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<span style="color:#FF0000;">'''LET op: | <span style="color:#FF0000;">'''LET op: Het Normenkader Zorgprestatiemodel is nog in ontwikkeling. Er kunnen zodoende nog wijzigingen worden doorgevoerd.'''</span> | ||
=== | === A: Aanspraak & Onverzekerde zorg === | ||
{| border="1" cellspacing="1" cellpadding="1" style="width: 1450px;" | {| border="1" cellspacing="1" cellpadding="1" style="width: 1450px;" | ||
| Regel 16: | Regel 16: | ||
| style="width: 305px;" | <span>'''Oude (DBC) variant'''</span></span> | | style="width: 305px;" | <span>'''Oude (DBC) variant'''</span></span> | ||
|- | |- | ||
| style="width: 500px;" | | | style="width: 500px;" | [[Zorgtraject zonder verwijsbrief (N2970)]] | ||
| style="width: 125px;" | | | style="width: 125px;" | Data-analyse | ||
| style="width: 75px;" | ZVW; | | style="width: 75px;" | ZVW | ||
| style="width: 75px;" | Hoog | |||
| style="width: 75px;" | Beschikbaar | |||
| style="width: 100px;" | 2022 - | |||
| style="width: 250px;" | Zorgtraject | |||
| style="width: 305px;" |[[N1167]]; [[N2020]]; [[N1426]] | |||
|- | |||
| style="width: 500px;" | Zorgtraject met onbevoegde verwijzer | |||
| style="width: 125px;" | Data-analyse | |||
| style="width: 75px;" | ZVW | |||
| style="width: 75px;" | Hoog | | style="width: 75px;" | Hoog | ||
| style="width: 75px;" | In ontwikkeling | | style="width: 75px;" | In ontwikkeling | ||
| style="width: 100px;" | 2022 - | |||
| style="width: 250px;" | Zorgtraject | |||
| style="width: 305px;" |[[N1424]]; [[N2023]]; [[N1358]] | |||
|- | |||
| style="width: 500px;" | Verwijsbrief ouder dan 9 maanden (N2971) | |||
| style="width: 125px;" | Data-analyse | |||
| style="width: 75px;" | ZVW | |||
| style="width: 75px;" | Midden | |||
| style="width: 75px;" | Beschikbaar | |||
| style="width: 100px;" | 2022 - | | style="width: 100px;" | 2022 - | ||
| style="width: 250px;" | | | style="width: 250px;" | Zorgtraject | ||
| style="width: 305px;" | | | style="width: 305px;" | [[N1775]]; [[N2021]]; [[N2114]]; [[N2028]] | ||
|- | |||
|Verwijsregistratie | |||
|Steekproef | |||
|ZVW | |||
|Hoog | |||
|Beschikbaar | |||
|2022- | |||
|Zorgtraject | |||
|[[N9150]] | |||
|- | |- | ||
| style="width: 500px;" | | | style="width: 500px;" |[[Intakebrief ontbreekt (N2550)]] | ||
| style="width: 125px;" | | | style="width: 125px;" | | ||
| style="width: 75px;" | | | style="width: 75px;" | ZVW; FZ | ||
| style="width: 75px;" | | | style="width: 75px;" | Laag | ||
| style="width: 75px;" | | | style="width: 75px;" | Beschikbaar | ||
| style="width: 100px;" | | | style="width: 100px;" | 2022 - | ||
| style="width: 250px;" | | | style="width: 250px;" | | ||
| style="width: 305px;" | | | style="width: 305px;" | | ||
|- | |- | ||
| style="width: 500px;" | | | style="width: 500px;" |[[Opnamebrief ontbreekt (N2551)]] | ||
| style="width: 125px;" | | | style="width: 125px;" | | ||
| style="width: 75px;" | | style="width: 75px;" | ZVW; FZ | ||
| style="width: 75px;" | | style="width: 75px;" | Laag | ||
| style="width: 75px;" | | style="width: 75px;" | Beschikbaar | ||
| style="width: 100px;" | | | style="width: 100px;" | 2022 - | ||
| style="width: 250px;" | | | style="width: 250px;" | | ||
| style="width: 305px;" | | | style="width: 305px;" | | ||
|- | |- | ||
|Huisartsenbrief ontbreekt na wijziging primaire diagnose (N2552) | |||
| | | | ||
|ZVW | |||
| | | | ||
| | |Beschikbaar | ||
| | |2022 - | ||
| | | | ||
| | | | ||
|- | |- | ||
| style="width: 500px;" | | | style="width: 500px;" | Afwezigheid jaarlijkse terugkoppeling huisarts | ||
| style="width: 125px;" | | | style="width: 125px;" | | ||
| style="width: 75px;" | ZVW; FZ | |||
| style="width: 75px;" | Laag | |||
| style="width: 75px;" | | | style="width: 75px;" | | ||
| style="width: 100px;" | 2022 - | |||
| style="width: 250px;" | Zorgtraject | |||
| style="width: 305px;" |[[N2024]]; [[N2026]] | |||
|- | |||
| style="width: 500px;" | Geen melding huisarts bij terugval, spoedeisende zorg of WvGGZ (N2973) | |||
| style="width: 125px;" | Data-analyse | |||
| style="width: 75px;" | ZVW; FZ | |||
| style="width: 75px;" | Hoog | |||
| style="width: 75px;" | Beschikbaar | |||
| style="width: 100px;" | 2022 - | |||
| style="width: 250px;" | | |||
| style="width: 305px;" |[[N2022]] | |||
|- | |||
| style="width: 500px;" | Registratie consult na datum overlijden cliënt | |||
| style="width: 125px;" | | |||
| style="width: 75px;" | ZVW; FZ | |||
| style="width: 75px;" | Laag | |||
| style="width: 75px;" | | | style="width: 75px;" | | ||
| style="width: 100px;" | 2022 - | |||
| style="width: 250px;" | | |||
| style="width: 305px;" |[[N1296]] | |||
|- | |||
| style="width: 500px;" | Zorgtraject nog open na datum overlijden cliënt | |||
| style="width: 125px;" | | |||
| style="width: 75px;" | ZVW; FZ | |||
| style="width: 75px;" | Laag | |||
| style="width: 75px;" | | | style="width: 75px;" | | ||
