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