TF MFH
HPH TASK FORCE ON MIGRANT FRIENDLY HOSPITALS AND HEALTH SERVICES REGIONAL HEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA
AZIENDA UNITÀ SANITARIA LOCALE DI REGGIO EMILIA
1
HPH TF MFHTask Force on Migrant-Friendly Hospitalsand Health Services
Annual report and action plan
2013-2014
Antonio ChiarenzaLeader of HPH-TF MFH
AUSL di Reggio Emilia, Italy
General Assembly of HPH coordinators and TF leaders22th International Conference HPH
23 April 2014. Barcelona, Spain
TF MFH
TF Activities May 2013 – April 2014VISIBILITY
4-5 September 2013 Norway. Første Nasjonale Konferanse om Migrasjon og Helse, Oslo
20-22 November 2013 Antalya. 5th International Conference on Patient and Health Worker Rights, Turkey
6 December 2013, Brussels. Diversité à l’Hôpital, quel Rôle pour le Médiateur Interculturel? Belgium
19-20 March 2014, Greece. Expert meeting. Screening for Infectious Diseases among Migrants in EU/EEA, Athens
10-12 April 2014, Spain. 5th EUPHA Conference on Migrant and Ethnic Minority Health, Granada
HPH TASK FORCE ON MIGRANT FRIENDLY AND CULTURALLY COMPETENT HEALTHCAREHEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA
AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE
2
TF MFH
COST/Action ADAPT (2012-2015) project funded by COST coordinated by Prof David Ingleby (TF leads the Working Group on Health Systems)
EQUI-HEALTH (2012-2015) EC-funded project coordinated by IOM “Promoting appropriate health care provision to migrants at the Southern borders of the EU” (Pilot Test Equity Standards)
EURO MoMiH (2013-2015) ECDC funded project aimed to develop “Framework for Monitoring Migrant Health and Infectious Diseases”. Coordinated by ISS, Rome (TF MFH is part of the project consortium)
MEM-TP (2013-2015). EC-funded project aimed to develop “Migrant and Ethnic Minorties Training Packages” (2012-) coordinated by EASP, Granada (TF is WP leader)
HPH TASK FORCE ON MIGRANT FRIENDLY AND CULTURALLY COMPETENT HEALTHCAREHEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA
AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE
3
TF Activities May 2013 – April 2014COLLABORATIONS
TF MFH
HPH TASK FORCE ON MIGRANT FRIENDLY AND CULTURALLY COMPETENT HEALTHCAREHEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA
AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE
4
TF Activities May 2013 – April 2014PUBLICATION
“Equity Standards for Health Care Organisations: a Theoretical Framework.” Diversity and Equality in Health Care 10(4): 249-258, 2013
TF MFH
HPH TASK FORCE ON MIGRANT FRIENDLY AND CULTURALLY COMPETENT HEALTHCAREHEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA
AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE
5
Project aim:• The project aims to develop a comprehensive framework for measuring and
monitoring the capacity of healthcare organisations to improve accessibility to appropriate and effective health services; health promotion and preventive care for migrants and other vulnerable groups.
Standards for equity in health care: Standard 1: EQUITY IN POLICY
Standard 2: EQUITABLE ACCESS AND UTILISATION
Standard 3: EQUITABLE QUALITY OF CARE
Standard 4: EQUITY IN PARTICIPATION
Standard 5: PROMOTING EQUITY
Project to develop Standards For Equity in Health Care (started 2011)
TF MFH
A set of preliminary standards pilot tested in 45 organisations from 12 countries (April-September 2012)
HPH TASK FORCE ON MIGRANT FRIENDLY AND CULTURALLY COMPETENT HEALTHCAREHEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA
AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE
Aims:
• To assess the clarity, relevance and applicability of the standards
• To assess the compliance with the standards in pilot-organisations
• To collect comments and suggestions and effective practices from pilot-organisations
COUNTRY N. Organisations
AUSTRALIA 5
CANADA 10
FINLAND 2
IRELAND 3
ITALY 9
NORWAY 4
SCOTLAND 1
SLOVENIA 1
SPAIN 5
SWEDEN 1
SWITZERLAND 1
THE NETHERLAND 3
TOTAL 45
TF MFH
HPH TASK FORCE ON MIGRANT FRIENDLY AND CULTURALLY COMPETENT HEALTHCAREHEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA
AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE
5 Main standards19 Sub standards
50 Measurable elements
Final Equity standards
TF MFHTF MFH Action Plan agreed at HPH
General Assembly (2013-2015) Strengthen the evidence base of the equity standards;
Identify equity-based indicators that complement the five standards;
Develop a self-assessment tool that health care organisations can use to benchmark structures, processes and results related to health equity;
Undertake a second pilot-test to evaluate how institutions can utilize the standards and self-assessment process, as well as to explore challenges and opportunities for effective uptake in connection with existing policies and practices.