| style="width: 100px;" | | | style="width: 100px;" | 2022 - | ||
| style="width: 250px;" | | |||
| style="width: 305px;" |[[N1296]] | |||
|- | |||
| style="width: 500px;" | [[Zorgtraject zonder diagnose (N2920)]] | |||
| style="width: 125px;" | | |||
| style="width: 75px;" | ZVW | |||
| style="width: 75px;" | Hoog | |||
| style="width: 75px;" | Beschikbaar | |||
| style="width: 100px;" | 2022 - | |||
| style="width: 250px;" | | |||
| style="width: 305px;" |[[N1016]] | |||
|- | |||
| style="width: 500px;" | [[Zorgtraject met conditioneel toegestane diagnose (N2923)]] | |||
| style="width: 125px;" | Data-analyse | |||
| style="width: 75px;" | ZVW | |||
| style="width: 75px;" | Hoog | |||
| style="width: 75px;" | Beschikbaar | |||
| style="width: 100px;" | 2022 - | |||
| style="width: 250px;" | | |||
| style="width: 305px;" |[[N2217]] | |||
|- | |||
| style="width: 500px;" | [[Zorgtraject met onverzekerde diagnose na diagnostiekconsult (N2926)]] | |||
| style="width: 125px;" | Data-analyse | |||
| style="width: 75px;" | ZVW | |||
| style="width: 75px;" | Hoog | |||
| style="width: 75px;" | Beschikbaar | |||
| style="width: 100px;" | 2022 - | |||
| style="width: 250px;" | | |||
| style="width: 305px;" |[[N2255]]; [[N1891]]; [[N1346]] | |||
|- | |||
| style="width: 500px;" | [[Zorgtraject met onverzekerde diagnose na 4 consulten (N2927)]] | |||
| style="width: 125px;" | Data-analyse | |||
| style="width: 75px;" | ZVW | |||
| style="width: 75px;" | Hoog | |||
| style="width: 75px;" | Beschikbaar | |||
| style="width: 100px;" | 2022 - | |||
| style="width: 250px;" | | |||
| style="width: 305px;" |[[N2255]]; [[N1891]]; [[N1346]] | |||
|- | |||
| style="width: 500px;" | Screeningsinstrument ontbreekt bij triage (N2930) | |||
| style="width: 125px;" | Data-analyse | |||
| style="width: 75px;" | ZVW | |||
| style="width: 75px;" | Midden | |||
| style="width: 75px;" | Beschikbaar | |||
| style="width: 100px;" | 2022 - | |||
| style="width: 250px;" | | | style="width: 250px;" | | ||
| style="width: 305px;" | | | style="width: 305px;" |[[N2267]] | ||
|- | |- | ||
| style="width: 500px;" | | | style="width: 500px;" | Cliënt nadert 1095 dagen verblijf | ||
| style="width: 125px;" | | | style="width: 125px;" | | ||
| style="width: 75px;" | ZVW | |||
| style="width: 75px;" | Midden | |||
| style="width: 75px;" | | | style="width: 75px;" | | ||
| style="width: 100px;" | 2022 - | |||
| style="width: 100px;" | | |||
| style="width: 250px;" | | | style="width: 250px;" | | ||
| style="width: 305px;" | | | style="width: 305px;" |[[N2327]] | ||
|- | |- | ||
|Parallele verblijfsdag over financieringsstromen heen | |||
| | | | ||
|ZVW; FZ; WLZ; JW; WMO | |||
|Midden | |||
| | | | ||
| | | | ||
| | | | ||
| | | | ||
|- | |- | ||
|} | |} | ||
=== | |||
=== B: Beroepen === | |||
{| border="1" cellspacing="1" cellpadding="1" style="width: 1450px;" | {| border="1" cellspacing="1" cellpadding="1" style="width: 1450px;" | ||
|- | |- | ||
| style="width: 500px;" |<span>'''Norm titel'''</span> | | style="width: 500px;" | <span>'''Norm titel'''</span></span> | ||
| style="width: 125px; | | style="width: 125px; | <span>'''HT norm (Data-analyse/Steekproef)'''</span></span> | ||
| style="width: 75px;" |<span>'''Financieringsvorm'''</span> | | style="width: 75px;" | <span>'''Financieringsvorm'''</span></span> | ||
| style="width: 75px;" |<span>'''Ontwikkelprioriteit'''</span> | | style="width: 75px;" | <span>'''Ontwikkelprioriteit'''</span></span> | ||
| style="width: 75px;" |<span>'''Ontwikkelstatus'''</span> | | style="width: 75px;" | <span>'''Ontwikkelstatus'''</span></span> | ||
| style="width: 100px; | | style="width: 100px; | <span>'''Actueel van - tot'''</span></span> | ||
| style="width: 250px;" |<span>'''Niveau (controle kijkt per)'''</span> | | style="width: 250px;" | <span>'''Niveau (controle kijkt per)'''</span></span> | ||
| style="width: 305px;" |<span>'''Oude (DBC) variant'''</span> | | style="width: 305px;" | <span>'''Oude (DBC) variant'''</span></span> | ||
|- | |||
| style="width: 500px;" |[[Medewerker zonder (geldige) AGB-code (N2901)]] | |||
| style="width: 125px;" | Data-analyse | |||
| style="width: 75px;" | ZVW; FZ | |||
| style="width: 75px;" | n.v.t. | |||
| style="width: 75px;" | Beschikbaar | |||
| style="width: 100px;" | 2021 - | |||
| style="width: 250px;" | Medewerker | |||
| style="width: 305px;" |[[N2400]] | |||
|- | |- | ||
| style="width: 500px;" | | | style="width: 500px;" | Zorgtraject met regiebehandelaar zonder (geldige) AGB-code | ||
| style="width: 125px;" | | | style="width: 125px;" | | ||
| style="width: 75px;" | ZVW; FZ | | style="width: 75px;" | ZVW; FZ | ||
| style="width: 75px;" | Hoog | | style="width: 75px;" | Hoog | ||
| style="width: 75px;" | | | style="width: 75px;" | Beschikbaar | ||
| style="width: 100px;" | 2022 - | | style="width: 100px;" | 2022 - | ||
| style="width: 250px;" | | | style="width: 250px;" | | ||
