Mobile and eHealth Platforms forChronic Disease ManagementDr. Sinisa Varga, HZZO
• Chronic diseases account for 80% of totalhealthcare expenditures• Incidence is growing on yearly basis due toaging and l...
Numbers worldwide• 1.6 billion adults overweight• Iincreasing number of chronic and long termpatients– 300 mill people suf...
Numbers Croatia• 20,37% (900.000) adults overweight• Increasing number of chronic and long termpatients– 2% (90.000) peopl...
Tackling chronic diseases• Education onself-care• A need for long term involvment of all stakeholderswith focus on individ...
Successful chronic diseasemanagement includes Multidisciplinary teams involvement highly interactivewith patient High qu...
• Enhance chronic disease management programsin long run perspective from process and deliveryperspective• Utilize IT as k...
• National health insurance fund is key driver ofnational eHealth strategy development andimplementation• eHealth is consi...
• Provide faster healthcare service delivery in allaspects• Provide better and faster communicationbetween all stakeholder...
• Croatia has implemented– ePrescription– eReferral– eBooking, eWaiting lists• National interconnectivity includes all GPs...
 137.000 prescriptions issued daily 8483 referrals issued monthly (Feb 2013) eBooking operational to all hospitalsFacts
• Foster moving to patient self-care through:– prevention– education– inclusion in e2e process of CDM• Provide adequate to...
– Preventive panels• Prevention and monitoring of BMI• Prevention of diabetes• Prevention of smoking• Prevention of alcoho...
• Chronic disease patients age 50+• Quality of life jeopardized and goes down• Early disease detection needed• Tools for e...
• Technology area for faster healthcare servicesdelivery• Services to offer for patients:– Remote monitoring– Education– C...
•Proven that having medical data over timeincreases the likelihood of more optimal overallpatient treatment thus impacting...
•Remote monitoring– Field nurse approach (many patients)– Individual approach•Organizational setup determines the starting...
•mHealth platform needs to be integrated toexisting healthcare IT system and interoperable•Security – ensuring patients as...
mHealth benefits for HC serviceproviders• mHealth provides the ability to optimizeoverall patient health status throughpre...
mHealth benefits for insurance• mHealth enables the road towardspersonalized treatment thus influencingoverall cost reduct...
•Piloting some of crucial chronic disease areas:– COPD,CHF and Diabetes•Developing and deployingprocess changes•Implementi...
• Health IT is basis for chronic diseasemanagement program implementation andlong term success in optimizing healthcareout...
Please visitCroatian eHealthIndustry Team1st floorbooth 1000Thank you!sinisa.varga@hzzo.hr
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mHealth Symposium 2013 Croation Health Insurance Fund

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  • EMH 3.1 Healthcare Presentation 2010-31-08
  • mHealth Symposium 2013 Croation Health Insurance Fund

