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Guidelines for HOPE Exchange Programme Participants 2012
(see also www.hospage.eu)

Aging health workforce – aging patients:
multiple challenges for hospitals in Europe

Please read these guidelines carefully before joining the programme.

Introduction

The 2012 HOPE Exchange Programme and its final HOPE-AGORA will be dedicated to one of the most challenging questions of the future in healthcare: aging of patients and of healthcare workforce.

Hospitals in special and healthcare providers in general will face problems by demographic change in two ways: on the one hand, there will be more and more complex services needed by elderly growing patients. On the other hand, also the healthcare personal will become older in average. Thus, the objective is to find political and practical solutions for the question how to match the increasing number and complexity of healthcare services with less and older healthcare workers, caused by patients which get older in average too.

The German Hospital Federation (DKG – Deutsche Krankenhausgesellschaft) is organising the event in Berlin, widening the scope of participants of the conference to the public, including decision-makers, scientists and stakeholders, called HOSPAGE.

HOSPAGE is a two-day conference, which is dealing with the major challenge for the healthcare systems of EU Member States: the aging of patients and of the healthcare workforce. The objective of the conference is to discuss the new needs created by increasing older healthcare workforce and patients. At the same this will be an opportunity to present concrete practical solutions for hospitals to react to the changing needs. The purpose of the conference is to enable stakeholder organisations and EU Member States to better react to the new challenges imposed by the demographic change in Europe.

HOSPAGE is combining two perspectives on the subject “aging” in health care: one perspective by the political, managerial and scientific worlds and another perspective by the healthcare professionals. It will be an achievement of the conference that these two groups will discuss directly about the relevance, transferability and effectiveness of their perspectives.

The first day of the conference will be an opportunity to key players in the political, managerial and scientific fields to assess and discuss new needs and possible solutions at EU level and at national level as well as to debate on the transferability of their approaches from one EU Member state to another. In this debate, the participation of representatives of the EU institutions, of representatives of EU Member States, of Members of the Parliaments at EU and national level as well as of representatives of international organisations is planned. This discussion will be enriched by the participation of the HOPE Exchange participants in the audience.

The second day of the conference will be focusing on the perspective of HOPE Exchange participants. Approximately 200 professionals from EU Member States with experience in the management of hospitals and healthcare services (doctors, nurses, engineers, human resources managers, etc) will participate in the HOPE Exchange Programme before the conference. During this four-week exchange programme they will identify practical solutions to the question on how to react with a smaller and aging workforce in hospitals to the increasing need of patients becoming older and older. These practical solutions will be presented and discussed with representatives of the political, managerial and scientific fields.

The results of the conference shall be used in the daily practice of hospitals across Europe and will contribute to the discussions on the further development of healthcare systems in general. Member States and their health care systems shall get support for their efforts to optimise the provision of healthcare and might better react to the challenges of the demographic change. The results might also contribute to the debate on working time and on the protection of health at work. At the same time the discussions initiated by the Belgian and the Hungarian EU Presidency on the green paper on health workforce will be further developed. HOSPAGE is then part of the overall discussion within the frame of the strategy “Europe 2020”.

Beside the political debate, HOSPAGE participants will learn multiple best practices and new solutions to apply in the daily practice in hospitals and healthcare services. The conference will be based upon scientific research: a study will be published before to the conference and will give evidence to the discussions there.

A large number of representatives of institutions and organisations of the healthcare sector all across Europe are expected to participate, altogether approximately 400 experts.

HOSPAGE has the purpose to gather, to deliver and to discuss a great number of concrete practical solutions for hospitals to match the increasing number and complexity of healthcare services with less and older healthcare workers, with patients getting much older in average too.

Key players within the EU institutions, representatives of national governments and decision makers of healthcare systems shall be enabled to use the results of the conference and its practical solutions in the debate at EU, national and even – where appropriate – regional and local level. Hospital managers, who are responsible to organise the workflow, shall discuss and later implement the practical solutions of HOSPAGE.

