Performance Indicators


The Dutch Health Care Inspectorate, which is part of  the Dutch Ministry of Health, has established 17 Performance Indicators on which hospitals have to report annually and which are used for benchmarking between hospitals. Screening and the treatment of malnutrition in hospitals have become part of this set of indicators since 2007. Every summer the previous  year’s data are published and both the Health Care Inspectorate and the media then use them for quality rating of hospitals. In 2013, screening of hospitals outpatients has been added to the malnutrition indicator.

Performance Indicator: adult outpatients

Due to declining length of hospital stay and, consequently, shortened time to improve nutritional status during admission, outpatient screening becomes more important. Therefore, as of 2013, screening of hospital outpatients has been added to the malnutrition performance indicator. In 2013, this outpatient indicator will focus on the preoperative assessment outpatient department. It is expected that other outpatient departments (e.g. geriatrics) will be added to the indicator in the following years.

Screening (outpatients)
Do you systematically screen nutritional status of all adult patients in the preoperative assessment outpatient department? Yes / No
What screening tool is used for outpatient screening? MNA / MNA-SF / SNAQ / SNAQ65+ / MUST / other
A Number of first outpatient visits in year of report * n
B Number of adult outpatients screened during first outpatient visit n (%)
C Number of adult outpatients screened as malnourished n (%)

* This indicator involves only the preoperative assessment outpatient department