123-721 / Harmonization of Qualityjudgement in Healthcare (HKZ)

GOP Information
Organisation sharing the GOP
Related practices from PaSQ database
HKZ: Harmonization of Qualityjudgement in Healthcare


Quality improvement project

GOP Description
Implementation level
Clinical settings
30 subbranches of Care and Welbeing field
HKZ aims to improve qualith in healthcare and wellfare. Norms are being set concerning qualith and safety for over 30 subsectors in the care and welfare field.
Complete care and welfare field
In 1996 the Harmonization model for external quality judgement was developed, and updated in 2008. This model is based on the Plan-Do-Check-Act cycle. The model identifies five elements: Organizational policy, Professionals, Development, Physical environment, Purchase, and Documentation and registration.
Timeframe implementation
This is very much dependent upon the current state of the organization with respect to quality improvement. Whereas some organizations might be ready for external inspectors to evaluate the implementation of the model within months, others might need more than a year.
Implementation tools available
The Harmonization of Quality Judgement in Health care organization offers detailed guidelines and insight in the norms that the health care organization will be tested upon in order to qualify for the ISO9000 certificate.
Implementation cost
Costs of adapting the health care organization to the norms and harmonization model are dependent upon the current state of the organization with respect to quality improvement.
Costs for external inspectors to judge the degree of implementation of the model and the norms costs in a first extensive certification audit are 1000-1200 Euro/inspector. Dependent upon the size of the organization, more or less inspectors and more or less days are needed for this first audit.
Method used to measure the results
During the audits, external inspectors follow the harmonization model and accompanying norms in order to judge the quality of the quality management system. By means of a sample of patient files, and interviews with professionals, it is tested to what extend the norms have been implemented and are being followed.
In the Netherlands, more than 3000 health care organizations in 30 subsectors already have got the HKZ ISO 9000 certificate. These organizations continuously improve their processes, know the needs and requirements of their customers and work with well trained professionals.
Analysis of the results
In 2003, the HKZ Harmonization model was found to be valid (scientific research by Erasmus University Rotterdam).
Implementation barriers
Did you find implementation barriers?
Please describe implementation barriers
For some organizations, the costs might be high
Implementation requires a culture change: processes have to be lived up to
Describe the strategies used to overcome the barriers (If needed)
Many organizations ask for external advice, some consultancy firms offer guidance in the implementation of the Harmonization model.
Other information
Other information about the GOP that you would like to add (Link or attached document)
There is no specified text here