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Quality Statutes Kick your Habits

I. GENERAL INFORMATION

1. GGZ-provider information

  • Name institution:: Sijthoff & van Empel – Kick Your Habits
  • Address: Cornelis Krusemansstraat 75 B, 1075 NJ Amsterdam
  • Phone number: 020 – 737 08 87
  • Email: info@kickyourhabits.nl
  • Website: www.kickyourhabits.nl/en
  • KvK number: 65767748
  • AGB code(s): 22-2220444

2. Contact person information

  • Name: Drs. Daniel Robroeks
  • Email: daniel@kickyourhabits.nl
  • Phone number: 06 – 316 87 828

3. Locations

See  www.kickyourhabits.nl/en

4. Description of provided healthcare and professional network:

We are Sijthoff & van Empel – Kick Your Habits. We specialize in treating addictions, with a focus on psychological comorbidity (underlying conditions). Our innovative and caring (basic) psychologists, GGZ psychologists, psychiatrists and doctors closely collaborate to help people get their lives back on track. We treat in specialized GGZ (G-GGZ) and the generalist basic GGZ (GB-GGZ).

To optimize the quality of the treatments, Sijthoff & van Empel – Kick Your Habits spends a lot of time on fine-tuning the proven and effective treatment methods to the personal healthcare needs and desires. We treat the addiction along with the corresponding comorbid disorders (underlying/additional problems). Other than individual meetings and contact by email, texting, etc., we also use e-health and healthcare groups. The focus in 2017 is to strengthen our family policy and to include ‘experience experts’.

Our professionals are highly educated and conform to the quality requirements of their profession. They are registered in the BIG-register (if applicable). We exchange our expertise with our colleagues through our professional network of practitioners, GPs and other GGZ-institutions.

The quality of our practice and practitioners meets the national norm and quality requirements. This is confirmed by the independent HKZ-certificate. This is tested on a yearly basis, which ensures that we are constantly working to safeguard and improve the quality of the care we provide.

5. Sijthoff en van Empel – Kick Your Habits offers treatments in:

  • The Generalist Basic-GGZ
  • The Specialized GGZ

6. Generalist Basic GGZ

Ambulant care / Addiction care

The directive practitioner is a GZ-psychologist.

7. Treatment settings Specialized GGZ

Ambulant care / Addiction care

The directive practitioner is a GZ-psychologist.

This concerns patients whose primary focus is on the psychological factors instead of the biological factors or the consequences of the psychiatric disorder, including its limitations. These are patients who can mainly be treated through psychological methods without the need for urgent care or an admittance into a clinic.

8. Structural cooperation partners

Sijthoff & van Empel – Kick Your Habits provides integrated care, with the possibility to directly consult with or refer to the following parties:

PsyQ

  • Spoordreef 22
  • 1315 GP Almere
  • Website: https://www.psyq.nl/
  • Nature of the cooperation: Referrals and knowledge exchange.

Vitaalpunt

  • Entrada 706, building Valencia,
  • 1114 AA Amsterdam
  • Website: https://www.vitaalpunt.nl/
  • Nature of the cooperation: Referrals and knowledge exchange.

Rodersana Amsterdam

  • Overschiestraat 184
  • 1062 XK Amsterdam
  • Website: https://www.rodersana.nl/
  • Nature of the cooperation: Rodersana executes clinical detox screenings, after which the client is referred (back). There is also a cooperation through knowledge exchange.

Sinaï

  • Laan van de Helende Meesters 2
  • 1186 AM Amstelveen
  • Website: https://www.sinaicentrum.nl/locaties/sinai-centrum-amstelveen/
  • Nature of the cooperation: Sinaï executes clinical detox screenings.

Lorenzhuis

  • Van Eedenstraat 16
  • 2012 EM Haarlem
  • http://www.lorentzhuis.nl/
  • Nature of the cooperation: Cooperation regarding the treatment of family problems (systemic therapy).

EMDR therapist Jaro van den Ende

  • Rustenburgerstraat 142 a-c
  • 1073 GJ Amsterdam
  • https://www.pgamsterdam.nl/clienten/psychologen-2/l-j-van-der-ende/
  • Nature of the cooperation: EMDR consultation.

