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WHOCC-ICO

3.1.4_Observatori_Qualy

In February 2008, the WHO formally designated the ICO as a WHO Collaborating Centre for Public Health Palliative Care Programmes.

This designation made the ICO an international centre of reference for the development of palliative care treatments from the perspective of public health, aimed at providing support to countries in the process of developing palliative care programmes, identifying success models, aiding the WHO in defining its programmes, generating evidence and disseminating knowledge in this field.

This designation coincided with the consolidation of the lines of research emerging in palliative care and with the commissioning of different consulting projects in this field from other institutions. Therefore, ICO Management organised a group of professionals dedicated to working in fields beyond those strictly related to healthcare yet closely tied to the care and treatment of our patients. This was the start of the QUALY Observatory.

The experience gained in the design and development of the WHO demonstration project in Catalonia, its systematic assessment and monitoring, with results going back 20 years, and the support given to various organisations have all generated the knowledge and experience that have allowed cooperation with 34 countries all over the world—including all types of organisations and institutions—over this period of time. In addition, it facilitated the development of a wide range of teaching experience in formats adapted to each necessity. The designation as a WHO Collaborating Centre in Public Health Palliative Care Programmes in 2008 recognised and consolidated this activity.

 

  • Support to countries, autonomous communities or health regions: giving comprehensive support to the development of national palliative care programmes from a public health perspective, in collaboration with WHO directives and the respective regional offices, particularly in Europe and Latin America.
  • Conventional technical support and consultancy by agreement or contract defining the objectives, activities to be carried out and expected results, with on-site work methodology. Support is offered to government, institutions or organisations.
  • Drawing up of support programmes, both global (design, implementation and assessment of plans) and partial (design of indicators, capacity building and training of organisation leaders), depending on the needs and demands of each programme. These programmes are carried out through formal agreements with the WHO (APW) or inter-institutional collaboration agreements.
  • Development of strategies for the implementation of public health palliative care programmes: collaborating with WHO directives to identify needs, strategically plan and prioritise efforts and generate and use resources effectively with countries, regions and globally.
  • Expansion demonstration:
  • Academic development: Research, education and scientific development. Activities are carried out on the effectiveness of palliative care and the adaptability and transferability of models, and to draw up guidelines.

 

Our objectives are:

  1. Promoting the development of public strategies in palliative care, particularly in Europe and Latin America, in cooperation with WHO directives.
  2. Giving support to other countries in the implementation of public health palliative care programmes.
  3. Generating scientifically based evidence and becoming an expert group of reference in expansion.
  4. Disseminating knowledge on assessment projects to develop services and monitor their results.
  5. Promoting the cooperation and adoption of a standard or benchmarking among participants.

 

The WHOCC-ICO backs public health palliative care initiatives at national, regional and local level in countries that are willing and who have requested the establishment of a palliative care programme from the WHO offices. These countries must demonstrate:

  1. The commitment of their national or regional government to establish a palliative care programme and/or an exhaustive cancer/geriatric/AIDS control programme.
  2. Committed leaders.
  3. Political support.
  4. Ability to innovate.
  5. Commitment to assessment.
  6. Commitment to benchmarking.


The QUALY Observatory/WHOCC-ICO also provides support to institutions, organisms or services in need of advice on the design, implementation or assessment of and support for services and programmes, drawing up proposals adapted to their needs. These organisations include:

Catalan Ministry of Health: The functions of support given to the Ministry of Health by the QUALY Observatory/WHOCC-ICO focus on:

  • Giving continuity to the development of the Catalan Ministry of Health's Health Plan.
  • Implementing NECPAL.
  • Supporting the Directorate-General for Planning.
  • Assessing end-of-life healthcare results in Catalonia.
  • Drawing up scientific documents.
  • Designing and managing research projects and working groups.

Ministry of Health, Social Policy and Equality: The functions of support given to the Catalan Ministry of Health by the QUALY Observatory/WHOCC-ICO focus on:

  • Stable institutional relationship/partnership
  • Formal participation in the National Strategy for Palliative Care (ENCP)
  • Formal participation in the development in the new law on vigorous physical activity
  • Formal presentation of service portfolio/offer
  • Support to international cooperation


ICS: The Catalan Institute of Health (ICS), the public provider of 90% of primary healthcare resources and 30% of hospital resources in Catalonia, has excellent palliative care professionals and resources and has drawn up a strategic document for the development of end-of-life healthcare. In this context, a formal ICS-WHOCC collaboration agreement has been established, the general objective of which is to contribute to the development of these policies in the institution. The short-term objectives and actions are:

  • Design and implementation of ad-hoc on-site training programmes.
  • Training in quality assessment and improvement.
  • Design of quality indicators for conventional resources.
  • Design and validation of a screening and identification tool for patients in the advanced and terminal stages of the disease.


Cooperation formats:

  • Conventional technical support and consultancy by agreement or contract defining the objectives, activities to be carried out and expected results, with on-site work methodology. Support is offered to government, institutions or organisations.
  • Drawing up global (design, implementation and assessment of plans) or partial (design of indicators, capacity building and training of organisation leaders) support programmes, depending on the needs and demands of each programme. These programmes are carried out through formal agreements with the WHO (APW) or inter-institutional collaboration agreements.

 

Update:  23.11.2011