Pay for Quality

KCE Reports 118 Pay for Quality 123
Primary focus (structure, process
outcome)
performance’ / ‘capacity and innovation’, one for clinical
performance and one for patient safety.
Multidimensional feedback including further details on a
selection of 12 indicators
The sixth part of the contract only applied to acute hospitals.
The hospitals were asked to select 12 indicators and to
develop actions for improvement. They were asked to select
three indicators per field and to develop them in detail: 3
indicators for the field of economic performance, 3 for
capacity and innovation, 3 for clinical performance and 3 for
patient safety.
Contract 2008-2009: three parts
As a first part to the contract hospitals were asked to develop
a multi-year patient safety plan, and based on the results of the
evaluation of the patient safety culture (as performed in the
previous year) two actions needed to be developed for quality
improvement in two separate domains.
As a second part to the contract the hospitals were asked to
analyse a process where they could freely choose between a
process as suggested by the government, or a process related
to intramural transfers or a process based on results from the
multidimensional feedback.
As a third part to the contract hospitals were asked to list all
of their indicators that were used for the management of
quality and safety within the hospital.
Contract 2009-2010: three parts
As a first part to the contract the hospitals will be asked to
develop a reporting and learning system for incidents and
nearly incidents. In addition the hospitals will be asked to
describe five incidents including the method used for the
analysis as well as the actions that were taken to achieve the
necessary improvements.
As a second part to the contract the hospitals will be asked to
develop or to (re)analyse an existing or new process within a
multidisciplinary context. They could freely choose between a
process as suggested by the government, or a process related
to intramural transfers or a process based on results from the
multidimensional feedback.
3. As a third part to the contract the hospitals will be asked to
develop a multidimensional and integrated set of indicators
related to quality and patient safety.
The yearly contracts will always be based on the Donabedian’s
triad and consist of three pillars: the development of a safety
management system (structure), the analysis of processes
(process) and the development of a multidimensional set of
indicators (result). By 2012 all hospitals should have an
integrated safety management system, assess both intramural
and transmural care processes and use an integrated and
multidimensional set of indicators.
Type of indicators used (if any) Structure, process and outcome indicators
Purpose of indicators used The purpose is hospital specific. They are mostly used as an
input, based on benchmarking, to prioritize quality targets and
related quality improvement strategies in a cyclical manner.
Type of incentives Yearly budget
Results (if available) The mission, vision, goals and strategy with regard to quality
and patient safety