Jos de Blok

Buurtzorg: community based integrated care

in a ‘teal’ organization

Buurtzorg: Integrating Simplification

• (New) organizational model/care delivery model

• Patient centered; based on professional ethics

• Started in 2007 with 1 team/4 nurses

• 2014: 8000 nurses in 800 independent teams.

• 45 staff at the back office,15 coaches: managers 0

• Turnover: 260 million in 2014

• 70.000 patients a year

• Also: youth care, mental care and BZ International

CLIËNT

4. Formal networks

2. Informal networks

3. Buurtzorgteam

1. Selfmanagement client

Onionmodel Buurtzorg

Buurtzorg works inside-out: empowering and adaptive, networkcreating, supporting.

Vision: support indepence!

Principles and results

• Optimal autonomy for nurses and no hierarchy

• Complexity reduction (also with the use of ICT)

• Contextdriven teal organization (Laloux: 2014)

• Small selfsteering teams: focus on neighborhood

• Generalists: high educated nurses

• Quality: focus on outcome (Omaha system)

• High satisfaction of patients (9,1) and nurses (9)

• Lower costs: 25%

Buurtzorg in the whole country

Thank you for your attention