presentación de powerpoint - hope agora · f. inancing (1) money. is needed for good healtcare,...
TRANSCRIPT
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“FILOTIMO” HOPE TEAM GREECE 2014
Christina Andersson (Sweeden)
Mette Bille (Denmark)
Vaida Lankauskiene (Lithuania)
Lara Pino Domínguez (Spain)
Amsterdam; 28 May 2014
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HOPE TEAM GREECE. Amsterdam; 28 May 2014
THESSALONIKI
University General Hospital of Thessaloniki, AHEPA
680 beds
ATHENS
SOTIRIA Regional Chest Diseases Hospital of Athens
710 beds
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FINANCING (1)
Money is needed for good healtcare, but not for given care.
HOPE TEAM GREECE. Amsterdam; 28 May 2014
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Just an EXAMPLE of the hospital
budget. (AHEPA Hospital,
Thessaloniki)
From 90 € million 2010… … to 60 € million 2011
… to 42 € million 2012
… to 32,5 € million 2013
… to 28,5 € million 2014
FINANCING (2)
HOPE TEAM GREECE. Amsterdam; 28 May 2014
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FINANCING (3)
Money is needed for good healtcare, but not for given care.
Do the best out of the money you have.
Work ”voluntary” is needed in countries in economical crises.
HOPE TEAM GREECE. Amsterdam; 28 May 2014
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IMPLEMENTATION OF PRIMARY HEALTH CARE (1) The National Health System in Greece (ESY)
MINISTRY OF HEALTH AND SOCIAL SOLIDARITY
ATTICA PIREAUS &
AEGEAN SEA MACEDONIA
MACEDONIA-THRACE
(Central-East) THESSALY
PELOPONESSES, IONIAN, EPIRUS & Western Greece
CRETE
HOSPITAL PRIMARY HEALTH CARE
EMERGENCY
OUT- PATIENTS CLINIC REGIONAL BOARD
ADMINISTRATIVE SECTOR MEDICAL SECTOR NURSING SECTOR
SOCIAL SERVICES DEPARTMENT HEAD OF DOCTORS HEAD OF NURSES
DOCTORS & NURSES
DEPARTMENTS
HOPE TEAM GREECE. Amsterdam; 28 May 2014
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Laws & Regulations could help to improve the Quality.
Implementing a Quality Management System with the aim of being able to receive the ISO:9001 granted by the International Organization for Standardization.
LAWS & REGULATIONS
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SAFE SURGERY
ASSESMENTS OF FRAMEWORK
HOME & COMMUNITY INTEGRATED CARE
ORGANIZATION OF GOOD PRACTICES FOR THE PATIENTS (1)
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SAFE SURGERY: The effective implementation of the WHO Surgical Safety Checklist is the
simplest, cheapest and most effective measure to increase patient safety in the surgical procedure.
ORGANIZATION OF GOOD PRACTICES FOR THE PATIENTS (2)
HOPE TEAM GREECE. Amsterdam; 28 May 2014
Reduction of complications and death with 1/3
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SAFE SURGERY
ASSESMENTS OF FRAMEWORK
HOME & COMMUNITY INTEGRATED CARE
ORGANIZATION OF GOOD PRACTICES FOR THE PATIENTS (3)
HOPE TEAM GREECE. Amsterdam; 28 May 2014
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SAFE SURGERY
ASSESMENTS OF FRAMEWORK
HOME & COMMUNITY INTEGRATED CARE
ORGANIZATION OF GOOD PRACTICES FOR THE PATIENTS (4)
HOPE TEAM GREECE. Amsterdam; 28 May 2014
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HOME VISITS
INSURANCE
SOCIAL CARE
PRIMARY CARE
TERCIARY CARE
E-HEALTH UNIT SOTIRIA HOSPITAL
- COPD Patients - Case Manager - Multidisciplinary Team - Empowered Patient
Patient centred services, suported by ICT solutions.
KeyWords:
QUALITY of CARE
QUALITY of LIFE (QoL)
ORGANIZATION OF GOOD PRACTICES FOR THE PATIENTS (5)
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TECHNOLOGY
… Information continuity
From the perspective of ICT, one of the great developments that aims to increase the quality of care.
Electronic Health Record. (PILOT PHASE)
Electronic Prescribing can reduce the risk for medication errors.
