Born Aruba, Netherlands Antilles. Nationality: Dutch. Education and Training

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1 Curriculum Vitae of Johannes Dalhuijsen General Practitioner, 6a Coronation Street, South Shields, Tyne and Wear, United Kingdom Quality Development Advisor, South Tyneside Primary Care Trust Visiting Fellow, Primary Care Development Centre, Northumbria University Born Aruba, Netherlands Antilles. Nationality: Dutch Education and Training Elementary School, Seroe Colorado, Aruba, Netherlands Antillles Secondary school in Aruba, in the Netherlands and in Curaçao Medical Studies at University of Groningen, the Netherlands 1985 Dutch Medical Medical Doctor s Degree (Artsexamen) 1986 United States M.D. and Visa Qualifying Exam (FMGEMS) Vocational Training in Family Practice at University of Groningen, Netherlands 1990 Licensed as a Family Practitioner in the Netherlands 2003 Registration as (T)GP in the United Kingdom Clinical Resident in Surgery, Martini Hospital, Groningen, Netherlands Parttime GP in Groningen, Wolvega, Kamerik, Maarssen, and Utrecht Salaried GP in South Shields Consultancies, Clinical Governance and Management Member, General University Council, Groningen University -elected post Member, National Academic Council. -representative for the Groningen Member, Medical Faculty Board, Groningen University elected post Member, Quality Group for the National Union for Medical House Staff (LBB) policy statements and documents about manpower planning for doctors Member, Board of the Groningen Regional Department of the Royal Medical Association (KNMG, Afdeling Groningen). -elected post Secretary, Working Group for Quality Assessment, Dutch College of Family Practitioners, Utrecht - devised a national framework for quality assessment in general practice and organised an invitational conference Staff Member, Department of Practice Management and Preventive Medicine, Dutch College of Family Practitioners, Utrecht - guidelines, educational materials, IT templates and protocols about practice management and chronic disease management; quality development studies and implementation studies 1994 Regional Quality Development of Family Practice in Hungary. -consultant for WHO: guideline development, peer review and primary care research; in cooperation with NIVEL and the University of Maastricht Worldbank MATRA-Project: Practice Standards and Guidelines in Estonia - supporting guideline development and infrastructure for QI in health care National Advisor for Regional Development of GP Care, Dutch College of Family Practitioners, Department of Consultancy and Training. -practice development, training and peer review of regional advisors, implementing a national programme to redefine GP care via 25 regional conferences, design and supervision of large scale studies about health services development and accreditation, development of a national scheme for GP prescribing indicators.

2 GP Quality Development Advisor and Research Lead, South Tyneside Primary Care Trust, South Shields, Tyne & Wear. -developing performance indicators, frameworks for clinical risk management, audit, research governance. Member of the Clinical Governance Committee, Clinical Audit and Research Committee, Risk Management Committee, Quality Team Development Working Group, Health Inequalities Working Group, Regional Obesity Forum. Formal Management Training Management training and working with small groups (Groningen, UGD). A one-year course by Groningen University Division of Health Promotion 1990 Management Training of the Royal Medical Society (Kadertraining KNMG). A 6-months course for leadership development by the Royal Medical Association 2001 accredited as peer review trainer, Dutch Association of General Practitioners (LHV) Research Assessment of manual skills in Family Practice, Centre for Research on Quality in Care [WOK] University of Maastricht. -with Professor R.P.T.M. Grol Assessment of GP Practice Management, Centre for Research on Quality in Care [WOK] University of Nijmegen. -with Professor Grol, Dutch College Chief Executive J.J. van der Voort and Dr P van den Hombergh Total Quality Management in General Practice, Centre for Research on Quality in Care [WOK] University of Nijmegen. - with Professor Grol and Dr. H. Geboers Adherence of Family Practitioners to National Practice Guidelines, Centre for Research on Quality in Care [WOK] University of Nijmegen indicators from 10 national evidence based guidelines, assessing some patient consultations, CME