rTMS INTERNATIONAL rTMS INTERNATIONAL

Quality statute

This is an English translation of our Dutch quality statute. We offer this translation to make our procedures and quality standards accessible to non-Dutch speakers. Please note that the original Dutch version of the quality statute is the official and legally binding document.

Approved Quality Statute Mental Health Care – Independent Practitioners – Format 4.0

As of January 1, 2017, all providers of “medical mental health care,” i.e., generalist basic mental health care and specialized mental health care within the Dutch Health Insurance Act, are required to publish a quality statute. This concerns an approved quality statute.

I. General information

1. Mental health care provider details

Name of coordinating practitioner: MP VAN DEN BERGH
BIG registration number: 19921118201
Personal AGB code: 03306258

Practice information 1

Practice name or trade name: rTMS International
Email address: info@rtms-international.com
Chamber of Commerce number: 87691671
Website: www.rtms-international.com
Practice AGB code: 94067170

Practice information 2

Practice name or trade name: Stichting GGZ Friesland
Email address: hans.tegelaar@ggzfriesland.nl
Chamber of Commerce number: 41005202
Website: https://www.ggzfriesland.nl
Practice AGB code: 06290204

Practice information 3

Practice name or trade name: Stichting Geestelijke Gezondheidszorg Delfland
Email address: A.Heidevander@ggz-delfland.nl
Chamber of Commerce number: 27181317
Website: http://www.ggz-delfland.nl
Practice AGB code: 06290801

1b. If you operate at multiple locations, please list the locations and adresses below:

Our independent practice operates at multiple locations. Our locations are in:

  • Breda
  • De Bilt
  • Haarlem
  • Oegstgeest
  • Rotterdam
  • Zwolle

2. Care provided in

There is currently a transitional situation in which we work with both a distinction between generalist basic mental health care and specialized mental health care, and a classification according to the settings of the Healthcare Performance Model. In the future, the first distinction will lapse.

2a. At least one option must be checked. Multiple options are possible.

Specialized mental health care

2b. Provides care in Setting 1 and fulfills the requirements for the indicative and coordinating role as follows:

Within our practice, outpatient mental healthcare is provided in accordance with Setting 1. The assessing role is carried out by a coordinating clinician who meets the requirements set out in the Dutch Healthcare Performance Model (Zorgprestatiemodel) and the Quality Statute.

Together with the client, the coordinating clinician establishes the diagnosis and treatment plan, monitors progress, coordinates care, and liaises with other healthcare professionals involved where applicable. The assessing role is carried out by coordinating clinicians who are BIG-registered as either a clinical psychologist or psychiatrist.

Treatment takes place at one of our practice locations or through online consultations, depending on the client’s preferences and individual circumstances.

3. Description of focus areas/care offering

Clients can come to our practice with the following problems (e.g., focus areas, types of complaints, treatment forms):

3a. Describe the general vision/approach of the practice and what your client population looks like in a maximum of 10 sentences. For example: what issues/target groups does the practice focus on, do you involve family/environment in treatment, do you apply eHealth applications, etc.:

At rTMS International, we believe in the transformative potential of rTMS as an innovative treatment for treatment-resistant depression. Our vision is rooted in creating a future in which neuromodulation is recognised not only as an effective treatment, but also as a promising pathway to recovery. We aim to advance the possibilities of neuromodulation, helping clients restore their mental well-being and reshape their lives through this innovative treatment.

Our vision is based on the belief that everyone deserves care that is not only effective, but also personal, accessible and compassionate. We strive for a society in which the stigma surrounding mental health is reduced and people are welcomed and supported throughout their journey towards recovery and mental well-being. We believe that combining neuromodulation with psychosocial support offers a unique and powerful approach that can make a meaningful difference in people’s lives.

That is why we aim to make this integrated approach a standard in the treatment of mental health conditions. We seek not only to help clients reduce their symptoms, but also to strengthen their resilience and support them in rebuilding their lives. By embracing this approach, we hope to contribute to a future in which everyone has the opportunity to live a healthy and fulfilling life.

