Feasibility first: Developing public performance indicators on patient safety and clinical effectiveness for Dutch hospitals
This paper describes the development and implementation of the first national, public and obligatory set of hospital performance indicators in the Netherlands. Focusing on effectiveness and safety, the set was developed by the Dutch Health Care Inspectorate to improve the effectiveness and efficienc...
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| Veröffentlicht in: | Health policy (Amsterdam) 2005-12, Vol.75 (1), p.59-73 |
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| container_end_page | 73 |
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| container_title | Health policy (Amsterdam) |
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| creator | Berg, Marc Meijerink, Yvonne Gras, Marit Goossensen, Anne Schellekens, Wim Haeck, Jan Kallewaard, Marjon Kingma, Herre |
| description | This paper describes the development and implementation of the first national, public and obligatory set of hospital performance indicators in the Netherlands. Focusing on effectiveness and safety, the set was developed by the Dutch Health Care Inspectorate to improve the effectiveness and efficiency of their task: monitoring the quality of the care delivered by providers. In addition, the set would enhance the transparency of the hospital sector, and stimulate individual hospitals to improve their scores. Bridging some of the classic distinctions between ‘internal’ and ‘external’ indicators, the Inspectorate's vision was to rapidly produce a feasible set of indicators that would fulfill these aims, while maximally preventing ‘side effects’ such as misinterpretations, defensive or perverse reactions. Explicitly avoiding the trap of searching for exhaustive validity of the indicators, the inspectorate's motto was ‘feasability first’. This paper describes how this simultaneously philosophical, political and pragmatic strategy played out successfully, and how the indicator set was ultimately embraced by all parties involved. |
| doi_str_mv | 10.1016/j.healthpol.2005.02.007 |
| format | Article |
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This paper describes how this simultaneously philosophical, political and pragmatic strategy played out successfully, and how the indicator set was ultimately embraced by all parties involved.</description><subject>Benchmarking</subject><subject>Clinical effectiveness</subject><subject>Dutch hospitals</subject><subject>Efficiency, Organizational</subject><subject>Health administration</subject><subject>Health policy</subject><subject>Hospitals</subject><subject>Hospitals, State</subject><subject>Humans</subject><subject>Indicators</subject><subject>National Health Programs</subject><subject>Netherlands</subject><subject>Patient safety</subject><subject>Patients</subject><subject>Policy studies</subject><subject>Public performance indicators</subject><subject>Quality Indicators, Health Care</subject><subject>Safety</subject><subject>Safety Management - standards</subject><issn>0168-8510</issn><issn>1872-6054</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>X2L</sourceid><recordid>eNqFkUFv1DAQhS0EotuFvwA-cUuwndhxuFUtbZEqcYGz5TgT4pUTG9u70kr8eLzsqhx7eJ7L957G8xD6SElNCRWfd_UM2uU5eFczQnhNWE1I9wptqOxYJQhvX6NNIWUlOSVX6DqlHSlE04i36IoK1kvG-g36cw862cE6m494sjHlL_gODuB8sOsvHPaDswYHiJOPi14NYLuO1ujsY8J-xUFnC2vGSU9QEvQ6YuPsWgiHYZrAZHuAFVLCJQDf7bOZ8exTsFm79A69mcqA95e5RT_vv_64fayevj98u715qkwreK5Yz8VoJB0IH2gPLZWaE6LZOGotJDGDJLxjotWU8WbsCJBmKp_rWyaglxNttujTOTdE_3sPKavFJgPO6RX8PikhJW0FfRlsRNtTTngBuzNook8pwqRCtIuOR0WJOjWkduq5IXVqSBGmTvffosezM0IA82wDgBkKa9VBNbrj5TkW_XM22hbRolDEe9U1as5Lifpw2XY_LDD-X-HSbgFuzgCU4x4sRJVMacvAaGNpRo3evrjvX9wJwP8</recordid><startdate>20051201</startdate><enddate>20051201</enddate><creator>Berg, Marc</creator><creator>Meijerink, Yvonne</creator><creator>Gras, Marit</creator><creator>Goossensen, Anne</creator><creator>Schellekens, Wim</creator><creator>Haeck, Jan</creator><creator>Kallewaard, Marjon</creator><creator>Kingma, Herre</creator><general>Elsevier Ireland Ltd</general><general>Elsevier</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>DKI</scope><scope>X2L</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8BJ</scope><scope>FQK</scope><scope>JBE</scope><scope>7X8</scope></search><sort><creationdate>20051201</creationdate><title>Feasibility first: Developing public performance indicators on patient safety and clinical effectiveness for Dutch hospitals</title><author>Berg, Marc ; Meijerink, Yvonne ; Gras, Marit ; Goossensen, Anne ; Schellekens, Wim ; Haeck, Jan ; Kallewaard, Marjon ; Kingma, Herre</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c465t-2956dc81b05b19e418a500a2ddaa680cb8057264a1253d70e03f2299426e98f13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Benchmarking</topic><topic>Clinical effectiveness</topic><topic>Dutch hospitals</topic><topic>Efficiency, Organizational</topic><topic>Health administration</topic><topic>Health policy</topic><topic>Hospitals</topic><topic>Hospitals, State</topic><topic>Humans</topic><topic>Indicators</topic><topic>National Health Programs</topic><topic>Netherlands</topic><topic>Patient safety</topic><topic>Patients</topic><topic>Policy studies</topic><topic>Public performance indicators</topic><topic>Quality Indicators, Health Care</topic><topic>Safety</topic><topic>Safety Management - standards</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Berg, Marc</creatorcontrib><creatorcontrib>Meijerink, Yvonne</creatorcontrib><creatorcontrib>Gras, Marit</creatorcontrib><creatorcontrib>Goossensen, Anne</creatorcontrib><creatorcontrib>Schellekens, Wim</creatorcontrib><creatorcontrib>Haeck, Jan</creatorcontrib><creatorcontrib>Kallewaard, Marjon</creatorcontrib><creatorcontrib>Kingma, Herre</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>RePEc IDEAS</collection><collection>RePEc</collection><collection>CrossRef</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>MEDLINE - Academic</collection><jtitle>Health policy (Amsterdam)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Berg, Marc</au><au>Meijerink, Yvonne</au><au>Gras, Marit</au><au>Goossensen, Anne</au><au>Schellekens, Wim</au><au>Haeck, Jan</au><au>Kallewaard, Marjon</au><au>Kingma, Herre</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Feasibility first: Developing public performance indicators on patient safety and clinical effectiveness for Dutch hospitals</atitle><jtitle>Health policy (Amsterdam)</jtitle><addtitle>Health Policy</addtitle><date>2005-12-01</date><risdate>2005</risdate><volume>75</volume><issue>1</issue><spage>59</spage><epage>73</epage><pages>59-73</pages><issn>0168-8510</issn><eissn>1872-6054</eissn><abstract>This paper describes the development and implementation of the first national, public and obligatory set of hospital performance indicators in the Netherlands. 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| ispartof | Health policy (Amsterdam), 2005-12, Vol.75 (1), p.59-73 |
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| language | eng |
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| source | MEDLINE; RePEc; ScienceDirect Journals (5 years ago - present) |
| subjects | Benchmarking Clinical effectiveness Dutch hospitals Efficiency, Organizational Health administration Health policy Hospitals Hospitals, State Humans Indicators National Health Programs Netherlands Patient safety Patients Policy studies Public performance indicators Quality Indicators, Health Care Safety Safety Management - standards |
| title | Feasibility first: Developing public performance indicators on patient safety and clinical effectiveness for Dutch hospitals |
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