HPH TF MFCCH Task Force on Migrant-Friendly and Culturally Competent Health Care

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1 HPH TF Task Force on Migrant-Friendly and Culturally Competent Health Care Developing standards for assessing equity of access and quality of health care for migrants and other vulnerable groups Antonio Chiarenza Jim Robinson Ragnhild Spilker Workshop of the Task Force International HPH Conference Turku,1 st -3 rd June2011 1

2 The aims of Task Force on The HPH Task Force is co-ordinated by HPH Regional Network Emilia Romagna, AUSL Reggio Emilia (Agreement signed June 2008 for 4 years) To create a framework for continuity after the conclusion of the MFH project To share and disseminate best policies and practice and initiate the development of quality tools To foster co-operation and alliances between healthcare organisations and other networks To support health care organisations in the HPH in becoming MF & CC organisations as indicated in the Amsterdam Declaration 2

3 TF WORKPLAN Project to develop standards for equity in health care. Project aim: To develop a comprehensive framework for measuring and monitoring the capacity of healthcare organisations to improve accessibility to appropriate and effective health services; health promotion and preventive care for migrants and other vulnerable groups. Principles and values: Acknowledge that there are inequities in health care and these inequities are unjust and must be redressed. These inequities are determined by power imbalances that exist in the dynamics between diverse populations and the health care system; Support work to eradicate all forms of institutional discrimination based on ethnicity, gender, age, disabilities, religious beliefs and sexual orientation. Acknowledge and value multiple diversity and the existence of differences and commonalities in the local population. Acknowledge the uniqueness of all individuals and the respect of individual identity. Acknowledge the right for individual self-determination and social justice. 3

4 TF WORKPLAN Project to develop standards for equity in health care Project group: Antonio Chiarenza (Italy) Dagmar Domenig and Sandro Cattacin (Switzerland) Ragnhild Spilker and Bernadette Nirmal Kumar (Norway) James Robinson and James Glover (Scotland) Manuel Fernandez Gonzales (Sweden) Diane Nurse (Ireland) Lai Fong Chiu and Mark Johnson (United Kingdom) Morten Sodemann (Denmark) Manuel García-Ramírez (Spain) Gurwinder Gill, Elizabeth Abraham and Marie Serdynska (Canada) Ursual Karl-Trummer (Austria) 4

5 TF WORKPLAN Project to develop standards for equity in health care Project process: 1. To develop the conceptual model in order to identify and organise standards and measurable elements. 2. To identify the main standards for measuring and monitoring equity in healthcare. 3. To identify, for each main standard, a set of sub-standards and break these down into their principle components. 4. To revise the proposed standards and review development of preliminary standards. 5. To present and discuss the preliminary standards at the International HPH Conference in Turku, Finland (1st-3rd June 2011) 6. To pilot test the preliminary standards in order to assess their clarity and ensure they meet the actual needs of people and services. 7. To collect and analyse the findings of the pilot test 8. To present the outcomes of the pilot test at the HPH International Conference (2012). 9. To produce the final standards and implement them in pilot organisations. 5

6 Structure of standards

7 1 Standard Equity in policy Objective of the standard The organisation promotes equity by providing fair opportunities in healthcare and contributes to reducing health differentials to the lowest through the delivery of sustainable and cost effective policies. 7

8 2 Standard Equitable Access and Utilisation Objective of the standard The organisation ensures, for equal need, equitable access to available care and utilisation. 8

9 3 Standard Equitable Quality of Care Objective of the standard The organisation provides high quality of care for all, acknowledging the unique characteristics of the individual and acting on these not only to improve individual health but also social wellbeing. This means providing person centred care. 9

10 4 Standard Community involvement Objective of the standard The organisation provides for effective information and intervention through proactive and outreach group engagement of its community. Groups in the community are seen as active participants rather then passive recipients. 10

11 Standard Promoting equity Objective of the standard The organisation understands that it is part of a wider system and is able to promote the principles of equity across services. 11

12 5 Standards 23 Sub standards -- Measurable elements

13 PILOT TESTING THE STANDARDS IN HEALTH CARE ORGANISATIONS (October-December 2011) Objectives: To assess the compliance of the health care organisations to the standards To assess the applicability and clarity of the standards To collect examples of demonstrable evidence (effective practices relating to the substandard) To establish if the standards are accessible and understandable

14 PILOT TESTING THE STANDARDS IN HEALTH CARE ORGANISATIONS (October-December 2011) Responsibilities: HPH national networks are invited to be involved in the pilot testing of the preliminary standards. The HPH national coordinators in countries taking part in the pilot test are expected to: Identify and contract with 2 4 test hospitals/health services in the network. Identify a responsible contact person who should take responsibility for the pilot test and report the results to the coordinator. Give appropriate instruction to the contact persons. Translate the test material into the national language. Take part in a workshop in Oslo (NAKMI) in March

15 PILOT-TEST: REVIEW FORM Standard 4. The organisation provides for effective information through proactive and outreach group engagement of its community. Groups in the community are seen as active participants rather then passive recipient. Sub standard Content Sub standard is relevant? Sub standard is applicable? Comments and suggestions 4.1 The organisation has effective channels of communication with its community. 4.2 The organisation works in partnership with community based mediators/ social workers, etc. to engage with communities in an inclusive way 4.3 The organisation monitors the range of people who take part in participation activities. 4.4 The organisation has its participation processes.

16 Information and contact TF : 16