3b. Clients with the following primary diagnosis(es) can come to my practice:

Depressive mood disorders

4. Practice composition

The following practitioners are associated with the practice:

Coordinating Practitioner 1
Name: Dianne Winkelmolen
BIG-registrationnr.: 39918172425

Coordinating Practitioner 2
Name: Marguerite van den Bergh
BIG-registrationnr.: 19921118201

Coordinating Practitioner 3
Name: Dan Knoester
BIG-registrationnr.: 29916710301

Coordinating Practitioner 4
Name: Folkert Overbeek
BIG-registrationnr.: 89047575007

Practitioner 1
Name: Arnoud Spaans
BIG-registrationnr.: 19935723630
Expertise: Depression, OCD with ACT and rTMS

Practitioner 2
Name: Lisa van Hoek
BIG-registrationnr.:
Expertise: Depression, OCD with ACT and rTMS

Practitioner 3
Name: Barbara van de Meeberg
BIG-registrationnr.: 19058268830
Expertise: Depression, OCD with ACT and rTMS

Practitioner 4
Name: Frances Gesquiere
BIG-registrationnr.:
Expertise: Depression, OCD with ACT and rTMS

Practitioner 5
Name: Soukaïna Ettalie
BIG-registrationnr.: 99929451830
Expertise: Depression, OCD with ACT and rTMS

Practitioner 6
Name: Joris Peters
BIG-registrationnr.:
Expertise: Depression, OCD with ACT and rTMS

Practitioner 7
Name: Annelies Dellink
BIG-registrationnr.:
Expertise: Depression, OCD with ACT and rTMS

Practitioner 8
Name: Puk Plooij
BIG-registrationnr.:
Expertise: Depression, OCD with ACT and rTMS

Practitioner 9
Name: Karlijn Tuitel
BIG-registrationnr.: 59920329830
Expertise: Depression, OCD with ACT and rTMS

Practitioner 10
Name: Klaas van Urk
BIG-registrationnr.: 29925894130
Expertise: Depression, OCD with ACT and rTMS

Practitioner 11
Name: Gerlof Visser
BIG-registrationnr.: 
Expertise: Depression, OCD with ACT and rTMS

Practitioner 12
Name: Nikita Groenewegen
BIG-registrationnr.: 19924334330
Expertise: Depression, OCD with ACT and rTMS

 

5. Professional (multidisciplinary) network

5a. I use a professional (multidisciplinary) network including:

  • General practitioners
  • Fellow psychologists and psychotherapists
  • Mental health institutions
  • Other: An engaged Client council. They regularly observe and provide input. The council consists of:
    • P. Krijsen (chair)
    • S. van der Leer (member)
    • R. van Dommelen (member)

5b. I collaborate most frequently in my (multidisciplinary) professional network with (name/names and if applicable BIG registration(s): 

Psychiatrists around Rotterdam (PsyQ, Care to Change, GGZ Delfland).
Mental health institutions around Utrecht: Altrecht, Lievegoed, Psymens, UMC Utrecht.
Around Haarlem: GGZ in Geest, Fivoor, Spaarne Gasthuis, Max Ernst.

5c. I use this professional network in the following situations, unless the client does not consent:

  • Initiation, adjustment and discontinuation of medication.
  • Personality assessment and additional diagnostic evaluation.
  • Coordination with the professional care network when there is no depressive disorder for which rTMS treatment is indicated, or when rTMS has insufficient effect, so that appropriate follow-up care can be discussed.

5d. Clients can reach (me, the mental health crisis service, or GP/emergency department) during evenings/nights/weekends/crises:

Not applicable. However, contact is always possible by phone/email (or WhatsApp).

5e. Do you have specific agreements with a mental health crisis service, GP out-of-hours service, or emergency department?

No, because: If the crisis service is needed, we know how to reach them directly. This is also stated on our website.

5f. I am part of a learning network with the following five (including myself) independent care providers or have joined the learning network of the following provider:

  1. GGZ Delfland with colleagues, including A. Breunese

  2. On a daily basis with colleagues 

5g. The learning network contributes to collective learning and improvement in the following way:

Intervision network 1
Cases are discussed monthly.

Intervision network 2
Cases are discussed online daily (except weekends). Every two weeks via Zoom.

6. Contracts with health insurers and reimbursement of insured care

Do you have a contract with the health insurer?

No

7. Treatment fees:

I have published the fees I charge on my website or made them available at the practice.
I have established terms and conditions and a fee for no-shows, which are published on my website or available at the practice.

Link to the website with treatment fees and, where applicable, the no-show terms and no-show fee: https://rtms-international.com/en/terms-and-conditions/

8. Quality assurance

Intervisie
Bij- en nascholing
De beroepscode van mijn beroepsvereniging
Link naar website met bewijsvoering van de basiskwaliteitseisen van uw beroepsgroep:

https://psynip.nl/wp-content/uploads/pdfs/NIP_beroepscode_maart_2024_def.pdf

 

Organization of care

9. Complaints and dispute procedure

In the event of a dispute, we encourage you to first discuss the matter with us directly.