II. ORGANIZATION OF PROVIDED HEALTHCARE

9. Healthcare standards and professional directives

Sijthoff & van Empel – Kick Your Habits highly values qualified and competent care providers, for treatments to adhere to healthcare standards and directives and improving the expertise of care providers. Below you can read about how Sijthoff & van Empel – Kick Your Habits monitors these aspects.

Qualification and competency of care providers:

The backgrounds of all our employees are vetted for correctness. This is done by checking their resume, diploma, references, Certificate of Good Behavior, BIG-registry, membership with a professional association and by evaluating assessments.

Treating according to healthcare standards and directives:

The treatment plans are created in cooperation with our clients. The healthcare paths in these plans are based on the Multidisciplinary Guidelines GGZ and are devised in such a way that they adapt to the needs of the client throughout their treatment. The link to the specified Guideline(s) is included in the format for the treatment plan, so that it’s easy to check whether or not the treatment applied to the client is in accordance with the Guidelines. In Multidisciplinary Consults (MDCs), the healthcare paths and guidelines are discussed. Registering internal audits ensures that the treatment is correctly applied and that its documentation is in order.

Improving the expertise of care providers:

We discuss individual goals, developments and budgets with our practitioners to improve their expertise. During functional reviews we can see if additional training or refresher courses are desired. A clear plan is devised, along with a feedback date. The development of the past year will also be discussed.

On top of that there are monthly team meetings and bi-weekly 1 on 1 meetings for all practitioners. There are also workshops available every other month about a wide range of relevant topics. In the MDC, which takes place twice per week, the expertise of employees is improved by exchanging knowledge from multiple disciplines and evaluating, fine-tuning and integrating numerous perspectives. If necessary, matters can be elaborated upon outside the MDC.

10. Cooperation within the organization

Cooperation and multidisciplinary consultations are set and kept in the professional statutes of Sijthoff & van Empel – Kick Your Habits

The multidisciplinary consult and the information exchange and transfer between the directive practitioner and other involved practitioners is regulated as follows:

The multidisciplinary consult (MDC) takes place twice per week. During this meeting, the treatments in the Specialized and Generalist Basic GGZ are discussed. Participants of this meeting include basic psychologists, GZ-psychologists, psychiatrists and a doctor. Every MDC has a chairman and the discussed cases are notarized. Inputs, conclusions and possible risks are documented. The privacy of the clients is safeguarded at all times by adhering to the privacy regulations.

The procedure for up/down-scaling the provided care to a subsequent respective prior echelon is set as follows:

The practitioners are responsible for the correct execution of the treatment according to the treatment plan and informing the directive practitioner and psychiatrist about the execution.

With a dossier:

The treatment is constantly evaluated in a structural manner, and it’s always clear why the client requires a follow-up meeting. Any changes to the execution of the treatment (e.g. higher or lower frequency of meetings, lighter or more intense treatment) are motivated in the dossier. After every fifth meeting, the treatment is evaluated. The goals are discussed, we check whether the treatment is still on the right course, why we should/shouldn’t continue this way and what the next phase of the treatment looks like.

With an MDC:

After every fifth meeting, an evaluation will take place during an MDC. Changes to policies will always be ran by the directive practitioner. If a treatment does not go as planned, the treatment plan will be changed. This is always discussed during an MDC.

With planned meetings with the directive practitioner.

On request of the directive practitioner.

On request of the client after consulting with the directive practitioner.

The directive practitioner ensures that the dossier management is up to standards. During and after the treatment, we will test whether or not the treatment goals have been reached.

Procedure for conflicting insights (escalation procedure)

Conflicts between practitioners regarding the treatment of a shared client will be discussed during the MDC. In order to allow the involved practitioners to reach an agreement, the different visions will be evaluated and possible solutions will be discussed. Should this fail, the directive practitioner will have the last word after consulting with the group.

If the conflict may negatively influence a client’s treatment, we will look at other types of cooperation or referrals. This will be decided after consulting with the involved practitioners and the directive practitioner. Here too, the vision of the directive practitioner is binding.

11. Dossier management and client data handling

  • Sijthoff & van Empel – Kick Your Habits requests the patient’s permission before sharing data with professionals not directly involved with the treatment.
  • In situations where confidentiality agreements may have to be broken, we use the applicable professional guidelines. Situations include, but are not limited to suspected child abuse and domestic violence. We also refer to the plan of approach regarding material control, and the control plan will be requested from the health insurer.
  • The privacy statement is used when the patient does not wish to disclose his/her diagnosis to the health insurer.
  • ROM-data is supplied to the Foundation Benchmark GGZ (SBG) on an aggregated level for the purpose of benchmarking.