for GP groups about the guideline topics, e.g. hypertension, diabetes, otitis media, UTI Diffusion and dissemination of National Practice Guidelines. - steering group memberwith Dr. A. Zwaard Development Proces of National Guidelines (WOOS-study), Department of National Evidence Based Guidelines, Dutch College of Family Practitioners, Utrecht. I coordinated a study on the development process of the national evidence based guidelines, this was supervised by the head of the College Department of Guidelines Development, Professor S. Thomas Electronic blood pressure devices in primary care and their influence on misclassification of hypertension. Dutch College of Family Practitioners, Utrecht, and TNO Preventie en Gezondheid, Leiden. An extensive lab and field study conducted by the TNO Institute and the Dutch College of GPs, funded by the National Preventative Medicine Council (Preventiefonds). I was the liaison for the Dutch College, co-author of the study proposal, the College representative in the research steering group and co-author of the main report discussing the results Supervision and Steering Group Membership for several large-scale quality improvement research studies, Department of Practice Management and Preventive Medicine, Dutch College of Family Practitioners. This involved developing, advising and supervising research projects about quality assessment, financing mechanisms, practice visits (visitatie), guideline development and medical technology. I was an assessor as well as a Steering Group member in an experimental study about assessing professional performance, values and attitudes: a team of trained assessors visited GPs

3 where we sat in with surgeries, videotaped them and discussed strengths and weaknesses in professional performanceof the assessed GPs POPC: Population Oriented Primary Care Delivery, South Tyneside PCT. with Primary Care development centre professor Ch. Drinkwater and Mrs A Crossland & South Tyneside Primary Care Trust; population health indicators, health needs assessment and community involvement at the GP practice level to prioritize and improve GP services 2004 Dynamics of Clinical Governance in General Practice in England and the Netherlands. comparative qualitative study with the University of Amsterdam, Prof. N.S. Klazinga. Selected lectures and teaching Small group education for GP peer review groups. -facilitated GP peer review sessions about clinical topics, using audit and feedback Dalhuijsen J. Family Practice in the Dutch Health Care System. Moscow. - lecture for researchers and advisors of MedSocEconomInform, Research Public Health Institute, Moscow, as part of a WHO fellowship about Russian health care reforms Dalhuijsen J. Evaluation of the use and effect of National Guidelines. AIM Informatics, Dilemma Project, Working Package 11. A presentation within a pan- European workshop on the computerisation of protocols Dalhuijsen J, Zwaard A, Mokkink H, Grol R. National Guidelines for family Practice in the Netherlands: Opinions and Performance of Family Practitioners. A presentation at the 93 international ISQA conference, Maastricht Dalhuijsen J, Beckers W, Zwaard A. RAP: A computer program for quality assessment in general Practice. Another presentation at ISQA, Maastricht Dalhuijsen J, Eekhof J. Workshop Transcultural assessment: common denominators in assessing clinical knowledge and policies. A presentation at the 93 WONCA/SIMG Congress, The Hague Dalhuijsen J. The National Standards Implementation kit: Assesment of clinical performance. Another presentation at WONCA/SIMG, The Hague Dalhuijsen J, Zwaard A, Mokkink H, Grol R. The effect of different implementation strategies on the compliance to national standards. A presentation at the 94 WONCA/SIMG Congress, Lissabon Zwaard A, Dalhuijsen J, Mokkink H, Grol R. National Evidence Based Guidelines: Diffusion and Implementation. Lissabon, WONCA/SIMG Another presentation at WONCA/SIMG Dalhuijsen J, Zwaard A, Mokkink H, Grol R. Diffusion and Implementation of guidelines. AIM Informatics, Dilemma Project, Working Package 11. A presentation in a pan-european project on computerisation of clinical protocols Audit, systematic quality improvement and quality policy in family practice. Paris, March, A workshop, convened by ANDEM (Assocation National de Evaluation Medicale) Paris in collaboration with the National Hospital Quality Development Organisation (CBO) for French quality co-ordinators about systematic quality improvement methods Family Planning in the Dutch Health Care system. A workshop for Bulgarian health care professionals and policy officials at the Netherlands School of Public Health Family planning, sexual and reproductive health care. Utrecht, Netherlands School of Public Health. A workshop for Eastern European health care professionals and policy makers

