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