HPH TASK FORCE ON MIGRANT FRIENDLY AND CULTURALLY COMPETENT HEALTHCAREHEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA
AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE
8
TF MFH
9HPH TASK FORCE ON MIGRANT FRIENDLY AND CULTURALLY COMPETENT HEALTHCAREHEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA
AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE
Standards For Equity In Health CareSelf-Assessment Tool
To allow healthcare organizations to assess structures, processes and results, to identify gaps, and develop improvement plans based on the findings from self-assessment
TF MFH
10HPH TASK FORCE ON MIGRANT FRIENDLY AND CULTURALLY COMPETENT HEALTHCAREHEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA
AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE
SELF-ASSESSMENT TOOL:Three main components
1. Standards-based assessment: to evaluate whether appropriate structures, systems and processes are in place and functioning.
2. Indicators-based assessment: to evaluate whether service performance leads to results.
3. Guidance for action plan development: to identify areas for equity improvement and to develop an improvement plan based on the information gathered through the assessment process.
Measurableelement
Assign a score
TF MFH
11HPH TASK FORCE ON MIGRANT FRIENDLY AND CULTURALLY COMPETENT HEALTHCAREHEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA
AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE
1. Standards-based assessment: to evaluate whether appropriate structures, systems and processes are in place and functioning.
2. Indicators-based assessment: to evaluate whether service performance leads to results.
3. Guidance for action plan development: to identify areas for equity improvement and to develop an improvement plan based on the information gathered through the assessment process.
SELF-ASSESSMENT TOOL:Three main components
Standard 2: Equitable access and utilisation
3 example indicators provided by TF
Indicator Description/RationaleINTERPRETING SERVICES ARE PROVIDED TO USERS WHO REQUIRE ONE
% INTERPRETER USE IN HEALTH CARE ORGANISATION
HEALTH LITERACY % OF NEW HEALTH INFORMATION LITERATURE DEVELOPED THAT IS PLAIN LANGUAGE PROOF
ACCESS AND UTILISATION OF SERVICES BY THE POPULATION GROUPS
% BREAKDOWN OF THE DEMOGRAPHIC PROFILE OF SERVICE USERS ACCESSING SERVICES
Additional Indicators:• Indicators already used in your organisation; • New indicators you may want to consider for
the action plan.
TF MFH
12HPH TASK FORCE ON MIGRANT FRIENDLY AND CULTURALLY COMPETENT HEALTHCAREHEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA
AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE
1. Standards-based assessment: to evaluate whether appropriate structures, systems and processes are in place and functioning.
2. Indicators-based assessment: to evaluate whether service performance leads to results.
3. Guidance for action plan development: to identify areas for equity improvement and to develop an improvement plan based on the information gathered through the assessment process.
SELF-ASSESSMENT TOOL:Three main components
TF MFH
13HPH TASK FORCE ON MIGRANT FRIENDLY AND CULTURALLY COMPETENT HEALTHCAREHEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA
AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE
PILOT-TEST IMPLEMENTATIONApril 2014 - October 2014
Participating countries
1. Australia2. Belgium3. Canada 4. Finland5. Ireland6. Italy7. Malta8. Norway9. The Netherlands10.Scotland11.Slovenia12.Spain13.Sweden14.UK
Five phases:
1.1. Phase. Preparation Phase. Preparation (April 2014)(April 2014)
2.2. Phase. Assessment of Phase. Assessment of standards and selection of standards and selection of indicators indicators (April-June 2014)(April-June 2014)
3.3. Phase. Identification of Phase. Identification of improvement areas improvement areas (July 2014)(July 2014)
4.4. Phase. Development of Phase. Development of action plan action plan (July –September (July –September 2014)2014)
5.5. Phase. Reporting of results Phase. Reporting of results (End October 2014)(End October 2014)
TF MFH
14HPH TASK FORCE ON MIGRANT FRIENDLY HOSPITALS AND HEALTH SERVICES REGIONAL HEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA
AZIENDA UNITÀ SANITARIA LOCALE DI REGGIO EMILIA
14
E-Mail: [email protected]
TF MFH http://www.hphnet.org/members/task-forces
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