hph summer school promoting a healthy worksplace professor hanne tønnesen md phd ceo clinical...
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HPH Summer SchoolPromoting a Healthy Worksplace
Professor Hanne Tønnesen MD PhD
CEO Clinical Health Promoting Centre – WHO-CC for Evidence-based Health Promotion in Hospitals
and Health Services
WHO-CC Copenhagen would like to thank
HPH Network of Sweden, all HPH members and Sahlgrenska Akademin
The Teachers
The participants 2013
WHO-CC support countries to:
• Implement WHO principles for HP• Use HP strategies and standards• Create further evidence• Teach and train staff in EB HP• Implement best EB practice for HP
WHO: Terms of references
Best Evidence-Based HP Includes three parts
Patient preference
Staff expertise
Best Evidence
(Sackett, DL, Strauss SE, Richardson WS et al. Evidence-based medicine. Churcill Livingstone 2000)
Teaching & Training
WHO SchoolsPhD CoursesPhysiciansDiploma NursesPre-graduate CoursesNew Master in Clinical Health Promotion
Evaluation Project
International Network for HPH & HS
A Network of N/R Networks Working together to reorienting H&HS towards better health gain by integrating HP in all aspects
Established by WHO in 1995 and aimed at patients, staff and community
(Ottawa Charter 1986, and Vienna Rec. 1997)
HPH
Visions & Values of Health Promotion Ottawa Charter, Budapest Declaration, Vienna Recom
Core strategies to put HP into action
Clinical guidelines
Standards&
Indicators
Monitoring & Reimburse-ment (DRG)
Education
Pyramid of Implementation HPH
Lectures, chairs and facilitatorsThey are highly qualified health professionals and experts
– Randi Beier-Holgersen– Thordis Thomsen– Julie Weber Egholm– Thor Bern Jensen
They all contribute to the Summer School at no cost
We hope that you willTake active part in the Summer SchoolBecome familiar with HPH Recognition Process Ask questions and discuss Make your own network within the School Spend a good time in Turku, FinlandGive us inspiration for subjects, content and form for the upcoming Summer Schools Use your new knowledge at home
Program of today– Welcome, Presentation of participants, relation to HPH work,
expectations– Policy and Advocacy – Workshop and Plenary discussion
Lunch– Making a teaching Curriculum– Workshop and Plenary discussion
TeachersHanne Tønnesen, Randi Beier-HolgersenThor Bern Jensen
Program– Teaching and training of staff members on Health
promoting activities – Workshop and Plenary discussion
– Certificates & Closure
TeachersThordis Thomsen, Julie Weber Egholm & Thor Bern Jensen
Tuesday
Guiding principles for standards developement
• Health promotion, disease prevention and rehabilitation are quality issues.
• Standards and Indicators are needed for the assessment of goal-achievement.
• Policies and principles must result in clinical programs and guidelines.
• Standards must be understandable, relevant and based on evidence.
16
1StandardManagement 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
17
The organization ensures that health
professionals, in partnership with
patients, systematically assess needs
for health promotion activities.
Objective
StandardPatient Assessment2
18
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
StandardP atient Information and Intervention3
19
The management establishes conditions
for the development of the hospital as a
healthy workplace.
Objective
4StandardP romoting a healthy w orkplac e
20
The organization has a planned
approach to collaboration with other
health service levels and other
institutions and sectors on an ongoing
basis.
Objective
StandardContinuity and c ooperation5
First things First
Develop a health promotion policy that include staff, patients and the communityStaff has a double role:1. Deliver HP to the patients and community 2. Role model (even though we do not want
to be)3. Own health
– Growing pressures on health care staff
Organisational HPH approaches
1. Ad hoc health promotion projects2. Delegated to a specific division, department or
staff member3. Integrated health promotion program that
involves the entire institution (limited to actions within the institution)
4. Combination of the institutional approach (# 3) with actions and partnerships with the community
Content of Policy
• Title• Preamble• Aim and Scope• Responsibilities• Definitions• Means• Links with other internal policies
See check-list on page 22 in Guide to Develop a HP Policy
Case:
You are a group of directors of a new hospital for cancer patients. For many years, the regional cancer treatment has been full of flaws. A long waiting list already exists, and several patients have died while being waiting for their treatment.
As the directors, you are responsible for improving the treatment and reducing the waiting list within the next 3 months. The politicians expect fast results.
Some of your staff (nurses and doctors) has recommended a membership of the International HPH Network, which requires the development of a Health Promotion Policy.