Dr. Christof Veit
Download
1 / 31

Dr. Christof Veit BQS Institut for Quality and Patient Safety Dusseldorf / Hamburg - PowerPoint PPT Presentation


  • 78 Views
  • Uploaded on

Dr. Christof Veit BQS Institut for Quality and Patient Safety Dusseldorf / Hamburg Quality and Regulation. Experiences from the German Health Care System . London, 14th February 2013. Solidarity is a core social value in European culture.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about ' Dr. Christof Veit BQS Institut for Quality and Patient Safety Dusseldorf / Hamburg' - zachary-dalton


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript

Dr. Christof Veit

BQS Institut for Quality and Patient Safety

Dusseldorf / Hamburg

Quality and Regulation.

Experiences from the

German Health Care System.

London, 14th February 2013


Solidarity is a core social value in

European culture.

Good quality Health Care for each citizen is a central part of our European societies.


Self Government

Ministry of Health:

Framework for the Health Care System

Self Government:

Joint Federal Committee

Sickness Funds

Hospitals

Practices

Patients

Services.

Prices.

Quality.


Self Government

Regulation of Quality

Regulation of Care

Regulation of

Quality Management


Self Government

Regulation of Quality

Regulation of Care

Structure

Process

Case volume


Self Government

Regulation of Quality

Regulation of

Quality Management

Quality Management

National mandatory benchmarking

Public reporting

Sample testing


National Mandatory Benchmarking

Measurement areas: 30

Quality indicators: 289 (88% risk adjusted)

Data sets: 3.600 Million 96.6%

Hospitals: 1,605 98.2%

Data validity: good (different validation procedures)

Results: ranging from „requires national level intervention“ to „excellent“


Benchmarking: Projects.

>30 Projects on the National Level:

Hip- and Knee Replacement

Cholecystectomy

Gynaecological Operations

Breast Cancer Operations

Obstetrics

Cardiac Pace Makers

Coronary Catheters

Heart Surgery

Decubital Ulcers

Community acquired Pneumonia

Transplants .......and others


Distribution of quality indicators
Distribution of quality indicators

Indication

Process

Outcome

(long term)

(short term)

20%

20%

60%

Admission

Discharge

Hospital Care


Nat. Institute

Experts

project offices

National Mandatory Benchmarking

1,708 Hospitals in 16 States


%

National Benchmarking

Project

Office

Experts


%

Struc Dialog

Structured Dialog

Project

Office

Experts

numerical outliers


SteeringCommittee

Structured Report

National Committee

and National Experts

Correct!

Check!

Project

Office

Experts

%

qualitative outliers


Regional Learning.

Project

Office

Experts

regional meetings


Self Government

Regulation and Culture


Self Government

Patient involvement.


Quality Improvement starts with a narcistic wound:

I am not as brilliant as I would love to believe.

And besides of 1000 excuses:

I could have done better.

I do better.


personal responsibility

and system design


Quality is team work.

Sharing, networking institutions

instead of castles.


Self Government

Pay for Performance?



Self Government

You cannot replace primary motivation with financial incentives.


Pay for Performance

Quality of health care

is guaranteed by

primary motivation.


Pay for Performance

There also are

limits to sanctions.



Market lives from differences.

Trust comes from equal quality of care at all places.

Quality improvement is about lowering variation towards better care.

Good quality care + Patient’s choice.


But: market mechanisms also want to differentiate access to care.

Prime offers for a smaller number of wealthy patients.

Solidarity?

We call it:

the freedom of the free fox

in the free hen house.


Quality rule: care.

Work with motivation

but without pain no change.


Self Government care.

Quality:

Regulation and Culture


Quality care.


www.bqs.de care.


ad