Evaluation program for supervision of public health, health care en medical product

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Evaluation program for supervision of public
health, health care en medical product

• An example
• Dutch health care inspectorate
• Evaluation program
• Background
• Content
• Process
• Results
• Collaboration

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Mission and ambition

• Mission the Health Care Inspectorate exists to
  promote public health by effectively enforcing
  the quality of care, prevention and medical
  products.
• Ambition legitimate faith in Dutch health care
  by the public.

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Four inspection priorities

• Promote quality of care (especially patient
  safety)
• Making prevention more effective
• Make the quality of delivered care more
  transparent
• Devote more and more targeted attention to
  vulnerable groups

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The Health Care Inspectorate

• Relatively small inspectorate (approximately 370
  FTEs, including some 110 inspectors)
• 800.000 professional practitioners, 3000
  institutions, 60.000 addresses
• 25 Acts of Parliament
• Costs two euros per person per year

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Background of the evaluation programma

• Supervision at the heart of political and public
  debate
• Accountability
• Legitimacy
• Supervisory authorities themselves ask about the
  effect of their work
• Improvement of methods
• Professionalizing inspectors

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Does supervision works, what works, how does it
work

• 3 themes
• The role of supervision in the field of health
  care policy
• Supervisory methods and instruments
• Effects (intermediate) outcome

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Process

• Part of the long and short-term policy plans of
  the inspectorate
• Budget (270.000,--) and Staff (3 FTE)
• Publication of results in scientific journals
• Learning organization
• Employee support and involvement
• Inspectors have a change to write a thesis
• Reservations about evaluation
• Judging their work
• Harming the authority of the inspectorate
• Tranparancy paradox

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Results 1

• Completed
• Occupation of inspector
• Customer satisfaction survey, IGZ counter
• Quality reports. Effectiveness of IGZ limited by
  modest quality of reports.
• The effectiveness of supervision in coercive
  treatment by mental healthcare
• The IGZ and handling of reports of medical errors
  from members of the public
• Supervising the quality of heath care. An
  international comparison

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Results 2

• Studies in progress
• The role of inspectorates in suicide reports
• Study of the role of the medical Code of Practice
  in health care inspections
• Intra- and inter-assessor reliability of IGZ
  inspectors
• Study of the role of IGZ supervision in a
  changing legal/administrative context
• The effectiveness of Thematic Supervision and
  Risk based supervision.

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Collaboration

• training placements for 8 master students
• Free University of Amsterdam and Erasmus
  University of Rotterdam
• Special chair in effectiveness of health care
  supervision
• Enforcement en Behavior research program of the
  Ministry of Justice
• Council of Dutch Inspectorates long-term program
  Effects of supervision
• EPSO???????