The Dynamic Healthcare Environment Its impact on the Future

1. The Dynamic Healthcare Environment
Its Impact on the Future
Dr Ambrose McLoughlin
Secretary General
31st October 2012

2. Patient-Centred Healthcare

3. Patient Profile
• Patients are living longer
• Managed chronic diseases – the
“Artificially Well” patient
• Co-morbidities
• Cardiac
• Respiratory
• Endocrine

4. The Healthcare Professional
• Challenges of the dynamic
healthcare environment to
today’s healthcare professional
• Changed skillsets for healthcare professionals
• Competent practice of their professions
• Maintenance of competence
• Relationships with patients

5. The Evidence Base
• Modern Healthcare
• Evidence based
• Cost effective
• Outcomes focussed
• Patient’s environment
• Home Care
• Self Care
• Shared Care
• Ambulatory Care
• Day Care
• 5 Day Care

6. The Technology
Electronic Patient Records
• Records follow the patient (digital/chip technology)
• Remote patient monitoring
• ICT/Smart technologies enable the
care environment
― BP monitoring
― Clinical & Phlebotomy results
• Access to accurate and current patient records will increase the scope of Health
Professionals to add value to patient care

7. The Technology
Patient Self-Monitoring
• Patient monitors his/her own condition
• Patient takes responsibility
• Practitioner and Patient have
access to the relevant information
•Smoking cessation
•Substance abuse
•Obesity
•Mental health
• Synchronised messages
between patient and practitioner
• “Close the Feedback Loop”

8. Potential Impact on the Patient
• Empowered patient
• More active in their own
healthcare
• Healthcare is driven and directed by the patient – demand led patient
care

9. Patient-Centred Healthcare
Economic
Analysis

10. Health Economics
• Cost analysis models
• Metrics
• Cost of inputs is assessed
• Consider the stage of the technology & the learning
curve effect
• Mature technologies: cost and skill mix adjustments
• Development & growth phase technologies:
opportunities for efficiencies

11. Patient-Centred Healthcare
Economic
Analysis
Patient Protection

12. Patient Protection – The Role of the
Regulator
• Protection of patients in a changing healthcare
environment is critical to ensure successful patient
outcomes
• Competent Practitioners
• Clinical & technology systems in place are
appropriate and meet the standard
• Verify that patient outcomes are being monitored

13. The Future of Healthcare
• An informed patient means increased compliance and
better outcomes
• Advancements in technology will change the nature,
scope and location of the patient’s care environment
• Specialist Nurse Practitioner and Pharmacist have greatly
enhanced role in the future
• Cost Effective Integrated Interdisplenary Care – Best
Outcome
• A Real Challenge for all
• How can Department of Health and it’s Ministers Help?