Healthcare Transformation and Integrated Care in DenmarkHans Erik Henriksen, CEO Healthcare DENMARK

By: Christina E. Wanscher – Health Innovation Centre of Southern Denmark

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About Healthcare DENMARK

• …is the gateway to Danish healthcare excellence and innovation.

• Healthcare DENMARK’s goal is communicate strongholds and efficiency of Danish healthcare solutions and innovations that have contributed to and continuously future-proof Danish healthcare.

• Denmark is already an international frontrunner in the field, and Healthcare DENMARK supports this leading position and promotes Danish visibility internationally.

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Agenda

• Introduction to the Danish Healthcare System

• Healthcare transformation initiatives

• National Healthcare IT

• Integrated Care• The Integrated Care project, Municipality of Odense

• The Shared Care Platform and its initiatives

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The Danish Healthcare System – main characteristics

• Free and equal access to public healthcare (5,5 mio. people)

• Universal coverage (same system for everyone)

• Tax financed (84 pct.) – 4.348 USD pr. capita

• Private co-payment in certain areas (16 pct.)

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Regional responsibilities

• Hospital and psychiatric treatment

• Primary health care / public health• General Practitioners (family doctors)

• Private practicing specialists

• Adults dental services

• Physiotherapy

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Municipal responsibilities

• Preventive care and health promotion

• Rehabilitation outside hospital

• Treatment of alcohol and drug abuse

• Co-financing regional health care

• Child nursing

• Child dental services

• School health care

• Home nursing

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Agenda

• Introduction to the Danish Healthcare System

• Healthcare transformation initiatives

• National Healthcare IT

• Integrated Care• The Epital project, Municipality of Lyngby

• The Family Dialogue project, Municipality of Elsinore

• The Integrated Care project, Municipality of Odense

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All countries face the same healthcare challenges

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Healthcare challengesDemographics

Life style

New treatments

• ”There will not be enough tax money in 2030 to pay for the healthcare we all want”

• Early detection of diseases and immediate start of treatment

• Nationwide screening• Fast access to diagnostics

• Population health and prevention initiatives• Ambient Assisted Living• Personalised Medicine

• ”The most expensive place in healthcare is in the hospital”• High quality treatment• ”Just-in-time” coordination and logistics• More outpatient treatment• Primary healthcare clinics• E-health, telehealth and patient empowerment

Denmark’s initiatives

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Danish citizens are happy with their lives and with healthcare services

Denmark ranking, Quality of life in Europe report 2012

Danish Government Health Strategy 2015-2018

• Push for structural changes for a better health care system

• Five priorities:

1. Cancer must be detected earlier

2. Chronic diseases must be detected earlier – and the weakest patients get extra help

3. Investment in modern GP’s

4. Better quality through patient empowerment

5. Better quality in treatment through transparency of results

• Economic investment and invitation to a broad coalition and dialogue

”Better sooner than later”

A new strategy on top of

other initiatives

-Investment in psychiatric treatment and equal

rights for patients with psychiatric illness

-The strategy “A healthier life for all” – targets for

health, partnerships etc.

-Economic prioritization of hospital treatment and

medicine

-Investments in local prevention efforts in

communities

”Better sooner than later”

”A healthy life for all” ”Mental health”

”Equal healthcare for all”

Agenda

• Introduction to the Danish Healthcare System

• Healthcare transformation initiatives

• National Healthcare IT

• Integrated Care• The Epital project, Municipality of Lyngby

• The Family Dialogue project, Municipality of Elsinore

• The Integrated Care project, Municipality of Odense

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A long term focus on health data networks and on eHealth provide efficient access to healthcare information

MedCom

Health Data Network

1994 -

Sundhed.dk

eHealth Portal

2003 -

Who is behind?Ministry of Health, Danish Regions, Ministry of Interior, National Association of Local Authorities, National Board of Health, Copenhagen Hospital Corporation, Danish

Pharmaceutical Association

SERVICES FOR CITIZENS

• Access to personal health data on treatment• E.g. e-Record from hospitals and GPs and Shared Medication Card

• Communication with health care providers• E.g. Contact information and e-services like booking, prescription renewals and electronic

communication

• General information on health service• E.g. quality in health care, patient rights

• Accurate and updated information on health, disease and treatment

• E.g. medical handbook

• Personal home care/hospital solutions• E.g. diabetes and anticoagulant therapy

• Patient to patient dialogue

SERVICES FOR HEALTH CARE PROFESSIONALS

• Access to personal health data on patients– E.g. e-Record, laboratory data and Shared Medication Card

• Contact and service information on other health care

providers

• General information on health service– E.g. waiting lists, quality in health care, health and prevention programs, visitation

• Accurate and updated information on health, disease and

treatment – E.g. medical handbook, treatment feedback and benchmarking

• Personal home care/hospital solutions– E.g. diabetes and anticoagulant therapy

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In 2013 Denmark launched the strategy for the next 4 years

• National EHR and eHealth architecture

• International standards • HL7

• Continua Health Allicance

• Regional TeleHealth implementation

• Coordinated strategy:• Ministry of Health and Prevention

• Danish Regions

• Danish Municipalities

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The Danish Telehealth plan will establish a mature market for Telehealth solutions

Telecare North: • Chronic patients • Large-scale evaluation

CIH (ClinicallyIntegrated Home monitoring): • Creating the

infrastructure and national database

16 new hospitals will be the backbone of patient centric healthcare

• Public-private partnerships

• New innovations

• Danish design

• Green technology

Agenda

• Introduction to the Danish Healthcare System

• Healthcare transformation initiatives

• National Healthcare IT

• Integrated Care• Shared Care Platform – creating the infrastructure

• The Integrated Care project, Municipality of Odense

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Homecare systems

- EPR

Electronical patient record -

EPR

Medical system

Data collection

Platform

The patient’s individual planInformation about own illness

Entering data and measurements

Questionnaire

Social care Hospital Medical practice

Agenda

• Introduction to the Danish Healthcare System

• Healthcare transformation initiatives

• National Healthcare IT

• Integrated Care

– The Family Dialogue project, Municipality of Elsinore

– The Integrated Care project, Municipality of Odense

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The Integrated Care Programme is contributing to a new model

Bringing partnerships together

The vision is to create an effective and compulsory collaboration across sectors

TO partnership

FROM contracting parties

The citicens

General treatment

GP

municipality

hospital

Specialisedtreatment

prevention

The Integrated Care Project Municipality of Odense

Hans Erik Henriksen, CEO Healthcare DENMARKheh@healthcaredenmark.dk

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