1. Co-ordinated by: World Health Organization European Office for Integrated Health Care Services, Barcelona Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Health Promoting Hospitals Health Promoting Hospitals: 18 HPH Core Strategies and their implementation Jürgen M. Pelikan (juergen.pelikan@univie.ac.at) Karl Krajic, Christina Dietscher, Peter Nowak Ludwig Boltzmann-Institute for the Sociology of Health & Medicine, WHO-CC for Health Promotion in Hospitals &Health Care, University of Vienna Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26-28, 2004

2. Co-ordinated by: World Health Organization European Office for Integrated Health Care Services, Barcelona Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Health Promoting Hospitals Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26-28, 2004 2 Overview Framework of WG Comprehensive Concept of HPH 18 Core Strategies Implementation by (Quality) Management Relationship Strategies and Standards Further information

3. Co-ordinated by: World Health Organization European Office for Integrated Health Care Services, Barcelona Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Health Promoting Hospitals Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26-28, 2004 3 Framework for and Product of the Working Group Basic documents: Ottawa HP Budapest HPH Ljubljana HC Vienna HPH Jakarta HP WHO network experiences: Pilot and model projects National / regional networks Models of good practice Guidelines and recommendations Developments in Health promotion: Empowerment Health literacy Healthy Alliances Evidence based HP Quality assurance of HP Developments in Health care: Cost containment by quality development: Quality management systems Evidence based health care Q-Instruments (standards, guidelines, tools) HPH 18 HPH core strategies + 7 HPQM Strategies for sustainable implemen- tation

4. Co-ordinated by: World Health Organization European Office for Integrated Health Care Services, Barcelona Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Health Promoting Hospitals Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26-28, 2004 4 The Comprehensive Concept of HPH.... reorients (quality) management of the hospital at the systematic achievement -and by creating/ developing supportive hospital (& community ) settings. -and for HP co-production of health & for HP illness management -for HP self-management (i.e. maintenance & development) of their health & for HP lifestyle development -By developing services empowering persons -By strategies of HP quality management & HP strategic (re-) positioning of the hospital. for patients, staff & citizens of the community. of the optimal somatic, psychological & social health gain that can be influenced / reached by the hospital (measured as clinical outcome & quality of life, personal satisfaction & health literacy & impact of hospital on health)

5. Co-ordinated by: World Health Organization European Office for Integrated Health Care Services, Barcelona Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Health Promoting Hospitals Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26-28, 2004 5 HP initiatives in hospitals follow general Health Promotion Principles, defined by a WHO-WG on evaluation of HP initiatives HP initiatives have to be … – Empowering: Enabling individuals and communities to assume more power over the personal, socioeconomic and environmental factors that affect their health – Participatory: Involving all concerned at all stages of the process – Holistic: Fostering physical, mental, social and spiritual health – Intersectoral: Involving the collaboration of agencies from relevant sectors – Equitable: Guided by a concern for equity and social justice – Sustainable: Bringing about changes that individuals and communities can maintain once initial funding has ended) – Multistrategy: Using a variety of approaches – including policy development, organizational change, community development, legislation, advocacy, education and communication – in combination (Rootman et.al., 2001)

6. Co-ordinated by: World Health Organization European Office for Integrated Health Care Services, Barcelona Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Health Promoting Hospitals Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26-28, 2004 6 18 HPH Core Strategies HP for... The health of which stakeholders should benefit from the HPH Core Strategies ?

7. Co-ordinated by: World Health Organization European Office for Integrated Health Care Services, Barcelona Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Health Promoting Hospitals Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26-28, 2004 7 18 HPH Core Strategies Patients HP for... The health of which stakeholders should benefit from the HPH Core Strategies ? 1.The health of hospital patients

8. Co-ordinated by: World Health Organization European Office for Integrated Health Care Services, Barcelona Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Health Promoting Hospitals Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26-28, 2004 8 18 HPH Core Strategies PatientsStaff HP for... The health of which stakeholders should benefit from the HPH Core Strategies ? 1.The health of hospital patients 2.The health of hospital staff

9. Co-ordinated by: World Health Organization European Office for Integrated Health Care Services, Barcelona Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Health Promoting Hospitals Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26-28, 2004 9 18 HPH Core Strategies PatientsStaffCommunity HP for... The health of which stakeholders should benefit from the HPH Core Strategies ? 1.The health of hospital patients 2.The health of hospital staff 3.The health of all other people in the community, possibly in contact with the hospital

10. Co-ordinated by: World Health Organization European Office for Integrated Health Care Services, Barcelona Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Health Promoting Hospitals Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26-28, 2004 10 HP by... 18 HPH Core Strategies PatientsStaffCommunity HP for... From what types of strategies should the health of the stakeholders benefit?

