Piedmonte

HPH Progress Report 2017-2018: Piedmonte

 

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The HPH Constitution (2008) for the International Network of Health Promoting Hospitals and Health Services states that one of the tasks of a National/Regional HPH Network is: “To periodically deliver a progress report to the Governance Board.” (Refer to 1.4. Mission and Obligations, HPH Constitution)

 

For the purposes of this activity:

 

  • The period for progress reports to be delivered is every two years.

  • A progress report is defined as a report on efforts to assist hospitals/health services to ”incorporate the concepts, values, strategies and standards or indicators of health promotion into the organizational structure and culture of the hospital/health service." (Refer to Mission, HPH Constitution)

 

The aims of Progress Reports are:

  1. To provide a mechanism for HPH networks and taskforces to share information, knowledge and experience

  2. To contribute to an assessment of the achievement of objectives by the International HPH Network

  3. To help identify priorities for future action by the International HPH Network.

This survey refers to activities in the period 2017-2018.

 

All data will be made publicly available.

 

 

INSTRUCTIONS: Keep the text that in black color. Change the text in grey colour (Green text is hyperlinks for your reference)

 

______________________________________________________________________________

 

 

Part 1: Administrative information

 

 

1A. Network contact details

  • Network Coordinator name: Giulio Fornero

  • Phone: +393384740527

  • E-mail: gfornero@cittadellasalute.to.it, giufornero@gmail.com

  • Address: Corso Bramante 88. Torino; Corso Regio Parco 15 bis. Torino. Italia

  • Website: www.hphitalia.net

  • Name of Coordinating Institution: CIPES

  • Address: Lungo Dora Savona 30. Torino. Italia

  • E-mail (If different from coordinator’s): cipes@cipesalute.org

  • Phone (If different from coordinator’s): +393271340872

  • Institution Website: www.cipesalute.org

 

1B. Network administrative details

  • Network establishment: 06/ 26/1997

  • Expiration of network agreement: 

  • Number of current Network members: 9

  • My list of members on hphnet.org is up to date: yes/no

  • Number of new members in 2017: 

  • Number of new members in 2018: 

  • Number of ceased members in 2017: 

  • Number of ceased members in 2018: 

 ______________________________________________________________________________

 

 

 

Part 2: Network progress

 

 

2A. To what degree has my network put the HPH mission, purpose and objectives into practice?

 

  1. Choose one option

  • Not at all

  • A little bit

  • Moderate

  • Quite a bit

  • Completely

Please elaborate here:

The Health Promoting Hospitals and Health Services of the Piedmont HPH Network follows the Mission of the International Network working towards incorporating the concepts,values, strategies and standards or indicators of health promotion into the organizational4structure and culture of the hospital/health service.

In the current Piedmont Regional Prevention Plan 2015‐2019, the program "Health Promotion in Healthcare settings" is  correlated  with the Health Promoting Hospitals Network (HPH Network).

The Piedmont HPH Network deals with the Purpose and the Objectives of the International Network, following "The New Haven Recommendations on partnering with patients, families and citizens to enhance performance and quality in health promoting hospitals and health services", connecting to National/Regional health policy and strategies and developing particular strategies in the fields of Migrant Friendly and Culturally Competent Health Care (MFCCH), Children and Adolescents (CA), Active Ageing,  Pain Free Hospitals, Smoke Free Hospitals.
 

 

 

2B. How is my network organized and how do we work?

 

Please elaborate here:

Coordinating institution: CIPES
Scientific committee: Coordinators of Local Task Forces
Steering group: 9 Local Coordinators in single entities (Hospitals, combined Hospital /Health Services)

Participation Conference (Patient and Family Advisory Council) HPH group 
Local Task Forces: Migrant Friendly and Culturally Competent Health Care (MFCCH), Children and Adolescents (CA), Active Ageing,  Pain
Free Hospitals, Smoke Free Hospitals, Empowering Hospital

 

 

2C. What has been the aim of my network?

 

The aim of my network, in these years, has been seize opportunities to strengthen the health promotion orientation of hospitals and health services members of the Network and develop collaborations with Patient and Family Advisory Councils

 

 

2D. What were my network's main achievements and lessons learned?

