National Quality Policy in the Netherlands

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National Quality Policy in the Netherlands

• Cordula Wagner, PhD
• Emmy Sluijs, PhD
• Mirjan Geurts, MA

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Governmental Policy in the 90s

• Policy changes more competition and less
  regulations in health care
• Target 31 of WHO member states should have
  effective mechanisms to ensure quality of patient
  care
• April 1989 first conference on a national and
  comprehensive quality care policy
• June 1990 second conference held in Leidschendam

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Three parties together
Providers
Insurers
Patients
Government
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Key agreements I

• Primary responsibility for quality of care lies
  with providers
• Criteria of care has to be developed
• Internal quality systems
• Publication of data for quality assessment
• Providers must allow external review
• Insurers responsible for reviewing the efficiency
  and organisation of care

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Key agreements II

• Patient organisations responsible for reviewing
  the culture/organisation of care
• Criteria for assessing quality of care must be
  included in contracts between provider and
  insurer
• Assessment of patient complaints
• Assessment of patient opinion

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5 Quality Acts

• Acts reflect the new vision of quality and the
  focus on patients
• Acts are the backbone of quality control policy
  by the Ministry of Health, Welfare and Sport

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The care institutions quality act
The individual health care professions act
Care institutions
Professional workers
Patients
Participation Act
Medical Treatment Contracts Act
Clients Right of Complaint Act
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Care institutions quality act

• released in April 1996
• idea institutions develop own quality control
  policy
• the act requires health care organizations to
  provide care that is effective, efficient and
  patient-oriented
• organizations must improve and assure the quality
  of care systematically (quality systems)
• accountability by annual quality report

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State-of-the-art 1995 and 2000

• Stage Quality System 1995 2000
• Orientation 2 2
• Preparation 26 29
• Implementation 59 64
• Establishment (iso) 13 5

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Quality management activities

• Quality policy and documents
• quality working plan, annual report, quality
  manual
• Human resources management
• training staff, feedback,
• Proces control/practice guidelines
• Continuous improvement
• satisfaction research, internal audit
• Patient participation

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