Cooperation for transparency and quality in healthcare
The KTQ , short for cooperation for transparency and quality in the health care system , has been a provider of quality management certifications for health care institutions in Germany and Austria , based in Berlin , since 2001 . The abbreviation KTQ is used both for KTQ-GmbH itself and for the KTQ process it represents . KTQ is a registered trademark .
Shareholder of KTQ
Until 2018, the shareholders of KTQ-GmbH were the representatives of self-administration in the health sector : the German Medical Association , the associations of health and long-term care insurance funds at the federal level of statutory health insurance , the Deutsche Krankenhausgesellschaft e. V. and the Deutsche Pflegerat e. V.
On December 31, 2017, the associations of the statutory health insurance companies left the circle of shareholders with voting rights. This was followed by the sale of the shares by the German Hospital Society (DKG), the German Medical Association (BÄK) and the German Care Council (DPR) and transfer to KTQ International GmbH, founded in 2013.
management
Since July 25, 2018 Jochen Breinlinger-O'Reilly has been managing director of KTQ International GmbH and Ronald Neubauer has been the successor to Gesine Dannenmaier for KTQ-GmbH.
history
The reason for the establishment of the KTQ (as a cooperation for transparency and quality in hospitals ) was in 1997 a. a. the already foreseeable legal obligation for all institutions in the health care system to introduce quality management and to provide evidence of this ( § 135a , § 137 SGB V ). This proof is facilitated by a certificate according to national or international standards .
The KTQ process is an industry solution for the healthcare sector. The development phase of the KTQ certification process for hospitals ran from 1997 to 2002 and was funded by the Federal Ministry of Health (Germany) and scientifically supported by the Institute for Medical Information Processing in Tübingen . The KTQ has been in regular operation since mid-2002, and so far over 2500 facilities have been certified. KTQ has also been an independent legal entity as a GmbH since 2002 .
In 2004 the name was changed to KTQ in the health sector , which went hand in hand with the expansion to other areas of the health sector. A certification procedure for medical practices, medical care centers and institutes of pathology and cytology has existed since 2004. In 2005, the range of rehabilitation facilities was expanded, followed by the KTQ procedure for the areas of inpatient and semi-inpatient care, outpatient care services, hospices and alternative forms of living in 2007.
In 2008 the office moved from Siegburg to Berlin. A special certification procedure for rescue services and qualified ambulance transports has existed since September 2011.
The first certificates issued by the KTQ were valid for three years from July 1, 2002 and were awarded to the Marienhospital Osnabrück on June 26, 2002 and to the Asklepios City Clinic Bad Tölz on June 28, 2002 . The University Medical Center Freiburg im Breisgau , which has been certified since April 26, 2005, is at that time the largest facility certified according to the KTQ (+/- 8,000 employees, depending on the definition). On July 12, 2005, the Barmherzige Schwestern hospital in Ried , Austria , was the first hospital outside of Germany to be certified according to KTQ. On July 3, 2007, the LWL care center Haus Stadtberge in Marsberg (Sauerland) was certified as the first inpatient care facility in Germany.
Evaluation according to KTQ
The KTQ procedure is based on two assessment procedures for the (internal) categories
- Patient orientation,
- Employee orientation,
- Security - Risk Management, (New since Version 2015, previously: Security)
- Communication and information systems,
- Corporate management (new since version 2015, previously: management)
- Quality management
according to the PDCA cycle (Plan-Do-Check-Act). All facilities that want to be certified according to KTQ must first prepare a comprehensive self- assessment report and a quality report based on the respective KTQ catalog, the statements of which are checked during the visit.
Self-assessment
The first step on the way to a KTQ certificate is self-assessment. This is carried out independently by the institution that wants to be certified. An analysis of the current situation is carried out using the current KTQ manual. Depending on the result of the self-assessment, the facility can decide to take measures to improve the respective areas or to directly aim for KTQ certification. External assessment is a mandatory requirement for certification.
External valuation
A common feature of all quality management certification systems is an external evaluation of the facility by the certifier (KTQ: Visitation ; ISO: Audit ; JCI: Survey), which must be repeated at regular intervals. The KTQ certificate is valid for three years. Annual review audits such as B. at ISO 9001, are not provided for at KTQ.
The (external) external assessment is carried out by neutral KTQ-approved and trained KTQ visitors on behalf of accredited KTQ certification bodies; the current KTQ catalog serves as a guide for the external assessment . As part of the external assessment according to KTQ, facilities are only assessed by visitor teams that have a professional relationship to the type of facility (e.g. hospital, rehabilitation facility, outpatient facility). Accordingly, the visitor team is composed differently depending on the facility. In the hospital sector, there is one manager each from the areas of medical service, nursing service and administration / management. You will be supported by a visitation attendant from the certification body.
