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Implementing HPH standards in Piedmont HPH network: context

Implementing HPH standards in Piedmont HPH network Angelo Penna HPH Piemonte Region Coordinator Direttore Medico Ospedale di Biella ASL BI. Implementing HPH standards in Piedmont HPH network: context. The Italian National Health service (SSN) is financed by the general taxation

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Implementing HPH standards in Piedmont HPH network: context

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  1. Implementing HPH standards in Piedmont HPH networkAngelo PennaHPH Piemonte Region Coordinator Direttore Medico Ospedale di BiellaASL BI

  2. Implementing HPH standards in Piedmont HPH network: context • The Italian National Health service (SSN) is financed by the general taxation • The SSN is organized autonomously on a regional basis: differences exist in the level of the service offered in the different regions • Piedmont is the region of the north-west of Italy (4.5 milion citizens; Hospitalization Rate 160/1000) • 64 Regional Hospitals: 56 Community Hospitals 8 Teaching Hospitals and H.Trusts • In 1996 an HPH network was established in Piedmont

  3. Implementing HPH standards in Piedmont HPH network: method • 2008 the HPH Coordinating Center (CIPES) translated the “Manual and forms” and invited hospitals to evaluate experimentally standards in one or more departments • 2009 11 Hospitals agreed: 7 Community Hospitals 4 Teaching Hospitals: (1 Children’s and maternity Hospital, 1 Orthopaedic Trauma Hospital)

  4. Implementing HPH standards in Piedmont HPH network: method

  5. Implementing HPH standards in Piedmont HPH network: results

  6. Implementing HPH standards in Piedmont HPH network: results • A LOT OF STANDARDS EVALUATED AS “PARTLY” • Difficulty to apply the manual in a context of a general hospital • Necessity to evaluate the manual in particular setting of care (chronic disease departments vs acute departments, childern’s department etc.) • Different results from different departments of the same hospital? • In this case, wich is the result? “yes” or “no”? • Is the manual a more usefull instrument for departments than for hospitals? • A RELATIVELY HIGH PERCENTAGE OF STANDARDS EVALUATED AS “NO” • Necessity to better evaluate the poor result’s causes • Necessity to develop a regional quality improvement plan

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