An indicator is a signal; further investigation is mandatory OECD 3
Intentions Health authorityPatientsafety Effectiveness Appropriateness HospitalAccountability; Transparency Quality-improvement Patient Choice Quality-assurance HealthinsuranceValue for money World Health Care Congress 1 OECD 4
Selection criteria Feasibility Focus on hospital care Clinical relevance Frequent manifestation Obvious and rapid improvement of quality outcome OECD 5
….All Dutch hospitals participate ….All data are publicly available....Hospitals present data and their interpretation on www.... Annualy maximal 25% of the set will be renewed IMPORTANT CONDITIONS OECD 6 !
Conclusions Health authoritySupervision only in risk-bearing hospitals HospitalMore data; improved quality of care; 100% transparent; guidelines by professionals Patient Safety indicators; choice because of transparency Health insuranceValue for money (yet to be proven) oecd 20
Perverse effects? 'gaming the numbers‘ Increase in bureaucracy: An obstacle for innovations and ambitions A decrease in solidarity between hospitals oecd 21