the netherlands presentation ippta may 2 nd 2015
TRANSCRIPT
The Netherlands
Presentation IPPTAMay 2nd 2015
Some figures
Population: 16.7 million
Physiotherapists: 26.300• 6.300 in hospitals, rehabilitation centres etc.
• 3.500 members KNGF• 20.000 in primary care• 8.800 self employed private practioners
• 7.900 members KNGF• 11.200 employees
• 7.400 members KNGF
Public (mandatory) insurance25%
• < 18 years • Chronic diseases 100%• Other conditions 9 treatments (depending on result: + 9)
• > 18 years Chronic diseases and post-surgery• > 20 treatments + € 375,- own risk
Turnover: 450 million
• All other indications• 100% market regulation• Number of treatments depending on coverage (over
250 packages: range 0 – 100% coverage)• Barriers based on medical selection• Reimbursement (contracted/non-contracted provider)
Turnover physiotherapy: € 1.1 billion
Private (voluntary) insurance75%
Current issues
1. Decreasing coverage in private insurance packages
2. Differentiation in contracts & preferred providers
3. Quality assurance
Decreasing coverage
• Focus on: value of physiotherapy
Decreasing coverage• Focus on: the importance of supplement insurance
Differentiation & preferred providers
• Lobby for transparent, objective, non-discriminatory criteria in contracting (level playing field, good contracting practices)
• Focus on patient preferences with patient organisations
• Empowerment physiotherapists
• Statement open/closed networks
• Focus on quality
Quality assurance
Developments• Guideline development 2.0• Institute of Quality commissioned by the government• Library with guidelines, measuring instruments, quality
indicators
Actions:• Guideline for guidelines 2.0• Framework measurement tools• Masterplan Quality
Masterplan Quality
1. KNGF/the profession determines the quality of physiotherapy
2. Recognition of the professional standard
3. One National system to measure quality
Masterplan Quality
Other activities
• Physiotherapy as conditional intervention
• Focus on cost effectiveness
• Utilize changes in legislation (municipalities)
• New arrangements with stakeholders:• Employers• Trade unions• Insurance companies other than healthcare insurance
companies
Practice
LDF (National Database Physiotherapy)
Feedback
Assessment&
ImprovementEPD
Report