NATIONAL QUALITY POLICY IN POLAND

Barbara Kutryba, Poland

POLISH SOCIETY FOR QUALITY PROMOTION

IN HEALTHCARE

WORKSHOP 1, ENQual Programme

Utrecht, 28 – 29 November, 2003

NHS PRINCIPLES

POLISH CONSTITUTION (ART.58)

• FREE ACCESS

• SOLIDARITY

• EQUALITY

• FREE CHOICE OF PROVIDER

OVERVIEW OF HEALTHCARE SYSTEM

•Total health spending(public and private): 4.1% GDP

•629 USD per capita

•Organization structure of NHS:

central gov. administration: MoH;NCQA

local government health authorities ( municipal, district & provincial)

OVERVIEW OF HEALTHCARE SYSTEM

NGO’s: SQPH;Supreme Medical

Council; Supreme Council of

Nurses & Midwives; Scientific

Medical Societies; Polish

Association of Hospital Managers; Polish Association of Hospitals; Polish Society of Healthcare Managers; Polish Association of Hospital Infections

FINANCING OF HEALTHCARE SYSTEM

•1989 – 1998 NHS financed by state budget

•1999 – March 2003 Universal Health Insurance ( 17 Sick Funds)

•April 2003 National Health Fund (NHF)

INITIATIVES OF THE 90’S

•Introduction of the Family Physician concept

•Introduction of the public autonomous healthcare providers

•Ownership of public healthcare providers transferred to local governments

•Privatization of pharmacies

NHS RESTRUCTURINGNOVEMBER 2003

•ACT ON PUBLIC ASSISTANCE AND RESTRUCTURING OF AUTONOMOUS HEALTHCARE PROVIDERS

STATUTORY INSPECTION BODIES

•SANITARY INSPECTORATE

•SUPREME CHAMBER OF CONTROL

•NATIONAL LABOUR INSPECTORATE

QUALITY INITIATIVES IN POLAND

• LEGISLATION FOR HEALTHCARE• QUALITY • STRATEGIC POLICY OF MoH (2002-

2003)• NATIONAL CENTER FOR QUALITY• ASSESSMENT IN HEALTH CARE

(NCQA)• NGOs INITIATIVES

LEGISLATION FOR Q

• Amended Healthcare Organizations Act 1997;

• Regulations: on infrastructure & sanitary requirements; healthcare management qualifications requirements; medical records; GMP;minimal staffing; staff qualifications; specialty surveillance; physician’ /nurse’ accountability

LEGISLATION FOR Q

Act on the Profession of Physician; Act on the

Profession of Nurse; Pharmacy Law Act; GLP

Act; Infectious Disease’ Act; Medical

Chamber Act; Act on Nurses and Midwives

Chamber; Pharmacy Chamber Act; GMP Act;

NHF Act

LEGISLATION FOR Q

Act on Physician’ Chamber;

Act on Nurse’ Chamber

Corporate Regulations:

Physician’ Ethics Code;

Nurse’ Ethics Code

Q INITIATIVES:MoH STRATEGY

• Continuous improvement of health services according to patients’ needs

• Making NHS more effective and efficient

• Identification of best providers

• Increase motivation of medical professionals

Q INITIATIVES: NCQA

• ACCREDITATION

• QUALITY ASSURANCE ( TRAINING & EDUCATION FOR QA TEAMS)

• CLINICAL GIUDELINES

• INDICATORS

• PATIENT SATISFACTION SURVEYS

• QI PROJECTS

Q INITIATIVES: SQPH

• NATIONAL PATIENT SAFETY PROJECT

• HEALTH TECHNOLOGY ASSESSMENT• ACCREDITATION CONSULTANCY• CLINICAL GUIDELINES• ESQH KRAKOW OFFICE FOR

HEALTHCARE QUALITY PROMOTION• QI PROJECTS

8th Conference „Quality in Health Care” European Forum:”Information

in Healthcare”

PATIENT „EMPOWEREMENT”

• CHARTER OF PATIENT RIGHTS – 1998/2001

• PATIENT’ OMBUDSMAN at NHF – 2003• BUREAU OF PATIENT’ RIGHTS at MoH

- 2001INPATIENT Q INITIATIVES: Patient’Ombudsman; patient opinion surveys; patient education