The on-site external assessment is carried out through employee surveys ( collegial dialogues ), on-site inspections (with on-site surveys) and inspection of files. The visitation can, depending on the size of the facility, take several days. In addition, the KTQ publishes documents in which the visit duration for the respective areas is shown.
KTQ visitors
The KTQ visitors act as experts in the certification process and are professionally experienced executives who hold management positions in their facility and who have demonstrated knowledge of quality management as part of a 200-hour training course in accordance with the requirements for medical quality management of the German Medical Association. The accreditation takes place after a final examination and successful personal certification, is valid for three years and must be renewed annually by one-day fresh-ups. Each visitor must also be individually approved by the shareholders of KTQ-GmbH. In contrast to other certification procedures, no full-time visitors are used in the KTQ procedure. Each KTQ visitor may do a maximum of 15 visiting days per year as a part-time job.
Requirements for working as a KTQ visitor are:
- at least five years of professional experience and current position in a leading position in the healthcare sector,
- Training in quality management in accordance with the curriculum of the German Medical Association,
- Participation in the one-week KTQ training with examination and personal certification.
- Regular participation in refresher courses (KTQ-Freshups) compulsory
- Carry out at least one KTQ visit per year
KTQ certificate
Since KTQ itself is not a QM system, but a catalog of criteria, KTQ requires an existing quality management system and confirms in its certification document that the existing quality management as well as the structures and processes adequately correspond to the current KTQ criteria catalog. All areas and processes of the institution willing to be certified are checked in random samples. A KTQ certificate is always valid for the entire facility. Limitations z. B. only to individual areas such as administration or nursing service or central emergency room , as is possible with ISO 9001 certificates, does not exist in the KTQ procedure. However, associations of different facilities in one area (e.g. hospital and hospital, nursing home and hospice) or networks from different areas (e.g. hospital and rehabilitation facility, hospital and MVZ) can be certified together.
In order to receive a KTQ certificate, 55% of the possible points of all criteria in the six categories must be achieved for the initial certification and first re-certification. The most extensive categories are “patient orientation” and “safety - risk management”. The criteria are to be assigned to the categories according to the PDCA cycle. In the hospital sector, these are 55 (instead of the previous 63) criteria to be processed. For contracts concluded between hospitals and certification bodies from July 1, 2012, the following applies: the maximum number of points for all criteria (including core criteria) is then 18 points.
The KTQ quality report checked and approved by KTQ is published on the company's own website and online by KTQ for the period of validity.
Relevance of KTQ in the German healthcare system
As of January 2014, around 500 hospitals have been certified. The recertification rate is around 75%. For rehabilitation facilities, the KTQ offers BAR-compliant certifications that fully meet the requirements of Section 20 (2a) SGB IX (BAR criteria) ( Federal Association for Rehabilitation ). The voluntary procedure for certification of the quality management system in inpatient and semi-inpatient care facilities, outpatient care services, hospices and alternative forms of living has been offered by the KTQ since 2007. In accordance with the philosophy of the KTQ procedure, the criteria of the current KTQ manual are checked in the facility in accordance with the categories of the KTQ model that are characteristic of the KTQ procedure. After a successful external assessment, the KTQ visitors from KTQ-GmbH recommend that the institution be awarded the certificate. Based on the structure of the KTQ model, KTQ has also been offering a certification procedure for emergency services since 2012. The procedure was adapted to the specific framework conditions of the emergency rescue and qualified ambulance facilities and is based on the results of a practice-oriented pilot phase. With the "organizational unit" certification variant, it is possible to have a separate organizational unit within a larger facility certified using the KTQ procedure. KTQ-GmbH issues a certificate exclusively for the organizational unit. The certificate names the specialist departments / clinics involved in the certification. Certification procedures are also available for the area of resident doctors and MVZs. However, the relevance of the method has so far been low due to the QEP procedure offered by the National Association of Statutory Health Insurance Physicians (KBV) and which can be implemented with little effort.
proCum Cert
A special place among the CAs of KTQ takes the confessional p roCum Cert one, as they build on the KTQ established content in church checks carried facilities also own aspects.
See also
Web links
Individual evidence
- ↑ Press release of the KTQ shareholders: Future-oriented quality management - KTQ with a new group of shareholders. Retrieved September 16, 2017 .
- ↑ a b http://www.ktq.de/Zertigte-Einrichtungen.169.0.html
- ↑ Hospitals: Certified facilities and quality reports .
- ↑ KTQ in the field of rehabilitation . KTQ-GmbH. Retrieved June 23, 2019.
- ↑ KTQ in the area of emergency services . KTQ-GmbH. Retrieved June 23, 2019.