4 1993 Principles of Quality Management in General Practice. several courses on quality management for practice teams with a consultant for educational development, Mrs. C. Barentsen Lecturer at University of Rotterdam, Institute for Policy Development and Management in Health Care (ibmg) and Amsterdam University Medical Centre (AMC). I gave lectures on the development of general practice and on GP quality improvement frameworks, for graduate medical and management students Rotterdam, IBMG. Implementatie van Standaarden in de Huisartsenpraktijk. 10th October I gave a workshop on the implementation of guidelines as a method for health services innovation as part of a postgraduate course by the Rotterdam Institute of Policy and Management in Health Care of the Erasmus University (ibmg) Antibiotics. A lecture for the South Tyneside GP postgraduate centre South Tyneside PCT Quality Workshops. I delivered 29 workshops to GP practice teams in South Tyneside about the PCT s GP Performance Indicators and the Quality and Outcomes Framework of the New GMS Contract South Tyneside PCT Quality Workshops. formal assessments for GP Performance Indicators and the Quality and Outcomes Framework of the New GMS Contract. Educational Development Member of the Groningen University Education Committee. elected post Member of the Groningen Medical Faculty Committee for Educational Development (Onderwjscommissie) -representative from the medical faculty board Member of the Working Group for Revision of Training and Education for House Officers, Department of Pediatrics, Groningen University Educational materials, diverse. staff member, Department of Continuing Medical Education, Dutch College of Family Practitioners, -designing and writing contributions to a host of nationally distributed educational materials for family practice, including educational packages for peer review groups, audit checklists, articles, booklets, national patient information leaflets 2002 Accredited as peer review trainer, Dutch Association of General Practitioners (LHV) Selected Publications Zwaard AM, Dalhuijsen J, Mokkink H, Grol R. Acceptance and Diffusion of National Standards in General Practice. In: Malek M, Rasquinha J, Vacani P (ed.). Strategic Issues in Health Care Management. John Wiley and Sons, Chichester, ISBN Dalhuijsen J, Zwaard AM, Grol RPTM, Mokkink HM. Het handelen van huisartsen volgens de Standaard Otitis Media Acuta van het Nederlands Huisartsen Genootschap. Ned Tijdschr Geneeskd 1993; 137: Adherence of GPs to the National Guideline about Otitis Media Acuta. A research paper. Dalhuijsen J. Wat is kwaliteit voor de praktizerend huisarts? Patient Care juni 1993; What is quality for practising GPs? An article on ideas and concepts related to in general practice for a popular CME magazine. Vons N, Dalhuijsen J. Cervixscreening in een huisartspraktijk. Huisarts Wet; 34; 1994: Cervical Screening in a General Practice. [An original study in the Peer-reviewed Dutch College Scientific Journal about auditing cervical smears.]

5 Dalhuijsen J. Intercollegiale toetsing. Cahier voor deskundigheidsbevordering. Utrecht, Nederlands Huisartsen Genootschap, Peer Review. An illustrated, commisioned educational booklet published by the Dutch College on techniques, methods and pitfalls in peer review. Issued to all Dutch GPs. Hombergh P van den, Dalhuijsen J, Grol R, Dijkers F, van der Voort H. Checklist Praktijkvoering. Utrecht, Nederlands Huisartsen Genootschap, Checklist for Practice Management. An extensive classification system based on expert consensus, containing elements of family practice organisation and peer review excercises for practitioners. Published by the Dutch College, copies issued to all Dutch GPs. The booklet was used in vocational training.] Zwaard A, Dalhuijsen J, e.a.. Toetsing van het Huisartsgeneeskundig Handelen. Het gebruik van standaarden en richtlijnen voor het medisch handelen bij zelftoetsing en intercollegiale toetsing. Nijmegen, Werkgroep Onderzoek Kwaliteit Huisartsgeneeskunde, Assessment of GP performance. A comprehensive manual for self assessment and peer review for family practice, including recording and audit forms and a computer expert program for assessing