The Netherlands Presentation IPPTA May 2 nd 2015.

The Netherlands

Presentation IPPTAMay 2nd 2015

Some figures

Population: 16.7 million

Physiotherapists: 26.300• 6.300 in hospitals, rehabilitation centres etc.

• 3.500 members KNGF• 20.000 in primary care• 8.800 self employed private practioners

• 7.900 members KNGF• 11.200 employees

• 7.400 members KNGF

Public (mandatory) insurance25%

• < 18 years • Chronic diseases 100%• Other conditions 9 treatments (depending on result: + 9)

• > 18 years Chronic diseases and post-surgery• > 20 treatments + € 375,- own risk

Turnover: 450 million

• All other indications• 100% market regulation• Number of treatments depending on coverage (over

250 packages: range 0 – 100% coverage)• Barriers based on medical selection• Reimbursement (contracted/non-contracted provider)

Turnover physiotherapy: € 1.1 billion

Private (voluntary) insurance75%

Current issues

1. Decreasing coverage in private insurance packages

2. Differentiation in contracts & preferred providers

3. Quality assurance

Decreasing coverage

• Focus on: value of physiotherapy

Decreasing coverage• Focus on: the importance of supplement insurance

Differentiation & preferred providers

• Lobby for transparent, objective, non-discriminatory criteria in contracting (level playing field, good contracting practices)

• Focus on patient preferences with patient organisations

• Empowerment physiotherapists

• Statement open/closed networks

• Focus on quality

Quality assurance

Developments• Guideline development 2.0• Institute of Quality commissioned by the government• Library with guidelines, measuring instruments, quality

indicators

Actions:• Guideline for guidelines 2.0• Framework measurement tools• Masterplan Quality

Masterplan Quality

1. KNGF/the profession determines the quality of physiotherapy

2. Recognition of the professional standard

3. One National system to measure quality

Masterplan Quality

Other activities

• Physiotherapy as conditional intervention

• Focus on cost effectiveness

• Utilize changes in legislation (municipalities)

• New arrangements with stakeholders:• Employers• Trade unions• Insurance companies other than healthcare insurance

companies

Questions?

Practice

LDF (National Database Physiotherapy)

Feedback

Assessment&

ImprovementEPD

Report