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status quo of quo vadis? - KCE

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Health<br />

policy<br />

<strong>KCE</strong> Reports 76 Quality development in general practice in Belgium: <strong>status</strong> <strong>quo</strong> or <strong>quo</strong> <strong>vadis</strong> ? 135<br />

APPENDIX 11: CONCEPTUAL FRAMEWORK FOR A QUALITY SYSTEM IN BELGIUM<br />

(<strong>KCE</strong> – report 41)<br />

Quality policy<br />

Health<br />

Quality <strong>of</strong><br />

healthcare<br />

Action<br />

Quality<br />

Indicator<br />

Other<br />

determinants<br />

Priority setting<br />

Development <strong>of</strong> a set <strong>of</strong> quality<br />

indicators<br />

Dissemination, implementation,<br />

evaluation <strong>of</strong> the quality<br />

Interpretation<br />

Check with interested parties for relevance in general practice<br />

Define the scope: organisation <strong>of</strong> the practice, processes <strong>of</strong> the practice, patient<br />

questionnaires, clinical<br />

indicators, prevention<br />

Scope?<br />

Sources <strong>of</strong> quality indicators (existing sets, guidelines)?<br />

Selection <strong>of</strong> quality indicators:<br />

- Essential features<br />

- Evidence-based<br />

- Identification <strong>of</strong> potential pitfalls<br />

Assessment <strong>of</strong> quality indicators by expert panel<br />

Define the specifications <strong>of</strong> the quality indicators:<br />

- Definition<br />

- Risk-adjustment<br />

- Data sources<br />

- Data collection specifications<br />

Pilot testing<br />

Construction <strong>of</strong> final set <strong>of</strong> quality indicators and data collection<br />

t

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