1. NATIONAL QUALITY POLICY IN POLAND Barbara Kutryba, Poland POLISH SOCIETY FOR QUALITY PROMOTION IN HEALTHCARE WORKSHOP 1, ENQual Programme Utrecht, 28 – 29 November, 2003

2. NHS PRINCIPLES POLISH CONSTITUTION (ART.58) FREE ACCESS SOLIDARITY EQUALITY FREE CHOICE OF PROVIDER

3. OVERVIEW OF HEALTHCARE SYSTEM Total health spending(public and private): 4.1% GDP 629 USD per capita Organization structure of NHS: central gov. administration: MoH;NCQA local government health authorities ( municipal, district & provincial)

4. OVERVIEW OF HEALTHCARE SYSTEM NGO’s: SQPH;Supreme Medical Council; Supreme Council of Nurses & Midwives; Scientific Medical Societies; Polish Association of Hospital Managers; Polish Association of Hospitals; Polish Society of Healthcare Managers; Polish Association of Hospital Infections

5. FINANCING OF HEALTHCARE SYSTEM 1989 – 1998 NHS financed by state budget 1999 – March 2003 Universal Health Insurance ( 17 Sick Funds) April 2003 National Health Fund (NHF)

6. INITIATIVES OF THE 90’S Introduction of the Family Physician concept Introduction of the public autonomous healthcare providers Ownership of public healthcare providers transferred to local governments Privatization of pharmacies

7. NHS RESTRUCTURING NOVEMBER 2003 ACT ON PUBLIC ASSISTANCE AND RESTRUCTURING OF AUTONOMOUS HEALTHCARE PROVIDERS

8. STATUTORY INSPECTION BODIES SANITARY INSPECTORATE SUPREME CHAMBER OF CONTROL NATIONAL LABOUR INSPECTORATE

9. QUALITY INITIATIVES IN POLAND LEGISLATION FOR HEALTHCARE QUALITY STRATEGIC POLICY OF MoH (2002- 2003) NATIONAL CENTER FOR QUALITY ASSESSMENT IN HEALTH CARE (NCQA) NGOs INITIATIVES

10. LEGISLATION FOR Q Amended Healthcare Organizations Act 1997; Regulations: on infrastructure & sanitary requirements; healthcare management qualifications requirements; medical records; GMP;minimal staffing; staff qualifications; specialty surveillance; physician’ /nurse’ accountability

11. LEGISLATION FOR Q Act on the Profession of Physician; Act on the Profession of Nurse; Pharmacy Law Act; GLP Act; Infectious Disease’ Act; Medical Chamber Act; Act on Nurses and Midwives Chamber; Pharmacy Chamber Act; GMP Act; NHF Act

12. LEGISLATION FOR Q Act on Physician’ Chamber; Act on Nurse’ Chamber Corporate Regulations: Physician’ Ethics Code; Nurse’ Ethics Code

13. Q INITIATIVES: MoH STRATEGY Continuous improvement of health services according to patients’ needs Making NHS more effective and efficient Identification of best providers Increase motivation of medical professionals

14. Q INITIATIVES: NCQA ACCREDITATION QUALITY ASSURANCE ( TRAINING & EDUCATION FOR QA TEAMS) CLINICAL GIUDELINES INDICATORS PATIENT SATISFACTION SURVEYS QI PROJECTS

15. Q INITIATIVES: SQPH NATIONAL PATIENT SAFETY PROJECT HEALTH TECHNOLOGY ASSESSMENT ACCREDITATION CONSULTANCY CLINICAL GUIDELINES ESQH KRAKOW OFFICE FOR HEALTHCARE QUALITY PROMOTION QI PROJECTS

16. 8th Conference „Quality in Health Care” European Forum:”Information in Healthcare”

17. PATIENT „EMPOWEREMENT” CHARTER OF PATIENT RIGHTS – 1998/2001 PATIENT’ OMBUDSMAN at NHF – 2003 BUREAU OF PATIENT’ RIGHTS at MoH - 2001 INPATIENT Q INITIATIVES: Patient’ Ombudsman; patient opinion surveys; patient education