Healthcare innovation as a key for sustainability of health systems

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Healthcare innovation as a key for sustainability of health systems

  1. 1. Workshop 07A18Healthcare innovation: The key tosustainability of regional healthcare systems José L. Rocha General Secretary for Quality and Modernization Regional Health Ministry of Andalusia Spain Quick facts of Andalusia Regional responsibility for health policy and healthcare provision since 1984 8,202,220 Inhabitants 1,500 Primary Care Centers 44 Public Hospitals (16,281 beds) 9,782 M € Healthcare Budget 2009
  2. 2. Workshop 07A18 Healthcare innovation: The key to sustainability of regional healthcare systems Chronic diseases Ageing populationSpain (National Health Survey):- 18 million people report a Chronic diseaseUK (data from Department of Health):- 60% of adults report a Chronic health problem- 80% of GP Consultations- 60% of Hospital bed days
  3. 3. Workshop 07A18 Healthcare innovation: The key to sustainability of regional healthcare systems Health and social care costs 100% Healthy, Community independent living Clinic Traditional Health IT Chronic Disease Doctors Management Office focus Assisted LivingQualityof life Skilled Nursing Specialist Facility Clinic Community Hospital ICU Graphic from NHS/BT Global Services 0% HOME CARE RESIDENTIAL CARE CLINICAL CARE €1 €10 € 100 € 1,000 € 10,000
  4. 4. Workshop 07A18 Healthcare innovation: The key to sustainability of regional healthcare systemsAppointment-making procedure Citizen identification Daily appointments: near 100,000 Data Check Appointment Diary
  5. 5. Workshop 07A18 Healthcare innovation: The key to sustainability of regional healthcare systemsTransparency . Tobeinformed is health HealthResponds Education Web Telephone enquiries Information TV/DTV Second medical opinion entertainment Mobile Living wills Health card Waiting lists Telephone appointment Healthcare information Health adviceInformation on Quality in Discharge telephone surveyHealth Centers AIDS, Tobacco, bird flu...Expectations bank SMS services Healthcare Information Health AdvicesCollection of Expectationsto promote participation e-Administration Living wills Smart card 24 health andalusia hr Individual assessment andand information information on Health
  6. 6. Workshop 07A18 Healthcare innovation: The key to sustainability of regional healthcare systemsAll the healthcare information on each citizen: Integrated Currently 7.1 M people with single eHR Available at any time or any place Primary Care: Specialised Care: > 72 M consultations > 95 M consultations using eHR booked by diraya eHR 3,500 Pharmacies on-line: > 150 M of e-prescriptions Continuity of careHealth Care Information andManagement Integrated System
  7. 7. Workshop 07A18 Healthcare innovation: The key to sustainability of regional healthcare systems GP consultations before and after electronic prescription70 62,76360 48,753504030 -22.32%20 (global 15%)100 SEP-05 SEP-06
  8. 8. Workshop 07A18 Healthcare innovation: The key to sustainability of regional healthcare systemsBenefits to Citizens Patient safety – sharing of clinical data reduces risk of adverse events, makes healthcare more effective and more timely Efficiency gains – time savings and avoided travel costs Fewer re-assessment procedures for patients frequently changing their GPs Fewer repeat questions Facilitated (referral) bookings (satisfaction surveys) Avoided visits by chronic patients with long-term ePrescriptions (validity: up to one year)Benefits to Doctors & nurses Comfort for GPs Benefit from pride, professionalism and satisfaction Decisions are based on comprehensive & reliable information Provision of more efficient healthcare
  9. 9. Workshop 07A18 Healthcare innovation: The key to sustainability of regional healthcare systemsBenefits to the Andalusian health service Reduction in exposure to risk due to better clinical governance Assurance that medical information is recorded correctly and fully Assurance that advice is based on better information Time savings – redeployment of resources: Fewer repeat questioning about medication and medical history Avoided visits for re-assessment and for renewal of prescriptions (reduced by ca. 15%) Better allocation of resources through eBooking Cost savings from generic prescribing Cost avoidance through central serverBenefits to the regional MoH Information from research feeds into evidence-based standards Dissemination of guidelines through Decision Support (DS) tools Support & integration of strategic initiatives (improved care processes)
  10. 10. Workshop 07A18 Healthcare innovation: The key to sustainability of regional healthcare systems Diraya: Cumulative economic performance 900.000.000 800.000.000 700.000.000 600.000.000 500.000.000EUR 400.000.000 300.000.000 200.000.000 100.000.000 0 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Present value of cumulative costs Present value of cumulative benefits

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