11. Co-ordinated by: World Health Organization European Office for Integrated Health Care Services, Barcelona Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Health Promoting Hospitals Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26-28, 2004 11 HP by... 18 HPH Core Strategies PatientsStaffCommunity HP for... From what types of strategies should the health of the stakeholders benefit? (A)From HP quality development strategies, improving the HP characteristics of existing hotel & clinical core services of the hospital. HP quality development

12. Co-ordinated by: World Health Organization European Office for Integrated Health Care Services, Barcelona Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Health Promoting Hospitals Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26-28, 2004 12 HP by... 18 HPH Core Strategies PatientsStaffCommunity HP for... HP quality development HP strategic (re-)positioning From what types of strategies should the health of the stakeholders benefit? (A)From HP quality development strategies, improving the HP characteristics of existing hotel & clinical core services of the hospital. (B)From HP strategic (re-)positioning of the hospital by investing more into specific HP services & projects for patients, staff & community:

13. Co-ordinated by: World Health Organization European Office for Integrated Health Care Services, Barcelona Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Health Promoting Hospitals Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26-28, 2004 13 HP by... 1. Enabling for HP self manage- ment in living 18 HPH Core Strategies PatientsStaffCommunity HP for... HP quality development HP strategic (re-)positioning From what types of strategies should the health of the stakeholders benefit? (A)From HP quality development strategies, improving the HP characteristics of existing hotel & clinical core services of the hospital. Oriented at communication & interaction processes: 1.Enabling for HP self management

14. Co-ordinated by: World Health Organization European Office for Integrated Health Care Services, Barcelona Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Health Promoting Hospitals Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26-28, 2004 14 HP by... 1. Enabling for HP self manage- ment in living 2. Enabling for HP co-production of health 18 HPH Core Strategies PatientsStaffCommunity HP for... HP quality development HP strategic (re-)positioning From what types of strategies should the health of the stakeholders benefit? (A)From HP quality development strategies, improving the HP characteristics of existing hotel & clinical core services of the hospital. Oriented at communication & interaction processes: 1.Enabling for HP self management 2.Enabling for HP co-production in health care

15. Co-ordinated by: World Health Organization European Office for Integrated Health Care Services, Barcelona Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Health Promoting Hospitals Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26-28, 2004 15 2. Enabling for HP co-production of health HP by... 1. Enabling for HP self manage- ment in living 18 HPH Core Strategies 3. Development of a HP hospital setting PatientsStaffCommunity HP for... From what types of strategies should the health of the stakeholders benefit? (A)From HP quality development strategies, improving the HP characteristics of existing hotel & clinical core services of the hospital. Oriented at communication & interaction processes: 1.Enabling for HP self management 2.Enabling for HP co-production in health care Oriented at the material, social & cultural structures of the hospital: 3.Development of a HP hospital setting HP quality development HP strategic (re-)positioning

16. Co-ordinated by: World Health Organization European Office for Integrated Health Care Services, Barcelona Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Health Promoting Hospitals Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26-28, 2004 16 HP by... 2. Enabling for HP co-production of health 1. Enabling for HP self manage- ment in living 18 HPH Core Strategies 3. Development of a HP hospital setting PatientsStaffCommunity HP for... 4. Enabling for HP illness management HP quality development HP strategic (re-)positioning From what types of strategies should the health of the stakeholders benefit? (B)From HP strategic (re-)positioning of the hospital by investing more into specific HP services & projects for patients, staff & community: By offering educative HP services: 4.Enabling for HP illness management

17. Co-ordinated by: World Health Organization European Office for Integrated Health Care Services, Barcelona Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Health Promoting Hospitals Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26-28, 2004 17 2. Enabling for HP co-production of health HP by... 1. Enabling for HP self manage- ment in living 18 HPH Core Strategies 3. Development of a HP hospital setting 5. Enabling for HP lifestyle development PatientsStaffCommunity HP for... 4. Enabling for HP illness management HP quality development HP strategic (re-)positioning From what types of strategies should the health of the stakeholders benefit? (B)From HP strategic (re-)positioning of the hospital by investing more into specific HP services & projects for patients, staff & community: By offering educative HP services: 4.Enabling for HP illness management 5.Enabling for HP life style development