| style="width: 305px;" | | | style="width: 305px;" |[[N1960]] | ||
|- | |- | ||
| style="width: 500px;" | | | style="width: 500px;" | Consult met niet toegestaan beroep | ||
| style="width: 125px;" | | | style="width: 125px;" | | ||
| style="width: 75px;" | | | style="width: 75px;" | | ||
| style="width: 75px;" | | | style="width: 75px;" | Laag | ||
| style="width: 75px;" | | | style="width: 75px;" | | ||
| style="width: 100px;" | | | style="width: 100px;" | | ||
| style="width: 250px;" | | | style="width: 250px;" | | ||
| style="width: 305px;" | | | style="width: 305px;" |[[N2203]]; [[N2115]]; [[N1515]] | ||
|- | |||
| style="width: 500px;" | Beroep medewerker in personeelssyteem wijkt af van het beroep geregistreerd in het ZIS | |||
| style="width: 125px;" | | |||
| style="width: 75px;" | ZVW; FZ | |||
| style="width: 75px;" | Laag | |||
| style="width: 75px;" | | |||
| style="width: 100px;" | | |||
| style="width: 250px;" | | |||
| style="width: 305px;" | [[N1360]] | |||
|- | |||
| style="width: 500px;" | [[Medewerker niet gekoppeld aan instelling (via Vektis) (N2902)]] | |||
| style="width: 125px;" | Data-analyse | |||
| style="width: 75px;" | | |||
| style="width: 75px;" | | |||
| style="width: 75px;" | Beschikbaar | |||
| style="width: 100px;" | 2021 - | |||
| style="width: 250px;" | Medewerker | |||
| style="width: 305px;" | | |||
|- | |||
|[[Bevoegdheid van medewerkers die tijd registreren in de SGGZ (N9235)]] | |||
|Steekproef | |||
|ZVW; FZ | |||
|Midden | |||
|Beschikbaar (nog aanpassing voor het ZPM) | |||
|2021- | |||
|Medewerker | |||
|[[N9235]] | |||
|- | |- | ||
| style="width: 500px;" | | | style="width: 500px;" | Medewerker met een ongeldige BIG-nummer | ||
| style="width: 125px;" | | | style="width: 125px;" | | ||
| style="width: 75px;" | ZVW; FZ | |||
| style="width: 75px;" | | | style="width: 75px;" | | ||
| style="width: 75px;" | | | style="width: 75px;" | | ||
| style="width: 100px;" | 2022 - | |||
| style="width: 100px;" | | |||
| style="width: 250px;" | | | style="width: 250px;" | | ||
| style="width: 305px;" | | | style="width: 305px;" | | ||
|- | |- | ||
| | |} | ||
| | |||
| | === C: Consulten === | ||
| | |||
| | {| border="1" cellspacing="1" cellpadding="1" style="width: 1450px;" | ||
| | |- | ||
| | | style="width: 500px;" | <span>'''Norm titel'''</span></span> | ||
| | | style="width: 125px; | <span>'''HT norm (Data-analyse/Steekproef)'''</span></span> | ||
| style="width: 75px;" | <span>'''Financieringsvorm'''</span></span> | |||
| style="width: 75px;" | <span>'''Ontwikkelprioriteit'''</span></span> | |||
| style="width: 75px;" | <span>'''Ontwikkelstatus'''</span></span> | |||
| style="width: 100px; | <span>'''Actueel van - tot'''</span></span> | |||
| style="width: 250px;" | <span>'''Niveau (controle kijkt per)'''</span></span> | |||
| style="width: 305px;" | <span>'''Oude (DBC) variant'''</span></span> | |||
|- | |||
| style="width: 500px;" |[[Afspraak niet gefiatteerd (N2600)]] | |||
| style="width: 125px;" | Data-analyse | |||
| style="width: 75px;" | ZVW; FZ | |||
| style="width: 75px;" | | |||
| style="width: 75px;" | Beschikbaar | |||
| style="width: 100px;" | 2021 - | |||
| style="width: 250px;" | Afspraak | |||
| style="width: 305px;" | R60109 | |||
|- | |||
| style="width: 500px;" | Duur consult (feitelijk geleverd) versus gepland (agenda) komt niet overeen | |||
| style="width: 125px;" | | |||
| style="width: 75px;" | ZVW; FZ | |||
| style="width: 75px;" | Laag | |||
| style="width: 75px;" | | |||
| style="width: 100px;" | | |||
| style="width: 250px;" | | |||
| style="width: 305px;" | | |||
|- | |- | ||
| style="width: 500px;" | | | style="width: 500px;" | Zorgtraject zonder diagnostiekconsulten maar wel behandelconsulten | ||
| style="width: 125px;" | | | style="width: 125px;" | | ||
| style="width: 75px;" | ZVW; FZ | |||
| style="width: 75px;" | Laag | |||
| style="width: 75px;" | | | style="width: 75px;" | | ||
| style="width: 100px;" | | |||
| style="width: 250px;" | | |||
| style="width: 305px;" | | |||
|- | |||
| style="width: 500px;" | Zorgtraject met behandelconsultant maar nog geen intakeverslag | |||
| style="width: 125px;" | | |||
| style="width: 75px;" | ZVW; FZ | |||
| style="width: 75px;" | Laag | |||
| style="width: 75px;" | | | style="width: 75px;" | | ||
| style="width: 100px;" | | |||
| style="width: 250px;" | | |||
| style="width: 305px;" | | |||
|- | |||
| style="width: 500px;" | Zorgtraject met diagnostiekconsult geregistreerd na datum intakeverslag | |||
| style="width: 125px;" | | |||
| style="width: 75px;" | ZVW; FZ | |||
| style="width: 75px;" | Laag | |||
| style="width: 75px;" | | | style="width: 75px;" | | ||
| style="width: 100px;" | | | style="width: 100px;" | | ||
| Regel 140: | Regel 316: | ||
| style="width: 305px;" | | | style="width: 305px;" | | ||
|- | |- | ||
| style="width: 500px;" | | | style="width: 500px;" | Consult zonder verslaglegging | ||
| style="width: 125px;" | | |||
