promoting learning | developing guidance | sharing ideas benchmarking integrated care for better...
TRANSCRIPT
Promoting learning | Developing guidance | Sharing ideas
Benchmarking Integrated Care for better Management of Chronic and Age-related Conditions in Europe
Evidence-informed Management of Chronic and Age-related Conditions in Europe.EHMA Conference Breda, NL. June 2015
Lucinda Cash Gibson, IESE Business SchoolMagdalene Rosenmöller, IESE Business School, Coordinator, Project INTEGRATE
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Benchmarking Integrated Care for better Management of Chronic and age - related conditions in Europe.
www.projectintegrate.eu
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Rationale
Increasing challenge of sustainability in healthcare systems.
An opportunity to develop and provide innovative solutions for patients and Europe’s health and social security systems.
A new innovative paradigm is needed to effectively manage and coordinate the diverse needs of today’s service users (especially multi-morbid, chronic and complex).
Budget: 2.8 M €Call: FP7-HEALTHDuration: 2012-16Coordinator: IESE
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Strategic Objectives
Gain in-depth knowledge: how integrated care can be developed and delivered successfully.Identify success-promoting and hindering factors of integrated care.Generate specific knowledge: process design and delivery models, patient involvement, professional skills mix/ ICT, financial flows and regulatory issues. Examine management and leadership strategies used to promote integrated care.Formulate policy recommendations for fostering integrated care at regional/ national /EU levels.
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Project INTEGRATE - Overview
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• Integrated care is a ‘complex intervention’: multi-component, dynamic, and context/client specific.
• Difficulty of understanding cause and effect.• In-depth case studies using mixed methods.
Phase 1: Four Case Studies
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Phase 1: Common methodological approach
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First Insights from Phase 1: Case studies
Facilitating Elements• Leadership / Motivation / Space for Action• Multi-disciplinary Teams• Incentives• Political Support (Health Strategy)• Process Design• Dedicated hospital resource / Director of Chronic Care• M&E Processes - Data from IT systems
Barriers • Silos / border of the sector• Unprepared health professionals • Financial arrangement's /flows• ICT systems not adjusted.
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Phase 2: Horizontal/ cross cutting themes
Care Process Design (FCRB/ IESE/ VUB)
Professional skill-mix/ HR management (Tilburg/ USI)
Financial Flows (SINTEF/ VUB/ Tartu)
Patient Involvement (Charite/ Tartu)
ICT management (KI/ FCRB)
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Phase 2: Horizontal/ cross cutting themes
Care Process Design (FCRB/ IESE/ VUB)
Professional skill-mix/ HR management (Tilburg/ USI)
Financial Flows (SINTEF/ VUB/ Tartu)
Patient Involvement (Charite/ Tartu)
ICT management (KI/ FCRB)
OBJECTIVE:
• Develop a framework that allows for description & analysis of existing integrated care practices/processes in order to identify commonalities and differences in the EU different settings and how integrated care can impact on existing care processes & design of new care processes.
• [Methods: case study review, literature review, BPMN tool, adaptation of management frameworks/principles, Delphi Study].
• Implications of findings ---> Practical and Managerial lessons & policy lessons (Phase 3).
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Phase 3: Horizontal Issues
International Checks (USI/ IFIC)
Policy Recommendations (VUB/ UT/ IESE/ Tilburg/ SINTEF)
Operational/ Practical Recommendations (IESE/ FCRB/ Charite)
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Phase 3: Horizontal Issues
International Checks (USI/ IFIC)
Policy Recommendations (VUB/ UT/ IESE/ Tilburg/ SINTEF)
Operational/ Practical Recommendations (IESE/ FCRB/ Charite)
OBJECTIVE:
• Develop principles for ‘best practices’ in integrated care;
• Elaborate handbook for the adoption and successful management of integrated care by different care providers.
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Phase 3: Horizontal Issues
International Checks (USI/ IFIC)
Policy Recommendations (VUB/ UT/ IESE/ Tilburg/ SINTEF)
Operational/ Practical Recommendations (IESE/ FCRB/ Charite)OBJECTIVE:
• Bring together policy relevant evidence from the horizontal and vertical studies;
• Provide recommendations and policy options to policy makers at EU and National level to bring forward legislation and regulations in order to foster the integration of care.
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http://integratedcarefoundation.org/
IFIC; PAHO/WHO; Secretariat of Health in Mexico; Secretariat of Health of Federal District; National
College of Specialist on Integrated Medicine (CONAEMI); Anahuac University.
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Final Project INTEGATE Presentations/ Workshop 2016
http://integratedcarefoundation.org/
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This project has received funding from the European Union’s Seventh Framework Programme for research, technological development and
demonstration under grant agreement no. 305821www.projectintegrate.eu
Thank you.