12. Complaints and conflicts situations

Complaints

Clients can bring their complaints regarding their treatment to the practitioner, the board, and the complaint committee. Contact data will be provided upon the first treatment contact.

The complaint regulations can be found on https://kickyourhabits.nl/en/?page_id=795.

Conflicts

Per January 1, 2017, we are affiliated with the Conflicts Commission (Dutch: Geschillencommissie): https://www.degeschillencommissie.nl/over-ons/commissies/geestelijke-gezondheidszorg/

III.  THE TREATMENT PROCESS – the client journey at Sijthoff en van Empel – Kick Your Habits

13. Waiting period for intake and treatment

Clients can find information regarding waiting periods for the intake and treatment on www.kickyourhabits.nl/en or they can request this information by phone.

14. Registration and intake

The registration procedure is organized as follows:

Clients can register by phone, through the contact form on the website, or by email. The client will be contacted within 24 hours on workdays.

Purpose of this conversation:

  • Discuss whether we can help the client
  • Gather personal information
  • Provide information (treatment / costs / letter of referral / health insurance)
  • Schedule an intake appointment with directive practitioner
  • Or, refer back to the referrer.

The client will be referred back to the referrer, possibly with tailored advice, if we feel like we cannot provide the care the client requires.

15. Diagnosis

The intake and diagnosis at Sijthoff & Van Empel is organized as follows:

After registering, we will check the letter of referral. After the registration team (physician, psychologist) consults with the best-suited practitioner, the intake will be planned. The intake will be performed by the practitioner and the directive practitioner. The diagnosis will be set by the directive practitioner. After consulting with a physician/psychiatrist, we will see if further consultations with a physician/psychiatrist are required. The directive practitioner will devise a treatment plan together with the client.

16. Treatment

The treatment plan will be devised as follows (description of the process and involvement of the client, co-practitioners and the role of the multi-disciplinary team):

After the intake procedure and diagnosis, the treatment options are discussed in the MDC. Afterwards, these treatment options and possible reimbursements will be discussed with the client. When the client and directive practitioner agree on starting the treatment, they will both devise and sign the treatment plan. If the client chooses not to continue, he/or she will be informed on the other possibilities as clearly as possible. Depending on the situation, the client will be referred to another healthcare provider or back to the referrer.

Role Multi-disciplinary Team:

  • Every intake will be discussed during the MDC to devise a suitable treatment plan.
  • If the (directive) practitioner is of the opinion that changes to the treatment are required, these can be discussed / made during the MDC.
  • The clients will be discussed at least once every 10 treatment meetings during an MDC.
  • Any issues will be discussed during the MDC to find a suitable policy.
  • Every treatment conclusion will be discussed by the directive practitioner during the MDC.

The point of contact for the client during the treatment is the directive practitioner (description of the role and duties of the directive practitioner and the role and duties of co-practitioners):

The directive practitioner is responsible for the indication, diagnostics, treatment, evaluations and the conclusion. The directive practitioner is present for the intake, the evaluations during and after the treatment, and he/she authorizes the conclusion of the treatment.

The directive practitioner signs the treatment plan, evaluations, physician letters and the conclusion letter.

Every (BIG)-professional is expected to know his/her boundaries and limitations and should consult with other disciplines if the client’s care requires it. If the directive practitioner lacks a certain expertise, this particular part of the treatment can be outsourced to another practitioner. The directive practitioner ultimately remains responsible for (monitoring) the treatment process.

The progress of the treatment will be monitored as follows (progress meetings, treatment plan, evaluations, questionnaires, ROM):

Prior, during, and after the treatment, the effectiveness will be measured with short evaluations and by filling out the ROM-questionnaires. The client experience will also be measured during the short evaluations. Finally, the CQi-questionnaire will measure the client satisfaction. After every five meetings, a short treatment evaluation will take place. The results of the ROM-measurements (every 3 months) will be discussed with the client. The results of the evaluations are at the basis of the treatment plan. They will be registered in the client dossier.

