Table 1

The three inspection frameworks

Quality of nursing home careRadiology in dental careInfection prevention in hospitals
Target providers±700 nursing care providers with ±2300 nursing home locations.*29 8265 dental practices: 3990 with 1 employee, 1405 with 2 employees, 1460 with 3–5 employees, 1405 with >5 employees.30
6% of practices belong to a dental chain of practices. In 2017, the three largest chains contained 47–80 practices.31 		71 general and 8 academic hospitals.32
Focus of frameworkThree themes: (1) person-oriented care, (2) professional expertise, and (3) governance of quality and safety.Three themes: (1) safety,
(2) expertise and (3) quality.		Six themes: (1) general measures, (2) cleaning and disinfection, (3) isolation measures, (4) risk inventory, (5) antibiotics use, and (6) quality and protocols.
Design of frameworkDescribes (1) the relevant standards, (2) source of these standards (eg, which guideline or law) and (3) explanations for what the inspectorate might look at for each standard.Describes (1) the relevant standards and (2) the source of the standards.Mentions the considered guidelines and legislation. The inspectorate has a separate instrument for inspections (not public) that describes the specific aspects under assessment.
Assessment of standard in framework

  1. Completely positive.

  2. Mostly positive.

  3. Mostly negative.

  4. Completely negative.

  1. Positive.

  2. Negative.

  1. Positive.

  2. Negative.

  • *There is no available registration of nursing care providers. The inspectorate does not know all of the providers because new providers regularly enter the market, existing providers merge and other providers go into administration.