| style="width: 75px;" | ZVW; FZ | |||
| style="width: 75px;" | Midden | |||
| style="width: 75px;" | | |||
| style="width: 100px;" | | |||
| style="width: 250px;" | | |||
| style="width: 305px;" | | |||
|- | |||
| style="width: 500px;" | Groepsconsult als individueel consult geregistreerd | |||
| style="width: 125px;" | | | style="width: 125px;" | | ||
| style="width: 75px;" | ZVW; FZ | |||
| style="width: 75px;" | Laag | |||
| style="width: 75px;" | | |||
| style="width: 100px;" | | |||
| style="width: 250px;" | | |||
| style="width: 305px;" | | |||
|- | |||
| style="width: 500px;" | Er is sprake van opvolgende consulten | |||
| style="width: 125px;" | Data-analyse | |||
| style="width: 75px;" | ZVW; FZ | |||
| style="width: 75px;" | Midden | |||
| style="width: 75px;" | | | style="width: 75px;" | | ||
| style="width: 75px;" | | | style="width: 100px;" | 2022 - | ||
| style="width: 75px;" | | | style="width: 250px;" | | ||
| style="width: 100px;" | | | style="width: 305px;" | | ||
|- | |||
| style="width: 500px;" | Consult door meerdere behandelaren gepland en gerealiseerd | |||
| style="width: 125px;" | | |||
| style="width: 75px;" | ZVW; FZ | |||
| style="width: 75px;" | Laag | |||
| style="width: 75px;" | | |||
| style="width: 100px;" | 2022 - | |||
| style="width: 250px;" | | |||
| style="width: 305px;" | | |||
|- | |||
| style="width: 500px;" | Consult geregistreerd door vaktherapeut (PMT, muziek) in een klinische setting | |||
| style="width: 125px;" | Data-analyse | |||
| style="width: 75px;" | ZVW; FZ | |||
| style="width: 75px;" | Midden | |||
| style="width: 75px;" | | |||
| style="width: 100px;" | 2022 - | |||
| style="width: 250px;" | | | style="width: 250px;" | | ||
| style="width: 305px;" | | | style="width: 305px;" | | ||
|- | |- | ||
| style="width: 500px;" | [[Cliënt met meer dan XX dagen geen direct contact (N2565)]] | |||
| style="width: 125px;" | | |||
| style="width: 75px;" | | |||
| style="width: 75px;" | | |||
| style="width: 75px;" | Beschikbaar | |||
| style="width: 100px;" | 2021 - | |||
| style="width: 250px;" | Cliënt | |||
| style="width: 305px;" | R60101; R60102; R60103; R60196; R61934; R62101 | |||
|- | |||
|[[Horizontaal Toezicht: Feitelijke levering - Contacten (N9190)|Feitelijke levering consulten (N9190)]] | |||
|Steekproef | |||
|ZVW; FZ | |||
| | | | ||
| | |Beschikbaar | ||
| | |2021- | ||
| | |Consult | ||
| | |N9160 | ||
|- | |- | ||
| style="width: 500px;" | | | style="width: 500px;" | Zorgtraject zonder (of met verlopen) forensische titel | ||
| style="width: 125px;" | | | style="width: 125px;" | | ||
| style="width: 75px;" | FZ | |||
| style="width: 75px;" | Midden | |||
| style="width: 75px;" | | | style="width: 75px;" | | ||
| style="width: 75px;" | | | style="width: 100px;" | 2022 - | ||
| style="width: 250px;" | | |||
| style="width: 305px;" | R60650 | |||
|- | |||
| style="width: 500px;" | Forensische titel loopt af (signaal) | |||
| style="width: 125px;" | | |||
| style="width: 75px;" | FZ | |||
| style="width: 75px;" | Laag | |||
| style="width: 75px;" | | | style="width: 75px;" | | ||
| style="width: 100px;" | | | style="width: 100px;" | | ||
| style="width: 250px;" | | | style="width: 250px;" | | ||
| style="width: 305px;" | | | style="width: 305px;" | R60646 | ||
|- | |- | ||
| style="width: 500px;" | | | style="width: 500px;" | Prestatie(s) niet gedekt door forensische titel (fout) | ||
| style="width: 125px;" | | | style="width: 125px;" | | ||
| style="width: 75px;" | FZ | |||
| style="width: 75px;" | Midden | |||
| style="width: 75px;" | | | style="width: 75px;" | | ||
| style="width: 75px;" | | | style="width: 100px;" | 2022 - | ||
| style="width: 75px;" | | | style="width: 250px;" | | ||
| style="width: 100px;" | | | style="width: 305px;" | R60653 | ||
|- | |||
|} | |||
=== D: Declaratie === | |||
{| border="1" cellspacing="1" cellpadding="1" style="width: 1450px;" | |||
|- | |||
| style="width: 500px;" | <span>'''Norm titel'''</span></span> | |||
| style="width: 125px; | <span>'''HT norm (Data-analyse/Steekproef)'''</span></span> | |||
| style="width: 75px;" | <span>'''Financieringsvorm'''</span></span> | |||
| style="width: 75px;" | <span>'''Ontwikkelprioriteit'''</span></span> | |||
| style="width: 75px;" | <span>'''Ontwikkelstatus'''</span></span> | |||
| style="width: 100px; | <span>'''Actueel van - tot'''</span></span> | |||
| style="width: 250px;" | <span>'''Niveau (controle kijkt per)'''</span></span> | |||
| style="width: 305px;" | <span>'''Oude (DBC) variant'''</span></span> | |||
|- | |||
| style="width: 500px;" |[[Adresgegevens niet volledig ingevuld (N2515)]] | |||
| style="width: 125px;" | | |||
| style="width: 75px;" | ZVW; FZ; WMO; JW; WLZ | |||
| style="width: 75px;" | Laag | |||
| style="width: 75px;" | Beschikbaar | |||
| style="width: 100px;" | 2021 - | |||
| style="width: 250px;" | Cliënt | |||
| style="width: 305px;" | R60048 | |||
|- | |||
