In 2017, the Health and Youth Care Inspectorate launched area-based supervision of networks in home environments. For area-based supervision, the we do not visit a single institution or organisation. Rather, we look at various care providers in one area, for example, a particular neighbourhood or municipality.
The Inspectorate selects areas based on internal supervision information and public sources. These public sources contain information on, for example, number of inhabitants, age of inhabitants, distribution of diseases and social health. In these areas, we examine the collaboration between the different care providers in the client's care network. We supervise integrated care in home environments from the client's perspective. We also looks at the relationship between care, treatment and support. Is the client receiving care that meets his/her needs? Is the client receiving sufficient support from the various network partners? Do they contribute to the client's quality of life? Do the various network partners know each other? And how is the collaboration with the (key) informal caregiver(s)?
With area-based supervision, the Inspectorate will initially focus on the (vulnerable) elderly target group. Area-based supervision of care networks in home environments will be expanded gradually. From the end of 2017, this will be done by simultaneously visiting home care institutions in the selected areas. Next, we will link the information on network care for (vulnerable) elderly people to information on the quality of home care.
In addition, we practice area-based supervision of home care for people with a chronic mental illness. This is the supervision on ambulatory mental health care. Here we examine the collaboration between a mental healthcare institution (for example a Flexible Assertive Community Treatment (FACT) team) and the general practitioner.
We also ask about the care agreements between care providers in primary mental health care and specialist mental health care. What agreements did the health care providers in the area made with each other? How do they ensure coherence in health care for people with chronic mental illnesses?
Integrated care in Houten
In 2017, the Inspectorate conducted a pilot project in Houten. The study focused on collaboration and coherence in care networks in home environments in Houten. We investigated how local authorities in Houten organised care networks in home environments for vulnerable elderly people. We also looked at collaboration and coherence in transfer, treatment, care and support at home.
We interviewed twelve clients. They were elderly people who were admitted in the Haltna House care centre in Houten for a short period of time. These elderly people were discharged and received care at home. We also interviewed eleven informal caregivers and 34 care providers from the care network of these elderly people. In this study, the we collaborated with Stichting Zorg in Houten, a care foundation in the municipality of Houten. The study was a pilot in order to further develop supervision of integrated care.
Read more about the pilot project in Houten (in Dutch).