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Quality Care for Quality Aging: European Home Health Care Indicators

Explore indicators for assessing and improving home health care quality in Europe. This project focuses on key dimensions like access, satisfaction, efficiency, and affordability. Learn about the balanced scorecard framework and societal challenges in health care quality.

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Quality Care for Quality Aging: European Home Health Care Indicators

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  1. QUALITY CARE FOR QUALITY AGING: EUROPEAN INDICATORS FOR HOME HEALTH CARE Pisa, September 30-31, 2010 The Future of Primary Health Care in Europe III Dario Zanon Azienda ULSS 10 “Veneto Orientale“ Veneto Region

  2. Quality Care for Quality Aging: European Indicators for Home Health Care EU Consortium :12 partners 7 EU Countries Duration: 18 months from January 2009 to June 2010 no cost extension of 3 months for dissemination Coordinator: Regione Veneto / ULSS n.10 Veneto Orientale Co-funder: EC DG Employement, Social affairs and Equal Opportunities Budget :396.470 € EU contribution: 300.000 €

  3. Societal challenges and services quality Decentralization Outsourcing Variety of providers Public Administration needs • better definethe delegated services • define the quality expected from the services

  4. The Project target • Home Care formal services : • Home Assistance • Home Health Care • provided by Public Org. or by Private Org. on the basis of • protocols and contracts with the public sector • Targeted to non self sufficient individuals aged 65 and over

  5. Project-OperationalObjectives • Improve the knowledge base and the exchange of information about the HHC Systems in each Country Partner • Disseminate and transfer across countries, the best practices of quality assessment in HHC • Develop a set of monitoring, assessment and performance indicators on quality delivered in HHC

  6. Quality Concepts … … Access Process Satisfaction … Efficiency Dimensions Information and communication Needs assesment Affordability … … Indicator 1 Indicator 2 Indicator 3 Indicator … TheoreticalFramework set of indicators Macroareas/ Concept Dimensions 40 dimensions

  7. Dimensions of quality in HC

  8. Levelofanalysis baseline assessment in-depth measurement

  9. The set of the indicators • Not quality standards but quality indicators(and measures) to be used at local, regional and national levels • Only a “road map” to quality, a source of useful elements for measuring and improving quality • Must be adapted to local contexts

  10. Home Care Indicators & Balanced Scorecard framework for a full strategic planning and management system The Financial Perspective The Customer Perspective The Business Process Perspective (processes) The Learning & Growth Perspective (home-care workers)

  11. Conclusion: other important issues Technologies Irregular work of care Main quality Management Structure

  12. Conclusion: results • Integrated social and health information systems are recommended to have quality indicators. • The person and the assessment of the situation of the person’s multiple needs of care are the starting points for the development of the HC system as an integrated organizational system able to face the need of the continuity of care and to pursue a good, individualized efficacy of care. • Job satisfaction, empowerment, multi-professional collaboration of the HC workers is crucial • Prevention is an issue becoming more and more important. • Quality and accessibility are strictly related.

  13. Thanks for your attention dario.zanon@ulss10.veneto.it http://www.cdiecoop.it/QualityCare/index.htm

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