If you would prefer to speak with an independent complaints officer, you can contact one through the Healthcare Complaints Desk (Klachtenloket Zorg) of De Geschillencommissie Zorg: https://www.degeschillencommissiezorg.nl/klachtenloket-zorg/

Link to website: https://rtms-international.com/en/complaints-procedure/

10. Arrangements during vacation and emergencies

10a. During my absence due to vacation or illness, clients can contact the following substitute practitioner:

N. Groenewegen

10b. I have arranged and documented the transfer of care in case the practice suddenly closes due to death or other emergencies:

Yes

II. The care process – the client’s journey through the practice

11. Waiting time for intake and treatment

Clients can find information about waiting times for intake and treatment and support via this link or document (and can also request it by phone).

Link to waiting times for intake and treatment: https://rtms-international.com/clinics

Also available by location:
https://rtms-international.com/en/clinics/breda/
https://rtms-international.com/en/clinics/rtms-in-de-bilt/
https://rtms-international.com/en/clinics/haarlem/
https://rtms-international.com/en/clinics/rtms-in-oegstgeest/
https://rtms-international.com/en/clinics/rotterdam/
https://rtms-international.com/en/clinics/zwolle/

12. Registration and intake/problem analysis

12a. The registration procedure in the practice is arranged as follows (e.g.: who receives the phone registration, who conducts the intake, how communication with the client proceeds):

Clients can register via the online registration form on our website. Referring healthcare professionals can also submit a referral letter through ZorgDomein. Once the registration has been received, the administrative team schedules a pre-intake. During this pre-intake, it is assessed whether the client meets the criteria for treatment within our practice. This assessment considers the client’s care needs, suspected diagnosis, treatment history and any potential contraindications.

If the registration is considered suitable, an intake with the psychiatrist is scheduled, either by telephone or via Microsoft Teams. This is followed by an in-person intake at one of our locations with another member of the treatment team, such as a psychologist or nurse. During this intake, the client’s difficulties and care needs are explored in greater detail and a treatment plan is developed in consultation with the client. The treatment plan is subsequently reviewed and approved by the coordinating clinician.

Further communication with clients takes place by telephone or email through their clinician or the administrative team.

12b. I refer the client to another care provider with a more suitable offering or back to the referrer – if possible with appropriate advice – if the practice has no suitable offer for the client’s care request:

Yes

13. Treatment and guidance

13a. The client has been informed about who their point of contact is during treatment (name and function of the person are known to the client):

Yes

13b. For longer-term treatment (> 12 weeks), the coordinating practitioner sends a copy or summary of the treatment plan as a letter to the GP (or other referrer), unless the client does not consent:

Yes

13c. I ensure good communication with the client and – if applicable and with the client’s consent – their relatives, regarding the course of treatment and guidance. I do this as follows:

Face-to-face after every 15 and 25 sessions.

13d. The progress of treatment and guidance is monitored in the practice as follows (e.g.: progress meetings, evaluations, questionnaires, ROM):

Treatment progress is systematically monitored through progress reviews, periodic evaluations of the treatment plan and the use of questionnaires. We use the following:

  • BDI-II
  • Client self-reports

The results are discussed with the client and, where necessary, the treatment plan is adjusted based on these evaluations.

13e. I periodically and promptly reflect with the client (and possibly their relatives and/or co-practitioners) on the progress, efficiency, and effectiveness of the treatment. The standard interval I use for this is:

Every 4 weeks and after 15 and 25 sessions.

13f. I measure client satisfaction in the following way (when, how):

After every 15 sessions during an appointment.

14. Closure/aftercare

14a. I discuss the results of the treatment and guidance and possible follow-up steps with the client (and possibly their relatives):

Yes

14b. The referrer is informed by the coordinating practitioner by means of a discharge letter, unless the client objects:

Yes

14c. If follow-up treatment is needed, I give specific advice to the referrer. I inform the follow-up practitioner where necessary about the course of treatment and the achieved results including follow-up advice, unless the client objects:

Yes

Handling of client data

15. Handling of client data

15a. I request the client’s permission when sharing information with professionals not involved in the treatment:

Yes

15b. In situations where professional confidentiality might be breached, I follow the applicable guidelines of the professional association, including the mandatory reporting code for child abuse and domestic violence (in case of duty to report conflict, suspicion of child abuse or domestic violence), the protocol for material control, and I request the control plan from the health insurer (in case of material control):

Yes

15c. I use the privacy statement if the client does not want their diagnosis shared with their health insurer/NZa:

Yes

III. Signature

Name: Bram Wernsen
Place: Rotterdam
Date: 22-09-2026

I declare that I adhere to the legal frameworks of my professional practice,
act in accordance with the National Quality Statute for mental health care, and that I have completed this quality statute truthfully:

Yes