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Quality management

Our goal is top quality

METTNAU is certified by EMS according to DIN/EN/ISO 9001 and QMS-REHA in the areas of inpatient, day patient and outpatient care, medical, therapeutic and nursing rehabilitation and prevention.

Re-certification was successfully conducted in spring 2019 and confirmed with certificates valid until spring 2022. 

As a member of the Quality Association for Rehabilitation and Health in Baden-Württemberg (Qualitätsverbund Reha und Gesundheit Baden-Württemberg), the medical rehabilitation facilities of the town of Radolfzell have introduced the quality management system QMS Reha® of the Federation of German Pension Insurance Institutions (Deutsche Rentenversicherung Bund). 


Internal quality management

Comprehensive quality management is necessary, not only from a legal standpoint, but also taking developments in the healthcare sector into consideration. Within a short time, rehabilitation clinics and acute care hospitals have transformed from managed care facilities to become competitive service providers. Increasing financial constraints create an ever greater need for efficiency (profitability) and effectiveness (goal orientation and attainment). Cost-effectiveness and quality analyses are gaining importance.

In selecting a suitable quality management system, the management of the medical rehabilitation facilities in Radolfzell opted for a rehabilitation-specific system: the quality management system (QMS) REHA. It was very important to find a system that recognises the requirements of rehabilitation. QMS-Reha® has been developed exclusively for this purpose.

Working with the quality management system allows us to arrange and clearly define structures, responsibilities, and processes and make them  transparent internally and externally. QM is more than just a technical component. For us, it is a corporate philosophy with specific fields of action.

The aim is to enhance our strengths, develop successful strategies and intensify communication and cooperation within the company to increasingly take advantage of synergies. By optimising processes and selectively using human and financial resources, we should be able to guarantee economic stability and job security in the future.  Last but not least, we want to fulfil the expectations, demands and wishes of our guests and patients with a high level of quality through continuous improvement in all areas.

This requires following the QMS-Reha® quality management procedures of the Federation of German Pension Insurance Institutions, as well as certifying ourselves according to the international standard DIN/EN/ISO 9001, which was awarded for the first time in May 2009 by TÜV Süd. In this way, we can ensure that patients are treated with a high level of quality according to standards that are recognised and validated by independent bodies.

Characteristics of QMS rehabilitation (QMS-Reha®):

  • Process orientation with an emphasis on core processes related to rehabilitation
  • Management responsibility and competence
  • Trained quality managers
  • Involvement of employees and employee representatives
  • Support for elements of external quality assurance
  • Manual-based taking into account all relevant QM models (DIN/EN/ISO 9001; EFQM; KTQ Rehab)

Since February 2010, QMS-Reha® has been recognised by the German Federal Association for Rehabilitation (Bundesarbeitsgemeinschaft für Rehabilitation – BAR). This ensures that the certification meets the latest legal and regulatory requirements.


Quality assurance


The German Pension Fund has for many years used instruments and procedures for quality assurance (QA), with the main aim of improving the quality of medical rehabilitation.

All rehabilitation facilities and departments belonging to or primarily occupied by the German Pension Fund (around 950) participate in the rehab QA activities of the pension fund. This naturally also applies to the medical rehabilitation facilities in the town of Radolfzell.

The legal basis is Section 20 of the German Social Code IX. This also requires measures to compare quality as a basis for effective quality management. 


Health Quality Association


Around 30 hospitals have merged to form the Health Quality Association (Qualitätsverbund Gesundheit) under the motto "Together for the best rehab".

The association pursues the goal of permanently establishing and developing quality management in clinics. To enable the partners to compare, research and learn from each other, they support each other through mutual audits, regular benchmarking and joint improvement projects. They are bound by an obligation to the QMS quality management procedures of QMS-Reha® prescribed by the German Pension Fund, as well as the corresponding common certification. Most association partners are also certified according to QMS-Reha® plus, which includes the international standard DIN/EN/ISO 9001.

The Health Quality Association was founded in 2007 on the initiative of the German Spa Association (Heilbäderverband). More than 5000 employees work in the member clinics handling some 50,000 rehabilitation cases per year. The following clinics are members: Federseeklinik Bad Buchau; Schlossklinik Bad Buchau; Reha-Klinik Bad Boll; Salinenklinik/Rosentrittklinik/Sophie-Luisenklinik Bad Rappenau and Stimmheilzentrum/Therapiezentrum Bad Rappenau; ACURA-Klinik Bad Schönborn; the rehabilitation facilities of the town of Bad Waldsee; Hochgebirgsklinik Davos; St. Georg Vorsorge- und Rehabilitationskliniken Höchenschwand; the medical rehabilitation facilities of the town of Radolfzell, ACURA Fachklinken Waldbronn, Dobel, Falkenburg, Rheumazentrum Bad Kreuznach; the rehabilitation facilities of Baden Württemberg: Rehaklinik am Kurpark in Bad Kissingen, Rehaklinik Glotterbad in Glottertal, Rehaklinik Heidelberg-Königstuhl, Rehaklinik Höhenblick, Rehaklinik Klausenbach an Nordrach, Rehaklinik Ob der Tauber in Bad Mergentheim, Rehaklinik Sonnhalde in Donaueschingen, Überruh in Isny, Zentrum für ambulante psychosomatische Rehabilitation Freiburg. The network is coordinated by the Social and Occupational Medicine Academy of Baden Württemberg (Sozial- und Arbeitsmedizinischen Akademie Baden Württemberg  – SAMA) in Stuttgart.

The quality report of 2018 can be viewed here (german version).