Session 6 12 - tom mutsaerts quality assurance in medical services bergen
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The Norwegian Sea Health Conference 2014, Bergen, 27-28th August 2014
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Session 6 12 - tom mutsaerts quality assurance in medical services bergen
- 1. Quality assurance in medical services Tom Mutsaerts Maritime Health Advisor Netherlands Shipping Inspectorate 28 August 2014
- 2. Program •Why bother about quality? •What do we mean with quality? •How to arrange quality assurance? 2 28 August 2014 Ministry of Infrastructure and the Environment
- 3. Why bother about quality? •Patient? •Our colleagues? •Our management? •The society? 3 28 August 2014 Ministry of Infrastructure and the Environment
- 4. Medical professionalism changes •Male •One-man act •Own practice •24/7 •Female •Teamwork •Employed •Part-time 4 28 August 2014 Ministry of Infrastructure and the Environment
- 5. 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 5 28 August 2014 Ministry of Infrastructure and the Environment
- 6. 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 6 Ministry of Infrastructure and the Environment 28 August 2014
- 7. 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 7 28 August 2014 Ministry of Infrastructure and the Environment
- 8. 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 8 28 August 2014 Ministry of Infrastructure and the Environment
- 9. 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 9 28 August 2014 Ministry of Infrastructure and the Environment
- 10. 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 10 28 August 2014 Ministry of Infrastructure and the Environment
- 11. 11 28 August 2014 Ministry of Infrastructure and the Environment
- 12. Program •Why bother about quality? •What do we mean with quality? •How do we arrange quality assurance? 12 28 August 2014 Ministry of Infrastructure and the Environment
- 13. 13 28 August 2014 Ministry of Infrastructure and the Environment
- 14. Communicator •Develop trust and ethical therapeutic relationships •Accurately collect relevant information •Accurately inform patients and families •Develop a shared plan of care 14 28 August 2014 Ministry of Infrastructure and the Environment
- 15. Collaborator •Participate appropriately in a healthcare team •Effectively work with other health professionals to prevent and resolve interprofessional conflict 15 28 August 2014 Ministry of Infrastructure and the Environment
- 16. 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 16 28 August 2014 Ministry of Infrastructure and the Environment
- 17. 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 17 28 August 2014 Ministry of Infrastructure and the Environment
- 18. Health advocate ???? 18 28 August 2014 Ministry of Infrastructure and the Environment
- 19. 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 19 28 August 2014 Ministry of Infrastructure and the Environment
- 20. Professional •Demonstrate commitment to their patients, profession, and society through ethical practice •Demonstrate commitment to physician health and sustainable practice 20 28 August 2014 Ministry of Infrastructure and the Environment
- 21. 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 21 28 August 2014 Ministry of Infrastructure and the Environment
- 22. 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) 22 28 August 2014 Ministry of Infrastructure and the Environment
- 23. 23 28 August 2014 Ministry of Infrastructure and the Environment
- 24. Program •Why bother about quality? •What do we mean with quality? •How to arrange quality assurance? 24 28 August 2014 Ministry of Infrastructure and the Environment
- 25. Quality assurance •Registration as a physician for 5 years •Fulfill the CanMEDS •Accountability is proved •Program of requirements for each specialization 25 28 August 2014 Ministry of Infrastructure and the Environment
- 26. Quality assurance •Experience in your own profession •Education •Peer review •Individual improvement plan 26 28 August 2014 Ministry of Infrastructure and the Environment
- 27. 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) 27 28 August 2014 Ministry of Infrastructure and the Environment
- 28. Prove your accountability every (working)day •To your patient •Within your professional groep •To your management and •To society 28 28 August 2014 Ministry of Infrastructure and the Environment
- 29. 29 28 August 2014 Ministry of Infrastructure and the Environment