1. Multidisiplinary inspection teams
Saarenmaa
Riitta Aejmelaeus

2. Multidiciplinary teams
The selection of the people involved in the inquiry starts with framing and analyzing the problem and the risk .
In most of the cases, medical experts focus in medical errors and experts with social, political or administrative background see a different context, and the higher in administration we go, the more system or cross-border problems the inspectors detect.
Guideline to know
When a team is needed?
2. What kind of a team (specialists)?
3. How to specify their roles?
4. What kind of proceeding education the team needs?
Riitta Aejmelaeus

3. The use of multidisciplinary teams in Finland
So far mainly best (regional) specialists available.
We take into consideration
1. Importance of the targeted service
- How vulnerable the clients are
- What is the number of service users
2. Knowledge needed
3. Cost-effectiveness
Riitta Aejmelaeus

4. Visits/Inspections Assesment and guiding visits
Based on co-operation and mutual trust
Together with regional offices
Always annouced
Integrated (social and health care)
Experts if needed
Published reports
Also units that are exellent
Assessment of effectiveness after the visit
Last year Valvira visited Ers using this concept
Inspections
Based on general supervisory legislation
Observable unsatisfactory state of affairs or legal basis (Mental Health Act)
Announced, unannounced or partially annonced
More formal
Follow up-inspections, also after guiding visits, if we notice unsatisfactory conditions
Riitta Aejmelaeus

5. Specialists Valvira has 400 medical specialist available
Selected for 4-year period
Selection is based on recommendations from Universities, Medical Associations, colleagues
Mainly senior advisers in complaint handling
Occasionally take part in visits
Riitta Aejmelaeus

6. CQC report: A citate: A basic model of regulation
using a small number of generic inspectors on an acute hospital, combined with not a great deal of intelligence,
or not a sufficient amount of intelligence.
It isn’t sustainable.
Riitta Aejmelaeus

7. Core elements of the visit
Focus area(s)
Defined domains of investigation
Rating performance
Versus
Essential stadards
Extrapolation of those findings
Riitta Aejmelaeus

8. The process: Planning, preparing, undertaking, reporting
Early engagement with the service provider
Organizing the logistics of the inspection
Scale and depth of prior data collection
Clinical areas covered
Ratings
Report
Riitta Aejmelaeus

9. Building the team Leader Professional inspectors
Clinicians (practicing professionals, including seniors and juniors)
Managers
Experts by experience
Experts of health economy (especially in cases involving contracts)
Lawyer
What else?
Riitta Aejmelaeus

10. Challenges Large teams - problems in manageability Selection/training
Prior experience needed – feedback from previous visits
Learning from experience is not possible, if there are not many occasions to participate
Skill gaps
Riitta Aejmelaeus

11. Expert Recruitment? Formal/informal networks Advertising process
Prior involvement in regulation
Riitta Aejmelaeus

12. Aitäh!
Riitta Aejmelaeus