Reform of the primary care in Flandersicic17.s3.amazonaws.com › Danielle_Massant.pdf · actors in...

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REFORM OF THE PRIMARY CARE IN FLANDERS

Transcript of Reform of the primary care in Flandersicic17.s3.amazonaws.com › Danielle_Massant.pdf · actors in...

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REFORM OF THE PRIMARY CARE IN FLANDERS

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WHY DO WE CHANGE?

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THE MOMENTUM

> Sixth State Reform > Preparedness to change > Policy movements in different aspects of care and cure

(hospitals, care, patients, …) > Paradigm shift (acute-chronic, supply-demand, person

centered)

15.05.17 Agentschap Zorg en Gezondheid 3

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SIXT STATE REFORM: OPPORTUNITY TO REDUCE NUMBER OF STRUCTURES WITH SIMILAR GOALS

15.05.17 Agentschap Zorg en Gezondheid 4

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THE ROAD TO CHANGE

15.05.17 Agentschap Zorg en Gezondheid 5

2010

Conference primary health

care (11 december 2010)

2013

Symposium primary health

care

2017 6 preparatory

working groups (2016-2017)

Conference primary care (16 februari 2017)

2014: 6th state reform

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PREPARING THE CONFERENCE 2017 (IN DUTCH)

15.05.17 Agentschap Zorg en Gezondheid 6

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PRIMARY CARE: COMPETENCES DIVIDED BETWEEN REGIONAL AND FEDERAL GOVERNMENT

15.05.17 Agentschap Zorg en Gezondheid 7

> Federal Government 2017 4,4 billion euro

€ 957.47

€ 1,435.33

€ 944.48

€ 23.31

€ 560.38

€ 446.89

€ 63.26

€ 13.08

honoraria huisartsen (incl.wachtposten)

terugbetaling geneesmiddelen inofficina**

honoraria thuisverpleegkundigen

subsidies diensten voorthuisverpleging

honoraria tandartsen

honoraria kinesitherapeuten

honoraria logopedisten

honoraria vroedvrouwen

€ - € 500.00 € 1,000.00 € 1,500.00 Millions

> Flemish Government 2017 2,7 billion euro

€ 2,051.88

€ 8.33

€ 684.95

€ 33.70

ouderenzorg

MBE

thuiszorg

ondersteuning

€ 0.00 € 1,000.00 € 2,000.00 Millions

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WHAT DO WE CHANGE?

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PERSON CENTERED CARE

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PERSON CENTERED CARE

> Self-management and health literacy > Informal care providers are a full

partner in the care process > Care goals in a care plan > More neighborhood care > Wide and integrated single point of

access/contact > Integration of prevention, mental health

care, family care, social policy

15.05.17 Agentschap Zorg en Gezondheid 10

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COMPLEX CARE: CARE COORDINATOR

15.05.17 Agentschap Zorg en Gezondheid 11

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COMPLEX CARE: CASEMANAGER

15.05.17 Agentschap Zorg en Gezondheid 12

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OPTIMAL SUPPORT FOR HEALTH CARE PROVIDERS

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REORGANIZING EXISTING STRUCTURES

15.05.17 Agentschap Zorg en Gezondheid 14

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PRIMARY CARE ZONES

> Support multidisciplinary and intersectoral collaboration at the practice level

> 75.000 à 125.000 inhabitants > Care Board:

• Health care providers, actors in family care and residential care, centers for welfare, patients, government of municipalities

> Freedom of choice for patients remains

15.05.17 Agentschap Zorg en Gezondheid 15

Flemish Institute for Primary Care

Regional Care zone

Primary care zone

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PRIMARY CARE ZONES

> Assignments and tasks: • Support associations of health care providers • Improve tuning between prevention, cure,

revalidation, care… • Prepare the consult between the different

actors in the primary care zone concerning the supply of care

• Stimulate digital data sharing • Organize education • Stimulate initiatives of neighborhood care • …

> Call > Flanders Synergy: supports the change

process in 2 ‘would-be’ regions

15.05.17 Agentschap Zorg en Gezondheid 16

Flemish Institute for Primary Care

Regional Care zone

Primary care zone

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REGIONAL CARE ZONES

> Zone that covers multiple primary care zones

> 350.000 à 400.000 inhabitants > Assignments and tasks:

• Offer expertise to the primary care zones • Tune primary care and specialized care (in

hospitals) • Support organizations to conduct projects or

research • …

15.05.17 Agentschap Zorg en Gezondheid 17

Flemish Institute for Primary Care

Regional Care zone

Primary care zone

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FLEMISH INSTITUTE FOR PRIMARY CARE

> Knowledge and expertise > Assignments and tasks:

• Offers an overview of care supply • Supports primary care zones • Supports education policy • Supports and stimulates innovation • Develops goals and indicators for primary

care • Facilitates strategic planning of care (general

– specialized care) > Involves:

• Expertise in relation to the assignments and tasks

• Different stakeholders

15.05.17 Agentschap Zorg en Gezondheid 18

Flemish Institute for Primary Care

Regional Care zone

Primary care zone

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HOW DO WE CHANGE?

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CREATING THE NECESSARY CONDITIONS

> Education, basic and permanent; > Enough health care providers; > Support for different types of primary care practices; > Digital way of working: Vitalink, journal, agenda; > Innovation and entrepeneurship; > Policy regarding complaints; > Financing of the primary care;

15.05.17 Agentschap Zorg en Gezondheid 20

https://youtu.be/onHkQ1m_g8Q
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TRANSITION: TO BOLDLY GO WHERE NO ONE HAS GONE BEFORE

> Programme manager in place > Prepare new legislation > Redeployment of staff and budget > Change management and ownership regarding the reform > Tune all the different movements

15.05.17 Agentschap Zorg en Gezondheid 21

Programme manager

Flanders Synergy

Primary care zones

Regional care zones

Flemish Institute for Primary Care

Preparing new legislation

Transition

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www.zorg-en-gezondheid.be

THANKS FOR YOUR ATTENTION


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