History, Philosophy and HPH

Development of Health Promoting Hospitals (HPH)

Symposium HPH: Towards Green, Healthy andy p , yConducive Life style Environment for Hospitals

APACPH Bandung, October 22, 2015

Prof Dr Hadi Pratomo MPH Dr PH

g

Prof. Dr. Hadi Pratomo, MPH, Dr PHProfesor Faculty of Public Health, Universitas Indonesia

Advisor to the Indonesian Health Promoting Hospital Networkg pChairman of Expert Committee the Indonesian Health Promotion Society

Why hospitals? HPHWhy hospitals?• High prevalence of patients with unhealthyHigh prevalence of patients with unhealthy

lifestyle and NCDs

• Adding HP to treatment improves the outcome on short and long term outco e o s o t a d o g te

• Hazardous working conditions in hospitalsHazardous working conditions in hospitals– Reduce risks & improve working conditions

Why hospitals? HPHWhy hospitals?

• Hospitals as knowledge-organizations– Intersectoral development of HP activities forIntersectoral development of HP activities for

community involment

• Production of waste & hazardous substances– Ecological approach towards waste, energy

tmanagement

Best HP Practice HPHes ac ceIncludes three parts

StaffBest Staff expertise

BestEvidence

P ti tPatient preference

(Sackett, DL, Strauss SE, Richardson WS et al. Evidence-based medicine. Churcill Livingstone 2000)

This presentation will coverThis presentation will cover…

• Philosophy: HP, CHP and HPH

• History and organization of HPHy g

• Development of HPH• Development of HPH

What is HPH? HPHWhat is HPH?

• The International Network of Health Promoting Hospitals & Health g pServices

• WHO initiated strong global network• WHO initiated, strong global network• Global strategy• Organization & History

What members commit to Projects• What members commit to Projects and activities

HPH World Mapp

N/R Network Individual Member – No network yet

897 members by August 2012897 members by August, 2012

2015? 1300?

HPH History HPH

1988 WHO Project (27 years ago)

HPH History1988 WHO Project (27 years ago)

1997 European Network (almost 10 yrs ltr)2004 I t HPH N t k d S t i t2004 Int. HPH Network and Secretariat2005 Gen Assembly & Governance Board2008 HPH C tit ti2008 HPH Constitution2009 HPH Strategy2010 M U WHO2010 MoU w. WHO2011 Sc J Clin HP2012 Fi t I tl C f i A i (T i i)2012 First Intl Conference in Asia (Taipei)

Rep IHPH Net, ISHEP

HPH ConstitutionVision

HPH Constitution

• Better health gain through HP for patients, staff and community

Mission• HPH shall work towards incorporating the WHO

concepts, values, strategies and standards or indicators of HP into the organizational structure of the H/HSthe H/HS

• Exchange knowledge & experiences

HPH Structure HPHHPH StructureGeneral AssemblyGeneral Assembly

Governance Board WHO CC Copenhagen

WHO CC Vienna

p g

HPH Secretariat

National/Regional Networks

Individual hospitals/health services

Task Forces

Working Groupsg p

Organizational bodiesOrganizational bodies• General Assemblyy• National / Regional HPH Coordinators• WHO CC representatives• WHO representative (observer)• Task Force Leaders• Observers from upcoming networks

• Governance Board• 7 elected members (HPH Coordinators)• 2 WHO CC representatives (Vienna, Copenhagen)

• 1 WHO representative

Governance Board elected by GA (April 2012)

1. Shu-Ti Chiou (Taiwan) (Chair)2 Raffaele Zoratti (Italy) (Vice Chair)2. Raffaele Zoratti (Italy) (Vice Chair)3. Sally Fawkes (Australia)4 Tiiu Härm (Estonia)4. Tiiu Härm (Estonia)5. Manel Santina (Spain)6 Somsak Pattarakulwanich (Thailand)6. Somsak Pattarakulwanich (Thailand)7. Heli Hatonen (Finland)

Member commitments HPHMember commitmentsF ll th HPH C tit tiFollow the HPH Constitution:

