status quo of quo vadis? - KCE

136 Quality development in general practice in Belgium: status quo or quo vadis ? KCE Reports 76
APPENDIX 12: ILLUSTRATION OF A POSSIBLE
COMPREHENSIVE STRATEGY FOR IMPLEMENTING A
QUALITY INITIATIVE: FLU VACCINATION
Professionalism Priority on
national coverage
with major role of
National Regional Practice Individual GP
GP
Patient focus National public
campaigns
Competence National
guidelines and
indicators
Capacity Central
Dispensing
vaccination,
collaboration with
nurses
Knowledge and
information
management
associations
Immunization
procedures and
focusing the high
risk group
Defining the role
of regional and
local levels
Regional
campaigns
Regional
consensus
building activities
Involving regional
support centers
for selection and
mailing
Regional support
by IT educational
activities
Financing Target payments Regional support
centers are set up
and paid
Defining the role
of practices
Practice
information
system for ex by
leaflets or patient
listing
Practice
procedures
Involving practice
partners and
assistants
Annual report on
outcomes
Practices are
reimbursed by
coverage
(outcome)
Define the role of
the individual GP
Reminders, notes
on record,
individual
information
Individual CME,
Credit points
Dedicated time
for management
activities
Feedback data
used by GPs
GPs get money
for value