2. Buurtzorg: Integrating Simplification
• (New) organizational model/care delivery model
• Patient centered; based on professional ethics
• Started in 2007 with 1 team/4 nurses
• 2014: 8000 nurses in 800 independent teams.
• 45 staff at the back office,15 coaches: managers 0
• Turnover: 260 million in 2014
• 70.000 patients a year
• Also: youth care, mental care and BZ International
3. CLIËNT
4. Formal networks
2. Informal networks
3. Buurtzorgteam
1. Selfmanagement client
Onionmodel Buurtzorg
Buurtzorg works inside-out:
empowering and adaptive,
networkcreating, supporting.
Vision: support indepence!
4. Principles and results
• Optimal autonomy for nurses and no hierarchy
• Complexity reduction (also with the use of ICT)
• Contextdriven teal organization (Laloux: 2014)
• Small selfsteering teams: focus on neighborhood
• Generalists: high educated nurses
• Quality: focus on outcome (Omaha system)
• High satisfaction of patients (9,1) and nurses (9)
• Lower costs: 25%