 

Children and Adolescents (CA) Designing Children’s Rights to Health: from principles to practices, assessing how these rights are implemented in practice. A Manual was elaborated to evaluate the application of the EACH Charter of the rights of the child in hospital (40 items graded on four incremental levels to guide quality improvements). Health professionals, volunteers and school teachers were trained as auditors. A check list was
produced to complement the manual to standardize behaviour of auditors. Visits were conducted in many structures of Regina Margherita Children’s Hospital and in 2 Pediatric Services in Hospitals of Local Health Units in Piedmont Smoke Free Hospitals In the period 2017-2018 the anti-smoking policy is developed and consolidated with the involvement of 11 Hospitals and Local Health Units of Regione Piemonte and Regione Valle d'Aosta, on the basis of the guidelines "Manual for a healthcare environment free by smoking," published in 2014. After the year 2016, following the legal transposition of the Legislative Decree 12/01/2016 n. 6, has been introducted a total ban on smoking in outdoor appliances of pediatric and obstetric hospitals and departments. Therefore the hospitals involved have updated the regulations, have communicated to employees and to people appointed to ensure compliance with the smoking ban regulatory updates
Active Ageing Polytherapy Collaboration of 9 Hospitals and Local Health Units of Regione Piemonte HPH Network, with European Innovation Partnership on Active and Healthy Ageing (EIP on AHA), “A1 Action Group on Polytherapy” to reduce potentially inappropriate prescriptions for elderly people and to implement medication reconciliation.
Active Ageing prevention of falls Collaboration of 9 Hospitals and Local Health Units of Regione Piemonte HPH Network with European Innovation Partnership on Active andHealthy Ageing (EIP on AHA), A2 Action Group on Falls Prevention to reduce the incidence of falls in Hospitals and Community Services.

Pain Free Hospitals Collaboration of 9 Hospitals and Local Health Units of RegionePiemonte HPH Network to reduce the chronic pain in Elderly People.

Migrant Friendly and Culturally Competent Health Care (MFCCH) Collaboration of 7 Hospitals and Local Health Units of Regione Piemonte HPH Network with TF MFCCH to assess the standards.Empowering Hospital

Emp-H Multicentre project aiming to foster health promotion interventions and environments suitable for prevention of chronic diseases in different care settings Biella (Local Health Unit of Regione Piemonte HPH Network), Valencia Hospitals and Lithuania.

 

Italy with Bologna hosted the 26th International Conference on Health Promoting Hospitals and Health Services "Health promotion strategies to achieve reorientation of health services: evidence-based policies and practices" this year, 6-8 June.The HPH Italian Networks held a Workshop “Person centered re-orientation of Healthcare: the Italian case. Innovative designing and health promoting health services: a proposal for restarting ”and presented collaborative initiatives with patients, family members, citizens and their associations.

During the year 2018, HPH Piedmont participated in the organization of events together with the Regional Council of Piedmont and the Piedmont Region, Medical and Nurses Associations for the 40 years of the National Health Service in Italy:

- June 26, 2018,  "The sustainability of the National Health Service",  highlighting how waste reduction (over-use, under-utilization, fraud and abuse, inadequate coordination of health and social care, administrative complexity, excessive cost purchases, etc.) , together with the strengthening of health promotion, can make possible the sustainability.
- November 8, 2018 "Building collaborations with patients and citizens to promote health", presenting the National/Regional  Program  "Gaining health in the context of health services", the HPH Emilia-Romagna Network  consolidated experience on "Equity and participation", the Friuli Venezia Giulia regional planning and the new structure of the HPH Regional Network and the Piedmont Region effective collaboration initiatives with patients, family members and citizens for health promotion and proposal to give space to good experiences in the Community of Practice following the Recommendation of the HPH International Network of New Haven for collaboration with assisted persons, family members and citizens for health promotion starting from hospitals and health services. (Piedmont Region HPH Day)

- November 29, 2018 "Health and work: how the crisis and precariousness have changed this relationship", remembering successes and limits of the strategies for health and work, proposing more articulated approaches, not only defensive, but also active: promotion of individual, collective, environmental health, in the places of life and work.

 

2E. Global HPH Strategy 2016-2018

 

My network worked with the Global Strategy: yes/no

 

Specifically, priority was given to

  • (Priority 1 on implementation of updated WHO-HPH Standards: NB not applicable due to delay with document)

  • Priority 2 on HPH awareness and capacity: yes

  • Priority 3 on HPH development and sustainability: yes

My network supported members with fulfilling the Global Strategy: yes

 

My network acheived the following strategy goals

  • Priority 2 on HPH awareness and capacity

A-I) Organised at least 1 local HPH day: yes

A-II) Local policy level participated in HPH day: yes

A-III) Informed local policy level of HPH: yes

B-I) Participated in discussion of the role of coordinators at HPH assembly: yes

B-II) Members received the translated/locally adapted final document: yes

C) Stakeholder analysis made by network: yes

D-I) Members received translated/locally adapted HPH Member Packages: yes

D-II) At least 2 local decision makers received translate/locally adapted HPH package: no

