Here is something that all Europeans find of prime importance: affordable access to good health care; high quality elderly care; being able to live independently, even if you are handicapped or chronically ill.
MULTIFILE
In the dynamic environment of increasing regulations, increasing patient demand, decentralization of budgets and enforcement of efficiency, small sized healthcare institutions in the Netherlands are having a difficult time. Although these service providers are usually capable of flexibly delivering healthcare, the investment and overhead for implementing and executing on required quality management standards like ISO 9001 is difficult. In this paper we construct a method for the implementation of an IT-enabled quality management system for small sized healthcare institutions, which is applied through case study. The case organisation provides intra- and extramural care for mentally handicapped persons and young adults with a psychiatric disorder. The quality management system implementation is based on 1) a lightweight IT infrastructure (based at a secure data centre and accessible through remote login) implying secure storage of patients' medical and personal information. Furthermore, the Deming (Deming, 1982) cycle enabled processes and protocols are 2) described in an e-handbook and prototyped via an open source process management system which supports the quality regulation demanded for providing care to patients. The case study supports the validity of our method and the fact that small sized healthcare institutions are able to execute their care while adhering to ISO 9001-like standards, with limited initial costs and relatively low cost of ownership
Dit artikel besteed aandacht aan de context en omstandigheden van het werken aan een internationaal onderwijsproject, in dit geval gericht op verbetering van het onderwijs in Turkije ten behoeve van leerlingen met speciale onderwijsbehoeften. In dit project lag de nadruk op kwaliteitsverbetering, het bieden van gelijke onderwijskansen aan kinderen en jongeren met een beperking of handicap en het streven naar integratie van deze leerlingen in het reguliere onderwijs. Het project paste in de ondersteuning die Turkije krijgt vanuit de EU om op termijn te voldoen aan de voorwaarden die gesteld worden aan toetreding tot de EU. In dertien regio's zijn pilots opgezet met het doel kleinschalige onderwijsveranderingen en -vernieuwingen te realiseren, die als voorbeelden van good practice zouden kunnen dienen voor andere regio's.
