Risk-based supervision in the Netherlands

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Presentation transcript:

Risk-based supervision in the Netherlands Sipko Mülder Head of Risk Detection and Development Risk-based supervision 2016

Why do we use Quality and Risk indicators? Inspectorate supervises 1,200,000 health care professionals and 40,000 treatment facilities We need a sieve: To sieve out increased risk of irresponsible or unsafe care

Quality and risk indicators are used for risk-based supervision The inspectorate identifies where the greatest risks to the quality and safety of care are to be seen. Three phases of risk-based supervision: 1: identification of risks by analyzing (quality) information 2: inspection visits, assessment and selection of appropriate measures 3: administrative or disciplinary measures (or institution of criminal proceedings where appropriate)

Sectors for risk-based supervision Nursing homes, retirement homes, home care Mental health care and forensic psychiatry Hospitals and private clinics Ambulance services Health care for disabled General practitioners (GP’s) Oral care Pharmacies Clinical research Medical devices

Data sources for risk-based supervision

IGZ indicators: how does it work? What are the risks? - Assessment by experts Who is the main owner of this risk? - What are the guidelines? - With ‘main owner’ the indicators are designed and implemented Data collection and analysis, visualization by dashboards Supervision on the basis of prioritization of visits and risk signals

inspection judgments and signals other inspection Overall risk score reports of incidents patient experiences quality of care indicators company / operational information Klachten LMZ

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