Mapping Presentation

13/07/2012

email:- aruck@consard.co.uk

Skype:-

◦ hsclar1

Phone

◦ +447739362323

◦ or +441467681294

Analysis has been undertaken of:

Commitments

◦ By country

◦ By organisation type

◦ By organisation scope

Partners sought

◦ By organisation type

◦ By sector

Direct vs. Indirect Commitment Quantification

Quantification of Direct Commitments

# patients

Value of commitment in €

13/07/2012

Analysis has been undertaken of:

Activity Areas

◦ # organisations making direct commitment

◦ Timelines for # organisations making direct commitment

◦ # organisations making indirect commitment

◦ Timelines for # organisations making indirect commitment

◦ Additional activities proposed

◦ Direct vs. Indirect Activity preferences comparison

◦ Potential Grouping of Activities for Action Plan

Themes

Organisations wishing to play active role by country

The Road Ahead… reaching target deliverables

Conclusions from mapping

13/07/2012

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Direct

= delivering

‘programmes for

chronic

conditions/case

management or

integrated care

programmes serving

older people.’

Organisation Committing Investment

committed

Population

covered

Patients

impacted

€M. M.

Municipality of Palaio Faliro, Athens 1 800

Coöperatie Slimmer Leven 2020, Netherlands 1

Department de Salut - Generalidad de Catalunya, Spain 8 760000

Agencia Valenciana de Salud, Spain 12000

Department of Health, Social Services and Public Safety, N.

Ireland

4 0 23000

Department of Health and Consumer Affairs of the Basque

Government

750 2 160000

Region North Denmark 7 1400

Europäische Vereinigung für Vitalität und Aktives Altern eVAA e.V.,

Saxony

3 4

Agenzia sanitaria e sociale regionale, Emilia Romagna 50 5 500000

CSI-Piemonte (Consortium for Information Systems) 2

University of Valencia. (UVEG) 12000

Philips Healthcare 4 15000

NHSScotland, co-ordinated by NHS 24 320 6 55000

Zealand Denmark 0

Institute of Health Carlos III, Spain 10 50000

Regional Healthcare Agency of Puglia, Italy 2 300000

Région Languedoc Roussillon, France 3 15000

1154 26 1904200

Analysis has been undertaken of:

Activity Areas

◦ # organisations making direct commitment

◦ Timelines for # organisations making direct commitment

◦ # organisations making indirect commitment

◦ Timelines for # organisations making indirect commitment

◦ Additional activities proposed

◦ Direct vs. Indirect Activity preferences comparison

◦ Potential Grouping of Activities for Action Plan

Themes

Organisations wishing to play active role by country

The Road Ahead… reaching target deliverables

Conclusions from mapping

13/07/2012

Build networks of stakeholders to:

◦ roll out a large number of structured programmes for

remote management of chronic diseases in at least 15

Member States,

◦ pilot and establish integrated care models on multi-

morbidity chronic cases in a significant number of

regions,

◦ move pilots into full deployment, replicating across

Member States/regions, with the use of existing EU

financial tools such as Structural Funds, FP7, Horizon

2020 and CIP programmes, as well as national/regional

and private funding.

13/07/2012

Also known as…

Structured

programme

roll-out

Integrated care for

patients with

multiple

morbidities

Financing Pilot ->

Deployment

Build networks of stakeholders to:

◦ roll out a large number of structured programmes for

remote management of chronic diseases in at least 15

Member States,

◦ pilot and establish integrated care models on multi-

morbidity chronic cases in a significant number of

regions,

◦ move pilots into full deployment, replicating across

Member States/regions, with the use of existing EU

financial tools such as Structural Funds, FP7, Horizon

2020 and CIP programmes, as well as national/regional

and private funding.

13/07/2012

Also known as…

Structured

programme

roll-out

Integrated care for

patients with

multiple

morbidities

Financing Pilot ->

Deployment

Compile a comprehensive map of stakeholders

involved in operational and piloted services on

remote management of chronic diseases and/or

integrated care (i.e. comprising national/regional

authorities, patient and care organisations, industry,

service providers, insurance companies, procurers

and venture capitalists), and building a stakeholder

network.