| style="width: 500px;" |[[Verzekeringsnummer en-of polisnummer ontbreekt (N2501)]] | |||
| style="width: 125px;" | | |||
| style="width: 75px;" | ZVW; WLZ | |||
| style="width: 75px;" | Laag | |||
| style="width: 75px;" | Beschikbaar | |||
| style="width: 100px;" | 2021 - | |||
| style="width: 250px;" | Cliënt | |||
| style="width: 305px;" | | |||
|- | |||
| style="width: 500px;" |[[Identiteit niet vastgesteld (N2505)]] | |||
| style="width: 125px;" | | |||
| style="width: 75px;" | ZVW; FZ; WMO; JW; WLZ | |||
| style="width: 75px;" | Laag | |||
| style="width: 75px;" | Beschikbaar | |||
| style="width: 100px;" | 2021 - | |||
| style="width: 250px;" | Cliënt | |||
| style="width: 305px;" | R60041 | |||
|- | |||
| style="width: 500px;" |[[Identiteit vergewist zonder documentnummer (N2503)]] | |||
| style="width: 125px;" | | |||
| style="width: 75px;" | ZVW; FZ; WMO; JW; WLZ | |||
| style="width: 75px;" | Laag | |||
| style="width: 75px;" | Beschikbaar | |||
| style="width: 100px;" | 2021 - | |||
| style="width: 250px;" | Cliënt | |||
| style="width: 305px;" | R60042 | |||
|- | |||
| style="width: 500px;" |[[BSN niet geverifieerd of ontbreekt (N2500)]] | |||
| style="width: 125px;" | | |||
| style="width: 75px;" | ZVW; FZ; WMO; JW; WLZ | |||
| style="width: 75px;" | Laag | |||
| style="width: 75px;" | Beschikbaar | |||
| style="width: 100px;" | 2021 - | |||
| style="width: 250px;" | Cliënt | |||
| style="width: 305px;" | R60035; R60036 | |||
|- | |||
| style="width: 500px;" |[[COV-controle niet (tijdig) uitgevoerd (N2508)]] | |||
| style="width: 125px;" | | |||
| style="width: 75px;" | ZVW; WLZ | |||
| style="width: 75px;" | Laag | |||
| style="width: 75px;" | Beschikbaar | |||
| style="width: 100px;" | 2021 - | |||
| style="width: 250px;" | Cliënt | |||
| style="width: 305px;" | | |||
|- | |||
| style="width: 500px;" |[[Client met afwijkende verzekeringsgegevens (N2509)]] | |||
| style="width: 125px;" | | |||
| style="width: 75px;" | ZVW; WLZ | |||
| style="width: 75px;" | Midden | |||
| style="width: 75px;" | Neem contact op met consultant | |||
| style="width: 100px;" | 2021 - | |||
| style="width: 250px;" | Cliënt | |||
| style="width: 305px;" | | |||
|- | |||
| style="width: 500px;" | Facturatie consult wijkt af van vastgelegd tarief | |||
| style="width: 125px;" | | |||
| style="width: 75px;" | ZVW; FZ | |||
| style="width: 75px;" | Midden | |||
| style="width: 75px;" | Wacht op declaratie EPD | |||
| style="width: 100px;" | 2021 - | |||
| style="width: 250px;" | | |||
| style="width: 305px;" |[[N2266]] | |||
|- | |||
| style="width: 500px;" | Consult nadert (her)declaratie | |||
| style="width: 125px;" | | |||
| style="width: 75px;" | ZVW; FZ | |||
| style="width: 75px;" | Laag | |||
| style="width: 75px;" | Wacht op declaratie EPD | |||
| style="width: 100px;" | | |||
| style="width: 250px;" | | |||
| style="width: 305px;" | | |||
|- | |||
| style="width: 500px;" | Plaatsingsbesluit(nummer) ontbreekt | |||
| style="width: 125px;" | | |||
| style="width: 75px;" | FZ | |||
| style="width: 75px;" | Hoog | |||
| style="width: 75px;" | Wacht op elektronisch berichtenverkeer | |||
| style="width: 100px;" | 2022 - | |||
| style="width: 250px;" | | |||
| style="width: 305px;" | | |||
|- | |||
| style="width: 500px;" | Strafrechtketen nummer (SKN) ontbreekt | |||
| style="width: 125px;" | | |||
| style="width: 75px;" | FZ | |||
| style="width: 75px;" | Hoog | |||
| style="width: 75px;" | Wacht op elektronisch berichtenverkeer | |||
| style="width: 100px;" | 2022 - | |||
| style="width: 250px;" | | |||
| style="width: 305px;" | | |||
|- | |||
|} | |||
=== OP: Overige Prestaties === | |||
{| border="1" cellspacing="1" cellpadding="1" style="width: 1450px;" | |||
|- | |||
| style="width: 500px;" | <span>'''Norm titel'''</span></span> | |||
| style="width: 125px; | <span>'''HT norm (Data-analyse/Steekproef)'''</span></span> | |||
| style="width: 75px;" | <span>'''Financieringsvorm'''</span></span> | |||
| style="width: 75px;" | <span>'''Ontwikkelprioriteit'''</span></span> | |||
| style="width: 75px;" | <span>'''Ontwikkelstatus'''</span></span> | |||
| style="width: 100px; | <span>'''Actueel van - tot'''</span></span> | |||
| style="width: 250px;" | <span>'''Niveau (controle kijkt per)'''</span></span> | |||
| style="width: 305px;" | <span>'''Oude (DBC) variant'''</span></span> | |||
|- | |||
| style="width: 500px;" | Overige verrichtingen niet toegestaan bij setting | |||
| style="width: 125px;" | | |||
| style="width: 75px;" | ZVW; FZ | |||
| style="width: 75px;" | Laag | |||
| style="width: 75px;" | | |||
| style="width: 100px;" | | |||
| style="width: 250px;" | | | style="width: 250px;" | | ||
| style="width: 305px;" | | | style="width: 305px;" | | ||
|- | |- | ||
| style="width: 500px;" | | |} | ||
=== RB: Regiebehandelaar === | |||
{| border="1" cellspacing="1" cellpadding="1" style="width: 1450px;" | |||
|- | |||
