Healthcare integration: a collaborative approachEmpowering patients in the community

Tanja Valentin, Director External Affairs

IMSTA Annual Conference - 03 April 2019

My presentation today

Societal, business and healthcare trends

1

Examples of responses across Europe to the changing paradigm

3

The future is value-based and patient-centric

4

Enabling a meaningful transformation

2

Business

Our world undergoes seismic shifts

Society

Healthcare

4 big societal and business trends

Societal Business

Fully connected / transparent society

2

Competitive partnerships

3

Increased oversight

4

Millennials (GenY) make up the bulk of the workforce

1

Healthcare is also changing: 5 trends

1. Healthcare in a digital age

‘Radical’ transformation of healthcare needed

Healthcare 2. Demand pressure

5. Increased transparency of

outcomes and patient

experiences

3. Workforce pressure

4. People become more

consumers of healthcare

Cooperation and partnerships central

• Everyone in healthcare will have to adapt to these changes

• It is impossible for any party to succeed on their own

Business Societal

Healthcare

Seismic shifts Only through cooperation and partnership will there be more upsides than downsides from these seismic shifts

My presentation today

Societal, business and healthcare trends

1

Examples of responses across Europe to the changing paradigm

3

The future is value-based and patient-centric

4

Enabling a meaningful transformation

2

3 Enablers of healthcare transformation

1. Health and care radically re-centres around the patient

3. Systems change to maximise value creation in the broadest sense

2. The wave of digitalisation brings a new way of delivering healthcare

Health and care radically re-centres around the patient

The wave of digitalisation brings a new way of delivering healthcare

Today’s care Tomorrow’s care

• Preventive

• Personalized

• Integrated

• Remote

• Focus on acute episodes

• Process driven/ mass care

• Fragmented care

• Hospital centric care

Systems change to maximise value creation in the broadest sense

My presentation today

Societal, business and healthcare trends

1

Examples of responses across Europe to the changing paradigm

3

The future is value-based and patient-centric

4

Enabling a meaningful transformation

2

National examples of changing the care paradigm (I)

Distriktsmedisinsk senter in Norway

• High-quality health care more conveniently, particularly for old patients with difficulties to travel (link)

Unidade Local de Saude in Portugal

• Improve multidisciplinary cooperation and are seen as central to deliver effective and coordinated care for patients with multiple needs (link)

Gesundes Kinzigtal, Germany

• Improvements in health outcomes, including lower hospitalization rates, higher life expectancy ; 92 percent patient satisfaction rate, and total cost savings of $38.2 million (link)

Zio Integrated Care Network, The Netherlands

• Better clinical outcomes, higher care quality, high patient satisfaction scores and reduced costs (link)

Nuclei of Primary Care and Casa della salute, Italy

• Decrease in specialist costs, reduction of hospital referrals and costs saving of 22% in 2009 (link)

Belgium: 12 homecare pilot projects

France: Pay-for-performance: A French model to contain costs

Germany: Patient mentoring in dialysis and post-stroke care

Italy: Community Care Networks in Toscana and Emilia Romagna

The Netherlands: Buurtzorg - Dutch self-managed nursing teams in the neighbourhood

Portugal: National Network for Long-term Integrated Care

Sweden: 1) Esther Model: Improving

care for elderly with complex needs

2) Virtual care rooms for remote areas

National examples of changing the care paradigm (II)

Medtech partnerships

• Initiative since 2011 to provide a platform for exchanges between the patient and MedTech communities

• Mutual listen and learn, building trust, exchange experiences

• Alliance of patients, healthcare workers, academics and the medtech industry

• Launched a Community Care Model as a roadmap to realise the value and power of a new form of care

Take-aways from Patient-Medtech Workshop on community care

By delivering services in the community, health systems can become more patient-centric, more efficient and deliver better outcomes

Technology can facilitate the shift to community care: enabling home/self-care, integrating health data systems, monitoring well-being, and facilitating the management of chronic conditions

Political will is a key element of shifting care to the community: silo-budgeting is a major challenge

Greater awareness among the public, policy makers and health stakeholders can catalyst reform

Community care Model Launched

Supportive political declaration from Latvian Presidency

Coalition created, and ‘asks’ communicated to European Commissioners

Support for the model from the European Commission

Mandate to an EU Expert Panel to investigate effective ways of investing in health

Mandate for an Expert group on Health Systems Performance Assessment –Integrated care, Primary care

Achievements so far - Health First Europe

My presentation today

Societal, business and healthcare trends

1

Examples of responses across Europe to the changing paradigm

3

The future is value-based and patient-centric

4

Enabling a meaningful transformation

2

The future is value based and patient centric

Business Societal

Healthcare

We are at the end of one era for health care. Unstoppable trends mean health will have a radically new place in society

Transformation of health and care will be enabled by digital change, personalisation and value based systems

A value based and patient centric future is the right way forward, and it will only be achieved through new ways of collaboration amongst healthcare players

THANK YOU!t.valentin@medtecheurope.org