3-6-2014 LEADERSHIP AND GOVERNANCE IN HEALTH CARE THE CURAÇAO PERSPECTIVE A.J. Duits Stafbestuur St. Elisabeth Hospitaal SIMILARITIES WITH LOCAL SITUATION? NASKHO AJD 170513 NASKHO AJD 170513 NASKHO AJD 170513 NASKHO AJD 170513 Francis Inquiry report was published one year ago on 6 February 2013 and examined the causes of the failings in care at Mid Staffordshire NHS Foundation Trust between 2005-2009. The report makes 290 recommendations NASKHO AJD 170513 NASKHO AJD 170513 1 3-6-2014 • • • • • • NEGATIVE CULTURE PROFESSIONAL DISENGAGEMENT PATIENTS NOT HEARD POOR GOVERNANCE LACK OF FOCUS ON STANDARDS OF SERVICE INADEQUATE RISK ASSESSMENT OF STAFF REDUCTION • NURSING STANDARDS AND PERFORMANCE • WRONG PRIORITIES NASKHO AJD 170513 NASKHO AJD 170513 NASKHO AJD 170513 NASKHO AJD 170513 An accountable care organization (ACO) is a healthcare organization characterized by a payment and care delivery model that seeks to tie provider reimbursements to quality metrics and reductions in the total cost of care for an assigned population of patients. A group of coordinated health care providers forms an ACO, which then provides care to a group of patients. The ACO may use a range of payment models (capitation, fee-for-service with asymmetric or symmetric shared savings, etc.). The ACO is accountable to the patients and the third-party payer for the quality, appropriateness and efficiency of the health care provided. NASKHO AJD 170513 NASKHO AJD 170513 2 3-6-2014 NASKHO AJD 170513 NASKHO AJD 170513 FINANCIAL PRESSURE FINANCE DRIVEN VS HEALTH DRIVEN NASKHO AJD 170513 NASKHO AJD 170513 Consistent policy/vision FRAGMENTED SYSTEM Government Lack of data Data driven Health Institutes Primarily finance driven Fee for service Health Providers Lack of infrastructure Policies Payers Patients NASKHO AJD 170513 NASKHO AJD 170513 3 3-6-2014 NASKHO AJD 170513 NASKHO AJD 170513 THE MATROYSHKA PRINCIPLE NASKHO AJD 170513 NASKHO AJD 170513 NEW LEADERS AND GOVERNANCE: NEW COMPETENCIES NASKHO AJD 170513 NASKHO AJD 170513 4 3-6-2014 The Clinical Governance Framework NASKHO AJD 170513 NASKHO AJD 170513 ownership leadership NASKHO AJD 170513 NASKHO AJD 170513 LEADERSHIP NASKHO AJD 170513 NASKHO AJD 170513 5 3-6-2014 NASKHO AJD 170513 NASKHO AJD 170513 NASKHO AJD 170513 NASKHO AJD 170513 NASKHO AJD 170513 NASKHO AJD 170513 6 3-6-2014 NASKHO AJD 170513 NASKHO AJD 170513 S. Victorina NEW HEALTH CARE NASKHO AJD 170513 NASKHO AJD 170513 ESSENTIEEL = VERTROUWEN • • • • NASKHO AJD 170513 OPEN COMMUNICATIE DELEN VAN RELEVANTE DATA/INFORMATIE GEDEELDE VISIE VERGAREN VAN SUCCESVOLLE SAMENWERKING NASKHO AJD 170513 7 3-6-2014 Leadership groups NASKHO AJD 170513 NASKHO AJD 170513 NASKHO AJD 170513 NASKHO AJD 170513 LEADERSHIP AS AN INSTITUTE: UNIQUE SITUATION NON COMPARABLE TO OTHER COUNTRIES STAFBESTUUR: JEANNE KOEIJERS SEPP THEUNNISEN AYAL ZAHAVI NASSER AJUBI FRANKE SCHEPER DAVID NELLENSTEIJN VILLANA DE MAN-EVERTSZ NASKHO AJD 170513 NASKHO AJD 170513 8 3-6-2014 NASKHO AJD 170513 9
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