SPA COUNTRY FOR QUALITY REHABILITATION

Transcription

1 June 2013 The Hague Patient Safety in Practice SPA COUNTRY FOR QUALITY REHABILITATION Audrey Bell Angela Guzmán Robert Johansson

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4 TEAM HUNGARY National Koranyi Institute Bethesda Childrens Hospital Törökbalint Hospital

5 Size: sq Population: 10 million Population growth: 0.2 % Unemployment: 10.9 % Life expectancy: 70.5 years (2010) 78.1 years (2010) Expend on Health: 5% GDP (OECD 2013).

6 2010 (or nearest year) Austria Czech Republic Denmark Estonia Finland France Germany Greece Hungary Iceland Ireland Italy Netherlands Norway Poland Portugal Slovak Republic Slovenia Spain Below Hungary: Turkey, Poland, Estonia & Czech Republic

7 BUDAPEST 20 COUNTIES

8 BUDAPEST National Health Isurance Fund. OEP To Koranyi Institute of TBC & Pulmonology Bethesda Childrens Hospital Health Services Management Training Centre Hungarian Hospital Association To Törökbalint Institute

9 BESTHESDA HOSPITAL

10 OTHER INSTITUTES VISITED

11 National Koranyi Institute TBC & Pulmonology (OKTPI) Provides therapy for patients with pulmonory diseases Teaching for resident doctors/medical students National Quit Smoking Programme Training courses in Respiratory Nursing

12 Bed Structure Koranyi Pulmonary Institute Pulmonology units 320 Chest Surgery 44 Intensive Care 24 Chronic TB Unit 46 Chronic 50 Rehabilitation 40 Hospice 24 TOTAL 548

13 Staffing Doctors 78 Other professional 10 Nurses, assistants and unqualified nurses 270 Technical / other support staff 130

14 VESZPRÉM 20 COUNTIES

15 PAPA HOSPITAL ZIRC HOSPITAL VESZPREM COUNTY HOSPITAL BALATONALMADI HEALTH CENTER DOBA PSYCHIATRIC HOSPITAL SÜMEG PSYCHIATRIC HOSPITAL BALATONFÜRED STATE HOSPITAL CARDIOLOGY

16 Ferenc Csolnoky Hospital

17 BALATONALMADI HEALTH CENTER ZIRC HOSPITAL

18 PAPA HOSPITAL SÜMEG PSYCHIATRIC HOSPITAL

19 DOBA PSYCHIATRIC HOSPITAL BALATONFÜRED STATE HOSPITAL CARDIOLOGY

20 HEALTH CARE SYSTEM HUNGARY System management F U N C T I O N Public health Authority functions Patient pathway management Service Provision Financing NATIONAL AM BULAN CE S Y S T E M L E V E L Health region Settlement Micro-region County N a t i o n a l MINISTRY OF NATIO NAL RESOURCES, STATE SECRETARIAT FOR HEA LT H NATIONA L PATIENT RIGH TS AND DOCUMENTATION CENTRE OTH ONK Background Institutions GYEMSZI OJK NATION AL PUBLIC HEALTH AND MED ICAL OFFICERS SER VICE Background institutions OKK Caring and publi c health tasks EEKH Pr ovider authority task s NATIONAL HEALTH CAR E M AN AGEM EN T CENTRE National patient pathway management REGIONAL PATIENT PATH WAY M A NGEM ENT CE NTR ES Regional pati ent pathway management SER VICE INSTITUTES PROVIDING C ARE AT N ATION AL LEVEL IN STITUTES P ROV IDIN G CARE A T REGIO NAL LEVEL IN STITUTES P ROV IDIN G CA RE AT COUNTY LEV EL IN STITUTES P ROV IDIN G CAR E AT C ITY LEVEL OUT-PATIENT SPECIALIST CARE, SPECIAL CARE M icr o-r egi onal patient pathway management PRIMARY HEALTH CARE PHA RMA CIES NATIONAL HEAL TH I N SUR AN CE FUN D

21 HEALTH CARE SYSTEM HUNGARY NATIONAL HEALTH INSURANCE (OEP) MINISTRY OF NATIONAL RESOURCES, STATE SECRETARY HEALTH NATIONAL HEALTH CARE MANAGEMENT CENTRE (HSMTC) HOSPITALS INSTITUTES PRIMARY HEALTH CARE GYEMSI NATIONAL PATIENTS RIGHTS CENTRE INDEPENDENT LAWYERS

22 GYEMSZI STRUCTURE

23 GYEMSZI National Institute for quality and organisational development for healthcare and medicine. Established May 2011 Starting point restructuring of Healthcare ref Semmelweis Plan Development Centre established to lead change Objective to create effective healthcare function and efficiency Responsible for governance of healthcare system Formulation of strategies for improvement and patient safety Management of patient pathways Professional development Crisis management issues e.g. Ambulance servicies

