the Netherlands Health Care Inspectorate Winnie Sorgdrager chairman of the auditing committee Winnie Sorgdrager 16042015 EPSO conference 2 Mandate Inspectorate Promotion of public health through effective enforcement of the quality of health services prevention measures and m ID: 319234
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1
Auditing
the Netherlands Health Care Inspectorate
Winnie Sorgdrager,
chairman of the
auditing
committeeSlide2
Winnie Sorgdrager | 16-04-2015 | EPSO conference
2
Mandate Inspectorate
Promotion of public health through effective enforcement of the quality of health services, prevention measures and medical products.
552 employees at the inspectorate 40.000 health care institutes (locations and companies) and
thousands of independently working professionals
Over 3000 inspection visits and over 3000 reports are issues
each year
Budget inspectorate: >60 MLN.
Supervision is also performed in the Dutch Caribbean islandsSlide3
Winnie Sorgdrager | 16-04-2015 | EPSO conference
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Governance of healthcare
Health care institutes Inspectorate
Politics (Minister and parliament) Insurance companiesSlide4
Winnie Sorgdrager | 16-04-2015 | EPSO conference
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Supervision procedures
Risk-based (indicators) supervision
Incident-based supervision (notifications by citizens/patients) Thematic supervision
Slide5
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Inspectorate in troubled water
Signals from the Ombudsman
Media attention about disfunctioning of inspectorate Debate in the parliament
From the year 2000 different
inquiries
from
the Ombudsman
about
the
inspectorate
with
many
recommandations
.
2 Inquiry reports from ‘Sorgdrager’ and ‘van der Steenhoven’.Slide6
Winnie Sorgdrager | 16-04-2015 | EPSO conference
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Audit committee
Appointed
by the Minister For three
years
Starting
in 2014
Independent
audit
(
on
the
progress
of
improvement
)
Members
of the
committeeSlide7
Winnie Sorgdrager | 16-04-2015 | EPSO conference
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Plan
for improvement of performance of inspectorate for the years 2013-2015, with a view on following years.
What was being audited at the inspectorate?Slide8
Winnie Sorgdrager | 16-04-2015 | EPSO conference
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Principal themes for the coming three years to audit:
Internal governance
Professionalism Notification process Internal and external communication
Effectiveness of supervision by the inspectorate
How took the audit place?Slide9
Winnie Sorgdrager | 16-04-2015 | EPSO conference
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The auditing process
Background: documents on internal procedures
Attending meetings Interviews with +/- 40 employees of the inspectorate
Presentations
about
workprocesses
by
the
inspectorate
Attending
inspections
by
the
inspectorateSlide10
Winnie Sorgdrager | 16-04-2015 | EPSO conference
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The first resultsSlide11
Winnie Sorgdrager | 16-04-2015 | EPSO conference
11
Internal governance
Necessary improvement is a major
task
Possitive
attitude of employees of the
inspectorate
Many
projects
,
prioritising
is
necessary
Role
of the managersSlide12
Winnie Sorgdrager | 16-04-2015 | EPSO conference
12
Professionalism
Sense
of urgency is clear,
but
difficult
to
materialize
Dedicated
employees
Change
is
difficult
Inspectorate
wants to
be
a
learning
institute
Autonomy
versus
need
for
leadershipSlide13
Winnie Sorgdrager | 16-04-2015 | EPSO conference
13
Incident-based supervision
IT needs
improvement
Improvement
notification
process
Lead
times
substantially
shortened
Centralised
handling
of
notificationsSlide14
Winnie Sorgdrager | 16-04-2015 | EPSO conference
14
Communication
Need
for corporate story
Improvement
of
internal
communication
More
proactive
communication
with
stakeholders
in case of
serious
crisis. Slide15
Winnie Sorgdrager | 16-04-2015 | EPSO conference
15
Effectiveness of supervision
Basic
processes and procedures
Development
of
risk-based
supervision
Start
with
dashboards of the
health
care
institutes
Debate
about
supervision
strategySlide16
Winnie Sorgdrager | 16-04-2015 | EPSO conference
16
11
recommendations for
the year 2014
Monitoring
implementation
by
the
committee