E) Own website updated at least 4 times with news, information and experiences: yes

F) Best practices/good ideas collected and reported at HPH general assembly, hphnet.org or here in progress report: yes

  • Priority 3 on HPH development and sustainability

A-I) Participated in discussion and development of member benefits: yes

A-II) Translated/locally adapted HPH brochure describing the benefits of membership received by my members: yes

B-I) Hospitals nationally/regionally with potentially interest in HPH were listed: yes

B-II) Contact was established and HPH information was sent to at least 2 potential new members: yes

C) Best practices/good ideas collected and reported at HPH assembly, hphnet.org or here in Progress Report: yes

 

If you wish to share your experiences in this regard, please feel free to elaborate here:

<you can answer in writing or by, for instance, adding a video presentation here>

 

 

2F. How did my network use the WHO-HPH Standards?

 

My network prioritized working with the standards: yes

 

If yes, priority was given to

  • Standard 1 on Management policy: yes

  • Standard 2 on Patient assessment: yes

  • Standard 3 on Patient information and intervention: yes

  • Standard 4 on Promoting a healthy workplace: yes

  • Standard 5 on Continuity and cooperation: yes

My network has supported members with using the standards for quality improvement: yes

 

The status in my network is that members have implemented

  • Standard 1 on Management policy

1.1. The organization identifies responsibilities for HP: implemented

1.2. The organization allocates resources for the implementation of HP: implemented

1.3. The organization ensures availability of procedures for HP data collection/evaluation: implemented

  • Standard 2 on Patient assessment

2.1. The organization ensures procedures for all patients to assess their need for HP:partly implemented

2.2. The HP needs assessment is done at first contact, reviewed and adjusted:partly implemented

2.3. The HP needs assessment includes external info and is social/cultural sensitive:partly implemented

  • Standard 3 on Patient information and intervention

3.1. Based on needs, patients are informed and HP plan is agreed:partly implemented

3.2. The organization ensures access to general information on factors influencing health: implemented

  • Standard 4 on Promoting a healthy workplace

4.1. The organization ensures a healthy and safe workplace: implemented

4.2. The organization ensures a HR Strategy that includes HP: implemented

4.3. The organization ensures procedures to develop/maintain staff awareness on health: implemented

  • Standard 5 on Continuity and cooperation

5.1. The organization ensures HP services are coherent with regional health policy plans: implemented

5.2. The organization ensures HP for out-patients and after discharge: partly implemented

 

If you wish to share your experiences in this regard, please elaborate here:

<you can answer in writing or by, for instance, adding a video presentation here>

 

 

2G. Standards developed by HPH Task Forces and other relevant standards

 

My network has worked with standards from the HPH Task Forces on

  • Equity/migrants: yes

  • HPH Children/Adolescents Standards: yes

  • Environment: no

  • Age-friendly healthcare: yes

My network has worked with other relevant standards: name the standards

 

If you wish to share your experiences in this regard, please feel free to elaborate here:

<you can answer in writing or by, for instance, adding a video presentation here>

 

 

 

____________________________________________________________________________________

 

 

 

Part 3: Sharing of knowledge and experience

 

 

3A. Additional strategy, priorities and focus areas of my network
 

My network focused on:

Collaboration with Patient and Family Advisory Councils following the Recommendation of the HPH International Network of New Haven, and with Medical and Nurses Associations

 

 

3B. My network's connection to National/Regional health policies and strategies

  • HPH is a priority regionally in health policies, laws and regulations: yes

  • Changes in national/regional health policies have directly influenced my network's activities: yes

  • The regional health system is supportive of the development of HPH: yes

  • My network has received recognition/acknowledgment from public authorities/health systems: yes

If you wish to share your experiences in this regard, please feel free to elaborate here:

We work together with Società Italiana Promozione Salute (SIPS) and we meet with other Health Promotion Italian Networks: Healthy Cities, Workplace Health Promotion, Schools for Health

 

3C. Availability of key HPH documents in my local language

 

In my local language the following documents exist

In my local language, I would like the following HPH documents to be made available: Name documents

 

 

3D. My network's untapped resources and needs for further support

 

My network has untapped resources that could help contribute to the International HPH Network’s fulfilment of its objectives by:

<you can answer in writing or by, for instance, adding a video presentation here>

 

The International HPH Network, the HPH Governance Board and the HPH Governance Assembly could better support my network by:

Participating at the National/Regional Meetings (videoconference, etc.)

3E. Final comments and ideas

 

Final comments and ideas from my network are:

We need to work more together with the European Patients Forum and other Patient Associations

 

 

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