adherence to 11 National Practice Guidelines. Zwaard AM, Dalhuijsen J, Grol RPT, Mokkink HM. De NHG-Standaard Diabetes Mellitus Type II: acceptatie en invoering in de praktijk. Bijblijven, dec.1993; pp The National Guideline for Diabetes: acceptance and implementation. An article in a popular journal for CME. Klazinga N, Dalhuijsen J. Recente ontwikkelingen in de Russische gezondheidszorg. Medisch Contact, 1992: An article in the journal of the Royal Medical Association on recent Russian health care reforms. Grol R, Zwaard A, Mokkink H, Dalhuijsen J, Casparie A. Dissemination of guidelines: which sources do practitioners use to become informed? International Journal for Quality in Health Care 1998;10(2): Grol R, Dalhuijsen J, Thomas S, In tveld C, Rutten G, Mokkink H. Attributes of clinical guidelines that influence use of guidelines in general practice: observational study. BMJ 1998;317: Dalhuijsen, J. Jaarverslag in de Huisartspraktijk. Utrecht, NHG-Bouwsteen voor de Praktijkvoering. Utrecht, Nederlands Huisartsen Genootschap, The Practice Annual Report: a cornerstone for practice management. A commissioned educational booklet published by the Dutch College; a copy were sent to all Dutch GPs. Van Buuren S, Teirlinck C, Dalhuijsen J, Thien Th. Diagnostische Eigenschappen van electronische bloeddrukmeters. Leiden, TNO Preventie en Gezondheid, Diagnostic characteristics of electronic bloodpressure devices. A report of an experimental lab study conducted by TNO and the Dutch College of GPs for the Preventive Medicine Council (Preventiefonds) on the reliability of oscillometric blood pressure devices. Teirlinck C, Van Buuren S, Dalhuijsen J, Thien Th. Het gebruik van electronische bloeddrukmeters in de 1 e lijnsgezondheidszorg en de invloed op misclassificatie. Leiden, TNO Preventie en Gezondheid, Use of electronic bloodpressure devices and its influence on misclassification of blood pressure categories. A report of an extensive field study conducted by TNO and the Dutch College of GPs for the Preventive Medicine Council (Preventiefonds) on oscillometric blood pressure devices and the effect on health care if widely used as a screening method.

6 Van Bergen JEAM e.a. NHG-Standaard Virushepatitis. Huisarts en Wetenschap 2000;43: I am co-author of this National Evidence Based Practice Guideline on viral hepatitis. Van Gunst S, Beijaert R, Dalhuijsen J. Verbandmiddelen en wondbehandeling in de huisartspraktijk. NHG-Bouwsteen voor de Praktijkvoering. Utrecht, Nederlands Huisartsen Genootschap, Bandages and bandaging in General Practice. An educational booklet published by the Dutch College; copies sent to all Dutch GPs. Dalhuijsen, J. Kleine Ingrepen, serie. Huisarts en Wetenschap Minor surgery; a series. A Bandolier-type series of six articles on minor surgical procedures: indications, equipment, preparation, disinfection, anaesthesia, procedures etc. in the peer-reviewed Dutch College Scientific Journal. Bendijk A, Dalhuijsen J. Verhalen uit een gezin. Of hoe onze fantasie ontsnapt aan de harde werkelijkheid. In: Ziektebeelden. Essays over literatuur en geneeskunde. Utrecht, Uitgeverij LEMMA BV, Narratives in a family: how fantasy escapes harsh reality. An essay about Ingmar Bergman s movie Fanny and Alexander and narrative medicine, in a book about literature and medicine; this book contains a collection of articles by prestigious authors and is used in academic training.] Dalhuijsen J. Indicatoren in de huisartspraktijk. Huisarts en Wetenschap 2002; 45: Performance indicators in general practice. A commissioned paper in the peer-reviewed Dutch College Scientific Journal about the value and use of indicators in Dutch General Practice. Dalhuijsen J. Kwaliteit loont en hoe!? Een nieuw contract voor Britse huisartsen. Huisarts en Wetenschap 2004;47: How does quality pay off? A paper on financial incentives for quality in GP care, analysing the British New GMS Contract and interpreting this in the Dutch context of GP care financing. Hobma S, Dalhuijsen J, Engels Y. Onze herregistratie en accreditering in internationaal perspectief: Tijd voor een herziening? Huisarts en Wetenschap 2004;47: A commissioned paper for the peer-reviewed Dutch College Scientific Journal that aims to draw lessons from comparing Dutch arrangements for revalidation and accreditation with those in eight other countries. Dalhuijsen J, Klazinga N. A tale of two systems. Dynamics of Clinical Governance in GP Care in England and the Netherlands. Book of Abstracts, Amsterdam, WONCA Europe In press.