Session 6 12 - tom mutsaerts quality assurance in medical services bergen

Quality assurance in medical services Tom Mutsaerts

Maritime Health Advisor

Netherlands Shipping Inspectorate

28 August 2014

Program

• Why bother about quality?

• What do we mean with quality?

• How to arrange quality assurance?

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Why bother about quality?

• Patient?

• Our colleagues?

• Our management?

• The society?

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Medical professionalism changes

• Male

• One-man act

• Own practice

• 24/7

• Female

• Teamwork

• Employed

• Part-time

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The doctor – patient relationship

• The patient is the most important partner

• The doctor requires the patient’s consent

• Patients are critical consumers who…

• Wish to be well informed in time and

• Participate in decision-making about their treatment

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Accountability to the patient

• Exploration the care requirement

• Determination of the diagnostic proces

• Explanation of the proposed treatment

• Professional secrecy is a patient’s right and a doctor’s duty

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Accountability within the professional group

• Inter-peer testing

• Able to justify his/her medical policy

• Calling colleagues to account

• Joint responsibility of professionals and institutions

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Accountability to management

• Both professionals and institutions are responsible

• Doctors are bound to institution based agreements

• Doctors render account to the management

• If needed refer to a colleague

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Accountability to society

• Doctors render account to insurers about the quality and the price of the performances

• Be able to justify to Healtcare Authorities or in court

• Act effectivily and efficiently

• Financial consequenses must be discussed with the patient in advance

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Why bother about quality?

• We owe this to the patient

• We owe this to our collegues

• We owe this to our management

• We owe this to society

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Program

• Why bother about quality?

• What do we mean with quality?

• How do we arrange quality assurance?

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Communicator

• Develop trust and ethical therapeutic relationships

• Accurately collect relevant information

• Accurately inform patients and families

• Develop a shared plan of care

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Collaborator

• Participate appropriately in a healthcare team

• Effectively work with other health professionals to prevent and resolve interprofessional conflict

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Manager

• Participate in activities that contribute to the effectiveness of their healthcare organizations

• Manage their practice and career effectively

• Allocate limited healthcare resources appropriately

• Serve in administration and leadership roles

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Health Advocate

• Respond to individual patient health needs and issues as part of patient care

• Respond to the health needs of the communities that they serve

• Promote the health of individual patients, communities and populations

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Health advocate ????

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Scholar

• Maintain professional activities

• Critically evaluate information and its sources

• Facilitate the learning of patients, families, etc.

• Contribute to the creation of new medical practices

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Professional

• Demonstrate commitment to their patients, profession, and society through ethical practice

• Demonstrate commitment to physician health and sustainable practice

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Medical expert

• Provide optimal, ethical and patient-centered medical care

• Establish and maintain clinical knowledge, skills and atitudes

• Perform a complete and appropriate assessment of a patient

• Use preventive and therapeutic interventions effectivily

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What do we mean with quality?

• Develop a good relationship (communicator)

• Participate in team work (collaborator)

• Manage effectively (manager)

• Promote health (health advocate)

• Maintain knowledge and skills (scholar)

• Demonstrate commitment (professional)

• Offer patient-centered care (medical expert)

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Program

• Why bother about quality?

• What do we mean with quality?

• How to arrange quality assurance?

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Quality assurance

• Registration as a physician for 5 years

• Fulfill the CanMEDS

• Accountability is proved

• Program of requirements for each specialization

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Quality assurance

• Experience in your own profession

• Education

• Peer review

• Individual improvement plan

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Your own quality assurance plan: Continuously try to improve your way of …..

• Communicating with your patients (communicator)

• Cooperating with your colleagues (collaborator)

• Organizing your daily work (manager)

• Promoting healthy behaviour (health advocate)

• Increasing your skills (scholar)

• Providing medical care (professional)

• Offer patient-centered care (medical expert)

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Prove your accountability every (working)day

• To your patient

• Within your professional groep

• To your management and

• To society

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