| style="width: 500px;" | <span>'''Norm titel'''</span></span> | |||
| style="width: 125px; | <span>'''HT norm (Data-analyse/Steekproef)'''</span></span> | |||
| style="width: 75px;" | <span>'''Financieringsvorm'''</span></span> | |||
| style="width: 75px;" | <span>'''Ontwikkelprioriteit'''</span></span> | |||
| style="width: 75px;" | <span>'''Ontwikkelstatus'''</span></span> | |||
| style="width: 100px; | <span>'''Actueel van - tot'''</span></span> | |||
| style="width: 250px;" | <span>'''Niveau (controle kijkt per)'''</span></span> | |||
| style="width: 305px;" | <span>'''Oude (DBC) variant'''</span></span> | |||
|- | |||
| style="width: 500px;" | [[Geen regiebehandelaar gekoppeld aan zorgtraject (N2940)]] | |||
| style="width: 125px;" | | | style="width: 125px;" | | ||
| style="width: 75px;" | | | style="width: 75px;" | | ||
| style="width: 75px;" | Hoog | |||
| style="width: 75px;" | Beschikbaar | |||
| style="width: 100px;" | 2022 - | |||
| style="width: 250px;" | Zorgtraject | |||
| style="width: 305px;" |[[N2204]] | |||
|- | |||
|[[Geen betrokkenheid van regiebehandelaar na eerste consult (N2944)]] | |||
| | |||
| | |||
|Hoog | |||
|Beschikbaar | |||
|2022 - | |||
|Zorgtraject | |||
|[[N2208]]; [[N2230]] | |||
|- | |||
|[[Geen betrokkenheid van regiebehandelaar na 4 consulten (N2945)]] | |||
|Data-analyse | |||
|ZVW; FZ | |||
|Hoog | |||
|Beschikbaar | |||
|2022 - | |||
|Zorgtraject | |||
|[[N1869]]; [[N2108]]; [[N2230]]; [[N2107]] | |||
|- | |||
| style="width: 500px;" | Regiebehandelaar zonder toegestaan beroep en/of deelgebied (N2951) | |||
| style="width: 125px;" | Data-analyse | |||
| style="width: 75px;" | ZVW; FZ | |||
| style="width: 75px;" | Hoog | |||
| style="width: 75px;" | Beschikbaar | |||
| style="width: 100px;" | 2022 - | |||
| style="width: 250px;" | Zorgtraject | |||
| style="width: 305px;" |[[N2204]] | |||
|- | |||
| style="width: 500px;" | Regiebehandelaar zonder geldig MDO | |||
| style="width: 125px;" | | |||
| style="width: 75px;" | | | style="width: 75px;" | | ||
| style="width: 75px;" | Midden | |||
| style="width: 75px;" | Wacht op registratie MDO | |||
| style="width: 100px;" | 2022 - | |||
| style="width: 250px;" | Zorgtraject | |||
| style="width: 305px;" |[[N2220]]; [[N2204]] | |||
|- | |||
| style="width: 500px;" | Regiebehandelaar niet in dienst t.t.v. periode regiebehandelaarschap (N2965) | |||
| style="width: 125px;" | Data-analyse | |||
| style="width: 75px;" | ZVW; FZ | |||
| style="width: 75px;" | Hoog | |||
| style="width: 75px;" | Beschikbaar | |||
| style="width: 100px;" | 2022 - | |||
| style="width: 250px;" | Zorgtraject | |||
| style="width: 305px;" | [[N2204]] | |||
|- | |||
|} | |||
=== S: Setting === | |||
{| border="1" cellspacing="1" cellpadding="1" style="width: 1450px;" | |||
|- | |||
| style="width: 500px;" | <span>'''Norm titel'''</span></span> | |||
| style="width: 125px; | <span>'''HT norm (Data-analyse/Steekproef)'''</span></span> | |||
| style="width: 75px;" | <span>'''Financieringsvorm'''</span></span> | |||
| style="width: 75px;" | <span>'''Ontwikkelprioriteit'''</span></span> | |||
| style="width: 75px;" | <span>'''Ontwikkelstatus'''</span></span> | |||
| style="width: 100px; | <span>'''Actueel van - tot'''</span></span> | |||
| style="width: 250px;" | <span>'''Niveau (controle kijkt per)'''</span></span> | |||
| style="width: 305px;" | <span>'''Oude (DBC) variant'''</span></span> | |||
|- | |||
| style="width: 500px;" | Setting zonder contract | |||
| style="width: 125px;" | | |||
| style="width: 75px;" | ZVW; FZ | |||
| style="width: 75px;" | Laag | |||
| style="width: 75px;" | | | style="width: 75px;" | | ||
| style="width: 100px;" | | | style="width: 100px;" | | ||
| style="width: 250px;" | | | style="width: 250px;" | | ||
| style="width: 305px;" | | | style="width: 305px;" | | ||
|- | |||
|} | |||
=== V: Verblijf === | |||
{| border="1" cellspacing="1" cellpadding="1" style="width: 1450px;" | |||
|- | |||
| style="width: 500px;" | <span>'''Norm titel'''</span></span> | |||
| style="width: 125px; | <span>'''HT norm (Data-analyse/Steekproef)'''</span></span> | |||
| style="width: 75px;" | <span>'''Financieringsvorm'''</span></span> | |||
| style="width: 75px;" | <span>'''Ontwikkelprioriteit'''</span></span> | |||
| style="width: 75px;" | <span>'''Ontwikkelstatus'''</span></span> | |||
| style="width: 100px; | <span>'''Actueel van - tot'''</span></span> | |||
| style="width: 250px;" | <span>'''Niveau (controle kijkt per)'''</span></span> | |||
| style="width: 305px;" | <span>'''Oude (DBC) variant'''</span></span> | |||
|- | |||
| style="width: 500px;" | [[Verblijfsdag geregistreerd, maar geen nachtelijke aanwezigheid cliënt (N2480)]] | |||
| style="width: 125px;" | Data-analyse | |||
| style="width: 75px;" | ZVW; FZ | |||
| style="width: 75px;" | Hoog | |||
| style="width: 75px;" | Beschikbaar | |||
| style="width: 100px;" | 2022 - | |||
| style="width: 250px;" | | |||
| style="width: 305px;" | R60557 | |||
