Medicine2.0'10 Van Ooteghem

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  • Zwart: niet voldane behoefte
    Blauw: aanbieden transmurale zorg
    Toename van transmurale zorg vanuit woonzorgcentra binnen het woonzorg decreet
    Nodig voor het behoud van de ideale mix tussen goede en sterk hulpbehoevenden in woonzorgcentra (verschil in infrastructuur / personeel / … )
  • Medicine2.0'10 Van Ooteghem

    1. 1. Multi-Actor Analysis for Identifying the Economic Viability of eCare Solutions Jan Van Ooteghem IBCN – UGent jan.vanooteghem@intec.ugent.be
    2. 2. IBBT TranseCare project Transparant ICT platforms for eCare Project duration 2007 - 2010 Project website http://projects.ibbt.be/TranseCare
    3. 3. Objective of the study • A tool was developed for analyzing the economic viability of eCare services in different settings • Value network analysis • Techno-economic evaluation incl. multi-actor analysis • Showing incentives and advantages for all actors involved in the eCare eco-systeem
    4. 4. € € € Outline 4 Services Multi-actor analysis Cost/benefit model Value network
    5. 5. Services 5 data center call center home care professional care family friends Home care platform Communication eCareTelemetry Emergency calls
    6. 6. € € € Outline 6 Services Multi-actor analysis Cost/benefit model Value network
    7. 7. Generic value network 7
    8. 8. Generic actors – dominant scenarios Insurance companyInsurance company Connectivity providerConnectivity provider GovernmentGovernment External developerExternal developer Home care organizationsHome care organizations 8 Profit model Break-even model Low-profit model* * Belgian situation
    9. 9. Value network 9 InsuranceInsurance ConnectivityConnectivity GovernmentGovernment End userEnd user External dev.External dev. Home careHome care
    10. 10. Value network 10 InsuranceInsurance ConnectivityConnectivity GovernmentGovernment End userEnd user External dev.External dev. Home careHome care
    11. 11. 5 scenarios: dominant 11 InsuranceInsurance ConnectivityConnectivity GovernmentGovernment End userEnd user External dev.External dev. Home careHome care External dev.External dev.
    12. 12. 5 scenarios: dominant 12 InsuranceInsurance ConnectivityConnectivity GovernmentGovernment End userEnd user External dev.External dev. Home careHome care ConnectivityConnectivity
    13. 13. 5 scenarios: dominantInsuranceInsurance 13 InsuranceInsurance ConnectivityConnectivity GovernmentGovernment End userEnd user External dev.External dev. Home careHome care
    14. 14. 5 scenarios: dominantGovernmentGovernment 14 InsuranceInsurance ConnectivityConnectivity GovernmentGovernment End userEnd user External dev.External dev. Home careHome care
    15. 15. 5 scenarios: dominantHome careHome care 15 InsuranceInsurance ConnectivityConnectivity GovernmentGovernment End userEnd user External dev.External dev. Home careHome care
    16. 16. € € € Outline 16 Services Multi-actor analysis Cost/benefit model Value network
    17. 17. Actors: expectations 17 eCare platform •Hardware provider •Software provider •Call center •Data center •Connectivity provider Professional care •Primary care •Home care •Rest home with nursing care Financing •Government •Insurance companies •Patient Purpose of the model Showing incentives and advantages for each actor
    18. 18. eCP aankoopkost 23% eCP operationele kost 14% Call center 31% Data center 7% Connectiviteit 25% Total cost of ownership eCare platform 18 eCP purchase eCP operational cost Call center Data center Connectivity
    19. 19. Primary care (GP) 19 Personal loss New gains 29% 71% Consultaties bij de huisarts Thuisconsultaties 94% 6% eConsultaties Nieuwe consultaties = In practice consultations Home consultations eConsultations New consultations
    20. 20. Besparingenperjaar Besparingen thuiszorg Minder consultaties Minder tijdverlies Aantalbezoekenperjaar Extra aantal huisbezoeken thuiszorg door vrijgekomen tijd Home care 20 Savings home care Savingsperyear Decrease in visits Less waste of time Additional number of home visits thanks to extra time Additionalnumberofvisits
    21. 21. 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 Niet voldane behoefte van intramurale zorg Aanbieden van transmurale zorg Norm Rest home (with nursing care) 21 -30%-30%Unserved level of intramural care Offering of additional transmural care
    22. 22. € € € Outline 22 Services Multi-actor analysis Cost/benefit model Value network
    23. 23. eCP purchase eCP operational cost Call center Data center Connectivity Financial contribution patient 23 Cost of primary care Decrease in consultations eConsultations Monthly cost patient Break-even Subsidy / reimbursement
    24. 24. Maandelijksekostpatiënt Dominante scenario's Multi-actor analysis: scenarios 24 Externaldeveloper Connectivityprovider Insurancecompany Government Homecareorganization Monthlycostperpatient Profit model Break-even model
    25. 25. Conclusions 25 Actor + - Patient Better care Social contacts Cost per month Willingness to pay? Primary care eConsultations Time gains  new patients Beter follow-up patients ICT threshold? Home care Time gains  new patients Beter follow-up patients Offering additional services  new customers Improvement of distribution system
    26. 26. Conclusions 26 Actor + - External developer Selling eCarePlatform Large upfront investment Difficulties installation Call center New service Finding and instructing new personnel Connectivity provider New market segment Very small market segment of non reachable customers Government Innovation health care sector Subsidies eCare platform and/or development services Insurance company Offering new services  new customers Improvement distribution system
    27. 27. Thank you for your attention www.smartcareplatform.eu Questions? Jan Van Ooteghem IBCN – UGent jan.vanooteghem@intec.ugent.be Care becoming smart through ICT: innovations and initiatives in Flanders

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