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Maintaining quality in specialist practice
Conference on the accreditation of CME-CPDin Europe - Contributing to higher standards in
medical care
18 November 2011
Dr. Andrzej RysDirector – Health Systems and Products
European Commission
Effective and efficient health systems, with the capacity to provide safe safe and high quality and high quality healthcarehealthcare depend on having well-trained, efficient health health workforceworkforce with the right skills and in sufficient numbers throughout the European Union.
Citizens’ opinion: « Well trained medical staff and treatment that works are the most important elements of high quality healthcare »*
* Special Eurobarometer 327
Council Recommendation*
Patient safetyPatient safety
*Council Recommendation of 9 June 2009 on patient safety, including the prevention and control of healthcare associated infections
MS are recommended to promote education and training of healthcare workers on patient safety.
Recommended measures include:
encouraging multidisciplinary patient safety education and training
embedding patient safety in undergraduate and postgraduate embedding patient safety in undergraduate and postgraduate education, on-the-job training and the continuing professional education, on-the-job training and the continuing professional developmentdevelopment of health professionals
providing and disseminating information to all healthcare workers on patient safety standards, risk and safety measures in place to reduce or prevent errors and harm
EU financial supportEU financial support
Network of National PS PlatformsGood Medication Safety Practices in EuropeGuidelines on Patient Safety Guidelines on Patient Safety Education and TrainingEducation and Training Compendium of good practices in patient safety
http://www.eunetpas.eu/
Patient safetyPatient safety
EU financial support - examplesEU financial support - examples
The SIMPATIE project ("Safety Improvement for Patients in Europe") - developing EU-wide commonality and transparency in methodology on patient safety in healthcare institutions.HELICS project (Hospital in Europe Link for Infection Control through Surveillance) - creating a surveillance system and reference data sets for surveillance of Surgical Site Infections (SSIs) and infections in ICUs.MARQuIS project ("Methods of Assessing Response to Quality Improvement Strategies") assessing the value of different quality strategies and to provide information for countries contracting care for patients moving across borders and for individual hospitals reviewing the design of their quality strategies.
Patient safetyPatient safety
From patient safety to wider quality of healthcare
Main discussion points:What has been already done at EU level in the field?
Which dimensions of quality should and could be addressed at EU level?
How to ensure patient empowerment and professional involvement?
Quality of healthcareQuality of healthcare
Control over her/his own
care
PATIENT EMPOWERMENT
Sharing responsibility
for health outcome
Self-managed care
Information to patients
Choice of treatment
Education of patients
Choice of provider
Effective healthcare
system
Patient centred care
Patient satisfaction
Quality of healthcare:Quality of healthcare:patients’ perspectivepatients’ perspective
PROFESSIONAL EMPOWERMENT ?
Sharing responsibility
for health outcome
Self-managed care
Information to patients
Choice of treatment
Education of patients
Effective healthcare
system
Patient centred care
Motivation and
satisfaction
Quality of healthcare:Quality of healthcare:professionals’ perspective?professionals’ perspective?
Education and training of
health professionals
Joint action on patient safety and Joint action on patient safety and quality of healthcare quality of healthcare
Objectives:To contribute to the implementation of the Council Recommendation on patient safety
To establish collaboration among Member States on aspects of quality of healthcare
To promote collaboration among Member States on patient involvement/empowerment, including sharing information on patients’ rights and the role of the patient in safety and quality improvement
Timeline: 2012-2015
EU Action on health workforceEU Action on health workforce
Green Paper on the European Workforce for Health 2008
Public consultation 2009
Policy dialogues 2009-10
BE Ministerial Conference 2010
Council Conclusions Dec 2010
Health workforceHealth workforce
Health workforce issuesHealth workforce issues
Health workforceHealth workforce
ageing population resulting in an ageing population resulting in an increased demand for healthcareincreased demand for healthcare
ageing profile of most groups of health ageing profile of most groups of health professionalsprofessionals
unattractive conditions of employmentunattractive conditions of employment
general labour market mobility, causing general labour market mobility, causing outflows from healthcare professionsoutflows from healthcare professions
most pressing issue: most pressing issue: shortage of health shortage of health workforce workforce now and in the futurenow and in the future
EU Action on health workforce:EU Action on health workforce:ResponseResponse
Europe 2020 – EU Strategy for smart, sustainable and inclusive growth
Commission Communication: New Skills and Jobs (Nov 2010)
The Commission, in cooperation with Member States, will develop by 2012 an Action Plan to address the gap in the supply of health workers.
The action plan will be accompanied by a Joint Action under the Health Programme on forecasting health workforce needs and workforce planning.
Health workforceHealth workforce
Main objective: to address shortage of health workforce in the EU by providing a common platform for MS to work on:
Data for health workforce planning,,Exchange of good practice with planning methodologies,,Horizon scanning (forecasting future health workforce needs)Sustainability of the results of the Joint Action and framework of impacting on policy
Preparation of the Preparation of the Joint ActionJoint Action on health on health workforce planning (2012-2015)workforce planning (2012-2015)
Health workforceHealth workforce
Joint Action: partners involved in the preparatory process
Leader: Belgium
19 EU MS: CY, CZ, DE, EE, ES, FI, FR, HU, IE, IT, LT, LV, MT, NL, PL, RO, SE, SK, UK
Non EU countries: HR, IS, NO
Stakeholders, social partners and international organizations: CED, CPME, EFN, EHMA, HOPE, HOSPEEM & EPSU, IOM, OECD, PGEU, WHO
Health workforceHealth workforce
EU Action PlanEU Action Plan
To be adopted in 2012
Possible areas to be covered:Improving workforce planning (Joint Action)
Future skills and competences: advanced roles of health professionals, skill-mix
Improving retention and recruitment of health personnel
Implementing the WHO code on international recruitment of health personnel in the EU context
Health workforceHealth workforce
Health workforce in other EU initiatives: Directive on the recognition of
professional qualifications
Ongoing modernisation:Evaluation of the directive 2010-2011 (evaluation report July 2011)
Public consultation on the Green Paper from June to September 2011
Public Conference on the Modernisation of the directive on 7 November
Among issues discussed: minimum training requirements and CPD/CME
Legislative proposal expected end 2011
Health workforceHealth workforce
THANK YOU !