History, Philosophy and HPH Development of Health Promoting Hospitals (HPH) Symposium HPH: Towards Green, Healthy and Conducive Life style Environment for Hospitals APACPH Bandung, October 22, 2015 Prof Dr Hadi Pratomo MPH Dr PH Prof. Dr . Hadi Pratomo, MPH, Dr PH Profesor Faculty of Public Health, Universitas Indonesia Advisor to the Indonesian Health Promoting Hospital Network Chairman of Expert Committee the Indonesian Health Promotion Society
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History, Philosophy and HPH
Development of Health Promoting Hospitals (HPH)
Symposium HPH: Towards Green, Healthy andy p , yConducive Life style Environment for Hospitals
APACPH Bandung, October 22, 2015
Prof Dr Hadi Pratomo MPH Dr PH
g
Prof. Dr. Hadi Pratomo, MPH, Dr PHProfesor Faculty of Public Health, Universitas Indonesia
Advisor to the Indonesian Health Promoting Hospital Networkg pChairman of Expert Committee the Indonesian Health Promotion Society
Why hospitals? HPHWhy hospitals?• High prevalence of patients with unhealthyHigh prevalence of patients with unhealthy
lifestyle and NCDs
• Adding HP to treatment improves the outcome on short and long term outco e o s o t a d o g te
• Hazardous working conditions in hospitalsHazardous working conditions in hospitals– Reduce risks & improve working conditions
Why hospitals? HPHWhy hospitals?
• Hospitals as knowledge-organizations– Intersectoral development of HP activities forIntersectoral development of HP activities for
community involment
• Production of waste & hazardous substances– Ecological approach towards waste, energy
tmanagement
Best HP Practice HPHes ac ceIncludes three parts
StaffBest Staff expertise
BestEvidence
P ti tPatient preference
(Sackett, DL, Strauss SE, Richardson WS et al. Evidence-based medicine. Churcill Livingstone 2000)
This presentation will coverThis presentation will cover…
• Philosophy: HP, CHP and HPH
• History and organization of HPHy g
• Development of HPH• Development of HPH
What is HPH? HPHWhat is HPH?
• The International Network of Health Promoting Hospitals & Health g pServices
• WHO initiated strong global network• WHO initiated, strong global network• Global strategy• Organization & History
What members commit to Projects• What members commit to Projects and activities
HPH World Mapp
N/R Network Individual Member – No network yet
897 members by August 2012897 members by August, 2012
2015? 1300?
HPH History HPH
1988 WHO Project (27 years ago)
HPH History1988 WHO Project (27 years ago)
1997 European Network (almost 10 yrs ltr)2004 I t HPH N t k d S t i t2004 Int. HPH Network and Secretariat2005 Gen Assembly & Governance Board2008 HPH C tit ti2008 HPH Constitution2009 HPH Strategy2010 M U WHO2010 MoU w. WHO2011 Sc J Clin HP2012 Fi t I tl C f i A i (T i i)2012 First Intl Conference in Asia (Taipei)
Rep IHPH Net, ISHEP
HPH ConstitutionVision
HPH Constitution
• Better health gain through HP for patients, staff and community
Mission• HPH shall work towards incorporating the WHO
concepts, values, strategies and standards or indicators of HP into the organizational structure of the H/HSthe H/HS
Organizational bodiesOrganizational bodies• General Assemblyy• National / Regional HPH Coordinators• WHO CC representatives• WHO representative (observer)• Task Force Leaders• Observers from upcoming networks
• Governance Board• 7 elected members (HPH Coordinators)• 2 WHO CC representatives (Vienna, Copenhagen)
Member commitments HPHMember commitmentsF ll th HPH C tit tiFollow the HPH Constitution:
• Endorse principles of WHO on HPH • Intend to implement principles strategies and• Intend to implement principles, strategies and
policies of HPHImplement HP activitiesDevelop a policy for HP Become smoke-free H/HSDevelop and evaluate an HPH action plan Pay annual feeIdentify H/HS CoordinatorShare information and experiences (nat / intl)
Standards + DATA + Doc ActStandards + DATA + Doc-Act
Shu-Ti
• 5 standards• 5 standards• 13 substandards
40 bl• 40 measurable elements
• 18 indicators
Exchange of knowledge & iexperience
• International HPH Conference• National and regional conferencesNational and regional conferences • GA Meetings
St ff h• Staff exchange program • WHO-HPH Schools (2 – 4 annually)• HPH Newsletter• Teaching & trainingTeaching & training• Sc J: Clin HP – Research & Best Practices
W b it b f l i t• Web-site: web-forums, e-learning etc.
www.hphnet.orgExchange of knowledge & experience
• HPH Library• E learning• E-learning • Toolboxes • Reporting on progress of Networks & TF• Best practice database p• Discussion Forum • Project Zones• Project Zones • N/R and TF sub-sites • News
Implementation of HPHImplementation of HPH
Edu-cation
Evidence-based Clin guidelines
Standards&
Indicators
Reimburse-ment through
DRGIntervention programmes for individualsCore strategies to put HPH into action
DRG
Visioner & Values of Health PromotionOttawa Charter, Budapest Declaration, Vienna Recom
Taiwan Society and Health PromotingTaiwan Society and Health Promoting Hospital
Network missionNetwork mission • 1. The advocating, popularizing, and researching for the culture of
hospitals’ health promoting. 2 Th i i hi d ti f th i t d• 2. The improving, reaching, and promoting for the environment, procedure, and the management of hospitals’ health promoting.
• 3. The researching and promoting for the theory, standard, appliance, and th th d f h it l ’ h lth tithe method of hospitals’ health promoting.
• 4. The promotion, membership recruitment, qualification censorship, international exchange and cooperation of the international network of health promoting hospitals in Taiwan.
• 5. The cultivation of trainees and qualified instructors of hospitals health promoting
• 6. Increasing the attention and support of government, health and medical organization, and the society paid to hospitals’ health promoting.
• 7. Holding other related events about hospitals’ health promoting.g p p gWebsite http://www.hph.org.tw/
Indonesian Health Promoting gHospital Network (IHPHnet)
Ab tAbout• Working together to reorient hospital towards better health gain by
integriting health promotion in all aspectVISION• Increasing the contribution of hospital in Indonesia to better health
gain through health promotiong g pMISION• IHPHNet shall work towards development
concept policy strategies and standars which can aplicable atconcept,policy,strategies and standars which can aplicable at Indonesian hospital
BOARDP id t D H S h MKM• President : Dr. H. Suherman, MKM
• General secretary : Deni Purnama, SKp
Further info, click on https://ihphnet.wordpress.com/
Conclusion & Recommendation
• History, philosophy and development of HPH was introduced
• ADOPTION of HPH conceptADOPTION of HPH concept – Taiwan 150 members out of 650 (25%)– Indonesia 20 members out of 2300 hospitals (lessIndonesia 20 members out of 2300 hospitals (less
than 1%)– Way forward: *Hardworking
*Networking*Perseverance*Sytematic approach
REFERENCES:
• Sackett, DL, Strauss SE, Richardson WS et al. Evidence-based medicine. Churcill Livingstone 2000)
T H P f D Hi t Phil h• Tonnesen, Honne, Prof Dr. History, Philosophy, Standards and Implementation of HPH, Presentation in Tokyo Japan September 15 2012Presentation in Tokyo, Japan, September 15, 2012
• https://ihphnet.wordpress.com/ accessed October 21, 2015
http // hph org t / Tai an Societ of Health• http://www.hph.org.tw/ Taiwan Society of Health Promoting hospitals accessed October 21, 2015