1. 1 Auditing the Netherlands Health Care Inspectorate Winnie Sorgdrager, chairman of the auditing committee

2. 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 islands

3. Winnie Sorgdrager | 16-04-2015 | EPSO conference 3 Governance of healthcare  Health care institutes  Inspectorate  Politics (Minister and parliament)  Insurance companies

4. Winnie Sorgdrager | 16-04-2015 | EPSO conference 4 Supervision procedures  Risk-based (indicators) supervision  Incident-based supervision (notifications by citizens/patients)  Thematic supervision

5. Winine Sorgdrager | 16-04-2015 | EPSO conference 5 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’.

6. Winnie Sorgdrager | 16-04-2015 | EPSO conference 6 Audit committee  Appointed by the Minister  For three years  Starting in 2014  Independent audit (on the progress of improvement)  Members of the committee

7. Winnie Sorgdrager | 16-04-2015 | EPSO conference 7 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?

8. Winnie Sorgdrager | 16-04-2015 | EPSO conference 8 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?

9. Winnie Sorgdrager | 16-04-2015 | EPSO conference 9 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 inspectorate

10. Winnie Sorgdrager | 16-04-2015 | EPSO conference 10 The first results

11. 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 managers

12. 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 leadership

13. Winnie Sorgdrager | 16-04-2015 | EPSO conference 13 Incident-based supervision  IT needs improvement  Improvement notification process  Lead times substantially shortened  Centralised handling of notifications

14. 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.

15. 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 strategy

16. Winnie Sorgdrager | 16-04-2015 | EPSO conference 16  11 recommendations for the year 2014  Monitoring implementation by the committee