mystery guests and supervision
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Mystery guests and supervision. Dr. Corry Ketelaars Dr Samantha Adams . Introduction. IGZ contracted MG in 2011-2012 Reason: social, political pressure: unannounced visits, daily practice, surprise 38 MG visits nursing homes Evaluation by iBMG Purpose: - PowerPoint PPT PresentationTRANSCRIPT
Mystery guests andsupervisionDr. Corry KetelaarsDr Samantha Adams
Epso Brussels 2013
Introduction- IGZ contracted MG in 2011-2012
- Reason: social, political pressure: unannounced visits, daily practice, surprise
- 38 MG visits nursing homes
- Evaluation by iBMG
- Purpose:Insight experiences with MGQuality, feasibility information MG for supervision
Epso Brussels 2013
Research Questions and MethodsResearch Questions What are different actors’ expectations with respect to using Mystery Guests as an
instrument for supervision of nursing home care? What are the experiences of using Mystery Guests in supervision (both in the
healthcare sector and other sectors)? What are the (pre-)conditions for further using Mystery Guests in healthcare-related
supervision in the future?
Methods Literature and Web study Document analysis
including comparison between reports Interviews (n=22)
Results (1/2)Expectations
1. Mystery Guests potentially have a better view of daily practice and better represent the patient perspective.
2. By signaling potential risks, Mystery Guests enable more efficient conduct of supervision – targeted visits.
3. De IGZ will be seen as more effective.
4. There is a need to “own” the approach.
Experiences
1. A number of practical issues stand in the way of a ‘better view’. Limited access, legal considerations, healthcare different than other sectors
2. Signals are indeed present, but often too implicit in current form of reporting. Narrative style, focus on ‘softer’ aspects of care, some information incomplete /incorrect 3. Not immediately evident during evaluation
4. Inspectors saw potential but did not yet incorporate information into supervision activities
Results (2/2)Inspectors recognize need for “fresh look” and have own methods for trying to get closer
to practice
Interest in using Mystery Guest information, under the condition that: The format fits current IGZ formats
Standardized language The information is easily accessible as part of information gathering routine The Mystery Guests are given more training/structure ahead of time
To be continuedMarch 2013: Political debate health supervision in House of ParliamentMinister asks the DHI to continue MG visitsMG trained to support supervision detecting risk factorsAfter one year evaluation MG’s
Furthermore:All inspection visits unannounced unless….Surprise elements in announced visits
Epso Brussels 2013
Epso Brussels 2013
Questions?