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HOPE 2014 Agora Amsterdam
Quality Magic Potion
Quality first!
Challenges in the changing hospital and healthcare environment
French health System
Freedom to choose physician
Equal access and treatment
Funds based on revenues
Freedom to prescribe
Physicians can choose
their workplace
Liberté Egalité Fraternité
French Health Care System
CMU
CHU
ARS
PU-PHDMP
DGS
DSS
DGCS
HAS
RGPP
DDCS
DGOS
EMP
EMP
EMP
DDCSPP
CSP
PACES
ROSP DPC
MSP
HAD
Uncam
ONDPS
ASHQ
ESPIC
SPH
FHP
CHU
EPS
CHR
Inserm
CNRS
SSRCHG
HL
EHPAD
GIE
CMP
CLCC
SSIAD
PMSI T2A
MCO
CME
CTE
CSIRMT
CHSCT
CHT
CLIN
CRG
AMM
ANSM
EMA
RCP
ATU
IMPES
HCSP
CNS
CNSP
EHESP
ETAT
SOCIAL
SECURITY
HOSPITALS
ILLNESS
ASSURANCE
USERS
FREEDOM CHOICEPHYSICIANS
OF « VILLE »
GOVERNMENT
French Health Care System
ORGANIZATION& FUNDING
QUALITY
PRIVATE SECTOR
Quality goal!STRONG INGREDIENTS OF THE FRENCH QUALITY POTION
CERTIFICATION
RISK MANAGEMENT
PATIENT TRACKING
PROCESS
PATIENTS’ INFORMATION
v2014
CER
TIFI
CA
TIO
N PrescriptionContinuos treatmentDispensationAdministration
PLANING
Prescription toolsPrescription guidelinesPrescription analysisWell practices Patients informationAdm. procedures
WORKING PLAN
Circuit audit medicamentRelevancy of prescriptionAdministration qualityActions to improve
MEASURES & EVALUATION
PEP
Quality goal!RISK MANAGEMENTRISK MANAGEMENT
• Guide HAS - Announced damage associated with care (what tell patient and how to do it?)
• REMED – Medication errors Review 2008 – Method for the prevention of the iatrogenic pharmacological risk
• MMR is a collective analysis of deaths, complications, events which could lead to an accident without finding guilt in order to prevent recurrence.
Adverse Event: death, complications not related to the disease ....
• Comité de retour d’expériences (CREX) group fixed professionals who meet monthly to retrospectively analyze adverse events related to detected and reported care to manage
RISK MANAGEMENT
Reception
Hospitalization
Discharge
Ass
ess
me
nt
PATIENT TRACKING
PROCESS
Patient
RecordsNosocomial
Infection
Risk
Management
Information
System
Every hospital encourages their
patients to participate
You can find it in all hospitals
PATIENTS’ INFORMATION
An annual education and awareness national campaign which becomes an opportunity to take part in safety issues to the communication and information about the results which is given to users and health professionals.
INFORMATION IS ALWAYS AT THE HOSPITAL AND ON INTERNET.
PATIENT SAFETY AWARENESS WEEK
PATIENTS’ INFORMATION
The website gives us information about quality and safety of all hospitals and clinics in France.
Allows you to locate a facilityin relation to others and makea well informed choice of ahospital or clinic
PATIENTS’ INFORMATION
PRESS
Quality goal!QUALITY MAGIC POTION
Patient involvement
No waiting
lists
Professional management
Freedom
of Choice
dSECRET INGREDIENTS
Challenges for the French Health Care System
dFUTURE INGREDIENTS
ElectronicHealth Records
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