Post on 17-Dec-2015
transcript
Author S McMahonAuthor S McMahon
Whose health service is Whose health service is it anyway?it anyway?
Patients perspectivePatients perspective
Irish Patients AssociationIrish Patients Association
Royal Hospital Kilmainham Dublin
© Irish Patients Association Dec 4th 2002
OverviewOverview
How we saw the system and see itHow we saw the system and see it The Health StrategyThe Health Strategy Our StrategyOur Strategy Getting it rightGetting it right Whose health care is it? the challengeWhose health care is it? the challenge Areas of InvolvementAreas of Involvement Importance of NetworkingImportance of Networking Some messages for considerationSome messages for consideration
Irish Patients Association Dec 4th 2002
Legacy Model Legacy Model
PatientPatient
POWERPOWER
Health
Health Service
Service
supportsupport
Irish Patients Association Author S McMahon
Vision Model Vision Model
PatienPatientt
supportsupport
powerpower
Health Health ServiceService
Patient Centered Health Service
Irish Patients Association Author S McMahon
Vision of Irish Health Strategy Vision of Irish Health Strategy Quality & FairnessQuality & Fairness
A health system that supports and A health system that supports and empowers you, your family and empowers you, your family and community to achieve your full health community to achieve your full health potentialpotential
A health system that is there when you A health system that is there when you need it , that is fair and that you can trustneed it , that is fair and that you can trust
A health system that encourages you to A health system that encourages you to have you say, listens to you and ensures have you say, listens to you and ensures that you views are taken into accountthat you views are taken into account
Principles that underpin StrategyPrinciples that underpin Strategy
Equity and fairnessEquity and fairness A people-centered serviceA people-centered service Quality of careQuality of care Clear accountabilityClear accountability
Strategy not Dead we have only taken the first of many steps
Our StrategyOur Strategy
In Partnership with Health Service In Partnership with Health Service SystemsSystems
Place Patient at the center of Health CarePlace Patient at the center of Health Care Participate in the Improvement in the Participate in the Improvement in the
Quality & Safety they receiveQuality & Safety they receive Participate in its Cost EffectivenessParticipate in its Cost Effectiveness Participate in expanding the Availability of Participate in expanding the Availability of
ServiceService Protect Patients Rights!!Protect Patients Rights!!
Based on our experienceBased on our experience Patient NeedsPatient Needs
• Be treated with dignity Be treated with dignity • PrivacyPrivacy• ConfidentialityConfidentiality
• Have equitable access to services and Have equitable access to services and medicationsmedications
• Have quality and safety proactive management Have quality and safety proactive management ProgramsPrograms
• Have access to meaningful information Have access to meaningful information • Right to give informed ConsentRight to give informed Consent• To have Robust grievance proceduresTo have Robust grievance procedures
• To trust the systemTo trust the system
Irish Patients Association
Goal is getting it right every time! Goal is getting it right every time!
Irish Patients Association Author SMcMahon
Challenges to getting it right Challenges to getting it right Exist!Exist!
Medication Clinical
Management Inequality of Access
Occupational class gradients in health
0100200300400500600700
Perc
en
tag
e d
iffe
ren
ce (
%)
Mortality differencebetween highest andlowest occupationalclasses
Irish Patients Association Nov 15th 2002 Author S McMahon
Irish Patients Association Irish Patients Association Networking & collaborationNetworking & collaboration
Listen and learn from the patients experienceListen and learn from the patients experience
Enterprise liability advisory groupEnterprise liability advisory group
PPF Health service quality assurance groupPPF Health service quality assurance group
Among many NGOs Health strategy forumAmong many NGOs Health strategy forum
P.A.P.A.
I.A.P.O.I.A.P.O.
Cittadinanzattiva Cittadinanzattiva
Areas Of InvolvementAreas Of Involvement Council of Europe Committee of experts on media and health (SP-MDS)Council of Europe Committee of experts on media and health (SP-MDS)
Primary Care Implementation National/Regional Steering CommitteesPrimary Care Implementation National/Regional Steering Committees
Medical Councils Advisory Group on Competence AssuranceMedical Councils Advisory Group on Competence Assurance
An Bord Altranais steering committee on Nurses in the prescribing and An Bord Altranais steering committee on Nurses in the prescribing and administration of medical productsadministration of medical products
A Hospital policy advisory committees Consent/Complaints/Non Punitive A Hospital policy advisory committees Consent/Complaints/Non Punitive reporting systemsreporting systems
EUPCEUPC
Lecturers / Conferences / MediaLecturers / Conferences / Media
Simple message isSimple message is
System is listening and patient groups are System is listening and patient groups are beginning to collaboratebeginning to collaborate
We all must work to ensure that it is not We all must work to ensure that it is not tokenistictokenistic
CampaignsCampaigns
Value for Money AuditValue for Money Audit• Participated inParticipated in
Safety “Proactive risk management Safety “Proactive risk management everywhere”everywhere”
Industrial relations unrestIndustrial relations unrest• Minister recently announced HR StudyMinister recently announced HR Study
Support “Health care advocates within Support “Health care advocates within system when they identify safety issues”system when they identify safety issues”
European patients charterEuropean patients charter
Without patient centered Without patient centered quality standards HC is not the quality standards HC is not the patientspatients
ReceptionistReceptionist
Doctor (GP)Doctor (GP)
PharmacistPharmacist
Community StaffCommunity Staff
ConsultantConsultant
NurseNurse
ProfessionalsProfessionals
Mngr/AdminMngr/Admin
OthersOthers
Irish Patients Association Author SMcMahon
Eg. Quality standards Communication Safety Management Industrial Relations Grievance procedurers Patients View
Event line
A health system that A health system that encourages you to have you say, encourages you to have you say,
listens to you and ensures thatlistens to you and ensures that you views are taken into accountyou views are taken into account
Patient centered
Needs a partnership approach
Corner stone – quality ethos
Drives culture change
It’s the patients Health Care system !
Lets Connect !Lets Connect !
THANK YOU THANK YOU