Objectives;
     1   Discuss the essential pillars of a health 
         system in the world community
     2   Explain emerging innovations in 
         nursing and health care
         Articulate the relationship between an 
     3   educated workforce and walking 
         beyond the hospital door
  Introduction;
      1     Health systems are being developed to address the needs of 
            families and community throughout the world community,
           Health systems are organizations, individuals, and actions 
      2    whose primary purpose is to promote, restore or maintain 
           health, *
      3     Innovations in nursing and health care unite through the six 
            pillars of health systems
      * WHO, 2008
 Six Pillars of Health Systems;
  Six Pillars of Health Systems
      1    Service Delivery: Management and Quality of Service
  ✓   1
  ✓   2   Health Workforce: Nurses and other Key Health Professionals
      2
  ✓   3   Health Information and Knowledge Systems: Innovation and 
      3   Scientific and Practical Knowledge
      4   Medical Products, Vaccines, and Technologies: Access to drugs 
      4   and equipment
      5   Health Financing: Stable and adequate funds
      5
           Leadership and Governance: Stewardship, Vision and Oversight 
      6
      6    of Health System
   Three of the Six Pillars for Health Systems;
   1/3
       Service Delivery Systems               Questions to be asked
            Service Delivery Systems,                How are inputs and services 
         1                                      Q
                                                Q     organized and managed?
            should deliver high                      Is attention given to demand for 
            quality, safe, and effective              Service, cultural and 
            health interventions with                 socioeconomic  needs?    
                                                     Are services  based on a profile of  
            well trained professionals                nation’s or community’s health 
            and lay people to                         needs?
                                                     Is the provider network organized 
            individuals who need                      and of high quality? 
            them, when needed, where                 Is duplication of services and tests 
            needed, with minimum                      monitored and costs controlled? 
                                                     Is there continuity of care across 
            waste of resources.                       the life span and the various 
                                                      settings (home, hospital, 
                                                      community)?