|- | |- | ||
| style="width: 500px;" | | |Verblijfsdag op ontslagdatum/ opname na 20u | ||
|Data-analyse | |||
|ZVW; FZ | |||
|Hoog | |||
| | |||
|2022- | |||
| | |||
|[[N2235]]; [[N1085]] | |||
|- | |||
| style="width: 500px;" | Verblijfsprestatie zonder contract | |||
| style="width: 125px;" | | | style="width: 125px;" | | ||
| style="width: 75px;" | | | style="width: 75px;" | ZVW; FZ | ||
| style="width: 75px;" | | | style="width: 75px;" | Laag | ||
| style="width: 75px;" | | | style="width: 75px;" | | ||
| style="width: 100px;" | | | style="width: 100px;" | | ||
| style="width: 250px;" | | | style="width: 250px;" | | ||
| style="width: 305px;" | | | style="width: 305px;" | | ||
|- | |||
|Verblijf | |||
|Steekproef | |||
|ZVW | |||
|Hoog | |||
|In ontwikkeling | |||
|2022- | |||
| | |||
|[[N9230]]; [[N9231]]; [[N9232]] | |||
|- | |||
|} | |||
=== ZT: Zorgtraject === | |||
{| border="1" cellspacing="1" cellpadding="1" style="width: 1450px;" | |||
|- | |||
| style="width: 500px;" | <span>'''Norm titel'''</span></span> | |||
| style="width: 125px; | <span>'''HT norm (Data-analyse/Steekproef)'''</span></span> | |||
| style="width: 75px;" | <span>'''Financieringsvorm'''</span></span> | |||
| style="width: 75px;" | <span>'''Ontwikkelprioriteit'''</span></span> | |||
| style="width: 75px;" | <span>'''Ontwikkelstatus'''</span></span> | |||
| style="width: 100px; | <span>'''Actueel van - tot'''</span></span> | |||
| style="width: 250px;" | <span>'''Niveau (controle kijkt per)'''</span></span> | |||
| style="width: 305px;" | <span>'''Oude (DBC) variant'''</span></span> | |||
|- | |- | ||
| style="width: 500px;" | | | style="width: 500px;" | Wijziging van zorgvraag en geen nieuwe zorgtraject | ||
| style="width: 125px;" | | | style="width: 125px;" | | ||
| style="width: 75px;" | | | style="width: 75px;" | ZVW | ||
| style="width: 75px;" | | | style="width: 75px;" | Laag | ||
| style="width: 75px;" | | | style="width: 75px;" | | ||
| style="width: 100px;" | | | style="width: 100px;" | | ||
| style="width: 250px;" | | | style="width: 250px;" | | ||
| style="width: 305px;" | | | style="width: 305px;" | R60557 | ||
|- | |- | ||
| style="width: 500px;" | | | style="width: 500px;" | Eerste prestatie niet gelijk aan startdatum zorgtraject | ||
| style="width: 125px;" | | | style="width: 125px;" | | ||
| style="width: 75px;" | | | style="width: 75px;" | ZVW | ||
| style="width: 75px;" | | | style="width: 75px;" | Midden | ||
| style="width: 75px;" | | | style="width: 75px;" | | ||
| style="width: 100px;" | | | style="width: 100px;" | 2022- | ||
| style="width: 250px;" | | | style="width: 250px;" | | ||
| style="width: 305px;" | | | style="width: 305px;" | | ||
|- | |- | ||
| style="width: 500px;" | | | style="width: 500px;" | Parallelle zorgtrajecten binnen de ZVW of binnen FZ | ||
| style="width: 125px;" | | | style="width: 125px;" | | ||
| style="width: 75px;" | | | style="width: 75px;" | ZVW; FZ | ||
| style="width: 75px;" | | | style="width: 75px;" | Midden | ||
| style="width: 75px;" | | | style="width: 75px;" | | ||
| style="width: 100px;" | | | style="width: 100px;" | 2022 - | ||
| style="width: 250px;" | | | style="width: 250px;" | | ||
| style="width: 305px;" | | | style="width: 305px;" | | ||
|- | |- | ||
| style="width: 500px;" | | | style="width: 500px;" | Er is binnen 365 dagen na de laatste zorgprestatie een nieuw zorgtraject(nummer) geopend | ||
| style="width: 125px;" | | | style="width: 125px;" | | ||
| style="width: 75px;" | | | style="width: 75px;" | ZVW; FZ | ||
| style="width: 75px;" | | | style="width: 75px;" | Laag | ||
| style="width: 75px;" | | | style="width: 75px;" | | ||
| style="width: 100px;" | | | style="width: 100px;" | | ||
| style="width: 250px;" | | | style="width: 250px;" | | ||
| style="width: 305px;" | | | style="width: 305px;" | | ||
|- | |||
|Onjuiste zorgprestaties geregistreerd bij zorgtraject | |||
| | |||
|ZVW; FZ | |||
|Laag | |||
| | |||
| | |||
| | |||
| | |||
|- | |||
|[[Geen behandelplan aanwezig (N2801)]] | |||
| | |||
|ZVW; FZ | |||
|Laag | |||
|Beschikbaar | |||
|2021- | |||
|Inschrijving | |||
|R60295 | |||
|- | |||
|[[Behandelplan over xx dagen niet meer geldig (N2641)]] | |||
| | |||
|ZVW; FZ | |||
|Laag | |||
|Beschikbaar | |||
|2021- | |||
|Behandelplan | |||
|R60304 | |||
|- | |||
|[[Behandelplan aanwezig, maar niet meer geldig (N2642)]] | |||
| | |||
|ZVW; FZ | |||
|Laag | |||
|Beschikbaar | |||
|2021- | |||
|Behandelplan | |||
|R60305 | |||
|- | |||
|} | |||
=== V: Overige controles === | |||
{| border="1" cellspacing="1" cellpadding="1" style="width: 1450px;" | |||
|- | |||
| style="width: 500px;" | <span>'''Norm titel'''</span></span> | |||
| style="width: 125px; | <span>'''HT norm (Data-analyse/Steekproef)'''</span></span> | |||
| style="width: 75px;" | <span>'''Financieringsvorm'''</span></span> | |||
| style="width: 75px;" | <span>'''Ontwikkelprioriteit'''</span></span> | |||
