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HEALTH CARE QUALITY POLICY IN FINLAND

HEALTH CARE QUALITY POLICY IN FINLAND. Maarit Outinen, M.Sc. Senior Planning Officer STAKES, Quality of Service Group. BACKGROUND long tradition in quality control (eg. clinical laboratories) in the 80’s professional groups engaged in quality assurance (eg. nurses)

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HEALTH CARE QUALITY POLICY IN FINLAND

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  1. HEALTH CARE QUALITY POLICY IN FINLAND Maarit Outinen, M.Sc. Senior Planning Officer STAKES, Quality of Service Group

  2. BACKGROUND • long tradition in quality control (eg. clinical laboratories) • in the 80’s professional groups engaged in quality assurance (eg. nurses) • Health for All by the year 2000 –evaluation: no national QM plan, insufficient attention to patients’ opinions  growing interest in quality management after 1990

  3. BACKGROUND •  quality related criteria in several acts •  Status and Rights of the Patients Act 1993 •  adopted health services policy: • - decentralisation: responsibility for organizing services • lies with the municipalities • - ’steering through information’, not legislation •  no ’quality act’, but recommendations, information, • material, education etc.

  4. MILESTONES  1994 Quality Policy for Health Care  1995 First national recommendation on QM in social welfare and health care  1998 Quality strategy for public services  1998 Recommendation on QM of health services provided and purchased by municipalities (FALRA)  1999 Second national recommendation

  5. QUALITY MANAGEMENT IN SOCIAL WELFARE AND HEALTH CARE FOR THE 21st CENTURY National Recommendation (1999) Ministry of Social Affairs and Health Stakes The Finnish Association of Local and Regional Authorities

  6. RECOMMENDATIONS (1) 1. Customer participation in quality management 2. Leadership for the steering of quality 3. Personnel as a prerequisite for high quality 4. Quality management for preventive as well as other activities

  7. RECOMMENDATIONS (2) 5. Management of processes as a basis for quality management 6. Information as a basis for the continuous enhancement of quality 7. Systematisation of quality management 8. Detailed recommendations and quality criteria to support quality management

  8. WHERE ARE WE TODAY?  a cross sectional survey in 1999 in Finland and in The Netherlands  situation in Finland  comparison between the two countries

  9. WHAT DIRECTION TO THE THE FUTURE? - discussions about more control and supervision ebb anf flow - no quality legislation in sight - some future topics: 1. more detailed sector spesific recommendations? 2. risk managenment and patient safety 3. quality costs 4. quality indicators

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