Community Care Sector Committee. Working together across Europe for better care in the community

Transcription

1 Community Care Sector Committee Working together across Europe for better care in the community

2 Who we are The healthcare challenges ahead Community Care is part of the solution 4 product groups that transform community care The need to complete the community care revolution

3 We are the MTE Community Care Sector Group Our companies supply medical technology to all parts of the healthcare system, e.g. hospitals, homes, primary care etc. Because we make products for both hospitals and the home, we are able to see clearly the additional value to patients and healthcare systems when people are treated in their communities We believe there is an untapped opportunity to move towards patient centric community level care, delivering better outcomes and better value care

4 Community care is care received out of the hospital Community care has no hard definition. Generally, it is seen as treatment provided outside of an acute care setting, such as the hospital. Community care brings care closer to where people live and spend most of their time. Full independence and ability to work Treatment is delivered in the home, either in full autonomy or with the help of family and/or visiting carers Treatment is delivered by a local GP or specialist doctor Treatment is delivered in a community centre Treatment is delivered in an hospice, care home or retirement home Treatment is delivered at the hospital Community Care

5 Who we are The healthcare challenges ahead Community Care is part of the solution 4 product groups that transform community care The need to complete the community care revolution

6 European healthcare systems are facing unprecedented pressure from an ageing population and chronic diseases 25% over 65 by 2050 Up to 80% of current healthcare costs Ageing population Chronic diseases Sources: WHO; European Commission

7 Ageing and increased chronic diseases are driving increasing costs, for instance in these areas: Kidney failure Wounds Diabetes CVD Incontinence Ostomy Trauma Others

8 Who we are The healthcare challenges ahead Community Care is part of the solution 4 product groups that transform community care The need to complete the community care revolution

9 Anyone, at any age, can benefit from quality care in the community thanks to innovation in medtech Victor, 25, undergoes peritoneal dialysis at home everyday saving 1-hour trip to the closest hospital. Juan, 44, is a teacher. He is on home haemodialysis. He uses this time to correct his students homework from home! Maria, 72, lives with her son who helps her with her Alzheimer s. She also needs continence care, but thanks to high-quality products, it has never been easier for her and her son to manage this condition. Nellie, 23, was treated at her local GP for a wound on her hand. Thanks to medtech advances, she didn t have to go to the hospital! Samira, 32, has a temporary ostomy bag after she received lifesaving surgery for Crohn s disease. New generation of products means that she can still go to the gym without fearing pain or leakage. Jack, 40, needs urine retention care after he suffered a bladder trauma. Innovative devices allow him to continue doing what he likes most: work as a lawyer. André, 55, received pressure wound care at home after staying in hospital for 3 months. This treatment allowed him to return home earlier than envisaged and lowered his risk of contracting HAI. Terrence, 65, was saved from colon cancer thanks to surgery. His ostomy bag is adapted to his body shape and can be managed by Terrence himself.

10 I m concerned that I won t be able to pay for treatment. I want my product to be reimbursed I m very active and enjoy sports. I need to be able to choose my product the one that fits best I d like to have more treatment at home to save time, but I m concerned I won t be able to cope. I need good clinical support Patients receiving care in the community need support

11 Smart strategies to improve spending efficiency and reduce pressure on healthcare budgets are essential Earlier and more accurate diagnosis, improved remote monitoring / management of chronic diseases, and better efforts to avoid unnecessary hospitalisations can help reduce the reliance on expensive institutionalised care and contribute to more dignified and independent living.

