status quo of quo vadis? - KCE

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82 Quality development in general practice in Belgium: status quo or quo vadis ? KCE Reports 76 Author Research question Method Results Information/country Remarks for Belgium measures can be used processes Major cultural change is to evaluate the impact of these interventions on quality of patient care, outcomes for GP’s, system efficiency and/or relevant intermediate outcomes? • Peer accountabilities in prescribing through the auspices of voluntary clinical audit, pharmaceutical advisers and total purchasing pilots; and • Significant event audit Definitions of ‘clinical required Generating, gathering and disseminating research studies that contribute to the development of clinical quality indicators Performance indicators have the greatest potential to deliver improvement governance’ and ‘good governance’ provide a useful macro-level framework for improving quality in primary clinical care, but they lack specificity. ‘Clinical governance’ should apply broadly and comprehensively across a multitude of areas including clinical processes, financial arrangements and information systems. What constitutes the ‘right’ culture for clinical governance? Continuous quality improvement No-blame culture and system awareness Teamwork Communication Ownership: collective responsibility Leadership Continuous learning Patient focus Precursors and enablers: • A shared culture which values change • Leadership which encourages and facilitates change • Effective communication and good relationships within and between practices, with local providers and with the
KCE Reports 76 Quality development in general practice in Belgium: status quo or quo vadis ? 83 Author Research question Method Results Information/country Remarks for Belgium • purchasing authority Committed staff, including an enthusiastic lead GP • Effective organisation of strategies and initiatives • Adequate IT systems to manage patient records; data collection, exchange and reporting; and assist in clinical decision making and practice management • Professional and financial incentives for quality • Investment in capacity of individuals and organisations involved, including resources, continuity of staffing, appropriate skills, information, culture and policy • Informal and formal relationships between those involved, including mutual understanding, the quality of communication, and any competition that exists between them
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status quo of quo vadis? - KCE

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