18. Co-ordinated by: World Health Organization European Office for Integrated Health Care Services, Barcelona Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Health Promoting Hospitals Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26-28, 2004 18 HP by... 1. Enabling for HP self manage- ment in living 2. Enabling for HP co-production of health 18 HPH Core Strategies 3. Development of a HP hospital setting 5. Enabling for HP lifestyle development 6. Development of a HP community setting PatientsStaffCommunity HP for... From what types of strategies should the health of the stakeholders benefit? (B)From HP strategic (re-)positioning of the hospital by investing more into specific HP services & projects for patients, staff & community: By offering educative HP services: 4.Enabling for HP illness management 5.Enabling for HP life style development By participating in HP community development projects for improvement of the material, social & cultural structures of the community: 6.Development of a HP community setting 4. Enabling for HP illness management HP quality development HP strategic (re-)positioning

19. Co-ordinated by: World Health Organization European Office for Integrated Health Care Services, Barcelona Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Health Promoting Hospitals Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26-28, 2004 19 18 HPH Core Strategies 2. Enabling for HP co-production of health 3. Development of a HP hospital setting 4. Enabling for HP illness management 5. Enabling for HP lifestyle development PatientsStaffCommunity 1. Enabling for HP self manage- ment in living HP for... HP by... HP quality development HP strategic (re-)positioning PAT-1: HP living in the hospital for patients PAT-2: HP Co-production of patients in treatment PAT-3: HP hospital setting for patients PAT-4: HP illness manage- ment for patients PAT-5: HP lifestyle develop- ment for patients PAT-6: HP community setting for patients COM-2: HP Co- production with services in region COM-3: HP hospital setting for citizens COM-4 HP illness manage- ment for citizens COM-5: HP lifestyle develop- ment for citizens COM-6: HP community setting for citizens STA-2: HP Co- production of staff in work processes STA-3: HP hospital setting for staff STA-4 HP illness management for staff STA-5: HP lifestyle develop- ment for staff STA-6: HP community setting for staff STA-1: HP work life in the hospital for staff COM-1: HP access to the hospital for citizens 6. Development of a HP community setting

20. Co-ordinated by: World Health Organization European Office for Integrated Health Care Services, Barcelona Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Health Promoting Hospitals Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26-28, 2004 20 18 HPH Core Strategies 2. Enabling for HP co-production of health 3. Development of a HP hospital setting 5. Enabling for HP lifestyle development PatientsStaffCommunity 1. Enabling for HP self manage- ment in living HP for... HP by... PAT-1: HP living in the hospital for patients PAT-2: HP Co-production of patients in treatment PAT-3: HP hospital setting for patients PAT-4: HP disease manage- ment for patients PAT-5: HP lifestyle develop- ment for patients PAT-6: HP community setting for patients COM-2: HP Co- production with services in region COM-3: HP hospital setting for citizens COM-4 HP disease manage- ment for citizens COM-5: HP lifestyle develop- ment for citizens COM-6: HP community setting for citizens STA-2: HP Co- production of staff in work processes STA-3: HP hospital setting for staff STA-4 HP disease management for staff STA-5: HP lifestyle develop- ment for staff STA-6: HP community setting for staff STA-1: HP work life in the hospital for staff COM-1: HP access to the hospital for citizens 6. Development of a HP community setting PAT-1: HP living in the hospital for patients 4. Enabling for HP illness management HP quality development HP strategic (re-)positioning 1. Objectives of strategy 2. Indications for strategy 3. Main topics / routines: selected examples, guidelines and evidence

21. Co-ordinated by: World Health Organization European Office for Integrated Health Care Services, Barcelona Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Health Promoting Hospitals Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26-28, 2004 21 Which subsystems of a hospital have to be HP-quality assured & improved by HP-Quality Management (HPQM)? Hotel services Nutrition Cleaning Etc. Other Support services Transport Maintenance Waste management Etc. Management Human resource management Finance management Purchasing management Safety & occupational health management Quality Management Health Promotion Management Etc. Clinical services* Admission > Discharge Diagnosis Therapy Rehabilitation Patient education Prevention Etc. *) Medical, nursing, therapeutic, educative

