Mapping Presentation
13/07/2012
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
13/07/2012
13/07/2012
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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13/07/2012
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.