1. Evaluation program for supervision of public health, health care en medical product
An example:
Dutch health care inspectorate
Evaluation program
Background
Content
Process
Results
Collaboration

2. Mission and ambition
Mission: the Health Care Inspectorate exists to promote public health by effectively enforcing the quality of care, prevention and medical products.
Ambition: legitimate faith in Dutch health care by the public.

3. Four inspection priorities
Promote quality of care (especially patient safety)
Making prevention more effective
Make the quality of delivered care more transparent
Devote more – and more targeted – attention to vulnerable groups

4. The Health Care Inspectorate
Relatively small inspectorate (approximately 370 FTE’s, including some 110 inspectors)
professional practitioners, 3000 institutions, addresses
25 Acts of Parliament
Costs: two euros per person per year

6. Background of the evaluation programma
Supervision at the heart of political and public debate
Accountability
Legitimacy
Supervisory authorities themselves ask about the effect of their work
Improvement of methods
Professionalizing inspectors

7. Does supervision works, what works, how does it work
3 themes
The role of supervision in the field of health care policy
Supervisory methods and instruments
Effects: (intermediate) outcome
Inspectee
Inspectorate
Society
Final
Outcome
Input
Troughput
Output

8. Process
Part of the long and short-term policy plans of the inspectorate
Budget ( ,--) and Staff (3 FTE)
Publication of results in scientific journals
Learning organization
Employee support and involvement
Inspectors have a change to write a thesis
Reservations about evaluation
Judging their work
Harming the authority of the inspectorate
Tranparancy paradox

9. Results 1 Completed Occupation of inspector
Customer satisfaction survey, IGZ counter
Quality reports. Effectiveness of IGZ limited by modest quality of reports.
The effectiveness of supervision in coercive treatment by mental healthcare
The IGZ and handling of reports of medical errors from members of the public
Supervising the quality of heath care. An international comparison

10. Results 2 Studies in progress
The role of inspectorates in suicide reports
Study of the role of the medical Code of Practice in health care inspections
Intra- and inter-assessor reliability of IGZ inspectors
Study of the role of IGZ supervision in a changing legal/administrative context
The effectiveness of Thematic Supervision and Risk based supervision.

11. Collaboration training placements for 8 master students
Free University of Amsterdam and Erasmus University of Rotterdam
Special chair in ‘effectiveness of health care supervision’
Enforcement en Behavior research program of the Ministry of Justice
Council of Dutch Inspectorates: long-term program ‘Effects of supervision’
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