1 auditing the netherlands health care inspectorate winnie sorgdrager, chairman of the auditing...

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Auditing the Netherlands Health Care Inspectorate

Winnie Sorgdrager, chairman of the auditing committee

2 Winnie Sorgdrager | 16-04-2015 | EPSO conference

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

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Governance of healthcare

Health care institutes

Inspectorate

Politics (Minister and parliament)

Insurance companies

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Supervision procedures

Risk-based (indicators) supervision

Incident-based supervision (notifications by citizens/patients)

Thematic supervision

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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’.

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Audit committee

Appointed by the Minister For three years Starting in 2014 Independent audit (on the progress of improvement) Members of the committee

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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?

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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?

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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

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The first results

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Internal governanceNecessary improvement is a major task

Possitive attitude of employees of the inspectorate

Many projects, prioritising is necessary

Role of the managers

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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

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Incident-based supervision

IT needs improvement

Improvement notification process

Lead times substantially shortened

Centralised handling of notifications

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Communication

Need for corporate story

Improvement of internal communication

More proactive communication with stakeholders in case of

serious crisis.

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Effectiveness of supervision

Basic processes and procedures

Development of risk-based supervision

Start with dashboards of the health care institutes

Debate about supervision strategy

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11 recommendations for the year 2014

Monitoring implementation by the committee