22. Co-ordinated by: World Health Organization European Office for Integrated Health Care Services, Barcelona Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Health Promoting Hospitals Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26-28, 2004 22 How can (Quality) Management assure & improve comprehensive HP of a Hospital? > 7 HPQM Strategies

23. Co-ordinated by: World Health Organization European Office for Integrated Health Care Services, Barcelona Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Health Promoting Hospitals Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26-28, 2004 23 How can (Quality) Management assure & improve comprehensive HP of a Hospital? > 7 HPQM Strategies Quality functions/ activities for quality of … Structures of services (& settings) Processes of services (& settings) Outcomes/ impacts of services (& settings)

24. Co-ordinated by: World Health Organization European Office for Integrated Health Care Services, Barcelona Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Health Promoting Hospitals Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26-28, 2004 24 How can (Quality) Management assure & improve comprehensive HP of a Hospital? > 7 HPQM Strategies Quality functions/ activities for quality of … Structures of services (& settings) Processes of services (& settings) Outcomes/ impacts of services (& settings) Explination

25. Co-ordinated by: World Health Organization European Office for Integrated Health Care Services, Barcelona Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Health Promoting Hospitals Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26-28, 2004 25 How can (Quality) Management assure & improve comprehensive HP of a Hospital? > 7 HPQM Strategies Quality functions/ activities for quality of … Structures of services (& settings) Processes of services (& settings) Outcomes/ impacts of services (& settings) Explination

26. Co-ordinated by: World Health Organization European Office for Integrated Health Care Services, Barcelona Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Health Promoting Hospitals Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26-28, 2004 26 How can (Quality) Management assure & improve comprehensive HP of a Hospital? > 7 HPQM Strategies Quality functions/ activities for quality of … Structures of services (& settings) Processes of services (& settings) Outcomes/ impacts of services (& settings) Explination

27. Co-ordinated by: World Health Organization European Office for Integrated Health Care Services, Barcelona Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Health Promoting Hospitals Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26-28, 2004 27 How can (Quality) Management assure & improve comprehensive HP of a Hospital? > 7 HPQM Strategies Quality functions/ activities for quality of … Structures of services (& settings) Processes of services (& settings) Outcomes/ impacts of services (& settings) 1. DefinitionS1: Define HP criteria/standards for structures

28. Co-ordinated by: World Health Organization European Office for Integrated Health Care Services, Barcelona Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Health Promoting Hospitals Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26-28, 2004 28 How can (Quality) Management assure & improve comprehensive HP of a Hospital? > 7 HPQM Strategies Quality functions/ activities for quality of … Structures of services (& settings) Processes of services (& settings) Outcomes/ impacts of services (& settings) 1. DefinitionS1: Define HP criteria/standards for structures P1: Define HP guidelines/ indicators for processes

29. Co-ordinated by: World Health Organization European Office for Integrated Health Care Services, Barcelona Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Health Promoting Hospitals Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26-28, 2004 29 How can (Quality) Management assure & improve comprehensive HP of a Hospital? > 7 HPQM Strategies Quality functions/ activities for quality of … Structures of services (& settings) Processes of services (& settings) Outcomes/ impacts of services (& settings) 1. DefinitionS1: Define HP criteria/standards for structures P1: Define HP guidelines/ indicators for processes O1: Define HP targets for Outcomes/impacts

30. Co-ordinated by: World Health Organization European Office for Integrated Health Care Services, Barcelona Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Health Promoting Hospitals Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26-28, 2004 30 How can (Quality) Management assure & improve comprehensive HP of a Hospital? > 7 HPQM Strategies Quality functions/ activities for quality of … Structures of services (& settings) Processes of services (& settings) Outcomes/ impacts of services (& settings) 1. Definition 2. Evaluation/ Monitoring S1: Define HP criteria/standards for structures P1: Define HP guidelines/ indicators for processes O1: Define HP targets for Outcomes/impacts S2: Evaluate for HP of structures

31. Co-ordinated by: World Health Organization European Office for Integrated Health Care Services, Barcelona Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Health Promoting Hospitals Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26-28, 2004 31 How can (Quality) Management assure & improve comprehensive HP of a Hospital? > 7 HPQM Strategies Quality functions/ activities for quality of … Structures of services (& settings) Processes of services (& settings) Outcomes/ impacts of services (& settings) 1. Definition 2. Evaluation/ Monitoring S1: Define HP criteria/standards for structures P1: Define HP guidelines/ indicators for processes O1: Define HP targets for Outcomes/impacts S2: Evaluate for HP of structures P2: Evaluate for HP of processes

