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The International Network of Health Promoting Hospitals and Health Services (HPH) is a nonprofit, non-governmental organization that was initiated by the World Health Organization (WHO) in 1988. It is also known simply as HPH, or "Health Promoting Hospitals." HPH is based on the settings approach to health promotion philosophy of the WHO as outlined in the WHO Ottawa Charter for Health Promotion (WHO 1986). The organization's main aim is to improve the health gain of hospitals and health services by a bundle of strategies targeting patients, staff, and the community.[ citation needed ]
Based on the Ottawa Charter for Health Promotion, the first conceptual developments on HPH started in 1988. A first model project "Health and Hospital", was initiated in 1989 at the Rudolfstiftung Hospital in Vienna, Austria, and successfully finished in 1996. 10 model documents (in German language) summarise the learnings from the pilot project and are available online to guide hospital projects related to health promotion.[ citation needed ]
In 1990, the WHO International Network of Health Promoting Hospitals was founded as a multi-city action plan of the WHO Healthy Cities Network Archived 2009-12-05 at the Wayback Machine . In 1991, the HPH network, which was in the beginning an alliance of experts, launched its first policy document, the Budapest Declaration on Health Promoting Hospitals. This document introduces the HPH concept and target groups - patients, staff, community - as well as related HPH strategies and action areas.
In order to implement HPH on a broader basis, a European Pilot Hospital Project of Health Promoting Hospitals was initiated in 1993, and finished in 1997. 20 hospitals from 11 European countries participated, 19 of which finished the project successfully. Also in 1993, the first
international HPH conference was organised, and the first international HPH Newsletter was published.
Since 1995, national and regional networks of HPH, all coordinated by their own national or regional coordinating centres, are being implemented and developed in order to disseminate HPH to as many hospitals and health care institutions as possible. The development of the HPH networks called for a new policy document: The Vienna Recommendations on Health Promoting Hospitals were launched in 1997.
In 2009, HPH has become a global movement with national and regional networks, individual member hospitals and health promotion initiatives on all continents. There are currently around 600 member hospitals in the HPH network from over 20 countries.
HPH combines a vision, a concept, and a set of 18 core strategies and 5 standards.
In accordance to health promotion theory, the HPH standards and strategies are based on the principles of the settings approach to health promotion, empowerment and enablement, participation, a holistic concept of health (somato-psycho-social concept of health), intersectoral cooperation, equity, sustainability, and multi-strategy. [1] This reflects a salutogenic approach.
In order to realise the full potential of the comprehensive HPH approach for increasing the health gain of hospital patients, staff, and the community, HPH needs to be supported by an organisational structure: Support from top management, a management structure that embraces all organisatial units, a budget, specific aims and targets, action plans, projects, and programs, standards, guidelines and other tools for implementing health promotion into everyday business. This needs to be supported by evaluation and monitoring, professional training and education, research and dissemination.[ citation needed ]
One way to implement HPH in a hospital or other health care organisation is by linking HPH aims and targets with quality management, thus understanding health promotion as one specific quality aspect in hospitals and health care. Ideally any managerial or professional decision in an HPH should also consider the health/ disease impact of that decision, together with other decision criteria (e.g. effectiveness, sustainability).
The concept of health promotion in hospital and health services is based on 6 policy documents:
The International Network of Health Promoting Hospitals is steered by a Governance Board composed of 7 members who are experts in the field of health promotion. In addition to the governance board, 2 standing observers (including Jürgen Pelikan) are responsible for organizing a yearly international conference, and the HPH International Secretariat, promote and assist the advancement of the concept of health promotion in hospitals and health services.
In an open tender process in May 2019, the General HPH Assembly awarded the International Secretariat to the team of Dr. Oliver Grone at OptiMedis AG. The new International Secretariat has grown the HPH membership base to include health institutions other than hospitals and has broadened the objective of the network in line with the Sustainable Development Goals.
Since the end of 2019, the HPH network is become officially known as the International Network of Health Promoting Hospitals & Health Services.
The HPH network promotes the use of standards developed for implementing health promotion in hospitals. This manual includes self-assessment forms and is available in 6 other languages, including Chinese, German, Russian, French, Japanese, and Persian.
The HPH Network is working to develop a broader set of umbrella standards by the end of 2020. HPH members, as well as external experts in the field of health promotion are co-developing the new standard set.
Several task forces and working groups develop specific HPH concepts, strategies and tools on specific subjects or for specific clinical areas:
The HPH Network hosts a yearly, international conference for its members to exchange ideas and advancements in health promotion.
Health informatics is the study and implementation of computer structures and algorithms to improve communication, understanding, and management of medical information. It can be viewed as a branch of engineering and applied science.
Health Level Seven, abbreviated to HL7, is a range of global standards for the transfer of clinical and administrative health data between applications with the aim to improve patient outcomes and health system performance. The HL7 standards focus on the application layer, which is "layer 7" in the Open Systems Interconnection model. The standards are produced by Health Level Seven International, an international standards organization, and are adopted by other standards issuing bodies such as American National Standards Institute and International Organization for Standardization. There are a range of primary standards that are commonly used across the industry, as well as secondary standards which are less frequently adopted.
Population health has been defined as "the health outcomes of a group of individuals, including the distribution of such outcomes within the group". It is an approach to health that aims to improve the health of an entire human population. It has been described as consisting of three components. These are "health outcomes, patterns of health determinants, and policies and interventions".
Health education is a profession of educating people about health. Areas within this profession encompass environmental health, physical health, social health, emotional health, intellectual health, and spiritual health, as well as sexual and reproductive health education. It can also be defined as any combination of learning activities that aim to assist individuals and communities improve their health by expanding knowledge or altering attitudes.