• Endorse principles of WHO on HPH • Intend to implement principles strategies and• Intend to implement principles, strategies and

policies of HPHImplement HP activitiesDevelop a policy for HP Become smoke-free H/HSDevelop and evaluate an HPH action plan Pay annual feeIdentify H/HS CoordinatorShare information and experiences (nat / intl)

Standards + DATA + Doc ActStandards + DATA + Doc-Act

Shu-Ti

• 5 standards• 5 standards• 13 substandards

40 bl• 40 measurable elements

• 18 indicators

Exchange of knowledge & iexperience

• International HPH Conference• National and regional conferencesNational and regional conferences • GA Meetings

St ff h• Staff exchange program • WHO-HPH Schools (2 – 4 annually)• HPH Newsletter• Teaching & trainingTeaching & training• Sc J: Clin HP – Research & Best Practices

W b it b f l i t• Web-site: web-forums, e-learning etc.

www.hphnet.orgExchange of knowledge & experience

• HPH Library• E learning• E-learning • Toolboxes • Reporting on progress of Networks & TF• Best practice database p• Discussion Forum • Project Zones• Project Zones • N/R and TF sub-sites • News

Implementation of HPHImplementation of HPH

Edu-cation

Evidence-based Clin guidelines

Standards&

Indicators

Reimburse-ment through

DRGIntervention programmes for individualsCore strategies to put HPH into action

DRG

Visioner & Values of Health PromotionOttawa Charter, Budapest Declaration, Vienna Recom

Taiwan Society and Health PromotingTaiwan Society and Health Promoting Hospital

Network missionNetwork mission • 1. The advocating, popularizing, and researching for the culture of

hospitals’ health promoting. 2 Th i i hi d ti f th i t d• 2. The improving, reaching, and promoting for the environment, procedure, and the management of hospitals’ health promoting.

• 3. The researching and promoting for the theory, standard, appliance, and th th d f h it l ’ h lth tithe method of hospitals’ health promoting.

• 4. The promotion, membership recruitment, qualification censorship, international exchange and cooperation of the international network of health promoting hospitals in Taiwan.

• 5. The cultivation of trainees and qualified instructors of hospitals health promoting

• 6. Increasing the attention and support of government, health and medical organization, and the society paid to hospitals’ health promoting.

• 7. Holding other related events about hospitals’ health promoting.g p p gWebsite http://www.hph.org.tw/

Indonesian Health Promoting gHospital Network (IHPHnet)

Ab tAbout• Working together to reorient hospital towards better health gain by

integriting health promotion in all aspectVISION• Increasing the contribution of hospital in Indonesia to better health

gain through health promotiong g pMISION• IHPHNet shall work towards development

concept policy strategies and standars which can aplicable atconcept,policy,strategies and standars which can aplicable at Indonesian hospital

BOARDP id t D H S h MKM• President : Dr. H. Suherman, MKM

• General secretary : Deni Purnama, SKp

Further info, click on https://ihphnet.wordpress.com/

Conclusion & Recommendation

• History, philosophy and development of HPH was introduced

• ADOPTION of HPH conceptADOPTION of HPH concept – Taiwan 150 members out of 650 (25%)– Indonesia 20 members out of 2300 hospitals (lessIndonesia 20 members out of 2300 hospitals (less

than 1%)– Way forward: *Hardworking

*Networking*Perseverance*Sytematic approach

REFERENCES:

• Sackett, DL, Strauss SE, Richardson WS et al. Evidence-based medicine. Churcill Livingstone 2000)

T H P f D Hi t Phil h• Tonnesen, Honne, Prof Dr. History, Philosophy, Standards and Implementation of HPH, Presentation in Tokyo Japan September 15 2012Presentation in Tokyo, Japan, September 15, 2012

• https://ihphnet.wordpress.com/ accessed October 21, 2015

http // hph org t / Tai an Societ of Health• http://www.hph.org.tw/ Taiwan Society of Health Promoting hospitals accessed October 21, 2015