Adult patient satisfaction
At the end of April 2019, ANQ communicated the results of the 2018 survey. For the first time, it showed risk-adjusted values. The high level of patient satisfaction remained unchanged. Patients were again very satisfied with their stays in rehab. The data showed that the rehabilitation clinics achieved the best results since reviewing began.
In 2018, the patients were surveyed for the first time using the improved ANQ rehabilitation 2.0 short questionnaire. Thus covered and published transparently were additional quality features, such as participation in decision-making and discharge management at medical centres.
Link to press release
At the beginning of September 2019, ANQ transparently communicated the results of the 2017 data year for each medical centre. Independence and quality of life improved once again during the stays in rehabilitation. In addition to the success achieved in treatment, data quality rose to a pleasingly high level. A National Comparison Report was published for each rehabilitation sector.
Link to press release
Before publishing the results, ANQ revised its evaluation and publication concepts (both V. 3.0). A year-on-year comparison of risk-adjusted data quality was integrated into the evaluation. Furthermore, the evaluation model for risk-adjusted results comparison now takes individual medical centres into account, along with the characteristics of the sample composition (case mix). From the 2017 data year, significance symbols have been used in the online results graphics.
In the summer, the board agreed to the adjusted rehab review plan, which will be valid from the 2021 data year. Among key innovations are the facts that sector-specific review modules 2 & 3 will no longer be used, and subdivision will be on the basis of rehabilitation sector. The regular review plan has provided for the inclusion of alternative reviews of rehabilitation in the fields of paraplegiology and psychosomatics since 2015. In addition to further adaptations in the individual rehabilitation sectors, the use of ANQ target documentation will be mandatory in all rehabilitation sectors in future.
By modifying its review concept, ANQ implemented an important conclusion arising from the evaluation that took place in 2018. Required was a departure from silo mentality to accommodate more differentiated review results.
In mid-September, ANQ informed its partners and institutions in detail about the adjustments so that medical centres have sufficient time to prepare for this transition.
In the year under review, ANQ continued to provide its tried and tested training program to rehabilitation professionals. A total of eight training courses were held in the German, French and Italian areas of Switzerland.
ANQ successfully piloted in-house training courses in 2019. From 2020 it will be offering this new training format in rehabilitation clinics. The in-house service includes basic training, training in the use of the CIRS and FIM® case conferences.
In the autumn, the medical centres carried out an online needs analysis. Based on these results, the entire training program will be revised in 2020.
Quality Committee (QC)
During its five meetings, the QC analysed the National Comparison Reports, restructuring and streamlining them accordingly. It also approved the 2018 reports with their new structure. The QC members invested a lot of time in the review plan, particularly with regard to the adjustments that will be introduced from 2021 onwards and in long-term development, including prioritisation.
At the end of June, Klaus Schmitt left the committee. Dr. Anke Scheel-Sailer is now the representative for rehabilitation in paraplegiology. Like Klaus Schmitt, she works at the paraplegic centre in Nottwil. At the end of 2019, PD Dr. Stefan Bachmann of the Valens Clinics Group retired from the QC. He had been committed to promoting quality improvement in Switzerland for twenty years, both at ANQ and previously at the KIQ (National Association for Quality Assurance). In early 2020, Dr. Jan Vontobel of the Davos Hochgebirgsklinik joined the QC as a representative for cardiac rehabilitation. He replaces Dr. Ruth Fleisch.
Expert groups (EG)
EG FIM® Standards
In 2019, the EG published new recommendations on Chapter 2 and items D and E. Based on feedback from medical centres, it updated the majority of the previous recommendations for items A, G, H/J, K/N, O/P, Q and R. The experts also developed the basis for FIM® training. The EG welcomed a new member – Petra Wildeisen of Clinica Hildebrand.
EG EBI Standards
At the beginning of 2019, the EG published recommendations to accompany and supplement the existing instructions for use of the EBI. In the autumn, the experts put in place a panel tasked with “Exchanging experience in the application of EBI recommendations – 1 year on” for Q-day in January 2020.
EG Target Documentation
This group was dissolved by the QC in June 2019 because it became clear that the revision of target documentation is closely linked to the development of the rehab review plan. ANQ praised the commitment of the EG’s members. Their in-depth analysis and constructive discussions significantly contributed to the work of the QC.