As our 2015 report already demonstrates, we have always been committed to quality. We continue to invest in this area with the implementation of various specific measures. With this in mind, we will present each quarter a quality project implemented within the institution and focusing in particular on the processes of care.
Transparency and comparability at the service of quality
With the current arrangements, we first commit ourselves to the transparent publication of indicators supplied by the National Association for the Development of Quality in Hospitals and Clinics (ANQ). It coordinates and implements uniform measures concerning in particular hospitalisations in acute somatic medicine. We all know everyone agrees that transparency and comparability are fundamental to improving quality. But when it comes to communicating results, it is necessary that comparisons between hospitals be fair. Unfortunately, there is not yet a versatile quality indicator that can provide objective information about the overall quality of a hospital and permits a fair and just ranking of different health facilities. However, the transparent publication of some indicators makes it possible to bring to attention certain problems and so triggering improvement processes by providing arguments in favour of investments and strategy development.
“Less is more”
In addition, with a view to strengthen our quality approach, we will integrate in our measures, not only the clinical results, but also the medical care processes to standardise our practices. This is part of the "Smarter medicine Choosing wisely Switzerland" movement, which we support and whose aim is to identify medical interventions that doctors use too frequently, but which are not supported by evidence and provide no real added value for the patient. This movement is based on the "less is more” concept, which invites us to recognise that sometimes excessive treatment brings more risks than benefits. This is not only an intellectual challenge but also a real opportunity to promote sustainable medicine and patient safety.
Omar Kherad, MD, PD, Chief of Internal Medicine