When an evaluation shows that a client requires a new treatment plan, a new plan can be devised, or the client can be referred to someone else, internally or externally, in consultation with the client. Finally, an evaluation can also lead to the termination of a treatment.

The directive practitioner will evaluate the progress, goals and effectiveness of the treatment together with the patient/client as follows (explanation of evaluation and frequency):

Based on the intake, diagnosis and the MDC, a treatment plan is devised together with the client. In order to satisfy the client’s healthcare needs, we frequently monitor what the client wants, what kind of care is offered, and what kind of care is required. This ensures that the healthcare needs of the client form the basis for the treatment plan (within the boundaries of the expertise of Kick Your Habits).

To evaluate the progress and efficiency of the treatment, the directive practitioner will be involved with the treatment at least once every five meetings and the client status will be discussed at least once every tenth meeting during an MDC.

The results of the ROM- and CQi- questionnaires will be discussed both during an MDC and with the client.

Patient/client satisfaction will be measured as follows (when, how):

In order to measure the client satisfaction, evaluation moments are planned during the treatment to ask the client how he/she experiences the treatment and if any changes to the treatment are desired. The client will be provided with information regarding the complaint procedure and complaint regulations at the start of the treatment. At the end of the treatment, the client will be asked to fill out the quality questionnaire and the CQi.

17. Treatment conclusion / after care

The results of the treatment and possible follow up steps are discussed with the clients and their referrers as follows (updating the referrer, advizing the referrer regarding follow up treatment, what we do if the client objects to us informing the referrer or others):

Regular treatment conclusion

In the case of Specialized-GGZ, the treatment will be concluded after an evaluation where the practitioner and the client no longer see any indication to continue the specialist treatment, or if the key requirements for treatment are not adhered to. For the Basic-GGZ situation, the treatment will be concluded when a DSM-classification is longer applicable, when the key requirements for treatment are not adhered to, or if the treatment is deemed to require Specialized-GGZ during an MDC. Upcoming treatment conclusions are discussed with the client where possible to prepare him/her, as part of the relapse prevention policy.

During the final session, the client is asked to fill out the ROM-concluding measurement. If available, this will be discussed with the client during the final session. In the final meeting, the treatment will also be evaluated, which is registered in the EPD (Electronic Patient File). The client will be notified that the treatment will be declared with the health insurer. The possibilities for possible re-registrations will be discussed as well. The client will be notified of the fact that after the treatment has concluded, his/her physician will be the first point of contact.

Treatment conclusion due to absence

If we no longer hear from a client during a treatment, despite numerous attempts of the practitioner to contact the client by phone or email, the client is requested to contact the practitioner within 14 days should he/she wish to schedule a new appointment. If this does not happen, the dossier will be closed, and, unless requested otherwise, the physician of the client will be notified of the fact that the client can always contact us again should their desire for treatment return.

Formal treatment conclusion

If a client does not give us permission to notify his/her physician, a letter will be sent to the physician containing nothing more than the termination date of the treatment. If the client does give permission, a conclusion letter will be sent to the physician. This letter contains the treatment process, including any complaints, results, and the reason of the treatment termination. Treatment termination can also be accompanied by an external referral. In this situation, if the client consents, he/she will be referred to the POH-GGZ (if a DSM disorder is no longer applicable), or an external Specialized-GGZ institution with the desired expertise or facilities.

The dossier will then be checked for completeness and the EPD will be closed.

Clients and/or their loved ones can do the following if the client experiences a crisis or relapse after the treatment:

In the case of a relapse, contact: practitioner / referrer / register through the regular channels.

In the case of a crisis, contact: physician.

IV. Signature

I declare that I will act within the legal boundaries of my profession and that I will act in accordance with the model quality statutes, and that I have truthfully filled out these quality statutes:

Helena Dorothea van Empel MSc, CEO Sijthoff & van Empel – Kick Your Habits

Drs. Sigrid Ulrike Sijthoff, CEO Sijthoff & van Empel – Kick Your Habits

Amsterdam, 22-11-2016

When these quality statutes were published, the following appendices were added to the registration page of www.GGZkwaliteitsstatuut.nl

  • Copy HKZ quality certificate
  • Copy SBG agreement to supply ROM-data
  • General delivery terms
  • Professional statutes
  • Privacy regulations