Developing a national continuous quality improvement system for neuromodulation treatment in The Netherlands

Nicoline Beersen, J. H. Bart de Bruijn, Monique A. Dekkers, Pieter ten Have, Gideon B. Hekster, W. Ken Redekop, Geert H. Spincemaille, Peter J. Theuvenet, Marc Berg, Niek S. Klazinga

Research output: Contribution to journalArticleAcademicpeer-review

4 Citations (Scopus)

Abstract

BACKGROUND: Because neuromodulation was not included in the national health insurance system, the Dutch Neuromodulation Group (DNG) developed national standards and a continuous quality improvement (CQI) system for consistency in application of neuromodulation techniques and in the quality of outcomes. DEVELOPING THE NATIONAL QUALITY IMPROVEMENT SYSTEM: A stepwise approach was used in which the following ten steps were taken: (1) selected participating medical specialists and their centers, (2) described the treatment protocol, (3) collected data in a national database, (4) organized feedback sessions for the DNG, (5) formulated quality indicators, (6) adjusted the process of treatment, (7) formalized the structure of the DNG, (8) defined responsibilities, (9) established procedures for future development, and (10) made agreements with payers. DISCUSSION: Making reimbursement for expensive health care interventions contingent on a national CQI system created a powerful financial incentive to continuously provide effective care in an efficient manner
Original languageEnglish
Pages (from-to)310-321
JournalJoint Commission journal on quality and patient safety / Joint Commission Resources
Volume30
Issue number6
Publication statusPublished - 2004

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