The Flemish government's Care Inspectorate started using an updated surveillance model for hospitals in 2013.
The government uses two different types of surveillance:
With system surveillance, the entire organisation is asked a single key question: 'Can the hospital – as an organisation – offer quality guarantees for the future?' Because such a hospital-wide questioning is equivalent to an accreditation audit, a hospital that is accredited is made exempt from the system surveillance by the government. To qualify for this exemption, the National MS Centre officially informed the Care Inspectorate at the end of 2012 that it was opting for an external investigation by an accredited organisation (JCI).
Compliance surveillance is a very targeted and specific test of the care practice. For category hospitals, such as the National MS Centre, the care plan for the patient in rehabilitation is applicable. A specific set of requirements is developed prior to the investigation of this care plan. Once this set of requirements has been developed, the government will communicate this to the sector. Only then can the inspections start.
The government's audit team draws up an evaluation report after an inspection. The governing body, and users and employees of the hospital, must be actively made aware of this report. The last evaluation report on the National MS Centre dates from 2009: Evaluation report 2009.
The National MS Centre is committed to achieving JCI accreditation in 2017. Joint Commission International (JCI) is an organisation that sets international standards for excellent quality and patient safety in hospitals. JCI provides accreditation when an external audit (or inspection) demonstrates that the hospital's quality system satisfies certain standards. In total they set 350 standards, divided into 1300 measurable elements. These standards relate to how care providers deal with the patient on one hand, but also with the organisation for that patient on the other. The following-up of JCI standards with regard to the prevention of infections, medication policy, personnel policy, building security and fire safety are also evaluated.
Eleven multidisciplinary work groups have been set up to make the whole thing manageable.
The activities of the work groups are monitored by a steering committee.
There is a quarterly JCI newsletter specifically intended for employees and doctors at the National MS Centre. Periodic information sessions are also held.
In the run-up to a JCI accreditation, employees go round the hospital to observe the quality and patient safety. These ‘tracers’ are rewarding and bring positive points to the fore. Points for improvement and suggestions that are discussed with the team, possibly in a hospital-wide context, can also be tackled.