12 Who we are The healthcare challenges ahead Community Care is part of the solution 4 product groups that transform community care The need to complete the community care revolution

13 Dialysis

14 Dialysis is a lifesaving procedure for chronic kidney disease Chronic kidney disease is mainly attributed to: Diabetes Hypertension These conditions are on the rise due to an ageing population 0.5m end-stage patients in Europe Dialysis therapy is required once end stage chronic kidney disease occurs, caused by many conditions including diabetes and high blood pressure Whilst most patients have their dialysis in a hospital setting, the clinical and lifestyle benefits of home dialysis mean that many more patients are now considering this option Sources: Tennankore et al. 2014, ERCPA 1 in 10 Europeans has some degree of Kidney Disease

15 Advances in dialysis technology means more patients can be treated at home Whilst the majority of patients had dialysis in hospital in the past, home based dialysis is an option today Advances in dialysis mean patients can be treated from home or at a centre in their community Treatment at home can be a safe and efficient therapy and can lead to an improved quality of life As much as 55% patients prefer to be treated at home Remote monitoring technology supports the management of patients and may help to prevent hospital admissions Source: Jager KJ et al. 2004

16 Incentivising home peritoneal dialysis and haemodialysis could increase patient quality of life and bring cost efficiencies Centre Haemodialysis Requires patients to go to a center 3 times per week for 3-4 hours per treatment Home Haemodialysis Allows patients to have a flexible dialysis schedule. Patients can stay on the machine longer or more frequently which is closer to the natural function of kidneys Home Peritoneal Dialysis Can be used independently after training, accompanied by remote monitoring or regular medical visits Patient can be treated while sleeping Better outcomes at a reduced cost: 10% increase in home dialysis for a period of 5 years would generate saving of 1 billion in Europe Patient empowerment to manage their own condition and increased employment opportunities people with end-stage renal disease between are currently twice as likely to be unemployed Incentives for physicians to prescribe home treatment need to be improved Sources: NHS UK, Joble J et al. 2010, Liu F X et al., RSIN Annual report 2012

17 Continence care

18 There are many reasons a person needs continence care and their needs are different too There are 2 types of continence care: incontinence care, providing absorbing devices for people with involuntary loss of urine/faeces; and urine retention care, providing devices for urine collection for people unable to empty their bladder. Incontinence care Incontinence is the involuntary leakage of urine and/or faeces Affects all ages, but increases as people get older (e.g. caused by dementia, stroke, or other comorbidities) Urinary incontinence affects both genders but is more common among women 4-8% of the population is affected Urine retention care Urine retention is the inability to empty the bladder completely Affects all ages and genders Caused by conditions such as spina bifida, multiple sclerosis, bladder traumas and spinal chord injuries Sources: Abrams, et al. 2013, Wagg et al. 2014

19 Many people needing continence care can achieve full independence if they are provided with the right product The right type of continence product helps keep people in work and at home for longer Community setting In work, independent Home based care Patient examples People with urinary retention, nerve damage Patients with reduced mobility or impaired cognition Factors that improve care Discreet protection Well fitting design Product which can be changed without the help of others Takes into account gender Discreet protection Secure fit Easy usage for informal carers Institution based care e.g. nursing home, hospices Later stage dementia, stroke, cancer, and bed ridden patients Hygienic washing Easier to take part in social activities Easy handling for professional carers

20 Selecting the right products for the right people for more efficient and customised care With the right products for the right patients, more people can work longer and/or contribute to society with confidence and dignity To avoid premature institutionalisation, which is very expensive to society and detrimental to patient well-being: Premature institutionalisation Address stigma and raise awareness to improve in-time and proper diagnosis Differentiate between patient needs in tendering and other reimbursement settings to offer different types of products Use internationally recognised standards for product selection (ISO 15621, ISO )

21 Advanced wound care

22 Acute and chronic wounds are increasing due to an ageing population and chronic diseases Acute wounds (e.g. from trauma, surgery etc.) are most commonly thought about However, chronic wounds, caused by conditions like diabetes are increasing Elderly people are more susceptible In the EU, million have acute or chronic wounds, and 4 million individuals will develop new wounds annually Chronic wounds (e.g. bed sores, diabetic foot, pressure ulcers, venous ulcers) Acute wounds (e.g. trauma, surgery, burns) Up to 50% of hospital beds are occupied by patients with a wound (many which develop while at hospital) 1 in 5 patients in European hospitals have a pressure ulcer, 50-80% are hospital acquired Source: Posnett, J et al.

