Impact'of'the'6th'state'reform'on' urological'prac4ce'in'' Flanders,'Brussels'and'Wallonia' Filip'Ameye,'MD,'PhD' ' Chairman'Professional'organisa4on'of'Urology'
The'future'role'of'the'' Belgian'Associa4on'of'Urology' aber'the'6th'state'reform' Filip'Ameye' BAU'General'Assembly'' 12/2014'K'Spa'
VBS/GBS' BVU' BBVU' SBU' BAU' WG'1' WG'2' WG'' '' Na4onal'Stakeholders'
Historical'poli4cal'evolu4on' 1970: De eerste staatshervorming Nieuw evenwicht nationale instellingen Cultuurraden 1980: De tweede staatshervorming Federale staat Gewesten en gemeenschappen Bevoegdheidsverdeling (persoonsgebonden territoriaal) 1988-1989: De derde staatshervorming Meer bevoegdheden, waaronder onderwijs Brussels Hfdst Gewest
Historical'poli4cal'evolu4on' 1993: De vierde staatshervorming (Sint-Michielsakkoord) Formeel federale staat 2001-2003: De vijfde staatshervorming (Lambermont- en Lombardakkoorden) Herfinanciering Bijkomende fiscale bevoegdheden Bijkomende bevoegdheden Brussel 2011: de zesde staatshervorming (Vlinderakkoord) Bsl-Halle-Vilvoorde Financieringswet + fiscale autonomie Bevoegdheden : cfr Dr Demeere Sociale zekerheid
Evolu4on'aBer'the'Sixth'State'Reform' Ouderenzorg Geestelijke gezondheidszorg Personen met een handicap Preventie Ziekenhuis - beleid Organisatie eerste lijn
Evolu4ons'in'Belgian''healthcare'aBer'2011' Federal'' RIZIV/INAMI'(nomenclature)' Hospitals':'programma4on' Regional' Hospitals':'norms'and'standardisa4ons' Focus'on'Quality'/'accredita4on'/'audits'/' ' Medical'professions':'Recogni4ons, ' Preven4ve'/'primary'/''chronic'care' '
Quality'management'in'Belgian'Health'care' Federal' Health'care'Ministry'('De'Block)' Breaking'news'today' Differen4al'levels'of'Care'and'Care'Ins4tu4ons' P4Q/P4P' Regional' Flemisch'region'' Wallons/'Brussels'region''
Flanders'Region' 'Flanders'Health'Care'Plan'
Flanders'Health'Care'Plan' Quality'control'in'hospitals' Accredita4on'of'hospitals' External'audits'of'hospitals' Indicator'project'('VIP 2' project) ' development'and'implementa4on'of'several'qi' Public'repor4ng'of'this'quality'data' '
VIP 2 'project' Quality'indicators' General'area s' Specific'area s':' 'breast'cancer,'orthopedics,' ' Future'area s' Urological'profession':'Prostate'Cancer'Indicators' Impact'on'future'P4P'/P4Q''?'
Quality'management'in'Belgian'Health'care' Federal':'De'Block' Health'Care'Financing'':'P4Q/P4P'?' Programma4on'?' Regional' 'Health'care'plans ' Flemisch'region''K'Wallons/'Brussels'region':' Different'scopes,'strategies'and'4melines' Example':'Pca''QI'
PCa'Quality'Indicators' KCE' Prac4ce'Guidelines'on'locally'confined'Pca' BVU' 2013':'Ac4ve'Surveillance' 2014':'local'treatments' VIP 2 ':'Development'of'QI'in'progress' SBU' Solu4on':'BAU'integrated'approach'
Quality'management'in'Belgian'Health'care' Federal':'De'Block' Health'Care'Financing'':'P4Q/P4P'?' Programma4on'?' Regional' 'Health'care'plans ' Flemisch'region''K'Wallons/'Brussels'region':' Different'scopes,'strategies'and'4melines' Prominent'Role'for'scien4fic'and'professional' organisa4ons' VBS/'GBS' 'Adap4on'of'the'statutes'
General'Assembly'11'october'2014' Adap4on'of'the'Statutes' VBS'remains'Federal'organisa4on' For'regional'maeers':'AVS'/'AMS'Fr' ' ARTSEN'VERENIGING'van'VLAAMSE' SPECIALISTEN:'AVS' ASSOCIATION'des'MEDECINS'SPECIALISTES' FRANCOPHONES:'AMSFr'
STATUTS% I.%Dénomina/on% %Composi/on% %Siège% %Objet% Ar/cle%1.'Le'«'Groupement'des'Unions'Professionnelles' Belges'de'Médecins'Spécialistes'»'(GBS)' 'en'néerlandais'«' Verbond(der(Belgische(Beroepsverenigingen(van(Artsen5 Specialisten(»'(VBS) 'est'une'fédéra4on'd organisa4ons' professionnelles'cons4tuée'dans'le'cadre'de'la'loi'du'31'mars' 1898'sur'les'unions'professionnelles.'Pour'tout'ce'qui' concerne'les'ma4ères'fédéralisées,'les'membres'du' Groupement'sont'représentés'respec4vement'par'l '«' Associa4on'des'Médecins'Spécialistes'Francophones'»'(AMSFr)'et'par'l '«'Artsenvereniging(van(Vlaamse( Specialisten(»'(AVS).'
Ar4cle'18' Pour'tout'ce'qui'concerne'les'ma4ères' fédérées,'les'membres'francophones'du' comité'directeur'agissent'en'tant'qu '«' Associa/on%des%Médecins%Spécialistes% Francophones%»;' Pour'tout'ce'qui'concerne'les'ma4ères' fédérées,'les'membres'néerlandophones'du' comité'directeur'agissent'en'tant'qu '«' Artsenvereniging*van*Vlaamse/Specialisten*»'
The'future'role'of'the'' Belgian'Associa4on'of'Urology' aber'the'6th'state'reform' A'proposal'for'adap4on'of'' the'bau'structure'
VBS/GBS' BVU' BBVU' SBU' BAU' WG'1' WG'2' WG'' '' Na4onal'Stakeholders'
AVS' VBS/GBS' V' AMSFr' BVU' BBVU' SBU' AVS'?' AMSFr?' BAU' WG'1' WG'2' WG'' '' Na4onal'Stakeholders' Regional%Stakeholders%
Future'role'of'the'BAU'aBer'the'Sixth'State'Reform' Reflec4on'on'the'role'of'the'BAU'' Scien4fic'level' Professional'level' Reflec4on'on'the'structure'role'of'the'BAU'WG' Co' 'chairs''' Autonomy/'Delegated'authority'for'the'several'levels' Adap4ons'?' BAU''Structure' BAU'Statutes''