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1 st HPB Report 2007

1 st HPB Report 2007. FIMM Health Policy Board. Thank you. History. establishment of a Health Policy Board (HPB). proposed to the FIMM GA 2005. passed by the FIMM GA 2006 (change of the FIMM statutes). FIMM Executive Board, July 5, 2007. FIMM Statutes. Art. 7

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1 st HPB Report 2007

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  1. 1st HPB Report 2007 FIMM Health Policy Board

  2. Thank you.

  3. History • establishment of a Health Policy Board (HPB) • proposed to the FIMM GA 2005 • passed by the FIMM GA 2006 (change of the FIMM statutes) • FIMM Executive Board, July 5, 2007

  4. FIMM Statutes • Art. 7 • […] The Executive Board consists of: • […] - the Health Policy Director • […] The Health Policy Board reports regularly to the Executive Board. • The members of the Health Policy Board are appointed by the Director of the Health Policy Board and confirmed by the General Assembly.

  5. FIMM GA ExecutiveBoard FIMM Academy Health Policy Board Education Board

  6. FIMM SC Science in FIMM • 2004

  7. Education in FIMM • FIMM GA 2006 • Education Board • Juan Aycart, Spain • Norman Broadhurst, Australia • Marc-Henri Gauchat, Switzerland • Michael Kuchera, USA • Sergei Nikonov, Russia • Matthias Psczolla, Germany • Marie-Jose Teyssandier, France • Glen Gorm Rasmussen, Denmark

  8. Health Policy FIMMMember societies Science1 Education 1Report of the Chairman of the Scientific Committee (FIMM NEWS Vol. 13 No. 1, 2005)

  9. Health Policy in FIMM • FIMM has tasks in science, education and medico-political issues • Science shall provide the evidence for M/M Medicine • Education shall implement the evidence • Health Policy depends on evidence and its implementation

  10. July 5, 2007 • FIMM Executive Board charged the FIMM HPB Director: to prepare a plan for the FIMM General Assembly, which officially represents international M/M Medicine to the World Health Organization (WHO). • Further: to prepare steps to ask the European Union of Medical Specialists (UEMS) to evaluate and possibly initiate the positioning of M/M Medicine in Europe as a distinct specialization

  11. Basic objectives of the FIMM HPB • proposed by the HPB Director • to be discussed by the HPB • to be discussed by other FIMM authorities

  12. Basic objectives of the FIMM HPB 1. To defend at the international level the professional status of medical specialists in M/M Medicine in society. 2. To encourage and establish bonds between national profes- sional organisations grouping together as medical specialists in M/M Medicine; to support and co-ordinate their actions. 3. To contribute to the creation and maintenance of solidarity between medical specialists in M/M Medicine.

  13. Basic objectives of the FIMM HPB 4. To collaborate with international health policy and political international organisations on global and multinational levels to the benefit of M/M Medicine. 5. to organize exchanges of medico-political information by whatever means on relevant professional issues concerning M/M Medicine.

  14. Basic objectives of the FIMM HPB To defend professional status To encourage bonds To contribute to solidarity To collaborate with international health policy To exchange medico-political information

  15. HPB action plan 2007 - 2009 WHO project World Health Organisation UEMS project Union Européenne des Médecins Spécialistes Archive on health policy issues FIMM

  16. HPB divides in working groups WHO project World Health Organisation (WHO team) (UEMS team) UEMS project Union Européenne des Médecins Spécialistes Archive on health policy issues FIMM (FIMM HPB + FIMM Secretary-General)

  17. WHO project Task: WHO Guidelines on Basic Training and Safety in M/M Medicine • to develop an extensive consensus document presented by FIMM • accepted and published by WHO • which encourages and supports countries in the proper education and use of safe, effective practices in M/M Medicine as a part of national health services

  18. WHO project WHO Guidelines on Basic Training and Safety in M/M Medicine consequences: • there will be a need to develop guidelines on education/training • to develop guidelines on safe practice in M/M Medicine • including information on contraindications for such care • it must have significant input from the FIMM Education Board • it must contain a glossary on basic terms in M/M Medicine

  19. WHO project WHO Guidelines on Basic Training and Safety in M/M Medicine some possible content: • General considerations • Acceptable levels of education and retraining • Category I – bachelor level • Category II – master level • Category III – doctoral level • Other educational/training models • Retraining and continuing M/M Medicine education

  20. WHO project WHO Guidelines on Basic Training and Safety in M/M Medicine some possible content: • Assessment and examination of students in M/M Medicine • Primary health care workers and M/M Medicine • Guidelines on safety of M/M Medicine • Accidents and adverse reactions • Appendices • References

  21. WHO project Working group: • The document shall be developed by a group of the HPB • WHO team • Consisting of experienced representatives of M/M Medicine

  22. WHO project • The period of development shall be no longer than 2 years. • The WHO consultation process is aimed at the end of 2010 to be accomplished.

  23. WHO project • Most of the teamwork will be done by the use of co-ordinated e-mail correspondence. • Some meetings of the team will be necessary to guarantee coherent editing.

