Global Integrated Care, Diabetes Cardio-Vascular, Sanofi
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1 Global Integrated Care, Diabetes Cardio-Vascular, Sanofi Dr. Toni DEDEU Director AQuAS (Agency for Health Quality & Assessment Ministry of Health of Catalonia)
2 INTRODUCTION CHALLENGES TO CARE DELIVERY MODELS Ageing society Chronic conditions Health workforce shortage Financial unsustainability HLY vs LE Health inequalities HIMSS Europe GmbH 2
3 CONCEPTUAL FRAMEWORKS HIMSS Europe GmbH 3
4 INTRODUCTION INTEGRATED CARE BACKGROUND WHO World Health Organisation European Commission National Regional Level Local level HIMSS Europe GmbH 4
5 WHO EUROPEAN REGION PERSPECTIVES ON PROMOTING INTEGRATED CARE IN PRACTICE HIMSS Europe GmbH 5
6 WHO EUROPEAN REGION PERSPECTIVES ON PROMOTING INTEGRATED CARE IN PRACTICE Researchers conducting key informant interviews Languages used in the process of data collection Countries engaged in the process Pages of transcribed notes Different experiences strengthening health services delivery HIMSS Europe GmbH 6
7 WHO EUROPEAN REGION PERSPECTIVE S ON PROMOTING INTEGRATED CARE IN PRACTICE HIMSS Europe GmbH 7
8 IMPLEMENTING INTEGRATED CARE DRIVERS FOR CHANGE Problem is clear and defined Solution is known Climate for change It takes time Measurable, well documented health burden Technically feasible solution aligned with values Gradual period of diffusing idea; softening up E.g. Norway 10 year period piloting Requires good advocacy E.g. personalised letters; conferences; site visits; roundtable discussions Conditions for HIMSS Europe GmbH creativity 8 E.g. Trainings; study trips; research; time; resources; piloting
9 WHO EUROPEAN REGION PERSPECTIVES ON PROMOTING INTEGRATED CARE IN PRACTICE HIMSS Europe GmbH 9
10 WHO EUROPEAN REGION PERSPECTIVES ON PROMOTING INTEGRATED CARE IN PRACTICE HIMSS Europe GmbH 10
11 WHO EUROPEAN REGION PERSPECTIVES ON PROMOTING INTEGRATED CARE IN PRACTICE HIMSS Europe GmbH 11
12 A new model of collaboration to facilitate innovation: Ownership of key stakeholders High-level political commitment Very large-scale deployment & innovation Awareness and best-practice sharing across Europe Combining demand and supply sides of innovation Building on existing instruments and new ones +2 Healthy Life Years by 2020 Triple win for Europe HIMSS Europe GmbH 12
13 EUROPEAN COMMISSION EIP ON AHA INTEGRATED CARE Scale up Reference Sites Twinning HIMSS Europe GmbH 13
14 EUROPEAN COMMISSION EIP ON AHA INTEGRATED CARE HIMSS Europe GmbH 14
15 REGIONAL LEVEL SCOTLAND SYSTEMIC INTEGRATION National Policy Drivers Public Service Reform Public Bodies (Joint Working) (Scotland ) Act 2014 Reshaping Care for Older People programme Telehealth and Telecare Delivery Plan for Scotland 2015 HIMSS Europe GmbH 15
16 REGIONAL LEVEL SCOTLAND SYSTEMIC INTEGRATION Before Integration 32 Local Authorities responsible for social care, education, housing, transport 14 NHS Boards Acute, hospital, community, primary care health services After April new Health and Social Care Partnerships jointly responsible for delivery of social care, community health / primary care and some hospital services NHS Boards and Local Authorities will continue to provide a range of other health and care services HIMSS Europe GmbH 16
17 REGIONAL LEVEL SCOTLAND Timescales SYSTEMIC INTEGRATION Consultation on Regulations and development of Guidance MAY AUGUST 2014 Regulations and guidance complete NOVEMBER 2014 FEB 2015 Integration goes live locally APRIL 2015 All integrated arrangements must be in place APRIL 2016 HIMSS Europe GmbH 17
18 REGIONAL LEVEL SCOTLAND SYSTEMIC INTEGRATION What has helped integration? Cross party support NHS support Local authority support Everyone (partners, stakeholders etc.) agreed: A challenge exists Something needs to be done Having an agreed vision about what we are trying to achieve HIMSS Europe GmbH 18
19 REGIONAL LEVEL CATALONIA PIONEER TERRITORIES Integrated & Chronic Care HIMSS Europe GmbH 19
20 REGIONAL LEVEL CATALONIA PIONEER TERRITORIES Inter-ministerial Programme for IC HEALTH IN ALL POLICIES PERSON CENTRED CARE HIMSS Europe GmbH 20
21 REGIONAL LEVEL CATALONIA PIONEER TERRITORIES Spider diagram Context of the findings Different views (Health & Social Care) and breath Useful tool to analyse sub-regional initiatives (County, Municipal, Providers level) HIMSS Europe GmbH 21
22 REGIONAL LEVEL CATALONIA PIONEER TERRITORIES Key drivers Chronic and integrated care policy-driven orientation Introduction of stratification Commitment of clinical leadership involved in design and implementation of local integrated care pathways (ICPs) Shared ICT between clinicians and between patients and professionals Overcome of financial barriers introducing new joint cross-cutting targets among different levels of healthcare Promoting more care at home avoiding unnecessary emergency admissions and institutionalisations and self-management policies HIMSS Europe GmbH 22
23 REGIONAL LEVEL CATALONIA ICT Readiness PIONEER TERRITORIES HIMSS Europe GmbH 23
24 REGIONAL LEVEL CATALONIA PIONEER TERRITORIES HIMSS Europe GmbH 24
25 REGIONAL LEVEL CATALONIA My Health PIONEER TERRITORIES HIMSS Europe GmbH 25
26 REGIONAL LEVEL CATALONIA PIONEER TERRITORIES Easier access Strong password system econsultancy Preventative & Health Promotion Technology Enabled Care HIMSS Europe GmbH 26
27 REGIONAL LEVEL CATALONIA PIONEER TERRITORIES HIMSS Europe GmbH 27
28 REGIONAL LEVEL CATALONIA PIONEER TERRITORIES HIMSS Europe GmbH 28
29 THANK YOU Dr Toni DEDEU Director AQuAS (Agency for Health Quality & Assessment Ministry of Health of Catalonia)
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