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The Implementation of the Health Promoting Hospital
in Taiwan
Taiwan Health Promoting Hospital R&D CenterDept. of Healthcare Management Yuanpei University1Department of Health2 Fong-Yuan Hospital
Shu-Chin Tung, Hsiao-Ling Huang, Yea-Wen Lin,Szu-Hai Lin, Yu-Ching Chen1, Jin-Tang Chen2, Shoei-Loong Lin1
The 15th International Conference on Health Promoting Hospitals (HPH)
Vienna, Austria
April 13, 2007
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Introduction
Changes of care pattern from merely curative care to combination of curative and preventive careEmphasis the HP policy from the GovernmentEmphasis the quality in healthcare services
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HP Development in Taiwan
Year Theme
2004 Patient Safety Initiative, Community Public Health Team and Community Medical Care Team
1998 Diabetes Shared Care Network
1999 Hospital-based Community Healthy Development Center
2002 Government-initiated Healthy Hospital Development
2003 Hospital-based Healthy Workplace Initiative
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Difficulties encountered to Implement HPH
Lack of evidence-based HP informationThe idea of HPH is unclearShortage of resources to implement
HPH
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Objectives
To establish the Taiwanese HPH modelTo implement HPH concept and tool to Taiwanese Hospitals
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Establishment of Taiwanese HPH model
Development phaseImplementation phaseAssessment phasePromotion phase
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1.Construction of knowledge
2.Construction of assessment
3.Construction of pattern 4.Construction of pilot
hospitals’ relation
1.Construction of knowledge
2.Construction of assessment
3.Construction of pattern 4.Construction of pilot
hospitals’ relation
Development phase Development phase
Pilot hospital plan 1. Preliminary operation 2. HP Project planning 3. HP Project
implementation
Pilot hospital plan 1. Preliminary operation 2. HP Project planning 3. HP Project
implementation
Implementation phase Implementation phase
1. Assessment of effects of HP Projects
2. Assessment of development mode
1. Assessment of effects of HP Projects
2. Assessment of development mode
Assessment phaseAssessment phase
1. HPH marketing 2. HPH seed members
education 3. Establishment of
THPH network
1. HPH marketing 2. HPH seed members
education 3. Establishment of
THPH network
Promotion phase Promotion phase
Processes of Taiwanese HPH model
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Implementation PhasePreliminary operation
Establish task teamOrganise the ConferenceDevelop the HPH model for the Pilot HospitalsJoin WHO-HPH network
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Establish Task Team
Form the task team :Taiwan Health Promoting Hospital Research &Development Center (THPHRDC) affiliated to Yuanpei University (Hsinchu, Taiwan)
Establish HPH Committee in pilot hospitals1. Fong-Yuan Hospital2. Taichung Hospital
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Organise The Conference
• The THPH R&D Center held the HPH Conference in Taichung Hospital in 2005.
• The Theme of the Conference: New thoughts of HP initiated healthcare management
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Develop the HPH model for the Pilot Hospitals
Planning stagePlanning stage
Implementing stageImplementing stage
Evaluation stageEvaluation stage
Model construction stageModel construction stage
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Establish HPH Committee Confirm the Hospital visions Engage in education trainingOrganisational diagnosis Health needs assessment Plan and assess HP projects
Planning stagePlanning stagePlanning stage
Implementing stageImplementing stage
Evaluation stageEvaluation stage
Development of HPH ModelDevelopment of HPH Model
Planning Stage
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Discussion of the HPH in the Pilot Hospital
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Members of the HPH Committee in the Pilot Hospital
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Structure of the HPH Committee
Chief commissionerChief commissioner
HPH committee HPH committee Secretary OfficeSecretary Office
General Manager in ChargeGeneral Manager in Charge
OrganisationHealth Promotion
Section
OrganisationHealth Promotion
Section
StaffHealth Promotion
Section
StaffHealth Promotion
Section
PatientsHealth Promotion
Section
PatientsHealth Promotion
Section
THPHRDCTHPHRDC
CommunityHealth Promotion
Section
CommunityHealth Promotion
Section
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Self-assessment Tool of THPH
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Results of Organisational Diagnosis
Taichung Hospital Fong-Yuan HospitalAssessment standards
Standardized points
RankingStandardized
pointsRanking
Management policy 68.18 5 76.62 3Patient assessment 75.56 2 65.31 5Patient information and intervention
81.57 1 76.71 2
Promoting a healthyWorkplace
71.03 4 77.47 1
Continuity and cooperation
75.35 3 75.50 4
TOTAL 73.12 75.15
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HP Need Assessment
Aims: Assess the HP needs and set the priority of HP projects for the organization,members of staff, patients and communityresidents.
Methods: • In-depth interviews• Focus group interviews • Questionnaire survey
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Example: the priority of HP projects for community residents
Issues Priority Availability of HP knowledge for communityresidents
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Collaboration of HP events with community health institutions
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Development of HP assessment tool appropriate for community
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Promotion of healthy lifestyle and behaviours of community residents
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Analysis of HP related information 5
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Example: Members of the HP project
Positional name Engagement unitConvener Section of Social Service
Secretary of Execution Section of Social Service
Research and Development Team of HPH
Yuanpei University
Health Professionals Section of Nursing
Representatives of Service Target Head of Sanming District, Taichung City
Representatives of Service Target Head of Minglong District, Taichung City
Representatives of Service Target GanLin Service Foundation
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Establish supportive environment Implement HP projectsEvaluate HP projects
Implementing stagePlanning stagePlanning stage
Implementing stageImplementing stage
Evaluation stageEvaluation stage
Development of HPH ModelDevelopment of HPH Model
Implementing stage
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Example: Strategies of HP projects
Core strategy of WHO-HPH
Staff Community Patients
Enabling for HP co-production of health
Introduction of correct concepts of mental health
Collaboration of HP promotion plan with community health care institutions
Knowledge dispersion of interstitial cystitis (IC)Volunteer telephone caring network
Enabling for HP self management in living/Enabling for HP lifestyle development
Promotion of staff’s stress management
Promotion of availability of HP knowledge of community people
Establishment of patients’ dietary diary
Development of a HP hospital setting
Enhancement of mechanism of staff’s communication
Institute the counseling room of IC patients
Enabling for HP participation
Promotion of mental health
Confirmation of means and tool of HP assessment
Implementation of promotion of health education of IC
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The HP project Meeting
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The HP project Meeting
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The HP project for patients
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Evaluation of Effects
Evaluation of Performances
Evaluation of Impacts
Evaluation stagePlanning stagePlanning stage
Implementing stageImplementing stage
Evaluation stageEvaluation stage
Development of HPH Model Development of HPH Model
Evaluation stage (Ongoing)
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Health organisation assessment
Plan design and implementation
Evaluation
Development of HPH ModelPlanning stagePlanning stage
Execution stageExecution stage
Evaluation stageEvaluation stage
Development of HPH ModelDevelopment of HPH Model
Development of HPH model(Ongoing)
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Join the Member of WHO-HPH Network
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The Fong-Yuan Hospital
Fong-Yuan
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About the THPHRDC (Who we are?)
• Objectives– To advocate evidence-based health promotion– To improve quality of healthcare services through
WHO-HPH technique and tool
• Performances– Government grants (2004-2007): 6 – Papers published (up to 2007): 16
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Acknowledgements
Fong-Yuan Hospital Taichung Hospital
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Acknowledgements
Department of Health
Yuanpei University
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Thank you for listeningThank you foryour attention!!
