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.
At the start of December 2015, the Federal Council passed a Dispatch on the Amendment of the Federal Health Insurance Act to Parliament. National quality programmes are intended to be established on this basis. A network in which the federal government will cooperate with the existing actors is planned. In addition, an extra-parliamentary quality commission and a specialist unit within the Federal Office of Public Health (BAG) are to be responsible for managing and implementing quality projects. CSS welcomes the federal government’s efforts to lay the necessary foundations for achieving substantial progress in terms of quality assurance and cost-effectiveness. However, it must be noted that the tariff partners retain a binding role in assuring quality. This role should be enshrined in law. Primary responsibility for strengthening quality and cost-effectiveness should continue to lie with the tariff partners. It is essential that quality assurance institutions be treated the same in future. As far as financing is concerned, CSS considers it important that administration tasks should not be funded by way of premium income. Instead, the financing of national programmes should be placed on a broad footing and not borne solely by those insured under mandatory healthcare insurance.
You can find further information on the topic of quality in our publication on health policies "im dialog" 1/2014 (in german).