Identify successful organisational models for

integrated care, scalable and reproducible, and

supporting their implementation within the

community, in regions across the EU. This also

involves definition and promotion of new care

pathways for patients as they migrate between

social and health care providers.

13/07/2012

Also known as…

Stakeholder

Engagement

Implementing

Integrated

Care pathways

and models

Coach of regions: cooperation between "pioneering

regions" with successful operational models and "follower

regions".

Provide technical and expertise support in setting up

multidisciplinary teams as well as developing

comprehensive curricula for the care workforce serving

older patients with (multiple) chronic conditions within the

setting of integrated care.

Develop training/coaching programmes for end-users

(including health professionals, care personnel,

informal/family carers and patients) in the use of innovative

solutions (i.e. decision, support systems, coaching tools,

shared electronic care records, assisted self-management

tools) and raising awareness of their availability and

benefits.

13/07/2012

Also known as…

Regional

Dissemination

Multi-disciplinary

Team Support

End –user

Support

Map and collect evidence on health and economic outcomes of integrated care models and pilots. (including remote management of chronic conditions, tele-care, etc.) to be accessible in one repository/database.

Set up an evaluation/assessment mechanism- with accepted and validated indicators/measures – to enable assessment and evaluation of performance and analysis of good operational practices, including business models, in integrated care (or its components such as tele-health, tele-care, chronic condition monitoring, etc.) in view of their replication in other regions.

Explore the effectiveness of existing funding models and developing, where appropriate, alternative funding models for integrated care programmes and remote management of chronic diseases, which fit country-specific needs.

13/07/2012

Also known as…

Evidence

repository

Replicable

good practice

Funding

models

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Total Direct Indirect Additional Activities

6 3 3 Research

4 2 2 Networking

3 1 2 Promotional activity

3 3 0 Strategy development

4 3 1 Healthcare outcome and

economic evaluation

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Suggested Grouping Original Activities Extra Activities

1. Support for

Scale-up

End-user support Networking

Stakeholder engagement Promotional activity

Regional dissemination

2. Implementation

Structured programme roll-out

Integrated care for patients with multiple morbidities

Financing Pilot -> Deployment

Implementing integrated care pathways and models

Multi-disciplinary team support

3. Best Practice

Evidence repository

Research and

development

Replicable good practice

Strategy development

Funding models Healthcare outcome

and economic

evaluation

Best practice and Advocacy Research and Development

Protocols Pilot

Guidelines Randomised clinical trial

Advocacy Research

Information exchange Study

Pathway

Redesign Patient

Protocols Expert patient

Guidelines Self-management

Monitoring and evaluation Social networks

Technology Conditions / Disease

Telecare Multi-morbidity

Teleconsultation Bronchitis

Telecoaching Falls

Web-based Dementia

Database Movement Disorder

Telehomecare Loss of orientation/balance

Telemedicine

Electronic health record Funding

mHealth EU Funds

Social networks FP7

eHealth Structural Funds

Social Funds

Geographical clustering ( > 1 organisation in same area):

Catalunia; Valencia; Andalucia; Madrid;

Athens; Emilia Romagna; South Holland; North Denmark;

Austria 1

Belgium 3

Denmark 3

France 2

Germany 2

Greece 2

Italy 7

Netherlands 3

Poland 0

Portugal 1

Spain 17

United

Kingdom

4

= 2/3rd of commitments received

Pop’n 2012 Commitment

2015 2020

Disease Management Programme availability - #

Regions

344

c. 25?

50

Est. patients to be covered

50 M.

1.9 M.

5 M.

Scaled up Integrated Care Programmes in Regions

344

9

20

Member States adopting

27

c. 7

15

c.€1B of investment identified in commitments

High interest especially from research / academia and ‘other’ organisations

Majority of commitments are indirect

Strong interest from Spain: newer Member States not represented

All activity areas appear viable: clustering required

This is complex in terms of what we need to deliver: Activities and AG needs leadership

AG needs to focus on achievement of B 3 deliverables (more regions, > population coverage)

This will come from reaching out and engaging more Regions

AG will need a rigorous approach to quantifying contributions to AG deliverables.