Medical audit
What is medical audit?
Why a medical audit?
How does it work?
Who is peer reviewed?
What is peer reviewed?
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 dilemmas)
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)
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