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

Scientific Society for Clin HP

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

Policy and Advocacy

Hanne Tønnesen

Thor Bern Jensen

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.

ISQUA ALPHA programme for development of standards

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

22

5 Standards

13 Substandards

40 Measurable

elements

18 Indicators

23

Combining standards & indicatorsCombining standards and indicators

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.

Questions to discuss in groups:What are the pros and cons in the present situation? What will you decide? How will you continue from here?