32. Co-ordinated by: World Health Organization European Office for Integrated Health Care Services, Barcelona Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Health Promoting Hospitals Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26-28, 2004 32 How can (Quality) Management assure & improve comprehensive HP of a Hospital? > 7 HPQM Strategies Quality functions/ activities for quality of … Structures of services (& settings) Processes of services (& settings) Outcomes/ impacts of services (& settings) 1. Definition 2. Evaluation/ Monitoring S1: Define HP criteria/standards for structures P1: Define HP guidelines/ indicators for processes O1: Define HP targets for Outcomes/impacts S2: Evaluate for HP of structures P2: Evaluate for HP of processes O2: Evaluate for HP of outcomes & impacts

33. Co-ordinated by: World Health Organization European Office for Integrated Health Care Services, Barcelona Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Health Promoting Hospitals Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26-28, 2004 33 How can (Quality) Management assure & improve comprehensive HP of a Hospital? > 7 HPQM Strategies Quality functions/ activities for quality of … Structures of services (& settings) Processes of services (& settings) Outcomes/ impacts of services (& settings) 1. Definition 2. Evaluation/ Monitoring 3. Development/ Improvement S1: Define HP criteria/standards for structures P1: Define HP guidelines/ indicators for processes O1: Define HP targets for Outcomes/impacts S2: Evaluate for HP of structures P2: Evaluate for HP of processes O2: Evaluate for HP of outcomes & impacts S3: Develop improved HP structures by OD, PD, TD

34. Co-ordinated by: World Health Organization European Office for Integrated Health Care Services, Barcelona Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Health Promoting Hospitals Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26-28, 2004 34 How can (Quality) Management assure & improve comprehensive HP of a Hospital? > 7 HPQM Strategies Quality functions/ activities for quality of … Structures of services (& settings) Processes of services (& settings) Outcomes/ impacts of services (& settings) 1. Definition 2. Evaluation/ Monitoring 3. Development/ Improvement S1: Define HP criteria/standards for structures P1: Define HP guidelines/ indicators for processes O1: Define HP targets for Outcomes/impacts S2: Evaluate for HP of structures P2: Evaluate for HP of processes O2: Evaluate for HP of outcomes & impacts S3: Develop improved HP structures by OD, PD, TD XX

35. Co-ordinated by: World Health Organization European Office for Integrated Health Care Services, Barcelona Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Health Promoting Hospitals Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26-28, 2004 35 How can a comprehensive HP-Quality Management-System be quality assured? HPQM- Outcomes HP quality- assurance & -development 1. Definition of … 2. Evaluation/ Monitoring of … 3. Development/ Improve ment of … HPQM- Processes HPQM Strategies HPQM aims: targets,principles, criteria, standards, indicators HPQM strategic definitions: written policies, (action-) plans, programs, projects HPQM tools: guidelines, protocols, manuals HPQM structures: steering committee, team, network of contact persons HPQM dissemination policy HPQM budget HPQM- Structures

36. Co-ordinated by: World Health Organization European Office for Integrated Health Care Services, Barcelona Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Health Promoting Hospitals Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26-28, 2004 36 Relationship of the five Standards of the Standard WG to the Strategies of the Putting into Practice WG 1. Management policy –HPQM strategies 2. Patient Assessment –PAT 1,2 3. Patient Information and Intervention –PAT1, 2, 4, 5 4. Promoting a healthy Workplace –STA 3, 1,2 5. Continuity and Cooperation –COM 1, 2, (PAT6, STA6, COM6)

37. Co-ordinated by: World Health Organization European Office for Integrated Health Care Services, Barcelona Technically supported by: WHO Collaborating Centre for Health Promotion in Hospitals and Health Care At the Ludwig Boltzmann Institute for the Sociology of Health and Medicine at the Institute for Sociology, University of Vienna Sponsored by Federal Ministry for Health and Women Health Promoting Hospitals Investing in Health for the Future: Positioning health promotion in health care provision & supporting effective implementation 12 th International Conference, Moscow, May 26-28, 2004 37 Further information WHO-Collaboration Centre for Health Promotion in Hospitals and Health Care –http://www.hph-hc.cc/http://www.hph-hc.cc/ –Folder Download > Draft of Working Group “Strategies” Paper of Working Group “Standards” –http://www.euro.who.int/document/e82490.pdfhttp://www.euro.who.int/document/e82490.pdf