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BMC Health Services Research
Published in: BMC Health Services Research 1/2013

Open Access 01-12-2013 | Study protocol

Defining and improving quality management in Dutch diabetes care groups and outpatient clinics: design of the study

Authors: Marjo JE Campmans-Kuijpers, Lidwien C Lemmens, Caroline A Baan, Kees J Gorter, Jolanda Groothuis, Klementine H van Vuure, Guy EHM Rutten

Published in: BMC Health Services Research | Issue 1/2013

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Abstract

Background

Worldwide, the organisation of diabetes care is changing. As a result general practices and diabetes teams in hospitals are becoming part of new organisations in which multidisciplinary care programs are implemented. In the Netherlands, 97 diabetes care groups and 104 outpatient clinics are working with a diabetes care program. Both types of organisations aim to improve the quality of diabetes care. Therefore, it is essential to understand the comprehensive elements needed for optimal quality management at organisational level. This study aims to assess the current level of diabetes quality management in both care groups and outpatient clinics and its improvement after providing feedback on their quality management system and tailored support.

Methods/design

This study is a before-after study with a one-year follow-up comparing the levels of quality management before and after an intervention to improve diabetes quality management. To assess the status of quality management, online questionnaires were developed based on current literature. They consist of six domains: organisation of care, multidisciplinary teamwork, patient centeredness, performance management, quality improvement policy and management strategies. Based on the questionnaires, respondents will receive feedback on their score in a radar diagram and an elucidating table. They will also be granted access to an online toolbox with instruments that proved to be effective in quality of care improvement and with practical examples. If requested, personal support in implementing these tools will be available. After one year quality management will be measured again using the same questionnaire.

