Professional Documents
Culture Documents
Kwaliteitsverbetering
Symposium Orde van Geneesheren Antwerpen
Zaterdag 4 Mei, 2013
Frank Rademakers
Hoofdgeneesheer, UZ Leuven
JCI accreditation standards for
hospitals, 3rd (4th) Edition
Patient Organization
• Patient Safety • Quality Improvement and Patient Safety
mede - QPS
(zorg) mede -
werkers
processen werkers
Governance, IPSG
Leadership ACC (Eind)
QPS QPS
and Q BSC PFR resultaten
pten
Development RvB AOP QPS
PFE
COP PCI
MMU
QPS
Middelen Maatsch
MCI
Organisatie Resultaat
Verbeteren en vernieuwen
Ervaring UZ Leuven met JCI accreditering
Typical Ideal
Effort Effort
Improving
Clinical
Practice
Patterns
Dr. Foster
The small body of evidence available provides no consistent evidence
that the public release of performance data changes consumer behaviour or
improves care. Evidence that the public release of performance data may
have an impact on the behaviour of healthcare professionals or
organisations is lacking.
A basic assumption underlying the provision of report cards is that provider
choice is a rational decision. In other words, consumers prefer the
healthcare provider or health plan rated as the best.
Evidence that confirms this assumption is limited (Faber 2009; Kolstad
2009). However, several factors that influence the choice of consumers are
known, such as established relationships with local physicians, health plans
(Schwartz 2005; Hibbard 2009), hospitals, distance, and opinions of friends,
and family (Harris 2008; The King’s Fund 2010). The Cochrane Library 2011, Issue 11
It is not possible to draw any conclusions about the effectiveness of
strategies to change organisational culture because we found no studies
that fulfilled the methodological criteria for this review. Research efforts
should focus on strengthening the evidence about the effectiveness of
methods to change organisational culture to improve health care
performance.
Note that equity is not pictured in the figure. This important quality dimension
is measured by stratifying the Whole System
Measures, when possible, into subpopulations that differentiate by gender,
age, income, or racial groupings, for example.
AC’
s
Diagnostische Module 1
Diagnostische Module ..
Kwaliteitsvolle
outcome
BehandelingsModule 1
Homogene
doelgroep BehandelingsModule …
van
patiënten
RevalidatieModule 1
RevalidatieModule …
Follow up Module 1
Follow up Module …
Maatschappelijk kader
Picker Institute