    1. 1. Mobile and eHealth Platforms forChronic Disease ManagementDr. Sinisa Varga, HZZO
    2. 2. • Chronic diseases account for 80% of totalhealthcare expenditures• Incidence is growing on yearly basis due toaging and lifestyle behaviors• Demand on quality and speed of treatment isrisingKey issues from national insuranceviewpoint
    3. 3. Numbers worldwide• 1.6 billion adults overweight• Iincreasing number of chronic and long termpatients– 300 mill people suffer from asthma– 220 mill people suffering from diabetes– 210 mill people with COPD– 17.1 mill deaths from cardiovascular diseases• Ssteadily increasing elderly population (65+)– 2007 – 7% of world population– 2025 – 10%– 2050 – 16%Source: World health Organization; Population Reference Bureau
    4. 4. Numbers Croatia• 20,37% (900.000) adults overweight• Increasing number of chronic and long termpatients– 2% (90.000) people suffer from asthma– 11% (0,5 mill) people suffering from diabetes– 200.000 people with COPD– 25.000 deaths from cardiovascular diseases• Steadily increasing elderly population (65+)– 2007 – 17% of Croatian population– 2025 – 25%– 2050 – 35%
    5. 5. Tackling chronic diseases• Education onself-care• A need for long term involvment of all stakeholderswith focus on individual approach to patient andcontinuous follow-up› Conservativetreatment› Social support programes› Nutrition & physicaltheraphy programes› Remote patientmonitoring
    6. 6. Successful chronic diseasemanagement includes Multidisciplinary teams involvement highly interactivewith patient High quality disease management program creation andfollow-up Adaptable supporting tools and ICT systems
    7. 7. • Enhance chronic disease management programsin long run perspective from process and deliveryperspective• Utilize IT as key asset in CD management• Focus on behavior change and preventionthrough primary care integrated service andpatient empowerment• Croatia Healthcare Strategy 2012-2020Key objectives for chronic diseasemanagement in Croatia
    8. 8. • National health insurance fund is key driver ofnational eHealth strategy development andimplementation• eHealth is considered as basic tool forsupporting the fund mission: to provide andcontinuously enhance health delivery for allcitizenseHealth in Croatia
    9. 9. • Provide faster healthcare service delivery in allaspects• Provide better and faster communicationbetween all stakeholders in healthcare systemthrough central patient management system• Connect all healthcare related registers anddatabases and implement central processmanagement workplaceeHealth implementation goals
    10. 10. • Croatia has implemented– ePrescription– eReferral– eBooking, eWaiting lists• National interconnectivity includes all GPs,hospitals, labs, specialistsIT is already on right track
    11. 11.  137.000 prescriptions issued daily 8483 referrals issued monthly (Feb 2013) eBooking operational to all hospitalsFacts
    12. 12. • Foster moving to patient self-care through:– prevention– education– inclusion in e2e process of CDM• Provide adequate tools to patients to engageon daily basisStep forward in CDM
    13. 13. – Preventive panels• Prevention and monitoring of BMI• Prevention of diabetes• Prevention of smoking• Prevention of alcohol consumption– Chronic disease panels• COPD• Hypertension• DiabetesFocus on chronic diseases both from prevention and managementaspect implemented at GP level with financial incentives forcontinuous follow-upPrevention and chronic disease infoalready at GP level
    14. 14. • Chronic disease patients age 50+• Quality of life jeopardized and goes down• Early disease detection needed• Tools for enhancing QoL needed• Tools for communication and interaction withsystem needed• Patients are and should be the central point ofhealthcare system– Croatia ranking 5. (out of 34) in EHCI report for 2012 inpatient rights and information accessPatients and chronic diseases
    15. 15. • Technology area for faster healthcare servicesdelivery• Services to offer for patients:– Remote monitoring– Education– Consulting– Involvement in own health managementmHealth
    16. 16. •Proven that having medical data over timeincreases the likelihood of more optimal overallpatient treatment thus impacting overall costs•Need to tackle prevention from start – educationis slow but most powerful tool•Patient motivation – one of most critical factors ofsuccessmHealth - chronic disease aspect
    17. 17. •Remote monitoring– Field nurse approach (many patients)– Individual approach•Organizational setup determines the starting point –field nurse setup to start with•Interconnecting patients, family caretakers and primarycare through field nurses – first step in making it nationalmHealth – delivery aspect
    18. 18. •mHealth platform needs to be integrated toexisting healthcare IT system and interoperable•Security – ensuring patients as well as healthworkers have access to same data in reliableand secure manner – privacy , data protection•Single platform, many applications, targeteddelivery processes followedmHealth – technology aspect
    19. 19. mHealth benefits for HC serviceproviders• mHealth provides the ability to optimizeoverall patient health status throughprevention, on-time diagnosis and influenceon risk factors• mHealth should decrease healthcare staffworkload and influence overall cost structure
    20. 20. mHealth benefits for insurance• mHealth enables the road towardspersonalized treatment thus influencingoverall cost reduction mainly in curativeaspects (hospital days, procedures,...)• with relevant and accurate patient health datacollection over time, an enormous asset canbe created for prevention practicing, riskbehavior influence, early disease detectionthus overall impacting HC expenditures
    21. 21. •Piloting some of crucial chronic disease areas:– COPD,CHF and Diabetes•Developing and deployingprocess changes•Implementing mHealth platform within national ITsystem and opening the platform to industryapplications and devicesmHealth – activities
    22. 22. • Health IT is basis for chronic diseasemanagement program implementation andlong term success in optimizing healthcareoutcomes• mHealth is step towards patients self-care andtechnology enabler for new patient-centrichealthcare servicesSummary
    23. 23. Please visitCroatian eHealthIndustry Team1st floorbooth 1000Thank you!sinisa.varga@hzzo.hr

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