Quality

Ensuring good quality and developing the necessary quality systems (criteria, indicators, etc.), as well as measuring quality and disclosing the measurement results are vital to an efficient and effective healthcare system and primarily the task of the service providers. Alongside process and structural quality, measurements of the quality of results are particularly intended to ensure transparency regarding quality among service providers. This transparency constitutes an important competitive criterion.

CSS is campaigning for the quality of service provision in the Swiss healthcare system to be transparently recorded and disclosed. This will allow premium payers to compare offers between service providers and enable the tariff partners to compete on a price as well as a quality level. CSS operates the QualiCheck portal using its own data as well as quality data that is freely available and contractually obtained. The portal lets users compare the quality of treatment and patient satisfaction in Swiss acute hospitals.

Parliament has approved the draft article on quality (KVG Art. 58). The federal government, cantons and insurers will each provide one third of the funding for a federal quality commission. CSS views the transparency of the quality measures, their binding nature and means of sanctioning as positive. This also goes for the development of indicators and their measurement. CSS welcomes the federal government’s efforts to lay the necessary foundations for achieving substantial progress in terms of quality assurance. CSS explicitly welcomes the attempts to make service providers and insurers more accountable. This includes having tariffs and prices based on the compensation for those service providers that satisfy the quality requirements efficiently and cost-effectively. The associations representing the service providers and insurers will be obliged to sign up to national agreements on quality development, which would be assessed by the federal government and binding on all service providers. Should any service provider fail to observe the rules on quality development, it would be penalised by not having its services paid for under health insurance.