Keywords
health structures
quality tool
Abstract
Abstract
Introduction
The regional healthcare system of the Lombardy Region pay great attention to monitoring the effectiveness and quality level with which its services.
The aim of this paper is to describe the method adopted by the Lombardy Region to create a governance tool for the healthcare system that would be applied within hospitals to create value at financial-economic level, to achieve continuous quality improvement and to increase patient/customer satisfaction levels.
It was called: Piano Integrato del Miglioramento dell’ Organizzazione (PIMO), i.e. Integrated Plan for Hospital Improvement.
Metjods
The approach for the definition of the PIMO was based on: the Plan Do Check Act methodology; the management requirements introduced by the UNI EN ISO 9001:2008 and UNI EN ISO 9004:2005 standards; the regulations and indications made for the Public Administration; the Guidelines for planning and monitoring improvement proposed by the CAF (Common Assessment Framework).
Results
The evaluation of the scores for all the health structures shows a good level of quality and qualifies PIMO as a strategic tool for hospitals.
Conclusions
It will be necessary to allow this tool to operate for some time in order to make an overall assessment of the results achieved.
References
REFERENCES
Dilley JA, Bekemeier B, Harris JR. Quality improvement interventions in public health
systems: a systematic review. Am J Prev Med. 2012; 42 Suppl 1:58-71. doi: 10.1016/j.amepre.2012.01.022
Beitsch LM, Yeager VA, Moran J. Deciphering the imperative: translating public health quality
improvement into organizational performance management gains. Annu Rev Public Health. 2015;
:273-87. doi: 10.1146/annurev-publhealth-031914-122810
The Joint Commission. What is accreditation?
https://www.jointcommission.org/accreditation/accreditation_main.aspx (2018). Accessed 3
September 2018.
The Australian Council on Healthcare Standards (ACHS). Programs & Services.
https://www.achs.org.au/programs-services/ (2018). Accessed 3 September 2018.
Consiglio d’Europa, Raccomandazione N. R (97) 17 del Comitato dei Ministri agli Stati
Membri. Sullo Sviluppo e l’attivazione di Sistemi di Miglioramento della Qualità (SMQ)
dell’Assistenza Sanitaria” (i.e. “On the Development and activation of healthcare quality
improvement systems (SMQ)"). Adottato dal Consiglio dei Ministri il 30 settembre 1997 alla 602°
riunione dei Ministri. http://www.salute.gov.it/imgs/C_17_pubblicazioni_28_allegato.pdf (p.8).
Accessed 31 october 2018.
Groene O, Skau JK, Frølich A. An international review of projects on hospital performance
assessment. Int J Qual Health Care 2008; 20:162-71. doi:10.1093/intqhc/mzn008
National Center for Quality Assessment in Health Care, WHO Collaborating Centre for
Development of Quality and Safety in Health Systems. PATH Performance Assessment Tool for
Quality Assessment in Hospital. http://www.pathqualityproject.eu/what_is_path.html (2018).
Accessed 20 August 2018.
Shaw CD, Groene O, Botje D, Sunol R, Kutryba B, Klazinga N, Bruneau C, Hammer A, Wang
A, Arah OA, Wagner C; DUQuE Project Consortium.. The effect of certification and accreditation
on quality management in 4 clinical services in 73 European hospitals. Int J Qual Health Care
; 26 Suppl 1:100-7. doi:10.1093/intqhc/mzu023
Brewer RA, Joly B, Mason M, Tews D, Thielen L. Lessons learned from the multistate learning
collaborative. J Public Health Manag Pract 2007; 13:388-94. doi:10.1097/01.PHH.0000278033.64443.2a
Directive 2011/24/EU of the European Parliament and of the Council of 9 march 2011 on the
application of patients’ rights in cross-border healthcare. Official Journal of the European Union,
/4/2011, L 88/45.
Legge 23 dicembre 1978, n. 833: Istituzione del servizio sanitario nazionale, GU n.360 del 28
-1978, Suppl. Ordinario.
D. Lgs 19 giugno 1999, n. 229. Norme per la razionalizzazione del Servizio Sanitario
Nazionale, a norma dell’articolo 1 della legge 30 novembre 1998, n. 419. Gazzetta Ufficiale n. 165
del 16 luglio 1999 - Supplemento Ordinario n. 132.
Legge Regionale 11 luglio 1997, n. 31. Norme per il riordino del servizio sanitario regionale e
sua integrazione con le attività dei servizi sociali. BURL n.28, 2° suppl. ord. del 11 Luglio 1997,
urn:nir:regione.lombardia:legge:1997-07-11;31.
Regione Lombardia, BOLLETTINO UFFICIALE, Serie Ordinaria n. 25, Lunedì 15 giugno
, Allegato 1,Programma Integrato di Miglioramento dell’Organizzazione“.
Xchange PDF, version 2.5.322.6, Tracker Software Products, web site:
www.trackersoftware.com/product/pdf-xchange-viewer.
Dixon-Woods M, McNicol S, Martin G. Ten challenges in improving quality in healthcare:
lessons from the Health Foundation's programme evaluations and relevant literature. BMJ Qual
Saf. 2012; 21:876-84. doi.org/10.1136/bmjqs-2011-000760