To prepare HOSPAGE scientifically, DKG is co-operating with the EU Observatory on health systems and policies. The situation in different EU Member States will be assessed and will be reported, presenting reactions to demographic change already effective in healthcare systems. At the same time, the transferability of these solutions on other EU healthcare systems shall be analysed. The core topics of this research will be: new forms of labour organisation and creation of processes, family friendly working environment and working models adapted to age.

Basically it is all about the question of how to achieve in an increasingly older Europe a good provision of healthcare in general as well as an optimised provision of hospital services in particular. Hospital services by taking into account the needs of older patients can improve the quality of health for the benefit of patients and of healthcare professionals and thus can contribute to the overarching aims to increase the number of healthy years of life and to achieve a better protection of health for the citizens.


Guidelines for the presentations of HOPE Exchange Participants

Participants can choose whether they want to focus on both dimensions of the topic (ageing workforce and ageing patients) or just on one of them.

Taking this into account, the following questions shall be considered by HOPE Exchange participants and might be answered by their presentation during HOSPAGE:

1. Defining the problem

  • Figures and facts related to demographic structure of the host country
  • What is the issue concerning demographic change in the host country?
  • How do you perceive the changing needs caused by the demographic change in the effective daily practice?

(Please answer for both dimensions: patients and/or healthcare workers)

These questions aim at a pure description of the starting situation. HOPE Exchange participants are asked to define and to anticipate the felt or effective impact of aging health workforce and patients on the daily practice. The answers shall provide the setting or make clear the problems.

This section of the presentation can already consist of best practices, which are already in use.

2. Proposition of solutions and description of good practices

  • How do hospitals react to the changes by modifying organisation on the department, unit or hospital level?
  • How do hospitals react to the changes through education and deployment of healthcare workers?
  • How do hospitals adapt services for health workers and patients in relation to the aging issue?
  • How do hospitals react to the changes by technical or process innovation?
  • What is expected from patients, what are their responsibilities?

These questions aim at getting suggestions for concrete practical solutions (good practices) to resolve the problems defined in the first block of questions. The answers should provide the audience with solutions, which are implementable to the effective work organisation in hospitals. They can have a focused scope or invent general ideas.

This block of answers should be the major part of the presentation.

3. Discussion

Participants are invited to reflect their draft solutions and the description of best practices critically. With these final questions, HOPE Exchange participants are asked to discuss their own solutions in a critical way and to prove their suitability.

  • What are the expected impacts on resources of the solutions presented above?
  • How do you evaluate the good practices you have chosen? What could be improved?

This reflection can include the following questions:

If participants do not feel able to seriously consider those questions they are invited to leave the questions open or even to ask questions themselves. By this, further discussion on the respective solutions or best practices could possibly initiated.


Configuration of slides and presentation
s

HOPE will provide an HOSPAGE corporate slide format as an option to facilitate the presentation.The presentations should concentrate on the topic and not on the touristic experiences during the stay abroad.

Diagrams and graphics are welcome where appropriate or necessary to explain an idea or to visualise a process.

There should be not more than two presenters for each national group appointed by the respective HOPE Exchange participants. The presentation should not go below the time limit, nor exceed it. The time limit will be 15 minutes.

Organisers will not guarantee that sound effects, movies or presentations not being held with MS Powerpoint will work.


Further use of the presentations

It is planned to publish all presentations on the website of HOSPAGE permanently. They shall serve to policy makers, to scientists and to hospital managers as good examples and as a gathering of innovative ideas.

Presentations must stand alone (as a pdf-file) for publishing. You have to consider this when using special effects or respecting copyright etc.

A written report to be published by HOPE will also synthesize the results of the two days.


Common base of evidence for presentations

HOPE Exchange participants are highly recommended to review the papers put on the HOSPAGE website on the button documents. This is important to insure that the assumptions for the general setting are similar for each presentation. With this, a discussion about the same problems is more likely and will allow effective debate and comparison of different solutions.

 

Exchange programme

General information

National co-ordinators

Programme 2012
Timetable
Documents

Topic 2012

Programme 2011

Programme 2010

Programme 2009

Programme 2008

Agora and topics

Study tours

 

 
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