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HPH TF MFH Task Force on Migrant-Friendly Hospitals and Health Services

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

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HPH TF MFH Task Force on Migrant-Friendly Hospitals and Health Services

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  1. HPH TF MFH Task Force on Migrant-Friendly Hospitalsand 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

  2. TF Activities May 2013 – April 2014VISIBILITY 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 • 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

  3. TF Activities May 2013 – April 2014COLLABORATIONS 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 • 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)

  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 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

  5. 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

  6. A set of preliminary standards pilot tested in 45 organisations from 12 countries (April-September 2012) • Aims: • To assess the clarity, relevance and applicability of the standards • To assess the compliance with the standards in pilot-organisations • Tocollect comments and suggestions and effective practices from pilot-organisations HPH TASK FORCE ON MIGRANT FRIENDLY AND CULTURALLY COMPETENT HEALTHCARE HEALTH PROMOTING HOSPITALS NETWORK OF EMILIA – ROMAGNA AZIENDA USL DI REGGIO EMILIA – DIREZIONE GENERALE

  7. Final Equity standards 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

  8. TF MFH Action Plan agreed at HPH General Assembly (2013-2015) 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 • 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.

  9. 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

  10. SELF-ASSESSMENT TOOL: Three main components • 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. Measurable element 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

  11. SELF-ASSESSMENT TOOL: Three main components • 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. 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

  12. SELF-ASSESSMENT TOOL: Three main components • 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. 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

  13. PILOT-TEST IMPLEMENTATION April 2014 - October 2014 Five phases: Phase. Preparation (April 2014) Phase. Assessment of standards and selection of indicators (April-June 2014) Phase. Identification of improvement areas (July 2014) Phase. Development of action plan (July –September 2014) Phase. Reporting of results (End October 2014) Participating countries • Australia • Belgium • Canada • Finland • Ireland • Italy • Malta • Norway • The Netherlands • Scotland • Slovenia • Spain • Sweden • UK 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

  14. THANK YOU TF MFH http://www.hphnet.org/members/task-forces E-Mail: equity@hphnet.org 14 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

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