HOPE TEAM GREECE. Amsterdam; 28 May 2014
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INDICATORS FOR QUALITY IN THE PUBLIC HEALTH CARE
PATH
EXAMPLES: Mortality from stroke (30 days after hospitalization); Using blood components; Day surgeries; Prophylactic use of antibiotics, etc.
http://www.pathqualityproject.eu/what_is_path.html
HOPE TEAM GREECE. Amsterdam; 28 May 2014
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MANAGEMENT (1)
Hierarchical organization
Lack of staff (mainly nurses)
Cooperation
HOPE TEAM GREECE. Amsterdam; 28 May 2014
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01234567
1990 1995 2000 2004 2006 2009
NURSES DOCTORS
DEVELOPMENT RATE PER YEAR FOR DOCTORS AND NURSES/1000 INHABITIANTS. GREECE.OCDE,2010.
MANAGEMENT (2)
HOPE TEAM GREECE. Amsterdam; 28 May 2014
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4,57 4,39 4,37 4,29 3,92 3,76
3,19 2,98 2,83
2,39 2,3 2
1,59 1,24
0,88 0,61
00,5
11,5
22,5
33,5
44,5
5
RATIO NURSES/DOCTORS.OCDE,2009
MANAGEMENT (3)
HOPE TEAM GREECE. Amsterdam; 28 May 2014
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MANAGEMENT (4)
Hierarchical organization
Lack of staff (mainly nurses)
Cooperation
HOPE TEAM GREECE. Amsterdam; 28 May 2014
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OPINIONS ABOUT THE BIGGEST QUALITY CHALLENGES
“No clear quality indicators to measure” (Primary Health Care)
“Lack of money to buy materials and external controls” (Hematology Lab)
“Greece have high level of bureaucracy in decision process” (Biochemistry Lab)
“Quality strategy from EU and the Government is needed” (Immunology Lab)
“Standardized procedures are needed to increase the efficiency and the quality” (Pathology Lab)
“Quality Department within each hospital with dedicated people with power to make decisions”
(Nuclear Department)
“Teamwork, especially between nurses and doctors, may increase the quality,” (Cardiac Clinic Department)
“Get the health care in Greece evidence based” (Cardiac Surgery Department)
“Implementation of primary healthcare is needed” (Head Nurse Office)
HOPE TEAM GREECE. Amsterdam; 28 May 2014
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Financing
Implementation of Primary Health Care
Laws & Regulations
Organization of good practices for the patients
Technology
Indicators for quality in the Public Health Care
Management
Opinions about the biggest quality challenges
HOPE TEAM GREECE. Amsterdam; 28 May 2014
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Financing
Implementation of Primary Health Care
Laws & Regulations
Organization of good practices for the patients
Technology
Indicators for quality in the Public Health Care
Management
Opinions about the biggest quality challenges
HOPE TEAM GREECE. Amsterdam; 28 May 2014
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Financing
Implementation of Primary Health Care
Laws & Regulations
Organization of good practices for the patients
Technology
Indicators for quality in the Public Health Care
Management
Opinions about the biggest quality challenges
HOPE TEAM GREECE. Amsterdam; 28 May 2014
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Financing
Implementation of Primary Health Care
Laws & Regulations
Organization of good practices for the patients
Technology
Indicators for quality in the Public Health Care
Management
Opinions about the biggest quality challenges
HOPE TEAM GREECE. Amsterdam; 28 May 2014
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Financing
Implementation of Primary Health Care
Laws & Regulations
Organization of good practices for the patients
Technology
Indicators for quality in the Public Health Care
Management
Opinions about the biggest quality challenges
HOPE TEAM GREECE. Amsterdam; 28 May 2014
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Financing
Implementation of Primary Health Care
Laws & Regulations
Organization of good practices for the patients
Technology
Indicators for quality in the Public Health Care
Management
Opinions about the biggest quality challenges
HOPE TEAM GREECE. Amsterdam; 28 May 2014
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Financing
Implementation of Primary Health Care
Laws & Regulations
Organization of good practices for the patients
Technology
Indicators for quality in the Public Health Care
Management
Opinions about the biggest quality challenges
HOPE TEAM GREECE. Amsterdam; 28 May 2014
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Financing
Implementation of Primary Health Care
Laws & Regulations
Organization of good practices for the patients
Technology
Indicators for quality in the Public Health Care
Management
Opinions about the biggest quality challenges
HOPE TEAM GREECE. Amsterdam; 28 May 2014
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F
I L O T I M O
Ευχαριστώ! (Thank you)
HOPE TEAM GREECE. Amsterdam; 28 May 2014
Christina Andersson (Sweeden)
Mette Bille (Denmark)
Vaida Lankauskiene (Lithuania)
Lara Pino Domínguez (Spain)