09_B_ Migrant Friendly and Culturally Competent_A Chiarenza
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09_B_ Migrant Friendly and Culturally Competent_A Chiarenza
TF MFH HPH TF MFH Task Force on Migrant-Friendly Hospitals and Health Services Annual report and action plan 2013-2014 Antonio Chiarenza Leader of HPH-TF MFH AUSL di Reggio Emilia, Italy General Assembly of HPH coordinators and TF leaders 22th International Conference HPH 23 April 2014. Barcelona, Spain 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 TF MFH TF Activities May 2013 – April 2014 VISIBILITY 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 HEALTHCARE HEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE 2 TF MFH TF Activities May 2013 – April 2014 COLLABORATIONS 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 HEALTHCARE HEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE 3 TF MFH TF Activities May 2013 – April 2014 PUBLICATION “Equity Standards for Health Care Organisations: a Theoretical Framework.” Diversity and Equality in Health Care 10(4): 249-258, 2013 HPH TASK FORCE ON MIGRANT FRIENDLY AND CULTURALLY COMPETENT HEALTHCARE HEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE 4 TF MFH Project to develop Standards For Equity in Health Care (started 2011) 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 HPH TASK FORCE ON MIGRANT FRIENDLY AND CULTURALLY COMPETENT HEALTHCARE HEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE 5 A set of preliminary standards pilot tested in 45 organisations from 12 countries (April-September 2012) TF MFH 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 Aims: • To assess the clarity, relevance and applicability of the standards • To assess the compliance with the standards in pilotorganisations • To collect comments and suggestions and effective practices from pilotorganisations HPH TASK FORCE ON MIGRANT FRIENDLY AND CULTURALLY COMPETENT HEALTHCARE HEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE Final Equity standards TF MFH 5 Main standards 19 Sub standards 50 Measurable elements HPH TASK FORCE ON MIGRANT FRIENDLY AND CULTURALLY COMPETENT HEALTHCARE HEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE TF MFH TF 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 HEALTHCARE HEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE 8 TF MFH Standards For Equity In Health Care Self-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 HPH TASK FORCE ON MIGRANT FRIENDLY AND CULTURALLY COMPETENT HEALTHCARE HEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE 9 SELF-ASSESSMENT TOOL: Three main components TF MFH 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. Measurable element 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. Assign a score HPH TASK FORCE ON MIGRANT FRIENDLY AND CULTURALLY COMPETENT HEALTHCARE HEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE 10 SELF-ASSESSMENT TOOL: Three main components TF MFH 1. 2. 3. Standards-based assessment: to evaluate whether appropriate structures, systems and processes are in place and functioning. Indicators-based assessment: to evaluate whether service performance leads to results. 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. Standard 2: Equitable access and utilisation 3 example indicators provided by TF Indicator Description/Rationale INTERPRETING 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. HPH TASK FORCE ON MIGRANT FRIENDLY AND CULTURALLY COMPETENT HEALTHCARE HEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE 11 SELF-ASSESSMENT TOOL: Three main components TF MFH 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. HPH TASK FORCE ON MIGRANT FRIENDLY AND CULTURALLY COMPETENT HEALTHCARE HEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE 12 TF MFH PILOT-TEST IMPLEMENTATION April 2014 - October 2014 Five phases: Participating countries 1. Phase. Preparation (April 2014) 1. Australia 2. Belgium 3. Canada 4. Finland 5. Ireland 6. Italy 7. Malta 8. Norway 9. The Netherlands 10. Scotland 11. Slovenia 12. Spain 13. Sweden 14. UK 2. Phase. Assessment of standards and selection of indicators (April-June 2014) 3. Phase. Identification of improvement areas (July 2014) 4. Phase. Development of action plan (July –September 2014) 5. Phase. Reporting of results (End October 2014) HPH TASK FORCE ON MIGRANT FRIENDLY AND CULTURALLY COMPETENT HEALTHCARE HEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE 13 TF MFH TF MFH http://www.hphnet.org/members/task-forces E-Mail: [email protected] 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 14