Industries
We build around the ECD, never instead of it. That market is closed and we say so.
How it works today
Almost none of the administration in Dutch care happens inside the ECD. It sits in the gaps between the dossier, the gemeente, the zorgkantoor, the rooster and a spreadsheet somebody maintains by hand. Nobody owns those gaps, so every month they get worked by hand, by the same handful of people.
CBS put it at 31% of working time on verslaglegging and registratie in Q2 2025. In jeugdzorg it is 38%. It was 30% in Q2 2021, so four years of ontregelen moved nothing at all. The verzorgende who writes up eight zorgmomenten from memory at the end of a shift is producing worse rapportages and losing the evening. The committed ceiling is 20% by 1 January 2030.
Under the Wmo or Jeugdwet your revenue rides on a message chain nobody watches. A 305 sent past the gemeente's deadline because start of care was typed into the dossier and never into the berichtenverkeer module. A 303 rejected on the 304 because the product category does not match the toewijzing. A wijziging that never went out. Three uitvoeringsvarianten and 41 jeugdregio's multiply it, and the medewerker zorgadministratie works the rejection list in Excel.
Verzuim in zorg en welzijn was 7.3% in 2024 against 5.2% in the rest of the economy. In the VVT it ran at 9.5% in 2025. The zzp buffer is shrinking as well, from a peak of 166,000 to 141,000 by Q3 2025, after the Belastingdienst resumed enforcing schijnzelfstandigheid from 1 January 2025. Meanwhile the planner reconciles care demand from the ECD, the roostersysteem, a WhatsApp group and a bemiddelingsbureau's mailbox, and nobody knows what an open dienst costs.
The mantelzorger phones the team to ask when the wijkverpleegkundige comes, what was reported yesterday, and when the evaluatie is. Each call costs twice: it pulls a zorgmedewerker out of a zorgmoment, and it produces no registration at all, in a sector that is measured on how much of the day goes into registratie. In GGZ, Caren and Karify together cover 45% of the fifty largest organisations, which leaves a long tail with nowhere for the mantelzorger to look.
What we build for this sector
Not a menu of products. These are the pieces that tend to pay for themselves first in this line of work.
The service that sits between the ECD and everything it does not talk to: VECOZO or the GGK for the iWmo and iJw messages, the zorgkantoor for AW319 and AW320, the roostersysteem, AFAS, the boekhouding. Start and stop of care fire the 305 and 307 from the dossier instead of from somebody's memory, on the day it happens rather than the day somebody remembers.
Part of System Integrations & APIsEvery hour taken out here counts towards that ceiling. We take the loops: the 303 to 304 rejection cycle, the AW319 to AW320 correction round against a 17 working day submission window, the reconciliation between toewijzing, planning, realisatie and declaratie, and the Wtza jaarverantwoording that has to be filed by 1 June.
Part of Business Process AutomationThe zorgplan, the agenda, yesterday's rapportages, the evaluatiemomenten and a message thread with the team, in one place the cliënt and the mantelzorger can reach. Caren and Karify are the market names. Among the 26 largest jeugdhulporganisaties, M&I/Partners counted only 31% with a cliëntportaal in 2024, and those are the organisations with the most budget for one. Also works as a verwijzersportaal next to ZorgDomein.
Part of Customer & Partner PortalsToday the manager rebuilds this in Excel every month, and it is a week old before anyone reads it. Build it once across the ECD, the rooster and the finance system: geleverde against toegewezen zorg per gemeente and per uitvoeringsvariant, afgewezen declaratieregels grouped by cause instead of by date, verzuim per team, and what an open dienst actually costs once it goes to inhuur.
Part of Dashboards & Business IntelligenceWerkvoorraad for the zorgadministratie, a planbord for open diensten and inhuur, scholings- and onboardingadministratie, vrijwilligersadministratie, sleutel- and wagenparkbeheer, hulpmiddelenbeheer. None of it holds cliëntgegevens, so the compliance conversation is short and the build starts sooner. It is the safest first project with a new zorgorganisatie, which is usually why we propose it first.
Part of Internal Tools & Admin PanelsA rapportage pre-filled from the zorgmomenten already recorded in the rooster and the dossier, so the verzorgende corrects rather than recalls. Afgewezen declaratieregels classified by cause, so the zorgadministratie works the pattern instead of the list. The evaluatieverslag drafted out of a month of rapportages for a behandelaar to correct. Administrative and logistical work only, never anything that touches diagnose, triage or behandelbeleid.