  24. WHO project • Other groups recognised by WHO have done the same. http://www.chiropractic.ie/docs/WHO guidelines.pdf

  25. WHO project Implementation: • The different stages of development shall be accompanied by strong feedback mechanisms. • The Executive Board and the General Assembly will be informed at specific stages of the project. • Both shall be given opportunities for feedback within defined procedures.

  26. WHO project Implementation: • After ratification by the General Assembly the consultation document shall be submitted to the WHO. • It will then be screened and finally proved by the WHO authorities. • Subsequent to their determination the document will become an official WHO document.

  27. WHO project Implementation: • WHO might ask for adjustments of the document. • This again starts a ratification process within FIMM authorities, • with a final decision by the FIMM General Assembly.

  28. WHO project Time table:

  29. WHO project Time table:

  30. WHO project Costs: 1possibly to be omitted, depending on funds

  31. WHO project Costs: • The Consultation process involves extensive dialogue and testimony by WHO committees… • and invited external representatives, and consultants of the WHO. • The WHO consultants come from multiple countries to participate in the presentations.

  32. WHO project Questions ?

  33. UEMS project There have been several attempts to include M/M Medicine as a partner or member of UEMS. • Attempt by former Vice-President of SOFMMOO (M.-J. Teyssandier), 1990 • Letter by the Chairman of the FIMM Policy Sub-Committee (M. Hutson), July 15, 1996 • Diverse information of UEMMA kindly given at disposition by M.-J. Teyssandier in a letter dated June 8, 2007 • Letter on behalf of the FIMM HPB by the FIMM President (W. von Heymann), May 1, 2007

  34. UEMS project All attempts failed 1 . Why ? 1 Only Germany received provisionary observer status (inofficial)

  35. UEMS project The facts are well compiled in Art. 24: (of the Rules of Procedure of UEMS1) • In order for a discipline to be recognised as a specialty of UEMS, […], it must be recognised as an independent specialty by more than one third of the EU member states, […] and fulfil the following conditions, as laid down by the Management Council on 3rd of November 1979: 1part 2, UEMS specialists section, final text dated May 5, 2003

  36. UEMS project The facts are well compiled in Art. 24: (of the Rules of Procedure of UEMS1) a. The specialty must be effectively carried on as such, essentially in exclusive practice, by competent specialists; b. The number of these specialists must be sufficient to establish, from among their members, panels of examiners or recognition Committees in that discipline; 1part 2, UEMS specialists section, final text dated May 5, 2003

  37. UEMS project The facts are well compiled in Art. 24: (of the Rules of Procedure of UEMS1) c. The discipline must be practiced in institutions with sufficient training facilities available for them to be designated as training centres. …These institutions must be controlled by specialists of such seniority and experience as to be acknowledged as directors of training (D7927). 1part 2, UEMS specialists section, final text dated May 5, 2003

  38. UEMS project • UEMS sets high goals in its quality agenda. • Budapest Declaration on: Ensuring the Quality of Medical Care, UEMS, 2006 • Regulation is one part of this agenda. • Policy paper on Continuing Professional Development as quality improvement: The Basel Declaration (2001) • Promoting Good Medical Care (2004))

  39. UEMS project • Benchmarks, which will not easily be achieved, … • …maybe not achievable at all by M/M Medicine at this time. Conclusion: • At this point of time it is impossible to become a full member of UEMS as a speciality for physicians. Nevertheless: • As a first step the German DGMM reached an observatory status in UEMS.

  40. UEMS project Goal: • To initiate the positioning of M/M Medicine in Europe as a distinct specialization.

  41. UEMS project Strategy: • A group with DGMM and other European FIMM member societies shall form a group of sub-specialists… • …and attempt recognition by UEMS… • …including a possible change within the by-laws of the UEMS.

  42. UEMS project Working group: • The operation shall be carried out by a working group of the HPB • UEMS team • Consisting of experienced representatives of M/M Medicine

  43. UEMS project • The period of development shall be no longer than 3 years. • The composition of the working group shall mirror FIMM’s “European map”

  44. UEMS project • Most of the teamwork will be done by the use of co-ordinated e-mail correspondence. • Some meetings of the team will be necessary to guarantee coherent editing.

  45. UEMS project A note to the non-European FIMM members: • We ask you for support in this specifically European project. • Out of 30 FIMM member societies 23 are European. • Thank you!

  46. UEMS project Costs:

  47. UEMS project Questions ?

  48. Archive of health policy issues The idea: • Information about medico-political issues are important for the HPB and FIMM. • This information shall be collected. • New information will be published in the monthly FIMM NEWS BULLETIN (FIMM Secretary-General). • The information will then be archived in downloadable format on the FIMM website. • Accessible to the public.

  49. Archive of health policy issues Responsible: • The Director of the HPB is responsible for processing and selecting the material. Working team: • All members and advisory members of the HPB are obliged to be working on that task. • The FIMM member societies are invited to get involved themselves.

  50. Archive of health policy issues Timetable: • Onset: after approval by the General Assembly. • Conclusion: open-ended. Cost: • EUR 0.00

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