Medical audit
What is medical audit?
Medical audit is a kind of external peer review to evaluate the professional quality of the Occupational Physician (OP). NVAB has developed a model for medical audit of OPs.
Why a medical audit?
The aim of medical auditing is:
- Supporting doctors, protecting patients
- Quality improvement
- Individual support
- Horizontal control
- Comparability and transparency
- Protection of employees
- A new and nice challenge
How does it work?
Once in every five year two visitators (special trained Occupational Physicians) audit a group of 3-6 Occupational Physicians (OPs) during half a day and discuss the documentation about the quality improvement activities of the OPs.
Who is peer reviewed?
The individual OP is peer reviewed in his/her professional context, so not the Occupational Health Service.
What is peer reviewed?
Four domains are peer reviewed:
Domain 1. Content of the care
Medical Audit about adequate application of NVAB guidelines (every year emphasis on two different guidelines, Occupational Physicians are informed about this)
Instrument: a questionnaire.
Domain 2. Context
- Collaboration (questionnaire completed by 3-6 colleagues (‘360 degree feedback’)
- Independence in positioning and attitude (handling of moral/ethical dilemma’s)
Instrument: reflection report, case description.
Domain 3. Customer satisfaction
- Questionnaire to employees/patients (N=30, Model: Euro pep)
- Questionnaire to employers (option)
Instrument: a questionnaire.
Domain 4. Professional development
The questionnaire derived from competence profile should lead to priority setting Items:
- Medical practice
- Communication
- Collaboration
- Knowledge and research
- Responsibility to the society
- Organisation
- Professionality
Result: a professional quality profile leading to an individual improvement plan.
The individual improvement plan can be drafted:
- After use of all instruments
- After self reflection
- After discussion in the group
- After discussion with peer reviewers.
The individual improvement plan has:
- SMART formulated goals
- Self chosen (short term operational goals and long term strategic goals)
