATORS FOR

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QUALITY CARE FOR QUALITY AGING: EUROPEAN INDICATORS FOR HOME HEALTH CARE The Future of

QUALITY CARE FOR QUALITY AGING: EUROPEAN INDICATORS FOR HOME HEALTH CARE The Future of Primary Health Care in Europe III Pisa, September 30 -31, 2010 Dario Zanon Azienda ULSS 10 “Veneto Orientale“ Veneto Region

Quality Care for Quality Aging: European Indicators for Home Health Care EU Consortium :

Quality Care for Quality Aging: European Indicators for Home Health Care EU Consortium : 12 partners 7 EU Countries Duration: Duration 18 months from January 2009 to June 2010 no cost extension of 3 months for dissemination Coordinator: Coordinator Regione Veneto / ULSS n. 10 Veneto Orientale Co-funder: Co-funder EC DG Employement, Social affairs and Equal Opportunities Budget : 396. 470 € EU contribution: contribution 300. 000 €

Societal challenges and services quality Decentralization Outsourcing Variety of providers Public Administration needs p

Societal challenges and services quality Decentralization Outsourcing Variety of providers Public Administration needs p better define the delegated services p define the quality expected from the services 3

The Project target Home Care formal services : q Home Assistance q Home Health

The Project target Home Care formal services : q Home Assistance q Home Health Care provided by Public Org. or by Private Org. on the basis of protocols and contracts with the public sector Targeted to non self sufficient individuals aged 65 and over 4

Project- Operational Objectives p Improve the knowledge base and the exchange of information about

Project- Operational Objectives p Improve the knowledge base and the exchange of information about the HHC Systems in each Country Partner p Disseminate and transfer across countries, the best practices of quality assessment in HHC p Develop a set of monitoring, assessment and performance indicators on quality delivered in HHC 5

Theoretical Framework set of indicators Macroareas/ Concepts Access Efficacy Satisfaction Input Outcome Output Process

Theoretical Framework set of indicators Macroareas/ Concepts Access Efficacy Satisfaction Input Outcome Output Process … … Process Access Satisfaction … Quality Affordability … Information and communication … Efficiency Needs assesment Dimensions Indicator 1 Access procedure Access rate Affordability Assessment Continuity of care Coordination Coverage Data protection Indicator 2 Indicator 3 Indicator … Dimensions 40 dimensions 6

Dimensions of quality in HC Plan (individual Health services care plan) Suitability of support

Dimensions of quality in HC Plan (individual Health services care plan) Suitability of support services Access procedure Coverage Access rate Data protection HR (Human Resources) Plan fulfilment Suitable HR Affordability Discharge Information and communication Prevention Support services Assessment Economic assistance Integration Recovery Supporting tools Assessment of needs Education (of staff) Lifelong learning Skilled HR Timeliness Bureaucratic barriers for asking the service Empowerment Maintaining at home Social assistance Tools (for case management) Turnover Visits Continuity of care Equality Monitoring Social capital, social network and trust in the system Coordination Evaluation of results Pertinence Social services

Level of analysis baseline assessment in-depth measurement

Level of analysis baseline assessment in-depth measurement

The set of the indicators p Not quality standards but quality indicators (and measures)

The set of the indicators p Not quality standards but quality indicators (and measures) to be used at local, regional and national levels p Only a “road map” to quality, a source of useful elements for measuring and improving quality p Must be adapted to local contexts 9

Home Care Indicators & Balanced Scorecard framework for a full strategic planning and management

Home Care Indicators & Balanced Scorecard framework for a full strategic planning and management system The Financial Perspective The Customer Perspective The Business Process Perspective (processes) The Learning & Growth Perspective (home-care workers) 10

Conclusion: other important issues Irregular work of care Technologies Main quality Structure Management

Conclusion: other important issues Irregular work of care Technologies Main quality Structure Management

Conclusion: results Integrated social and health information systems are recommended to have quality indicators.

Conclusion: results Integrated social and health information systems are recommended to have quality indicators. The person and the assessment of the situation of the person’s multiple needs of care the starting points for the development of the HC system as an integrated organizational system able to face the need of the continuity of care and to pursue a good, individualized efficacy of care. Job satisfaction, empowerment, multi-professional collaboration of the HC workers is crucial Prevention is an issue becoming more and more important. Quality and accessibility are strictly related.

Thanks for your attention dario. zanon@ulss 10. veneto. it http: //www. cdiecoop. it/Quality. Care/index.

Thanks for your attention dario. zanon@ulss 10. veneto. it http: //www. cdiecoop. it/Quality. Care/index. htm