From Standards To Practice Guidance for Hospitals on: “Health and Wellbeing” Quality Standards Laura McHugh Health Promotion officer HSE West Overview • Irish Health Promotion Health Service Network • National Standards for Safer Better Healthcare • Response of the Irish HPHS network to the new policy and quality requirements Commitment to Health and Wellbeing Irish Health Promotion Health Service Network • Overall aim to improve health and wellbeing of staff, patients and the community in which hospitals and health care settings are situated • 65 members in the network which incorporates all Health Services including primary care • HPH concept introduced in Ireland in 1992 • Dr Nazih Eldin, Director IHPHN • Laura Molloy, National Coordinator IHPHN Health Promoting Health Services: Key Features • Organisation Development and Change: Align health promotion with core business goals using organisation development and change management • Quality Management: Focus on integrating health promotion within quality management processes and mechanisms • CSR & Sustainability: Increasing focus on synergy with other key organisational agendas – e.g. sustainable healthcare- food waste reduction, mobility management planning. • Whole Health System: Shift of emphasis from hospitals to whole health system – ensuring that there is a ‘whole system’ approach across health service sectors National Standards for Safer Better Healthcare Translating the Standards National Standards for Safer Better Healthcare Quality Assessment +Improvement (QA +I) Tool Guidance Document for Hospitals on Health and Wellbeing Standards Health Servcie Executive QA+I Workbooks for self assessment Standard 1.9 - service users are supported in maintaining and improving their own health and wellbeing Standard 4 .1 - the health and wellbeing of service users are promoted, protected and improved Select a Theme to commence assessment View Standards under selected Theme Select a Standard to assess against View Essential Element(s) of Quality Select an Essential Element to assess against Select Level of Quality for Essential Element Select and provide additional evidence that supports the selected Level of Quality Algorithm of Assessment Process Provide additional information for the Essential Element and selected Level of Quality Agree Improvement Actions Continue assessment against next Essential Element/ Standard/ Theme Quality Improvement Plan From Standards to Practice : Guidance Document for Hospitals on Health and Wellbeing Standards www.hse.ie/eng/about/Who/qualityandpatientsafety/Standards/ Purpose of Guidance Document • Support hospitals to gather information and evidence • Illustrate comprehensive samples of evidence of HPH activities in hospitals • Assist in verifying level of quality chosen • Assist in identifying how to move along quality continuum • Standardise the health promotion approach to health services Format of Guidance Document • Guiding prompts for each standard • Illustrates levels of quality & samples of evidence under specific topics and themes • Samples of Evidence – Standard 1.9 - “topics” based, e.g. Tobacco – Standard 4.1 – “corporate responsibilities” e.g. Promoting equity Use of Guidance Document • In conjunction with and complementary to the guiding prompts in QA +I tool • Samples of evidence - not exhaustive • Samples of evidence – 1.9.. can be taken in isolation – 4.1.. viewed collectively Standard 1.9 Service users are supported in maintaining and improving their own health and wellbeing Topics Incorporating Tobacco Control Framework & BFHI standards • • • • • • Tobacco • Alcohol and Substance Misuse • Breastfeeding • Obesity • Active Travel Food and Nutrition Physical Activity Sexual Health Health Literacy Mental Wellbeing Obesity Level of Quality Examples of Evidence Emerging improvement Admission protocols includes assessment of BMI Continuous Improvement The hospital can demonstrate that brief interventions are routinely offered to service users who have a raised BMI Service users are asked to feedback on the brief interventions and this feedback informs future training and improvement plans The hospitals has links with weight reduction programmes in the community Sustained Improvement Excellence Standard 4 .1 The health and wellbeing of service users are promoted, protected and improved Thematic - Incorporating the WHO HPH standards • • • • Governance and Policy Equity Care Planning Promoting a Healthy Workplace Equity Level of Quality Examples of Evidence Emerging improvement The hospitals identifies barriers which prevent people accessing and benefiting from services Continuous Improvement The hospital addresses barriers which prevent people from accessing services Sustained Improvement Health Equity Audits are carried out as standard for each service Excellence The hospital promotes the dissemination of good practice Standards for Health and Wellbeing = National Health and Wellbeing Culture • All Hospitals Nationally adopt the WHO Health Promoting Hospitals Standards • Integrated care pathways incorporate interventions that address lifestyle issues • Service users are supported to avail of the resources they need for their health and wellbeing • Services users are encouraged to avail of continued support in the community on discharge • There is a focus on service users wellbeing in tandem with the pathogenic focus • The health service environment supports healthy choices such as tobacco free campuses and active travel choices Further Information: Laura Molloy- [email protected] Laura McHugh- [email protected] Website: www.hse.ie/eng/about/Who/qualityandpatien tsafety/Standards/