24 RECENT CHANGES National Institute for Quality and Organizational Development in Healthcare and Medicines (GYEMSZI, 1 May 2011) National Institute of Patient Rights and Documentation (OBDK, September 2012) National Public Health Institute (as of 1 October 2012)

25 PERSONAL VIEW / POSITIVES GOOD STAFF ATTITUDE ISO REGISTRATION HIGH STANDARD MEDICAL TRAINING NATIONAL CONTROL STRATEGY

26 PERSONAL VIEW / NEGATIVES LACK OF STAFF VARIABLE STANDARDS OF BUILDINGS & EQUIPMENT POOR FINANCIAL SITUATION LIMITED PATIENT SAFETY CULTURE

27 General Impression / Areas for Development Promote central recording Analysis of incidents/ local and high level Promoting Safety awareness and improvement Encourage review between department and organitations Review and learning from incidents Appropiate level trained personel Reporting Adverse Incidents & near misses PATIENT SAFETY & RISK MANAGEMENT Link strategy to practice

28 Promote central recording Analysis of incidents/ local and high level Promoting Safety awareness and improvement Encourage review between department and organitations Review and learning from incidents Appropiate level trained personel Reporting Adverse Incidents & near misses PATIENT SAFETY & RISK MANAGEMENT Link strategy to practice

29 Promote central recording Analysis of incidents/ local and high level Promoting Safety awareness and improvement Encourage review between department and organitations Review and learning from incidents Appropiate level trained personel Reporting Adverse Incidents & near misses PATIENT SAFETY & RISK MANAGEMENT Link strategy to practice

30 Promote central recording Analysis of incidents/ local and high level Promoting Safety awareness and improvement Encourage review between department and organitations Review and learning from incidents Appropiate level trained personel Reporting Adverse Incidents & near misses PATIENT SAFETY & RISK MANAGEMENT Link strategy to practice

31 Promote central recording Analysis of incidents/ local and high level Promoting Safety awareness and improvement Encourage review between department and organitations Review and learning from incidents Appropiate level trained personel Reporting Adverse Incidents & near misses PATIENT SAFETY & RISK MANAGEMENT Link strategy to practice

32 Promote central recording Analysis of incidents/ local and high level Promoting Safety awareness and improvement Encourage review between department and organitations Review and learning from incidents Appropiate level trained personel Reporting Adverse Incidents & near misses PATIENT SAFETY & RISK MANAGEMENT Link strategy to practice

33 Promote central recording Analysis of incidents/ local and high level Promoting Safety awareness and improvement Encourage review between department and organitations Review and learning from incidents Appropiate level trained personel Reporting Adverse Incidents & near misses PATIENT SAFETY & RISK MANAGEMENT Link strategy to practice

34 Promote central recording Analysis of incidents/ local and high level Promoting Safety awareness and improvement Encourage review between department and organitations Review and learning from incidents Appropiate level trained personel Reporting Adverse Incidents & near misses PATIENT SAFETY & RISK MANAGEMENT Link strategy to practice

35 Promote central recording Analysis of incidents/ local and high level Promoting Safety awareness and improvement Encourage review between department and organitations Review and learning from incidents Appropiate level trained personel Reporting Adverse Incidents & near misses PATIENT SAFETY & RISK MANAGEMENT Link strategy to practice

36 Hungarian National Reporting and Learning System (NEVES) Improve safety of patients and staff Support patient safety related research Organisational learning and root cause analysis Recommendations prevention of adverse events Disseminate good practices and spread patient safety culture

37 CARDIOLOGY & PULMONARY REHABILITATION STATE HOSPITAL FOR CARDIOLOGY IN BALATONFÜRED Provides in patient and out patient cadiology treatment Complex cardiology rehabilitation

38 1 STATE HOSPITAL FOR CARDIOLOGY IN BALATONFÜRED Spa and physiotherapy services Institutional setting Relaxing resort type setting

39 Slide 38 1 Angela Guzman; 10/06/2013

40 CARDIOLOGY & PULMONARY REHABILITATION National TBC and Pulmonary Institute Koranyi National Centre Specialist treatment and rehabilitation: chronic bronchitis, emphysema patients, or patients with other respiratory diseases

41 National TBC and Pulmonary Institute Koranyi Research Relaxing, rural setting away from city

42 QUALITY REHABILITATION High level of in patient rehabilitation Individually tailored programmes Programme 2 6 weeks Support from all professionals Patient group motivation

43 QUALITY REHABILITATION Health education Help to encourage life style changes Attractive supplementary treatments massage, thermal spa, swimming pool Prevention of readmission

44 Perhaps, some reservations Affordability Equity Effective use of resources Is it fully utilisation the weekend Are the patients taking personal responsibility

45 CONCLUSION These centres / programmes support patients to make critical life style changes, in positive and encouraging environments.

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48 Thank you for your attention

49 AND SPECIAL THANKS to National Coordinator Dr. György Harmat Local Hosts Staff at all Hospitals and Institutions