Dutch Institute of Expertise for Oral Healthcare
The Kennisinstituut Mondzorg (KIMO) is a young association that contributes to a higher level of quality in the professional practice of oral healthcare within the Netherlands. At this moment the focus lies in the development and implementation of clinical practice guidelines and quality measurement tools.
The KIMO was founded by it’s members in 2016 by the Associatie Nederlandse Tandartsen (ANT) (Dutch Dental Association), the Federatie Tandheelkundig Wetenschappelijke Verenigingen (FTWV) (the Federation of Dental Scientific Associations) and the Koninklijke Nederlandse Maatschappij tot bevordering der Tandheelkunde (KNMT) (the Royal Dutch Dental Association).
Management and Agency
The KIMO has a management, a supervisory board and a general meeting of members. The representatives of these institutions are experienced professionals, selected on the basis of their expertise. A small but active and effective agency is available for the organisation and coordination of activities.
Half of the KIMO’s financing comes from its members and the other half is subsidised by the Ministerie van Volksgezondheid, Welzijn en Sport (VWS) (Dutch Ministry of Health, Welfare and Sport).
Development of guidelines and quality
In accordance with the ‘Wet kwaliteit, klachten en geschillen zorg (Wkkgz)’, the Dutch law pertaining to Quality, Complaints and Disputes in healthcare that was introduced in 2016, oral healthcare providers in the Netherlands are obligated by law to provide quality healthcare; safe, efficient, effective and client-oriented care that complies with the professional standards.
The KIMO support professionals in the further improvement of oral healthcare and the professionalisation of this care. Our guidelines satisfy the requirements of Evidence Based Richtlijn Ontwikkeling (EBRO) (Evidence-Based Guideline Development). This means that the study was performed according to the highest scientific quality requirements and the practical requirements of daily (clinical) professional practice.
In order to achieve this, colleagues from this sector collaborate under the KIMO umbrella with specialised guideline experts (methodologists) and parties, such as:
- the Academic Centers for Oral Health Sciences at ACTA (Amsterdam), UMCG (Groningen) and Radboudumc (Nijmegen).
- the Institutes of Oral Healthcare at Hanzehogeschool (Groningen), Hogeschool Utrecht (Utrecht) and HAN (Nijmegen).
Collaboration is also sought with the Kennisinstituut Federatie Medisch Specialisten (KIMS) (Federation of Institutes of Expertise for Medical Specialists) and the Nederlands Huisartsengenootschap (NHG) (Dutch College of General Practitioners).
The quality of the guidelines is systematically assessed on the basis of the AGREE-instrument. AGREE stands for Appraisal of Guidelines Research and Evaluation. (www.agreetrust.org). AGREE defines quality as ‘being able to trust that sources of bias have been limited as much as possible during development and that recommendations are valid both internally and externally and that these are feasible in practice’.
The guidelines must satisfy the requirements of the assesment framework of Zorginstituut Nederland (National Health Care Institute) in order to be admitted to the register of national quality standards, information standards and measurement tools. One of the requirements for admission to the register is that the guideline is also approved by Zorgverzekeraars Nederland (Dutch Health Insurers) and by the Patiëntenfederatie (Netherlands Patients Federation).
Guideline Summaries 2017-2020
In close consultation with all stakeholders the following multi-annual programme for 2017-2020 has been drawn up:
- Peri-implant infections (2018)
- Implant supported overdentures in the edentulous upper jaw (2018)
- Implant supported overdentures in the edentulous lower jaw (2018)
- Invasive oral procedures patients using antithrombotics (2019)
- Oral healthcare (0-18 yrs) diagnostics (2019)
- Oral healthcare (0-18 yrs) – prevention and treatment of dental caries (2020)
- Third Molar (2020)
- Oral Healthcare for (vulnerable and care-dependent) elderly Root caries (2019)
- Oral healthcare for (vulnerable and care-dependent) elderly – Housebound (2021)
- Oral healthcare for (vulnerable and care-dependent) elderly – Polypharmacy (2021)
We have created this website in such a manner that the answers to many of the questions that arise amongst oral healthcare providers, can be found here. Needless to say, it is not possible to be exhaustive. If something is not clear to you or you wish to extend some advice? Please contact us, preferably by email: firstname.lastname@example.org