Discussion

This study will reveal a nationwide picture of quality management in diabetes care groups and outpatient clinics in the Netherlands and evaluate the effect of offering tailored support. The operationalisation of quality management on organisational level may be of interest for other countries as well.
Appendix
Available only for authorised users
Literature
1.
Danaei G, Finucane MM, Lu Y, Singh GM, Cowan MJ, Paciorek CJ, Lin JK, Farzadfar F, Khang YH, Stevens GA: National, regional, and global trends in fasting plasma glucose and diabetes prevalence since 1980: systematic analysis of health examination surveys and epidemiological studies with 370 country-years and 2.7 million participants. Lancet. 2011, 378: 31-40. 10.1016/S0140-6736(11)60679-X.CrossRefPubMed
2.
Plochg T, Klazinga NS: Community-based integrated care: myth or must?. Int J Qual Health Care. 2002, 14: 91-101. 10.1093/oxfordjournals.intqhc.a002606.CrossRefPubMed
3.
Bodenheimer T: Coordinating care–a perilous journey through the health care system. N Engl J Med. 2008, 358: 1064-1071. 10.1056/NEJMhpr0706165.CrossRefPubMed
4.
Sluijs EM, Wagner C: Progress in the implementation of Quality Management in Dutch health care: 1995–2000. Int J Qual Health Care. 2003, 15: 223-234. 10.1093/intqhc/mzg033.CrossRefPubMed
5.
Bohmer RM, Lee TH: The shifting mission of health care delivery organizations. N Engl J Med. 2009, 361: 551-553. 10.1056/NEJMp0903406.CrossRefPubMed
6.
Sluiter AC, Van Wijland JJ, Arntzenius AB, Bots AFE, Dijkhorst-Oei LT, Van der Does FEE, Palmen JVH, Potter van Loon BJ, Schaper NC, Van Balen JAM: Landelijke Transmurale Afspraak Diabetes mellitus type 2 [Dutch transmural agreement on Diabetes mellitus type 2]. Huisarts Wet. 2012, 55: 1-12.
7.
Struijs JN, Mohnen SM, Molema CCM, de Jong-van Til JT, Baan CA: Effect van Integrale Bekostiging op Curatieve Zorgkosten. Een analyse voor diabeteszorg en vasculair risicomangement op basis van registratiebestanden Vektis, 2007–2010 [Effect of bundled payment on curative cost of care. An analysis on diabetes care and cardiovascular risk management based on the Vektis database, 2007–2010]. 2012, Bilthoven: RIVM
8.
Struijs JN, Baan CA: Integrating care through bundled payments–lessons from The Netherlands. N Engl J Med. 2011, 364: 990-991. 10.1056/NEJMp1011849.CrossRefPubMed
9.
Luft HS: Becoming accountable-opportunities and obstacles for ACOs. N Engl J Med. 2010, 363: 1389-1391. 10.1056/NEJMp1009380.CrossRefPubMed
10.
Rosenthal MB, Cutler DM, Feder J: The ACO rules–striking the balance between participation and transformative potential. N Engl J Med. 2011, 365: e6-10.1056/NEJMp1106012.CrossRefPubMed
11.
12.
de Jong-van Til JT, Lemmens LC, Baan CA, Struijs JN: De organisatie van zorggroepen anno 2011. Huidige stand van zaken en de ontwikkelingen in de afgelopen jaren [The organisation of care groups in 2011. Current state and recent developments]. 2012, Bilthoven: RIVM
13.
De Grauw WJC: NDF Care Standard. Transparency and quality of diabetes care for people with type 2 diabetes. 2007, Amersfoort: Nederlandse Diabetes Federatie
14.
15.
van Til JT, de Wildt JE, Struijs JN: De organisatie van zorggroepen anno 2010; Huidige stand van zaken en de ontwikkelingen in de afgelopen jaren [The organisation of care groups in 2010. Current state and recent developments]. 2010, Bilthoven: RIVM
16.
Duckers M, Makai P, Vos L, Groenewegen P, Wagner C: Longitudinal analysis on the development of hospital quality management systems in the Netherlands. Int J Qual Health Care. 2009, 21: 330-340. 10.1093/intqhc/mzp031.CrossRefPubMed
17.
Tricco AC, Ivers NM, Grimshaw JM, Moher D, Turner L, Galipeau J, Halperin I, Vachon B, Ramsay T, Manns B: Effectiveness of quality improvement strategies on the management of diabetes: a systematic review and meta-analysis. Lancet. 2012, 379: 2252-2261. 10.1016/S0140-6736(12)60480-2.CrossRefPubMed
18.
van Thiel G, Oosterwegel M, Vermaas A: Good scientists make good science. 2011, Utrecht: UMC Utrecht
19.
20.
Wagner EH, Austin BT, Davis C, Hindmarsh M, Schaefer J, Bonomi A: Improving chronic illness care: translating evidence into action. Health Aff (Millwood). 2001, 20: 64-78. 10.1377/hlthaff.20.6.64.CrossRef
21.
22.
Hertz HS, Reimann CW, Bostwick MC: The Malcolm Baldrige National Quality Award concept: could it help stimulate or accelerate health care quality improvement?. Qual Manag Health Care. 1994, 2: 63-72.CrossRefPubMed
23.
24.
25.
Nabitz U, Klazinga N, Walburg J: The EFQM excellence model: European and Dutch experiences with the EFQM approach in health care. European Foundation for Quality Management. Int J Qual Health Care. 2000, 12: 191-201. 10.1093/intqhc/12.3.191.CrossRefPubMed
26.
Wagner C, De Bakker DH, Groenewegen PP: A measuring instrument for evaluation of quality systems. Int J Qual Health Care. 1999, 11: 119-130. 10.1093/intqhc/11.2.119.CrossRefPubMed
27.
28.
Minkman M, Ahaus K, Fabbricotti I, Nabitz U, Huijsman R: A quality management model for integrated care: results of a Delphi and Concept Mapping study. Int J Qual Health Care. 2009, 21: 66-75. 10.1093/intqhc/mzn048.CrossRefPubMed
29.
Streiner DL, Norman GR: Health Measurement Scales. A practical guide to their development and use. 2008, Oxford: University PressCrossRef
30.
Metadata
Title
Defining and improving quality management in Dutch diabetes care groups and outpatient clinics: design of the study
Authors
Marjo JE Campmans-Kuijpers
Lidwien C Lemmens
Caroline A Baan
Kees J Gorter
Jolanda Groothuis
Klementine H van Vuure
Guy EHM Rutten
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2013
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/1472-6963-13-129

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