The '
International Network of Health Promoting Hospitals and Health Services
'' (HPH) is a

nonprofit A nonprofit organization (NPO) or non-profit organisation, also known as a non-business entity, not-for-profit organization, or nonprofit institution, is a legal entity organized and operated for a collective, public or social benefit, in co ...

non-governmental organization A non-governmental organization (NGO) or non-governmental organisation (see spelling differences) is an organization that generally is formed independent from government. They are typically nonprofit entities, and many of them are active in ...

that was initiated by the

World Health Organization The World Health Organization (WHO) is a specialized agency of the United Nations responsible for international public health. The WHO Constitution states its main objective as "the attainment by all peoples of the highest possible level o ...

(WHO) in 1988. It is also known simply as HPH, or "Health Promoting Hospitals." HPH is based on the settings approach to

health promotion Health promotion is, as stated in the 1986 World Health Organization (WHO) Ottawa Charter for Health Promotion, the "process of enabling people to increase control over, and to improve their health." Scope The WHO's 1986 Ottawa Charter for Hea ...

philosophy of the WHO as outlined in the WHO Ottawa Charter for Health Promotion (WHO 1986). The organization's main aim is to improve the health gain of hospitals and health services by a bundle of strategies targeting patients, staff, and the community.

History

Based on the Ottawa Charter for Health Promotion, the first conceptual developments on HPH started in 1988. A first model projec
"Health and Hospital"
was initiated in 1989 at the Rudolfstiftung Hospital in Vienna, Austria, and successfully finished in 1996

(in German language) summarise the learnings from the pilot project and are available online to guide hospital projects related to health promotion. In 1990, the WHO International Network of Health Promoting Hospitals was founded as a multi-city action plan of th
WHO Healthy Cities Network
In 1991, the HPH network, which was in the beginning an alliance of experts, launched its first policy document, th
Budapest Declaration on Health Promoting Hospitals
This document introduces the HPH concept and target groups - patients, staff, community - as well as related HPH strategies and action areas. In order to implement HPH on a broader basis,
European Pilot Hospital Project
of Health Promoting Hospitals was initiated in 1993, and finished in 1997. 20 hospitals from 11 European countries participated, 19 of which finished the project successfully. Also in 1993, the first
international HPH conference
was organised, and the first international HPH Newsletter was published. Since 1995, national and regional networks of HPH, all coordinated by their own national or regional coordinating centres, are being implemented and developed in order to disseminate HPH to as many hospitals and health care institutions as possible. The development of the HPH networks called for a new policy document: Th
Vienna Recommendations on Health Promoting Hospitals
were launched in 1997. In 2009, HPH has become a global movement with national and regional networks, individual member hospitals and health promotion initiatives on all continents. There are currently around 600 member hospitals in the HPH network from over 20 countries.

Concept

HPH combines a vision, a concept, and a set o
18 core strategies
an
5 standards
In accordance to

theory, the HPH standards and strategies are based on the principles of the settings approach to

empowerment Empowerment is the degree of autonomy and self-determination in people and in communities. This enables them to represent their interests in a responsible and self-determined way, acting on their own authority. It is the process of becoming strong ...

and enablement, participation, a holistic concept of health (somato-psycho-social concept of health), intersectoral cooperation, equity,

sustainability Specific definitions of sustainability are difficult to agree on and have varied in the literature and over time. The concept of sustainability can be used to guide decisions at the global, national, and individual levels (e.g. sustainable livi ...

, and multi-strategy. This reflects a salutogenic approach. In order to realise the full potential of the comprehensive HPH approach for increasing the health gain of hospital patients, staff, and the community, HPH needs to be supported by an organisational structure: Support from top management, a management structure that embraces all organisatial units, a budget, specific aims and targets, action plans, projects, and programs, standards, guidelines and other tools for implementing health promotion into everyday business. This needs to be supported by evaluation and monitoring, professional training and education, research and dissemination. One way to implement HPH in a hospital or other health care organisation is by linking HPH aims and targets with

quality management Quality management ensures that an organization, product or service consistently functions well. It has four main components: quality planning, quality assurance, quality control and quality improvement. Quality management is focused not on ...