Part of Custom AI AssistantsSystems we connect to
VECOZO already carries the traffic for roughly 45,000 zorgaanbieders, ZorgMail connects 13,000 organisations and 250 information systems, ZorgDomein reaches 91% of huisartsen. What has no route is almost always the piece between the dossier and the gemeente: the 301 toewijzing, the 305 and 307 on start and stop of care, the 303 and the 304 retourbericht per regel. Over VECOZO or over the GGK those messages are identical. What breaks is whether the dossier and the toewijzing still agree on product category, volume and period.
This is not an exhaustive list, and we are not a reseller for any of it. If a system has an API, a database, or an export, we can usually work with it. If it does not, we will tell you that before you spend anything.
Rules you work under
A zorgaanbieder must demonstrably meet NEN 7510, NEN 7512 and NEN 7513 when it processes data electronically, under the Besluit elektronische gegevensverwerking that hangs off the Wabvpz. That obligation reaches a supplier through the inkoopvoorwaarden and the verwerkersovereenkomst, which is why the FG is in the room before the developer is.
What changes
Today
The ECD is Nedap Ons. Wijkverpleging is declared under the Zvw, the Wmo begeleiding runs through iWmo with three gemeenten, two of them inspanningsgericht and one outputgericht. Two medewerkers zorgadministratie at 0.8 fte each. Start and stop of care goes into the dossier first and reaches the berichtenverkeer module days later, often past the gemeente's deadline. Every month about 4% of the 303 regels come back on the 304 as afgewezen or in onderzoek, mostly product category mismatches and start dates outside the toewijzing. Working that list costs two to three days.
After
A middleware service between the ECD and the berichtenverkeer route. Start and stop of care in the dossier fire the 305 and 307 automatically, inside the gemeente's deadline. Before the 303 goes out, every regel is checked against the live toewijzing on product category, volume and period, and mismatches are flagged while they are still correctable. A dashboard shows afgewezen regels grouped by cause and toewijzingen expiring within 30 days.
The result
The rejection list stops being a monthly surprise and becomes a short daily queue. The two zorgadministratie medewerkers work exceptions rather than the whole list, and the manager can see which gemeente is behind on toewijzingen before the month closes.
An illustrative scenario based on how work in this sector is typically organised, not a specific client.
Questions from this sector
No, and we will not imply it. For a zorgaanbieder the legal test is aantoonbaar voldoen, not the certificate. For a supplier with no lawful basis to process persoonlijke gezondheidsinformatie, NEN-EN-ISO 27001 is the recognised equivalent, and we hold neither today. What we do commit to: a verwerkersovereenkomst, EU hosting, access control per role, logging aligned to NEN 7513 where the system touches dossier data, an incident procedure, and evidence packaged for your auditor. If your inkoop demands a certified supplier, say so at the first meeting.
The honest answer is that it depends on your ECD and on the vendor's integration terms, and we will not promise a koppeling before we have seen them. What we can say: Nedap Ons and ChipSoft HiX both carry native third-party integrations from Autoscriber, ZorgDomein connects to more than twenty EPD systems, and Medimo couples to practically every ECD, EPD and AIS. VWS and KPMG also documented a feitelijke vendor lock-in on core systems, and that is real. The first step is a technical intake with your functioneel applicatiebeheerder.
Probably not for anything that leans on the outgoing system. Reselection is common right now: PinkRoccade MijnCaress is leaving the market and the organisations still on it started looking again in 2025. During a migration the right project is a peripheral one. An interne tool for the zorgadministratie or a planbord that never touches the dossier survives the switch untouched. The koppelingen come after the new ECD is live, not before.
Partly, and less than the vendors suggest. Spraakgestuurd rapporteren is genuinely in production at Warande, Arkin, Marente and Reinier de Graaf. But VWS and KPMG put the realistic three-year saving of eight use cases at 1,874 fte against a theoretical 3,825, note that most gains are fractional, and list adoption, digital skills and clients refusing to be recorded as real barriers. Professionals themselves rate the lower cognitive load above the minutes saved. We build administrative and logistical software. Nothing that would be a medisch hulpmiddel under the MDR.
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Describe how the work flows now, including the parts held together by spreadsheets. We will tell you what is worth building and what is not.
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