1.
Quality indicators project.
The Medical Chamber and Ministry of Health initiated project:
QUALITY IN HEALTH CARE, which main aim is establishment of information
system for collection of quality indicators, selection of quality
indicators and use of them as benchmark in quality improvement.
Selection of quality indicators is left to professional bodies.
Quality indicator group suggested following indicators:
-
prevention: percentage of patients completing health check
examination, percentage of patients vaccinated against flu and
tetanus, percentage of non-hypertensive patients having their
blood pressure measured at least once a year
- treatment: percentage of hypertonics with target blood
pressure values, number of home visits per 1000 patients per
year, percentage of patients visited in their homes in one year,
percentage of accident patients treated without referral, items
of service contacts ratio, number of prescriptions per year
regarding patient mix, percentage of ARI contacts with antibiotic
prescriptions, percentage of referrals regarding low back pain,
number of complaints per 1000 consultations.
- emergency care: number of emergency interventions per
1000 population, mean response time, number of parallel interventions
per month, percentage of reanimation procedures.
2. Establishing regional electronic network
for medical data exchange.
Using experiences of PRIMACOM project we extended electronic network
to one of the regions connecting practitioners enabling them to
use internet services and exchange of medical data between primary
and secondary care providers.
3. Complaint system.
Complaint system in association of group practices in one region
brought new experiences in implementing the system and managing
complaints.
4. Management of chronic disease.
An international course and a series of workshops on management
of chronic conditions took place in this year cowering topics:
hypertension and secondary prevention after myocardial infarction.
5. Guidelines development.
We continued development of following guidelines: Management of
chronic pain in cancer patients, Low back pain, Hypertension,
Diabetes mellitus type II, Angina pectoris.
Medical association started a project of guideline development
in all fields of medical practice.
6. Quality circles.
Two study quality circles began in this year under supervision
and guidance by the experts from Dutch institute NIVEL.
7. QI projects:
- Improving tetanus immunisation in general practice
- Improving opportunistic blood pressure measurement
- Improving communication with patients from different cultures
- Medical record - designing new patient chart