| style="width: 75px;" | <span>'''Ontwikkelstatus'''</span></span> | |||
| style="width: 100px; | <span>'''Actueel van - tot'''</span></span> | |||
| style="width: 250px;" | <span>'''Niveau (controle kijkt per)'''</span></span> | |||
| style="width: 305px;" | <span>'''Oude (DBC) variant'''</span></span> | |||
|- | |||
|Seriële zorgtrajecten binnen 365 dagen met dezelfde zorgvraagtypering | |||
| | |||
|ZVW | |||
|Laag | |||
| | |||
| | |||
| | |||
| | |||
|- | |||
|Cliënt opgenomen met een andere setting dan klinisch | |||
| | |||
|ZVW | |||
|Laag | |||
| | |||
| | |||
| | |||
| | |||
|- | |||
|Klinische setting, maar geen opname | |||
| | |||
|ZVW | |||
|Laag | |||
| | |||
| | |||
| | |||
| | |||
|- | |||
|Ontslagdag met setting klinisch | |||
| | |||
|ZVW | |||
|Laag | |||
| | |||
| | |||
| | |||
| | |||
|- | |||
|Consulten zonder zorgtraject | |||
| | |||
|ZVW | |||
|Laag | |||
| | |||
| | |||
| | |||
| | |||
|- | |||
|Cliënten op de wachtlijst met diagnostiekconsult zonder behandelconsult | |||
| | |||
|ZVW | |||
|Laag | |||
| | |||
| | |||
| | |||
| | |||
|- | |||
|Cliënten op de wachtlijst zonder consult | |||
| | |||
|ZVW | |||
|Laag | |||
| | |||
| | |||
| | |||
| | |||
|- | |||
|Zorgtraject zonder zorgvraagtypering | |||
| | |||
|ZVW | |||
|Midden | |||
| | |||
| | |||
| | |||
| | |||
|- | |||
|Zorgtraject nadert evaluatiedatum zorgvraagtypering | |||
| | |||
|ZVW | |||
|Midden | |||
|Afwachting specificaties | |||
| | |||
| | |||
| | |||
|- | |||
|[[Contact binnen de instelling met reistijd (N2700)]] | |||
| | |||
|ZVW, FZ | |||
|Laag | |||
|Beschikbaar | |||
|2022- | |||
|Contact | |||
| | |||
|- | |||
|Debiteurenveld niet gevuld bij cliënten met FZ | |||
| | |||
|FZ | |||
|Laag | |||
| | |||
| | |||
| | |||
| | |||
|- | |||
|[[Cliënt zonder geldige meting (N2590)]] | |||
| | |||
|FZ | |||
|Midden | |||
|Beschikbaar | |||
|2022- | |||
|Cliënt | |||
| | |||
|- | |||
|[[Cliënt zonder risicotaxatie (N2591)]] | |||
| | |||
|FZ | |||
|Midden | |||
|Beschikbaar | |||
|2022- | |||
|Cliënt | |||
| | |||
|- | |||
|Geregistreerde verblijfsdag komt niet overeen met het beveiligingsniveau | |||
| | |||
|FZ | |||
|Laag | |||
| | |||
| | |||
| | |||
| | |||
|- | |||
|Strafrechtelijke titel TBS met dwang zonder toeslag TBS met dwang | |||
| | |||
|FZ | |||
|Midden | |||
|Naar verwachting in EPD's ingebed | |||
|2022- | |||
| | |||
| | |||
|- | |||
|} | |||
=== Kwaliteitsstatuut === | |||
{| border="1" cellspacing="1" cellpadding="1" style="width: 1450px;" | |||
|- | |||
| style="width: 500px;" |<span>'''Norm titel'''</span> | |||
| style="width: 125px; " |<span>'''HT norm (Data-analyse/Steekproef)'''</span> | |||
| style="width: 75px;" |<span>'''Financieringsvorm'''</span> | |||
| style="width: 75px;" |<span>'''Ontwikkelprioriteit'''</span> | |||
| style="width: 75px;" |<span>'''Ontwikkelstatus'''</span> | |||
| style="width: 100px; " |<span>'''Actueel van - tot'''</span> | |||
| style="width: 250px;" |<span>'''Niveau (controle kijkt per)'''</span> | |||
| style="width: 305px;" |<span>'''Oude (DBC) variant'''</span> | |||
|- | |- | ||
| style="width: 500px;" | | | style="width: 500px;" | | ||
| style="width: 125px;" | | | style="width: 125px;" | | ||
| style="width: 75px;" | | | style="width: 75px;" | | ||
| style="width: 75px;" | | | style="width: 75px;" | Laag | ||
| style="width: 75px;" | | | style="width: 75px;" | | ||
| style="width: 100px;" | | | style="width: 100px;" | | ||
| style="width: 250px;" | | | style="width: 250px;" | | ||
| style="width: 305px;" | | | style="width: 305px;" | | ||
|} | |||
=== AG: Acute GGZ === | |||
{| border="1" cellspacing="1" cellpadding="1" style="width: 1450px;" | |||
|- | |- | ||
| style="width: 500px;" | | | style="width: 500px;" |<span>'''Norm titel'''</span> | ||
| style="width: 125px; " |<span>'''HT norm (Data-analyse/Steekproef)'''</span> | |||
| style="width: 75px;" |<span>'''Financieringsvorm'''</span> | |||
| style="width: 75px;" |<span>'''Ontwikkelprioriteit'''</span> | |||
| style="width: 75px;" |<span>'''Ontwikkelstatus'''</span> | |||
| style="width: 100px; " |<span>'''Actueel van - tot'''</span> | |||
| style="width: 250px;" |<span>'''Niveau (controle kijkt per)'''</span> | |||
| style="width: 305px;" |<span>'''Oude (DBC) variant'''</span> | |||
|- | |||
| style="width: 500px;" | Prestatie acute GGZ i.c.m toeslag | |||
| style="width: 125px;" | | | style="width: 125px;" | | ||
| style="width: 75px;" | | | style="width: 75px;" | ZVW | ||
| style="width: 75px;" | | | style="width: 75px;" | Laag | ||
| style="width: 75px;" | | | style="width: 75px;" | | ||
| style="width: 100px;" | | | style="width: 100px;" | | ||
| style="width: 250px;" | | | style="width: 250px;" | | ||
| style="width: 305px;" | | | style="width: 305px;" | | ||
|- | |- | ||
|Prestatie acute GGZ budget op dag 4 | |||
| | | | ||
|ZVW | |||
|Laag | |||
| | | | ||
| | | | ||
| | | | ||
| | |[[N2236]] | ||
|} | |} | ||