Healthcare innovation as a key for sustainability of health systems

Workshop 07A18

Healthcare innovation: The key to sustainability of regional healthcare systems

José L. RochaGeneral Secretary for Quality and ModernizationRegional Health Ministry of Andalusia Spain

Quick facts of Andalusia Regional responsibility for health policy and healthcare provision since 1984

8,202,220 Inhabitants 1,500 Primary Care Centers

44 Public Hospitals (16,281 beds)9,782 M € Healthcare Budget 2009

Workshop 07A18Healthcare innovation: The key to

sustainability of regional healthcare systems

Spain (National Health Survey):- 18 million people report a Chronic disease

UK (data from Department of Health):- 60% of adults report a Chronic health problem- 80% of GP Consultations- 60% of Hospital bed days

Ageing populationChronic diseases

100%

Quality of life

0%HOME CARE RESIDENTIAL CARE CLINICAL CARE

€ 1 €10 € 100 € 1,000 € 10,000

ICU

Community Hospital

Specialist Clinic

Skilled Nursing Facility

Assisted Living

Doctor's Office

Community Clinic

Chronic Disease Management

Healthy, independent living Traditional

Health IT focus

Health and social care costs

Graphic from NHS/BT Global Services





Daily appointments: near 100,000

Appointment-making procedureCitizen identification

Data Check

Appointment Diary



EducationInformationentertainment

Healthcare InformationHealth Advices

Information on Quality in Health Centers

Tobeinformed .is healthTelephone enquiriesSecond medical opinionLiving willsHealth cardWaiting listsTelephone appointmentHealthcare informationHealth adviceDischarge telephone surveyAIDS, Tobacco, bird flu...

SMS servicesExpectations bank

Transparency

e-Administration

Individual assessment andinformation on Health

24 hrhealth andalusia

Collection of Expectationsto promote participationand information

WebTV/DTVMobile

Living willsSmart card

HealthResponds



Primary Care:> 72 M consultations

using eHR

Specialised Care:> 95 M consultations

booked by diraya

Continuity of care

All the healthcare information on each citizen:Currently 7.1 M people with single eHR

IntegratedAvailable at any time or any place

eHR

3,500 Pharmacies on-line:> 150 M of e-prescriptions

Health Care Information and Management Integrated System

62,763

48,753

0

10

20

30

40

50

60

70

SEP-05 SEP-06

-22.32%(global 15%)

GP consultations before and after electronic prescription





Benefits to CitizensPatient safety – sharing of clinical data reduces risk of adverse events, makes healthcare more effective and more timelyEfficiency gains – time savings and avoided travel costs

Fewer re-assessment procedures for patients frequently changing their GPsFewer repeat questionsFacilitated (referral) bookings (satisfaction surveys)Avoided visits by chronic patients with long-term ePrescriptions (validity: up to one year)

Benefits to Doctors & nursesComfort for GPs

Benefit from pride, professionalism and satisfactionDecisions are based on comprehensive & reliable informationProvision of more efficient healthcare



Benefits to the Andalusian health serviceReduction in exposure to risk due to better clinical governance

Assurance that medical information is recorded correctly and fullyAssurance that advice is based on better information

Time savings – redeployment of resources:Fewer repeat questioning about medication and medical historyAvoided visits for re-assessment and for renewal of prescriptions (reduced by ca. 15%)Better allocation of resources through eBookingCost savings from generic prescribingCost avoidance through central server

Benefits to the regional MoHInformation from research feeds into evidence-based standardsDissemination of guidelines through Decision Support (DS) toolsSupport & integration of strategic initiatives (improved care processes)



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1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

EUR

Present value of cumulative costs Present value of cumulative benefits

Diraya: Cumulative economic performance

Healthcare innovation as a key for sustainability of health systems

Health & Medicine

Transcript of Healthcare innovation as a key for sustainability of health systems