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

2. 1 000 primary health care services in Sweden
Where to performe inspections?
30 inspections

3. 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

4. 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

5. 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.

6. Thank you!