122-721 / The Netherlands Institute for Accreditation in Healthcare (NIAZ)

GOP Information
Organisation sharing the GOP
Related practices from PaSQ database
The Netherlands Institute for Accreditation in Healthcare (NIAZ)


Audit system

GOP Description
Implementation level
Clinical settings
Total Dutch healthcare field
NIAZ offers a contribution to the assurance and improvement of the quality of health care, in particular by developing quality standards and by using them in the external evaluation of health care institutions and health care services.
all Dutch healthcare institutions can apply for accreditation, it is voluntary but there are strong external pressures to have an accredited quality system. Therefore the majority of hospitals have a NIAZ accreditation.
The NIAZ accreditation process has several distinct features: an internal survey system within the healthcare organisation, a self assessment report, a primary review of this by the survey team, a survey followed by a survey report, the making of an improvement action plan by the surveyed organisation and a follow up check by NIAZ to see whether progress is made.
Timeframe implementation
The length of the process of acquiring accreditation depends on the hospital (resources available etc.). Once the hospital has acquired accreditation, the entire cycle repeats itself every 4 years.
Implementation tools available
NIAZ uses the General Quality Standard for Healthcare Organisations. This is regularly updated and acquires a version number accordingly. On the basis of NIAZ’ General Quality Standard for Healthcare Organisations the organisation analyses its organisational set-up (e.g. strategies, policies, procedures, protocols) in order to assess whether it complies with the NIAZ standard. This extensive process usually yields a lot of improvement opportunities, many of which are fairly quickly implemented.
Implementation cost
It depends on the hospital how much time and manpower they need to invest in the accreditation process.
Method used to measure the results
Regardless of the judgement (positive/negative) it is published on the NIAZ website giving third parties information about whether healthcare is being produced in an adequate and safe way in that particular hospital.
External evaluations result in a judgment giving third parties assurance that healthcare is being produced in an adequate and safe way.
Analysis of the results
The auditors write a report based on findings during their visits, the report gives a recommendation about whether the hospital should receive accreditation or not. When there is a negative advice, the report states the aspects that need to be improved before the hospital can apply for accreditation again.
Implementation barriers
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Other information
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