1 Maintaining quality in specialist practice Conference on the accreditation of CME-CPD in Europe - Contributing to higher standards in medical care 18.

1

Maintaining quality in specialist practice

Conference on the accreditation of CME-CPDin Europe - Contributing to higher standards in

medical care

18 November 2011

Dr. Andrzej RysDirector – Health Systems and Products

European Commission

Effective and efficient health systems, with the capacity to provide safe safe and high quality and high quality healthcarehealthcare depend on having well-trained, efficient health health workforceworkforce with the right skills and in sufficient numbers throughout the European Union.

Citizens’ opinion: « Well trained medical staff and treatment that works are the most important elements of high quality healthcare »*

* Special Eurobarometer 327

Council Recommendation*

Patient safetyPatient safety

*Council Recommendation of 9 June 2009 on patient safety, including the prevention and control of healthcare associated infections

MS are recommended to promote education and training of healthcare workers on patient safety.

Recommended measures include:

encouraging multidisciplinary patient safety education and training

embedding patient safety in undergraduate and postgraduate embedding patient safety in undergraduate and postgraduate education, on-the-job training and the continuing professional education, on-the-job training and the continuing professional developmentdevelopment of health professionals

providing and disseminating information to all healthcare workers on patient safety standards, risk and safety measures in place to reduce or prevent errors and harm

EU financial supportEU financial support

Network of National PS PlatformsGood Medication Safety Practices in EuropeGuidelines on Patient Safety Guidelines on Patient Safety Education and TrainingEducation and Training Compendium of good practices in patient safety

http://www.eunetpas.eu/

Patient safetyPatient safety

EU financial support - examplesEU financial support - examples

The SIMPATIE project ("Safety Improvement for Patients in Europe") - developing EU-wide commonality and transparency in methodology on patient safety in healthcare institutions.HELICS project (Hospital in Europe Link for Infection Control through Surveillance) - creating a surveillance system and reference data sets for surveillance of Surgical Site Infections (SSIs) and infections in ICUs.MARQuIS project ("Methods of Assessing Response to Quality Improvement Strategies") assessing the value of different quality strategies and to provide information for countries contracting care for patients moving across borders and for individual hospitals reviewing the design of their quality strategies.

Patient safetyPatient safety

From patient safety to wider quality of healthcare

Main discussion points:What has been already done at EU level in the field?

Which dimensions of quality should and could be addressed at EU level?

How to ensure patient empowerment and professional involvement?

Quality of healthcareQuality of healthcare

Control over her/his own

care

PATIENT EMPOWERMENT

Sharing responsibility

for health outcome

Self-managed care

Information to patients

Choice of treatment

Education of patients

Choice of provider

Effective healthcare

system

Patient centred care

Patient satisfaction

Quality of healthcare:Quality of healthcare:patients’ perspectivepatients’ perspective

PROFESSIONAL EMPOWERMENT ?

Sharing responsibility

for health outcome

Self-managed care

Information to patients

Choice of treatment

Education of patients

Effective healthcare

system

Patient centred care

Motivation and

satisfaction

Quality of healthcare:Quality of healthcare:professionals’ perspective?professionals’ perspective?

Education and training of

health professionals

Joint action on patient safety and Joint action on patient safety and quality of healthcare quality of healthcare

Objectives:To contribute to the implementation of the Council Recommendation on patient safety

To establish collaboration among Member States on aspects of quality of healthcare

To promote collaboration among Member States on patient involvement/empowerment, including sharing information on patients’ rights and the role of the patient in safety and quality improvement

Timeline: 2012-2015

EU Action on health workforceEU Action on health workforce

Green Paper on the European Workforce for Health 2008

Public consultation 2009

Policy dialogues 2009-10

BE Ministerial Conference 2010

Council Conclusions Dec 2010

Health workforceHealth workforce

Health workforce issuesHealth workforce issues

Health workforceHealth workforce

ageing population resulting in an ageing population resulting in an increased demand for healthcareincreased demand for healthcare

ageing profile of most groups of health ageing profile of most groups of health professionalsprofessionals

unattractive conditions of employmentunattractive conditions of employment

general labour market mobility, causing general labour market mobility, causing outflows from healthcare professionsoutflows from healthcare professions

most pressing issue: most pressing issue: shortage of health shortage of health workforce workforce now and in the futurenow and in the future

EU Action on health workforce:EU Action on health workforce:ResponseResponse

Europe 2020 – EU Strategy for smart, sustainable and inclusive growth

Commission Communication: New Skills and Jobs (Nov 2010)

The Commission, in cooperation with Member States, will develop by 2012 an Action Plan to address the gap in the supply of health workers.

The action plan will be accompanied by a Joint Action under the Health Programme on forecasting health workforce needs and workforce planning.

Health workforceHealth workforce

Main objective: to address shortage of health workforce in the EU by providing a common platform for MS to work on:

Data for health workforce planning,,Exchange of good practice with planning methodologies,,Horizon scanning (forecasting future health workforce needs)Sustainability of the results of the Joint Action and framework of impacting on policy

Preparation of the Preparation of the Joint ActionJoint Action on health on health workforce planning (2012-2015)workforce planning (2012-2015)

Health workforceHealth workforce

Joint Action: partners involved in the preparatory process

Leader: Belgium

19 EU MS: CY, CZ, DE, EE, ES, FI, FR, HU, IE, IT, LT, LV, MT, NL, PL, RO, SE, SK, UK

Non EU countries: HR, IS, NO

Stakeholders, social partners and international organizations: CED, CPME, EFN, EHMA, HOPE, HOSPEEM & EPSU, IOM, OECD, PGEU, WHO

Health workforceHealth workforce

EU Action PlanEU Action Plan

To be adopted in 2012

Possible areas to be covered:Improving workforce planning (Joint Action)

Future skills and competences: advanced roles of health professionals, skill-mix

Improving retention and recruitment of health personnel

Implementing the WHO code on international recruitment of health personnel in the EU context

Health workforceHealth workforce

Health workforce in other EU initiatives: Directive on the recognition of

professional qualifications

Ongoing modernisation:Evaluation of the directive 2010-2011 (evaluation report July 2011)

Public consultation on the Green Paper from June to September 2011

Public Conference on the Modernisation of the directive on 7 November

Among issues discussed: minimum training requirements and CPD/CME

Legislative proposal expected end 2011

Health workforceHealth workforce

THANK YOU !