Using external data on health care to identify high risk primary health care services EPSO Conference 2016-09-30 Emma Stradalovs The Health and Social Care Inspectorate, IVO

1 000 primary health care services in Sweden Where to performe inspections? 30 inspections

Sources of data/indicators Patient Advisory Committee Number of complaints/primary health care service National Patient Survey participation and availability Waiting Times for Health Care telephone availability and primary care appointments National Diabetes Registry foot examination during the last year retinopathy screening

Example: Primary Health Care Services in Stockholm County Step 1 240 primary health care services External data Step 2 30 primary health care services IVO-data/knowledge Step 3 6 primary health care services Inspections

Did we choose the right objects? Comments from the inspectors The health care services knew their status in the different registers and did not question the model. It gave us credability that we used the same selection model throughout the country. The data was spot on. Lessons learned Did we choose the right objects? Comments from the inspectors National registers do not always reflect current status. Non reporting to registers does not necessarily indicate malfunctioning.

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