What I can offer is also not precisely what you asked for, but in this territory of imperfect tools it might be of interest to you.
As a specialist health promotion service, based in hospitals, but working across the hospital-community boundary, we found the health promotion module of the Quality Improvement Council's accreditation standards quite limiting as they were designed for multi-purpose/service community health centres. Having said that, they were far superior than the ACHS standards used for clinical services in hospitals.
Working with Quality Management Services we extended and developed new standards using the Canadian Population Health Template as our framework. We finalised the work book a couple of weeks ago and will commence the internal review phase next month.
If this sounds interesting to any of the correspondents I am happy to go into greater detail.

Regards



Pete Whitecross
Director Health Promotion
Northern Sydney Health
The Lodge
Macquarie Hospital
Locked mail bag 2220
North Ryde
NSW 1670
tel. 8877 5323
fax 8877 5339
email [log in to unmask]
www.nsh.nsw.gov.au/healthpromotion.htm

>>> [log in to unmask] 07/12/03 04:20AM >>>
As a member of our Quality and Safety Committee, I find it quite a challenge
to wear my Population Health hat at the table. Most of the discussion is on
specific acute care and health service procedures. These are important
quality issues and need to be done, however I struggle to  have the
treatment perspective of QA to also engage a population health perspective.
The Saskatchewan Quality Council visions beyond care procedures. The CCHSA
(Canadian Council of Health Services Accreditation) now has Population
Health as a focus area but is currently limited to some lifestyle
measurements. My challenge is to paint some broad population health status
goals and focus these to outcome targets that the acute care/health service
teams can subscribe to. I suppose this will eventually link to some of the
current QA health service measurements of procedures, but currently these
links remain implicit and perhaps tenuous rather than explicit with a sound
base of evidence. In addition to having acute care/professional services
begin to have a population health perspective, such mapping (of health
status, determinants and services/procedures) has the benefit of being
placed alongside other mechanisms to achieve treatment, care and health.
This is a huge task but many are working to achieve the vision of how
specific components, such as hospital QA and health promotion, fit together
in the large picture of health (social well being if you prefer). Thus
better informing planning, health policy and investment (substitute your
action word) in care and determinants of health.

The 'social epidemiologists' primarily look to structures and processes that
shape the social net and empower citizens. I subscribe to these processes
but also see benefits to helping engage professionals such as acute care
service providers, in reshaping the medical model into a better
participatory model of citizen engagement. Most of the health care service
providers that I've met have an inner desire to improve health for all. If
we want the system to change, it is better  to collaborate with this energy
rather than disenfranchise it. The current health care system demands a lot
of resources so it's great to see Boyko and Sutherland enhance the health
promotion aspect. My interest is in looking at how we measure the links to
health outcomes. Perhaps we need to accept that ill-health care is more
expensive but a socially demanded component of social well-being, then get
on with engaging this component.


Ronald A. Dovell
[log in to unmask] 






-----Original Message-----
From: B&J Boyko [mailto:[log in to unmask]] 
Sent: Thursday, July 10, 2003 5:06 PM
Subject: Re: Health Promotion and Wellness Activity Audit Tools for
Hospital s ettings


Dear Allan,
If you send me some more details in terms of what you are looking for I may
be able to help.  I've been involved with HHPN for a few years and I
developed the process for inventorying their activities.  As part of my
graduate research I've also looked at alot of other tools and developed
processes for conducting hospital specific analyses.   The organization I
currently work with is also engaged in alot of work around evaluation and
quality indicators.  Feel free to contact me directly at
[log in to unmask]

----- Original Message -----
From: "Sutherland Alan" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, July 10, 2003 12:25 AM
Subject: Health Promotion and Wellness Activity Audit Tools for Hospital s
ettings


> A colleague has asked about an audit tool suitable for hospital settings
for
> health promotion and wellness activites.
>
> Can you suggest resources.  I have trawled the OHPE site with no luck
> (Edition 75 seen)
>
> Regards
>
> Alan Sutherland
> Policy Officer, Strategic Development
> Department of Health and Human Services
> 2/10 Murray St, Hobart 7000
> Tel: 6233 3147
>
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