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Overall Introduction to Project

Overall Introduction to Project. Professor Hanne Tønnesen MD PHD &  Nermin Ghith, MPH, PHD Student Shu-Ti Chiou MD PHD MSc Oliver Groene MSc PHD. Overview. Study aim Scope and purpose Background Framework WHO HPH Standards / Indicators HPH DATA Model HPH Doc Act Model

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Overall Introduction to Project

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  1. Overall Introduction to Project Professor Hanne Tønnesen MD PHD &  Nermin Ghith, MPH, PHD Student Shu-Ti Chiou MD PHD MSc Oliver Groene MSc PHD

  2. Overview • Study aim • Scope and purpose • Background • Framework • WHO HPH Standards / Indicators • HPH DATA Model • HPH Doc Act Model • Other evaluated tools

  3. Study aim • To evaluate whether a Recognition Process generates better health gain for patients and staff.

  4. Main hypotheses • Hospitals departments allocated to the Recognition Process would after 1 year: • Improve health gain for patients and staff • Deliver more health promotion services compared to the departments allocated to the control group continuing routine clinical practice

  5. Background • Clinical Health Promotion is a patient-centred approach in health care services. • Improves the effect of treatment results and contributes to improved patient safety

  6. Alcohol cessation int. Colorectal Resection Smoking cessation int. Hip/Knee Replacement Physical exercise int. Spine Surgery Postop recovery (Clin Rehab 2010) Postop complications (BMJ 1999) Postop complications (Lancet 2002) HP effect on treatment outcome

  7. Background • HP is a key dimension of quality in hospitals, along with clinical effectiveness and patient safety • World-wide, Hosp & HS implement QM, accreditation, certification and recognition

  8. Background Cont. • Sparse literature on accreditation and quality improvement • 1 Randomised Clinical Trials (RCT) evaluating impact of hospital accreditation on the quality of care at the national level in South Africa (Salmon JW, Heavens J, Lombard C, Tavrow P. Operations Research Results 2003;2:17)

  9. Background Cont. • South African study: • 2 x 10 hospitals • Structural and process variables • Periodic measurement • Feedback to each hospital • Technical assistance • Results: • Control 37% to 38% • Intervention 38% to 76% (Salmon JW, Heavens J, Lombard C, Tavrow P. Operations Research Results 2003;2:17)

  10. Background Cont. • South African study: Nurse perception p=0.031 Patient satisfaction p=0.484 Medical evaluation p=0.395 MR accessibility p=0.492 MR completeness p=0.014 MR operation completeness p=0.489 Ward stock labelling p=0.112 Hospital sanitation p=0.641 (Salmon JW, Heavens J, Lombard C, Tavrow P. Operations Research Results 2003;2:17)

  11. Question • Does accreditation improve the health service delivery and outcome ?

  12. Management policy of HP • Patient Assessment • Patient Intervention and Info • Promoting a healthy workplace • Continuity and cooperation Framework Hospitals: Useful recommendable (Groene O, Jorgensen SJ, Fugleholm AM, Garcia Barbero M. Int J Health Care Qual Assur Inc Leadersh Health Serv 2005;18:300-7.

  13. HPH DATA Model (St. 2) Doc. HP Activities (St. 3) HPH HPH Framework Clinicians: Understandable, applicable & sufficient for our patients (high reliability) (Tonnesen H et al, BMC Health Serv Res 2007 + 2011 accepted)

  14. Other evaluative tools Short Form Health Survey (SF36): Physical, mental and social conditions (McHorney, Colleen A.; Ware, John E.; Raczek, Anastasia E. Med Care 1993; 31: 247-263)

  15. Design • An RCT with hospital departments allocated to one of the two groups • Undergo the Recognition Process immediately = Intervention group • Continue their usual routine = Control group

  16. Overview • Study aim • Scope and purpose • Background • Framework • WHO HPH Standards / Indicators • HPH DATA Model • HPH Doc Act Model • Other evaluated tools

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