Overview National Public Health (Services) Strategy in Austria Gabriele Sax EUGISMET-PREVENTIVA, Vienna, 20.9.2013» Brief introduction of Gesundheit Österreich» National Strategy» WHY the burning issues» HOW structure & functioning» WHAT FOR - aims & objectives» WHAT - contents» Perspective Who we are 3 Business units GÖG (Gesundheit Österreich GmbH) was established in its current form by federal law on August 1, (www.goeg.at) Main tasks: Think-Tank for the Austrian Health Care System Supporting Ministry of Health and other stakeholders in preparing policy briefs, statutory regulations, etc. Scientific research and analysis Provision of information for nationwide planning, regulation, governance and (economic) evaluation in health care Health Care Promotion and Preventive Health Development, implementation and evaluation of a nationwide quality system Participation in national and international projects and working groups ÖBIG Österreichisches Bundesinstitut für Health & Society Planning and System development Health economics Health professions Transplantation Poison information centre BIQG Bundesinstitut für Qualität im Outcome quality, documentation and reporting Quality development and implementation Health portal FGÖ Fonds Gesundes Österreich Project promotion Research and development in health promotion Further education in health promotion Information Controlling 1
WHY: The Burning Issues» Recruitment difficulties» Inadequate training Further reasons:» Regulatory framework» Partly outdated» Fragmented NATIONAL PH(S)-STRATEGY» 9 provinces 9 public health services» Need for reforms» In health care in general» and in Public (health) services HOW : The PHS-Reformpath Structure WHAT FOR: Aims and Objectives MoH contracted» To develop the foundation for a professional (new) Public Health Service, providing high quality services. 2-4 meetings per year Define aims and objectives of reform, tasks for working groups, approve the results GÖG / ÖBIG facilitator Steering committee 9 BL & MoH, BMI, BMLV, Nurses in PHS Federal Health Commission Conference of the provincial MoHs Conference of the provincial CMOs» Raise the image of the profession by creating an attractive job profile and career opportunities and thereby promoting sustainable job satisfaction» Compilation of a regulatory framework that defines the core functions of the PHS as well as the competencies and the responsibilities WG Tasks WG training Working group Professional perspective Political decision making 2
PHS-Reform: Fields of Action The 1 st product : National Public Health Strategy Subtitle: Foundation for the further development of the Austrian Public Health Service Public Health and Health in All Policies are ( ) key challenges in health politics. To implement these strategies ( ) is the Public Health Service at the health politics disposal. ( ) the further development of the Public Health Service is important. (Foreword by the Minister of Health) National Public Health Strategy PH(S)-Strategy - Overview Aim: To develop the basis for a new Public Health Service so the PHS can operate professionally, on a high level of quality, whose (core) tasks are matched with the challenges and the requirements of the 21 st century Working group: 16 Persons covering all administrative PHSlevels, medical service of the police, public health nurses, expert of the relevant laws, Public Health-research Task: description of all tasks of the new PHS from a professional perspective» Paradigm shift: from sanitary police to health promotion and protection» Ottawa Charta as ( new ) action strategy» New understanding of mission and roles» Description of the fields of action» Objectives & reason for a PHS-task (based on defined criteria)» Description of the role» Tasks and activities» Annotations» e.g. need for action, esp. with respect to the legal framework 3
Fields of Action Support of other admin. Services of government, police and justice Supervision and Quality assurance in health care sector and in potentially health threatening facilities Epidemiology and health reporting Reformpath: Fields of Action Environmental medicine/ -hygiene tasks compensatory to the health care system Authorised expert for the authority, Supervisor for the authority, developer, advisor, Co-ordinator & promoter, observer physician Roles Health promotion and prevention Healthcare planning and health policy advising (Medical) Crisis management Protection against infections traditional fields of Action Task for the working group training for medical oifficers Concept for the training of a Physician for Public Health Outcome oriented specifications for the training based on the tasks defined in the strategy Em 5.7 (MSkA) Em 5.8 (UH/UM) Em 5.9 (UaVB) Consisting of: Definition of skills & competencies of the graduates describes the knowledge and the competencies to be acquired during the training & standards for the quality of structure and process of the training e.g.: hands-on training Qualification of the trainers admission requirements methodological and didactical principles 15 Public administration Modul Focus DISTRICT Em 5.4 (GP & B) Em 5.1 (A & QS) BASIC MODUL Doctor of medicine for Public Health Em 5.5 (IS) Em 5.2 (E & GBS) Em Enlargement Modul = enlargement of skills and competencies per field of action.. equivalent to/ replacement of former training Em 5.6 (MKM) Em 5.3 (GF & KV) 16 4
Perspectives List of topics for 2014ff» Conception to ensure PHS-tasks on the level of the municipalities» project within the (general) health care reform» Training concepts for Public Health Nurses and other staff within PHS» Concept for the PHS-Physicians conferences» within PHS» Implementation of the Strategy» promotion» Workshops» Contact Gabriele Sax Stubenring 6 1010 Vienna, Austria T: +43 1 515 61-120 ÖBIG Österreichisches Bundesinstitut für BIQG Bundesinstitut für Qualität im FGÖ Fonds Gesundes Österreich F: +43 1 513 84 72 E: gabriele.sax@goeg.at www.goeg.at Gesundheit Österreich Forschungs- und Planungs GmbH Gesundheit Österreich Beratungs GmbH 5