slide1 n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Luca Valerio PowerPoint Presentation
Download Presentation
Luca Valerio

Loading in 2 Seconds...

play fullscreen
1 / 32

Luca Valerio - PowerPoint PPT Presentation


  • 136 Views
  • Uploaded on

Assessing Clinical Governance in Primary Care. Results of a diagnostic review in an Italian Local Health Trust. Luca Valerio. European Forum of Primary Care Pisa 2010. Primary Care and Clinical Governance. Primary Care and Clinical Governance. But it was not easy.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Luca Valerio' - tamika


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
slide1

Assessing Clinical Governance in Primary Care. Results of a diagnostic review in an Italian Local Health Trust

Luca Valerio

European Forum of Primary Care

Pisa 2010

primary care and clinical governance1

Primary Care and Clinical Governance

But it was not easy.

how to evaluate the degree of implementation of Clinical Governance in Primary Care?

what is districare

An instrument for the evaluation of the degree of implementation of the tools of Clinical Governance in a specific setting of Primary Care

What is DistriCARE

It should:

Be reproducible

Evaluate both global consistency with Clinical Governance and consistency with single areas

Result in an operational plan for improvement

development of districare

Development of DistriCARE

  • Literature search
  • Expert Panel (DELPHI approach)
  • Software templates
the areas districare analyzes

The areas DistriCARE analyzes

Areas of Clinical Governance

Structural and Functional Prerequisites

areas 1 to 6 the cg roots

Areas 1 to 6: the CG roots

Planning and control

Research & Development

Institutional Marketing

Organization

Information Technology

Culture to Learn

slide9

Areas 7 to 24: the CG Areas

MATERNAL-CHILD CARE

CHRONIC DISEASES

DRUG AND ALCOHOL

ELDERLY CARE

slide10

The DistriCARE methodology

Results development

Preparation

Survey

Stage 1

Stage 2

Stage 3

who interviews

Project Team:

    • experts of CG with a medical background
    • experts of governance and business management
  • in partnership with an inter-professional working group pertaining to Regional authorities.

Who interviews?

who is interviewed

3 different levels of interviews:

  • LHT level interviews: 11 forms
    • A, B, C, D, E, F, D
    • 1A, 2A, 3A, 4A, 5A
  • HD level interviews: 9 forms (1D, 2D, 3D, 4D, 5D, 6D, 7D, 8D, 9D)
  • Areas of Need: 4 forms (1AB, 2AB, 3AB, 4AB)

Who is interviewed?

  • 24 analysis areas (6 CG roots and 18 CG branches), usually requiring separate interviews
who is interviewed1

Health Authority Level

District and Need Areas Level

Who is interviewed?

Direzione Sanitaria

Direzione Amministrativa dei Distretti

Programmazione e politiche di budget

Controllo di gestione

Ufficio Qualità

Risk Management

Sistema informativo direzionale

Sistemi informatici

Ufficio epidemiologico

OSRU e Ufficio Formazione

Ufficio relazioni con il pubblico

Direzioni di Distretto

Referente Dip. Materno Infantile

Responsabile UVG Distretto di Cuneo

Responsabile S.S. Psicogeriatria

Responsabile Dipartimento di Patologia delle Dipendenze

Responsabile S.S.D. Endocrinologia – Area Diabete

Further consultations

Direttore Dipartimento DSM

Dipartimento Prevenzione (two representatives)

slide18

What are they asked?

  • 478 items (single or multiple answer)
the first application of districare results for cg prerequisites roots

The first application of DistriCARE:Results for CG Prerequisites (roots)

Planning and control

Culture to Learn

Research & Development

Information Technology

Institutional Marketing

Organization

the first application of districare results for cg areas 1

The first application of DistriCARE:Results for CG Areas - 1

1A-Analysis of needs – HA level

1D-Analysis of needs – District level

2A-Performance evaluation

5D-Evaluation & improvement

4D-Audits-District level

slide25

The first application of DistriCARE:Results for CG Areas - 1

2D-Evidence Based Practice

7D-Citizen info&involvement

4A-Quality Systems

3D - Accountability

5A-Risk Management

6D-Risk Management

9D-Social and Healthcare integration

8D-Continuity of Care

3A-HTA

the first application of districare results for areas of need

The first application of DistriCARE:Results for Areas of Need

1AB-Healthcare integration and continuity – MATERNAL-CHILD

2AB-Healthcare integration and continuity – CHRONIC DISEASES

3AB-Healthcare integration and continuity – ELDERLY CARE

4AB-Healthcare integration and continuity – DRUG AND ALCOHOL

the first application of districare4

The first application of DistriCARE

1D-Analysis of needs

2D-Evidence Based Practice

5D-Evaluation improvement

7D-Citizen info&involvement

9D-Social and Healthcare integration

3D - Accountability

6D-Risk Management

8D-Continuity of Care

4D - Audit

the first application of districare5

The first application of DistriCARE

Borgo Dronero

Savigliano-Fossano

Ceva

Cuneo

Mondovì

Saluzzo

the first application of districare6

Output: a 17-point operational plan, including four types of actions:

    • E = Education and training;
    • I= Information technologies;
    • O = Organisational review (roles, processes, activities);
    • T = new Tools and working methods.
  • All 17 points were included in the Health Trust’s 2010 Strategic Plan, 6 in the short term, 11 in the medium/long term

The first application of DistriCARE

conclusions

Conclusions

From description to action

conclusions1

Conclusions

Thank you