23 Advanced wound care helps people heal faster and increase comfort Wound care has dramatically evolved in the recent years, benefiting patients: Moist dressings Innovative materials such as foam, hydrocolloid, alginate, film, hydrogel and collagen (including anti-microbials) mean that new advanced wound care devices are more impermeable, maintain appropriate humidity and thermal insulation and allow adequate breathing of the wound External devices Portable Negative Pressure Therapy (NPWT) devices allow patients to return home to manage chronic wounds and heal faster Patients benefits 1. Accelerated healing 2. Better comfort for patients 3. Increased ease of use / management Sources: Vuerstaek JD et al., Frost & Sullivan

24 Incentivising better care stops wounds from becoming worse, saving healthcare systems time and resources Wound care involves all three main healthcare disciplines: nursing, surgery and general practice Best practice sharing and healthcare provider education are essential for good quality wound care Appropriate wound care minimises treatment costs by: Encouraging funding and reimbursement for advanced wound care products and services, outside of acute settings, improve cost efficiencies Reducing wound complications and infections Decreasing time spent in hospitals and use of specialist services Reduced time spent by nurses / care givers in institutions (e.g. elderly care homes) on changing dressings

25 Ostomy

26 Facebook / Crohn s & Colitis UK / Bethany Townsend People who need ostomy care have undergone lifesaving surgery that means they require external waste collection 56% of people with an ostomy will keep it for the rest of their lives 700,000 EU citizens have an ostomy Source: Eucomed Ostomy Market Industry Survey, 2011

27 Preventing leakage and increasing discretion: two easy ways that give people with ostomy the confidence to live a normal life Leakage Remains the number one concern, with still more work to do despite major advances Discretion Modern products have much better designs which allow increased discretion for patients 1 to 2 in three people with an ostomy are impacted by skin conditions Ostomy should be tailored for individual patients. Many skin and health complications can be easily avoided with tailored ostomy care Technological advances allow ostomy care to become increasingly patient specific and adapted for better fits to the body Sources: Bosio et al. 2007, Meisner et al Just treating additional skin conditions costs 25.4 Million to the French health system alone

28 Ostomy care in the community enhances patient lives and reduces healthcare costs linked to complications Both patients and healthcare systems could benefit from more advanced ostomy care in the community reducing complications and hospitalisation through: Better access levels to innovation (currently, access is inconsistent due to budget reductions and restrictive reimbursement policies) Patient-centric, personalised and tailored approach to ostomy care (currently, ostomy care categorisation and reimbursement policies are inconsistent and highly countryspecific) Increased number of suitably-trained specialist nurses in the community (currently, ongoing ostomy care is generally hospital-centric)

29 Who we are and why we are here The healthcare challenges ahead Community Care is part of the solution 4 product groups that transform community care The need to complete the community care revolution

30 What does 21 st Century healthcare look like? It s community care 6 recommendations for delivering positive health outcomes for citizens 1. Community Care Policy Establishment of a dedicated community care policy and political leadership to implement the policy 2. Patient Centric Care A system designed in response to citizen health needs 3. Innovation and Value Incentivising innovative solutions involving key actors (citizens, carers, technology) across the health system of value to improve health outcomes for the well-being of citizens and society 4. Access and Reimbursement Flexible funding to increase access to innovative community care solutions including community care products, treatments and services 5. Care and Treatment Creating a mobile and flexible health and social care workforce bound to the citizen, not the system 6. Quality Care and Standards Generating quality of care assurance in the community Developed by Health First Europe, A Model for Community Care, April 2014

31 A healthcare system adapted to handling an ageing population and chronic diseases is community-centred

32 Community Care Sector Committee Working together across Europe for better care in the community