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The Norwegian Sea Health Conference 2014, Bergen, 27-28th August 2014
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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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