NATIONAL QUALITY POLICY IN POLAND Barbara Kutryba, Poland POLISH SOCIETY FOR QUALITY PROMOTION IN...
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Transcript of NATIONAL QUALITY POLICY IN POLAND Barbara Kutryba, Poland POLISH SOCIETY FOR QUALITY PROMOTION IN...
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NATIONAL QUALITY POLICY IN POLAND
Barbara Kutryba, Poland
POLISH SOCIETY FOR QUALITY PROMOTION
IN HEALTHCARE
WORKSHOP 1, ENQual Programme
Utrecht, 28 – 29 November, 2003
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NHS PRINCIPLES
POLISH CONSTITUTION (ART.58)
• FREE ACCESS
• SOLIDARITY
• EQUALITY
• FREE CHOICE OF PROVIDER
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OVERVIEW OF HEALTHCARE SYSTEM
•Total health spending(public and private): 4.1% GDP
•629 USD per capita
•Organization structure of NHS:
central gov. administration: MoH;NCQA
local government health authorities ( municipal, district & provincial)
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OVERVIEW OF HEALTHCARE SYSTEM
NGO’s: SQPH;Supreme Medical
Council; Supreme Council of
Nurses & Midwives; Scientific
Medical Societies; Polish
Association of Hospital Managers; Polish Association of Hospitals; Polish Society of Healthcare Managers; Polish Association of Hospital Infections
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FINANCING OF HEALTHCARE SYSTEM
•1989 – 1998 NHS financed by state budget
•1999 – March 2003 Universal Health Insurance ( 17 Sick Funds)
•April 2003 National Health Fund (NHF)
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INITIATIVES OF THE 90’S
•Introduction of the Family Physician concept
•Introduction of the public autonomous healthcare providers
•Ownership of public healthcare providers transferred to local governments
•Privatization of pharmacies
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NHS RESTRUCTURINGNOVEMBER 2003
•ACT ON PUBLIC ASSISTANCE AND RESTRUCTURING OF AUTONOMOUS HEALTHCARE PROVIDERS
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STATUTORY INSPECTION BODIES
•SANITARY INSPECTORATE
•SUPREME CHAMBER OF CONTROL
•NATIONAL LABOUR INSPECTORATE
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QUALITY INITIATIVES IN POLAND
• LEGISLATION FOR HEALTHCARE• QUALITY • STRATEGIC POLICY OF MoH (2002-
2003)• NATIONAL CENTER FOR QUALITY• ASSESSMENT IN HEALTH CARE
(NCQA)• NGOs INITIATIVES
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LEGISLATION FOR Q
• Amended Healthcare Organizations Act 1997;
• Regulations: on infrastructure & sanitary requirements; healthcare management qualifications requirements; medical records; GMP;minimal staffing; staff qualifications; specialty surveillance; physician’ /nurse’ accountability
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LEGISLATION FOR Q
Act on the Profession of Physician; Act on the
Profession of Nurse; Pharmacy Law Act; GLP
Act; Infectious Disease’ Act; Medical
Chamber Act; Act on Nurses and Midwives
Chamber; Pharmacy Chamber Act; GMP Act;
NHF Act
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LEGISLATION FOR Q
Act on Physician’ Chamber;
Act on Nurse’ Chamber
Corporate Regulations:
Physician’ Ethics Code;
Nurse’ Ethics Code
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Q INITIATIVES:MoH STRATEGY
• Continuous improvement of health services according to patients’ needs
• Making NHS more effective and efficient
• Identification of best providers
• Increase motivation of medical professionals
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Q INITIATIVES: NCQA
• ACCREDITATION
• QUALITY ASSURANCE ( TRAINING & EDUCATION FOR QA TEAMS)
• CLINICAL GIUDELINES
• INDICATORS
• PATIENT SATISFACTION SURVEYS
• QI PROJECTS
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Q INITIATIVES: SQPH
• NATIONAL PATIENT SAFETY PROJECT
• HEALTH TECHNOLOGY ASSESSMENT• ACCREDITATION CONSULTANCY• CLINICAL GUIDELINES• ESQH KRAKOW OFFICE FOR
HEALTHCARE QUALITY PROMOTION• QI PROJECTS
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8th Conference „Quality in Health Care” European Forum:”Information
in Healthcare”
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PATIENT „EMPOWEREMENT”
• CHARTER OF PATIENT RIGHTS – 1998/2001
• PATIENT’ OMBUDSMAN at NHF – 2003• BUREAU OF PATIENT’ RIGHTS at MoH
- 2001INPATIENT Q INITIATIVES: Patient’Ombudsman; patient opinion surveys; patient education