Mental healthcare purchasing

The following form part of mental healthcare:

  • first-line psychological care
  • second-line specialist mental healthcare
  • dyslexia care

When purchasing healthcare, we make a distinction between purchasing healthcare from independent practices - often a single or a few care providers per practice - and organisations that have one or more multidisciplinary teams of staff.

1. Vision on healthcare

1.1 Why do we enter into contracts?

We enter into contracts with healthcare provides so as to guarantee they meet the basic quality requirements and ensure the healthcare they provide is cost-effective. However, we feel it is important for quality and efficiency to take priority. This is provided for in the contract. For the care providers, a contract also offers favourable conditions regarding payment.

1.2 Points to note when purchasing

We look at a number of points when purchasing mental healthcare:
 

Professionalism

At independent practices, professionalism takes priority. It concerns training, work experience and the care provider keeping this up-to-date. When we conclude a contract, our first requirement is for this care provider to have a relevant BIG registration and the correct specialisation. Exceptions to the BIG registration:

  • in the case of first-line psychological healthcare for children/youngsters, NVO-registered remedial educationalist-generalists and NIP-registered children's and youth psychologists can also offer care;
  • if another care provider is able to give HollandZorg reasoned and substantiated proof that he has similar knowledge and skills as a healthcare psychologist, HollandZorg may make an exception and conclude the contract after all. HollandZorg will have to give its written consent in that case.
  • if it concerns organisations for second-line specialist mental healthcare, we will only conclude contracts with mental healthcare institutions that have been found eligible (i.e. permitted) by the Ministry of Health, Welfare and Sport. They must also comply with the provisions set out in HollandZorg's purchasing policy.

Quality

We feel it is important that the healthcare provided is effective and of high quality. High-quality means that professional treatment standards are applied, but also that the logistical process, interpersonal conduct and patient safety are in order.  Effective means that the healthcare provided actually works. This is preferably scientifically demonstrated (evidence-based) or expert-based or practice-based. HollandZorg supports and encourages mental healthcare providers who follow evidence-based treatment guidelines. We also reward impact surveys. During an impact survey, questionnaires serve to measure the nature and extent of complaints.

 

Stepped Care

HollandZorg pursues treatment of non-complex psychological problems in the first line. The general practitioner and the mental healthcare practice nurse, if applicable, play a pivotal role in this. This means referrals to second-line specialist mental healthcare are only made when necessary.

 

This is referred to as stepped care: care in the course of which, depending on the issue at hand, response is reduced to a minimum and the focus is on gradually aiming for heavier forms of healthcare if necessary. If it is immediately clear that it concerns a more serious issue, the patient can of course be referred to second-line care immediately. We also encourage and support projects from care providers who focus on this.

 

Patient focus

HollandZorg rates patient-focused healthcare very highly. In our policy aimed at mental healthcare institutions and independent practices, measuring customer satisfaction and patient experiences is rewarded. We also plan to hold such surveys ourselves. We also talk to our member's council, customer councils and Zorgbelang Overijssel about their wishes and needs. This offers important input that allows us to coordinate healthcare purchasing with the wishes and needs of our insured.

 

Diagnosis-specific purchasing

Some diagnoses keep returning in mental healthcare. The top 3 of mental healthcare are: mood swings, anxiety and addiction. In such situations, everyone benefits from high-quality, well-organised and affordable healthcare. To that end, HollandZorg wants to purchase specific care. We already do this for autistic children.

 

Affordable healthcare

The aim of HollandZorg is to keep the costs of healthcare in line with the national average. We want to keep premiums affordable for our insured. One way of keeping healthcare affordable is by taking care of things such as professionalism and efficiency. This is based on the conviction that good healthcare is, ultimately, less expensive healthcare. We also agree on competitive rates with care providers.

 

Transparency

Transparency is vital for all mental healthcare institutions and independent practices. HollandZorg wants to be aware of the ambitions and plans of care providers, how this works in practice and what the results are.

HollandZorg uses so-called reflective information. This enables the care provider to compare (mirror) himself to similar care providers in terms of quality, effectiveness, costs and waiting times.

 

In addition, we want to be transparent towards our insured about the way in which we purchase healthcare, and what the results are. Among other things, we do this by publishing documents such as this and via our Care Finder. Here, you can find mental healthcare institutions and independent practices with whom we have concluded a contract.

2. How is the choice of freedom organised for the insured?

You can choose your care provider. HollandZorg has concluded contracts with numerous institutions and independent practices for first-line psychology or second-line specialist mental healthcare. This means there will always be a contracted care provider near you.

 

In addition to our contracted care providers, you may come across non-contracted healthcare. They are institutions or practices that are unable to meet our basic quality requirements, or who choose not to conclude a contract with HollandZorg.

 

HollandZorg applies maximum reimbursements for healthcare provided by non-contracted practices and institutions. We therefore always advise you to ask your care provider in advance if he has a contract with HollandZorg, or if he wants to conclude one after all. Our Care Finder lists the contracted care providers.

As soon as you have found a care provider, it is wise to make certain arrangements about your treatment with this care provider:  what are the objectives? How will they be achieved?

3. Special/innovative agreements

Pay for performance
HollandZorg pays a higher rate to independent practices of psychologists and psychiatrists who, in addition to complying with the basic provisions in the contract, also:

  • use their own electronic patient dossier;
  • conduct impact measurements during treatment (pre and post-measurements);
  • are a member of a scientific trade association;
  • offer good access by telephone.

Treatment waiting times are also very important to HollandZorg. For first-line psychology for instance, we have a special agreement with the Visie practice that you can see them for an initial consultation within four weeks of registering.

 

A similar principle applies to mental healthcare institutions. Mental healthcare institutions that demonstrably comply better with the provisions in our purchasing policy can count on better deals.

 

Children/youngsters

Over the past few years, mental healthcare for children and youngsters has been characterised by long waiting lists, right when it is important to provide care fast. The extra use of financial resources has changed little in that respect. During the past few years, HollandZorg has committed itself to reducing waiting times in the region, by contracting alternatives and by resolving gaps in the supply of healthcare. Special agreements were made with Dimence, Autimaat and the practice of child psychiatrist Leutscher in Eefde.

4. More information

We are happy to help you further by giving you information about care providers. If you have any questions or issues, please contact us. You can call HollandZorg on working days on +31 (0)570 687 123 or send an e-mail.