Primary health care (PHC) is a whole-of-society approach to effectively organise and strengthen national health systems to bring services for health and wellbeing closer to communities.
The right to health is the economic, social, and cultural right to a universal minimum standard of health to which all individuals are entitled. The concept of a right to health has been enumerated in international agreements which include the Universal Declaration of Human Rights, International Covenant on Economic, Social and Cultural Rights, and the Convention on the Rights of Persons with Disabilities. There is debate on the interpretation and application of the right to health due to considerations such as how health is defined, what minimum entitlements are encompassed in a right to health, and which institutions are responsible for ensuring a right to health.
Health promotion is, as stated in the 1986 World Health Organization (WHO) Ottawa Charter for Health Promotion, the "process of enabling people to increase control over, and to improve their health."
The Ottawa Charter for Health Promotion is the name of an international agreement signed at the First International Conference on Health Promotion, organized by the World Health Organization (WHO) and held in Ottawa, Canada, in November 1986. It launched a series of actions among international organizations, national governments and local communities to achieve the goal of "Health For All" by the year 2000 and beyond through better health promotion.
A patient safety organization (PSO) is a group, institution, or association that improves medical care by reducing medical errors. Common functions of patient safety organizations are data collection, analysis, reporting, education, funding, and advocacy. A PSO differs from a Federally designed Patient Safety Organization (PSO), which provides health care providers in the U.S. privilege and confidentiality protections for efforts to improve patient safety and the quality of patient care delivery
Health literacy is the ability to obtain, read, understand, and use healthcare information in order to make appropriate health decisions and follow instructions for treatment. There are multiple definitions of health literacy, in part because health literacy involves both the context in which health literacy demands are made and the skills that people bring to that situation.
The European Institute for Health Records or EuroRec Institute is a non-profit organization founded in 2002 as part of the ProRec initiative. On 13 May 2003, the institute was established as a non-profit organization under French law. Current President of EuroRec is Prof. Dipak Kalra. The institute is involved in the promotion of high quality Electronic Health Record systems in the European Union. One of the main missions of the institute is to support, as the European authorised certification body, EHRs certification development, testing and assessment by defining functional and other criteria.
The Global Initiative for Emergency and Essential Surgical Care was established by the World Health Organization in December 2005. Its general purpose is to reduce "death and disability from road traffic accidents, trauma, burns, falls, pregnancy related complications, domestic violence, disasters and other emergency surgical conditions" by improving collaborations between relevant organizations, institutions, and agencies. Specific objectives include improving basic medical supplies at district hospitals, as well as better training for staff to bolster medical standards and care. Since its inception, GIEESC has grown to include over 2300 members from 140 countries which collaborates to share knowledge, advise policy formation and develop educational resources to reduce the burden of death and disability from conditions that could be treated through surgery.
The St. Vincent Declaration is a set of goals for the health care of people with diabetes mellitus published as the product of an international conference held in St. Vincent, Italy, on 10–12 October 1989.
The Alliance for Healthy Cities (AFHC) is a cooperative international alliance aimed at protecting and enhancing the health and health care of city dwellers. It is composed of groups of cities, urban districts and other organizations from countries around the world in exchanging information to achieve the goal through a health promotion approach called Healthy Cities. The chair city for the alliance is Ichikawa, Japan.
Health For All is a goal of the World Health Organization (WHO), that has been popularized since the 1970s, which envisions securing the health and well being of people around the world. It is the basis for the World Health Organization's primary health care strategy to promote health, human dignity, and enhance quality of life.
The High 5s Project is an international patient safety collaboration launched by the World Health Organization (WHO) in 2006. The project addresses concerns about patient safety around the world.
Public health nursing, also known as community health nursing is a nursing specialty focused on public health. The term was coined by Lillian Wald of the Henry Street Settlement, or, Public health nurses (PHNs) or community health nurses "integrate community involvement and knowledge about the entire population with personal, clinical understandings of the health and illness experiences of individuals and families within the population." Public health nursing in the United States traces back to a nurse named Lillian Wald who, in 1893, established the Henry Street Settlement in New York City and coined the expression "public health nurse". A Public or Community Health Nurse is expected to comply with the duties and limitations of the American Nurse Association (ANA) publication Public Health Nursing: Scope and Standards of Practice.
The Fast Healthcare Interoperability Resources standard is a set of rules and specifications for exchanging electronic health care data. It is designed to be flexible and adaptable, so that it can be used in a wide range of settings and with different health care information systems. The goal of FHIR is to enable the seamless and secure exchange of health care information, so that patients can receive the best possible care. The standard describes data formats and elements and an application programming interface (API) for exchanging electronic health records (EHR). The standard was created by the Health Level Seven International (HL7) health-care standards organization.
Health in All Policies (HiAP) was a term first used in Europe during the Finnish presidency of the European Union (EU), in 2006, with the aim of collaborating across sectors to achieve common goals. It is a strategy to include health considerations in policy making across different sectors that influence health, such as transportation, agriculture, land use, housing, public safety, and education. It reaffirms public health's essential role in addressing policy and structural factors affecting health, as articulated by the Ten Essential Public Health Services, and it has been promoted as an opportunity for the public health sector to engage a broader array of partners.
The International Hospital Federation (IHF) is an independent, not-for-profit, non-governmental organization based in Bernex, Switzerland. The IHF is a global association for healthcare management that assists healthcare organizations and facilities in improving their performance by implementing initiatives that enhance their responsiveness, efficiency, accessibility, and quality in meeting the healthcare requirements of people all over the world. The IHF also provides a platform for the global healthcare community to share knowledge, ideas, and experiences, as well as identify international partnerships and collaboration opportunities. Furthermore, the Federation encourages the creation of new national hospital organizations in order to include as many countries as possible in their activities, particularly emerging and developing nations, and to grow their network.