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
