1. TF MFCCH WHO Europe Task Force on the Migrant-friendly and Culturally Competent Healthcare in the framework of the WHO Network HPH Advisory Board meeting Developing the new action plan Antonio Chiarenza Coordinating Centre of the Health Promoting Hospitals Network of Emilia-Romagna, Italy Joint meeting TF MFCCH and COST Action HOME 7 November 2008, Barcelona Hosted by Asociacion Salut y Familia – Hospital del Mar

2. TF MFCCH WHO Europe WHO-HPH TASK FORCE ON MIGRANT FRIENDLY AND CULTURALLY COMPETENT HEALTHCARE HEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE 2 Migrant-Friendly Hospitals (2002-2005) www.mfh-eu.net PROJECT OUTCOMES OUTCOMES For health policy WHO-HPH TASK FORCE MIGRANT FRIENDLY AND CULTURALLY COMPETENTE HEALTH CARE 12 national models for MFH: how to do it interventions 1.Organizational development 2.Interpreting services 3.Staff training on cultural competence 4.Patient information and education OUTCOMES For hospitals OUTCOMES For networking AT DE DK EL ES FI FR IT NL PT SV UK IR

3. TF MFCCH WHO Europe COORDINATING CENTRE OF THE HEALTH PROMOTING HOSPITALS REGIONAL NETWORK OF EMILIA-ROMAGNA - ITALY - LOCAL HEALTH AUTHORITY (AUSL) OF REGGIO EMILIA 3 Distribution of HPH in Europe

4. TF MFCCH WHO Europe COORDINATING CENTRE OF THE HEALTH PROMOTING HOSPITALS REGIONAL NETWORK OF EMILIA-ROMAGNA - ITALY - LOCAL HEALTH AUTHORITY (AUSL) OF REGGIO EMILIA 4 New HPH organisation (May 2008)

5. TF MFCCH WHO Europe WHO-HPH TASK FORCE ON MIGRANT FRIENDLY AND CULTURALLY COMPETENT HEALTHCARE HEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE 5 MISSION AND OBLIGATION OF A TASK FORCE TFs are recommended by the Governance Board and approved by the General Assembly. A TF Agreement runs for a period of up to 4 years. (TF MFCCH Agreement started July 2008) TF leadership: represents an HPH member, reports to the Governance Board. A TF shall represent at least 3 HPH members A TF shall: describe relation to the HPH mission, purpose and objectives put Action Plan, TF members, time schedule, deliverables online deliver a progress report meet during the international HPH conference Primarily be self-financed. The GB can be asked for financial support when presented with specified needs.

6. TF MFCCH WHO Europe WHO-HPH TASK FORCE ON MIGRANT FRIENDLY AND CULTURALLY COMPETENT HEALTHCARE HEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE 6 The aims of Task Force on MFCCH To create a framework for continuity after the conclusion of the MFH project The HPH Task Force is co-ordinated by HPH Regional Network Emilia Romagna, AUSL Reggio Emilia To foster co-operation and alliances between healthcare organisations and other networks To share and disseminate best policies and practice and initiate the development of quality tools To support health care organisations in the HPH in becoming MF & CC organisations as indicated in the Amsterdam Declaration

7. TF MFCCH WHO Europe WHO-HPH TASK FORCE ON MIGRANT FRIENDLY AND CULTURALLY COMPETENT HEALTHCARE HEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE 7 1. SERVICE POLICY AND QUALITY DEVELOPMENT 2. STAFF TRAINING AND DEVELOPMENT 3. INTERCULTURAL COMMUNICATION 4. PATIENT AND COMMUNITY EMPOWERMENT 5. RESEARCH AND EVALUATION 6. TRANS-CULTURAL PSYCHIATRY MAIN THEMES To achieve these objectives it was decided to organise activities around selected areas of concern:

8. TF MFCCH WHO Europe WHO-HPH TASK FORCE ON MIGRANT FRIENDLY AND CULTURALLY COMPETENT HEALTHCARE HEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE 8 ORGANISATION OF THE TASK FORCE 1.Coordinating team (decision making level): to lead and coordinate actions; to decide and organise activities (workshops, conferences...). 2.Advisory board (scientific level): to discuss ideas and developmental activities to inform the coordinator decisions. 3.Working groups (operative level): to collect and develop knowledge and practice in the areas of concern. 4.Hub of networks (partnership level): to facilitate connections between other networks and projects 5.MFCCH web-site (communication level): to share ideas and knowledge, to promote and disseminate best practice.

9. TF MFCCH WHO Europe WHO-HPH TASK FORCE ON MIGRANT FRIENDLY AND CULTURALLY COMPETENT HEALTHCARE HEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE 9 WORK PLAN WG1WG2WG3WG4WG5WG6 Step 1 To collect and share models of good policy and practice OUTPUT 1 WEBSITE Step 2 To categorise material and argue for a rationale Step 3 To make proposal for quality tools development OUTPUT 2 WORKING PAPERS OUTPUT 3 MFCC – STANDARDS INDICATORS GUIDELINES ADVISORY BOARD

10. TF MFCCH WHO Europe Activities 1.DISSEMINATION –Two thematic workshops per year. Relevant to the main themes. Integrating practice and research. (Joint meetings TFMFCCH/COST) –Relevant documents and material are available on the website: http://www.ausl.re.it/HPH/FrontEnd/Home/Default.aspx?channel_id=38 2.NETWORKING AND COOPERATION –Benchmarking, and exchange visits between HPH networks and European regions which have developed (want to develop) an whole organisational approach 3.TRAINING –Summer schools in the occasion of the HPH conferences –Development of training modules transfereable in national and regional contexts 4.RESEARCH –HOME Health and Social Care for Migrants and Ethnic Minorities a COST/Action project (2007-2010). www.costhome.eu/management –NOWHERELAND: To improve equity of access to healthcare for UDM in Europe, DG SANCO (2008-2011)

11. TF MFCCH WHO Europe Proposal for future activities 1.DISSEMINATION Joint meeting TF and COST, 5-6 March 2009, Athens on Outcomes measurements Website improvement: forum of discussion TF contritubution to Parallel and Poster sessions at the HPH international conference Hospitals and Health Services without walls Crete 6-8 May 2009 2.TRAINING Proposal of a Summer school with J. Betancourt as a preconference event HPH Conference, Crete 6th May 2009 Provisional title: Cultural competence in action 3.RESEARCH NowHereLand project: Collecting existing practice of health services in the EU and identifying transferable models of good practice. Contribution of TF members COST initiative for the coordination of Eu projects/activities 4.COOPERATION AND NETWORKING Emilia-Romagna proposal for a visiting and exchange initiative

12. TF MFCCH WHO Europe TF MFCCH WEBSITE: PROPOSALS FOR IMPROVEMENT Links Action plan; TF Members; deliverables list and evaluation Documents (articles, reports, bibliographies,) Good practices and research in the form of meeting presentations Meetings information Activities Contact person: ilaria.dallasta@ausl.re.it WHO-HPH TASK FORCE ON MIGRANT FRIENDLY AND CULTURALLY COMPETENT HEALTHCARE HEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE 12

13. TF MFCCH WHO Europe WHO-HPH TASK FORCE ON MIGRANT FRIENDLY AND CULTURALLY COMPETENT HEALTHCARE HEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE 13