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THE SELF-EVALUATION SYSTEM OF THE HPH PROJECT IN TUSCANY: FIRST RESULTS

THE SELF-EVALUATION SYSTEM OF THE HPH PROJECT IN TUSCANY: FIRST RESULTS. Authors: Fabrizio Simonelli, Caterina Teodori, Maria José Caldés Pinilla, Katalin Majer Regional Co-ordinating Centre of the HPH Network of Tuscany A. Meyer University Children’s Hospital, Florence (Italy).

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THE SELF-EVALUATION SYSTEM OF THE HPH PROJECT IN TUSCANY: FIRST RESULTS

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  1. THE SELF-EVALUATION SYSTEM OF THE HPH PROJECT IN TUSCANY: FIRST RESULTS Authors: Fabrizio Simonelli, Caterina Teodori, Maria José Caldés Pinilla, Katalin Majer Regional Co-ordinating Centre of the HPH Network of Tuscany A. Meyer University Children’s Hospital, Florence (Italy)

  2. About the self-evaluation system... I. Short introduction to the context II. Objectives III. Target group and methodology IV. Ad hoc evaluation tools and outcomes V. Next steps and conclusions

  3. I. Short introduction to the context: • the HPH Network of Tuscany, co-ordinated by the A. Meyer University Children’s Hospital, has started up a process of self-evaluation, involving all the 16 Local Health and Hospital Units belonging to its network; • the first results have been presented on the occasion of the 7th Italian Conference of Turin (21-22th of November 2003). LOCAL HEALTH UNIT LOCAL HOSPITAL UNIT

  4. I. Short introduction to the context The self-evaluation system • allows: • to confront the data concerning the years 2002 and 2003 • to evaluate the advancing of the HPH project • to identify its strengths and criticism • is based on: • a systematic calendar of annual meetings: • in the single Health and Hospital Units • with the Co-ordinators of the single inter-corporate projects

  5. II. Objectives: Objectives of the self-evaluation system: • to define an annual evaluation process of the level of development of the HPH project in Tuscany • to monitor the development of the single corporate and inter-corporate projects

  6. III. Target group and methodology: • Target group: the whole HPH Network of Tuscany • Methodology: - definition of ad hoc evaluation tools aligned with the standards individuated by the international Working Group; - collective evaluation in the Local Health and Hospital Units and with the Co-ordinators of the inter-corporate projects; - decoding, analyses and graphical elaboration of the results; - general report of network.

  7. IV. Ad hoc evaluation tools and outcomes A system composed by: • a set of 13 standards- single corporate HPH projects • a scheme of steps- for the measurement of the development of the single inter-corporate projects • a scheme for the monitoring of the existing difficulties/excellencies.

  8. Set of 13 standards

  9. Set of 13 standards • It has been attributed a ‘weight’ to every standards, using the evaluation scale of the model of the European Foundation for Quality management: 0 = NOT INITIATED 33 = SOME PROGRESSES 66 = CONSIDERABLE PROGRESSES 100 = COMPLETELY REACHED • Finally the data have been elaborated statistically.

  10. Outcomes 3 types of outcomes: a) Radar-diagrams for show the differences: AVERAGES OF THE STANDARDS YEARS 2002 AND 2003 CORPORATE AVERAGES YEARS 2002 AND 2003 b) Scheme of steps for show the differences: INTERCORPORATE PROJECTS YEARS 2002 AND 2003 c) Scheme for show: EXISTING DIFFICULTIES/EXCELLENCIES YEAR 2003

  11. A) AVERAGES OF THE STANDARDS 2002/2003 STATUTE CHRONO-PROGRAMME TC/CO-ORDINATOR EXTERNAL VISIBILITY BUDGETING PRIZE-GIVING SYSTEM INTERNAL VISIBILITY LOCAL ASSOCIATIONISM QUALITY SYSTEM TERRITORIAL HEALTH SERVICES TRAINING SYSTEM COMUNICATION SYSTEM TERRITORIAL OPERATIVE UNITS

  12. A) CORPORATE AVERAGES 2002/2003 LHU PISA HOSPITAL PISA LHU MASSA E CARRARA LHU AREZZO LHU LIVORNO HOSPITAL MEYER LHU EMPOLI LHU LUCCA HOSPITAL CAREGGI LHU VIAREGGIO LHU SIENA HOSPITAL SIENA LHU PISTOIA LHU FIRENZE LHU PRATO LHU GROSSETO

  13. B) DEVELOPMENT LEVEL OF THE INTER-CORPORATE PROJECTS - 2002/2003 Safety 100% 2002 2003 Humanisation 100% 33% Smoke-free Hospital 100% 100% 33% 100% Comfort/ Reception 100% Pain-free Hospital 66% 100% 100% 33% 100% Intercultural Hospital 100% Dissemination of results; Exportation of the project Census of experiences Working programme (selection of priorities) HPH Projects Project development Evaluation of outcomes

  14. C)DIFFICULTIES / EXCELLENCIES

  15. Conclusions and next steps • Conclusions: - the self-evaluation system seems quite well-grounded and sensible for the systematic evaluations of the HPH project in Tuscany; (further refinements will be needed) • a group of operators ‘culturally and operatively leading’ is consolidating, together with the need to give a local ‘phisyognomy’ to the regional network; • the system, allowing the comparison between the situations of the Local Health and Hospital Units, appears to be ‘pressing’ for the attention of the local management and the health professionals. • Next steps: • refinements of the evaluation system, before starting the meetings of the year 2004 • indicators of measurement!!!

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