, thus understanding

as one specific quality aspect in hospitals and health care. Ideally any managerial or professional decision in an HPH should also consider the health/ disease impact of that decision, together with other decision criteria (e.g. effectiveness, sustainability).

Core Documents

The concept of health promotion in hospital and health services is based on 6 policy documents: * Ottawa Charter for Health Promotion (1986) * Budapest Declaration of Health Promoting Hospitals (1991) * Ljubliana Charter on Reforming Health Care (1996) *

Jakarta Declaration The Jakarta Declaration on Leading Health Promotion into the 21st Century is the name of an international agreement that was signed at the World Health Organization's 1997 Fourth International Conference on Health Promotion held in Jakarta.World Hea ...

(1997) * The Vienna Recommendations on Health Promoting Hospitals (1997) * The Bangkok Charter (2006)

Structure & Organization

The International Network of Health Promoting Hospitals is steered by a Governance Board composed of 7 members who are experts in the field of health promotion. In addition to the governance board, 2 standing observers (including Jürgen Pelikan) are responsible for organizing a yearly international conference, and the HPH International Secretariat, promote and assist the advancement of the concept of health promotion in hospitals and health services. In an open tender process in May 2019, the General HPH Assembly awarded the International Secretariat to the team o
Dr. Oliver Grone
a
OptiMedis AG
The new International Secretariat has grown the HPH membership base to include health institutions other than hospitals and has broadened the objective of the network in line with th
Sustainable Development Goals
Since the end of 2019, the HPH network is become officially known as th
International Network of Health Promoting Hospitals & Health Services

Activities

Standards

The HPH network promotes the use of standards developed for implementing health promotion in hospitals. Thi
manual
includes self-assessment forms and is available in 6 other languages, includin
ChineseGermanRussianFrenchJapanese
an
Persian
The HPH Network is working to develop a broader set of umbrella standards by the end of 2020. HPH members, as well as external experts in the field of health promotion are co-developing the new standard set.

Task Forces and Working Groups

Several task forces and working groups develop specific HPH concepts, strategies and tools on specific subjects or for specific clinical areas: * The environment * Migration,

equity Equity may refer to: Finance, accounting and ownership *Equity (finance), ownership of assets that have liabilities attached to them ** Stock, equity based on original contributions of cash or other value to a business ** Home equity, the diff ...

, and diversity * Age-friendly health care * Implementation and monitoring of HPH standards * Children and adolescents * Patient and family engaged health care * Health literate health care organizations

International Conference

The HPH Network hosts a yearly
international conference
for its members to exchange ideas and advancements in health promotion.

References

* Groene O, Garcia-Barbero M (ed). Health promotion in hospitals: evidence and quality management. WHO Regional Office for Europe, Copenhagen 2005 * Groene O, SJ Jorgensen. Health promotion in hospitals—a strategy to improve quality in health care. The European Journal of Public Health 2005: 15 (1), 6-8 * Groene O (ed). Implementing health promotion in hospitals: Manual and self-assessment forms. World Health Organization, Copenhagen 2006 * Groene O, Alonso J, Klazinga N. Development and validation of the WHO self-assessment tool for health promotion in hospitals: results of a study in 38 hospitals in eight countries. Health Promotion International 2010: 25 (2), 221-229 * Dietscher C, Pelikan JM, Schmied H. (2014): Health Promoting Hospitals. In: Oxford Bibliographies in Public Health. Last modified: 07/30/2014. DOI: 10.1093/OBO/9780199756797-0131 * Graham, R., Boyko, J. A., & Sibbald, S. L. (2014). Health Promoting Hospitals in Canada: a Proud Past, an Uncertain Future. Clinical Health Promotion 4(2): 70–75.

External links

Official Website of the International Network of Health Promoting Hospitals and Health Services

HPH Conferences Portal

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