Jakob Sylvester Nielsen's presentation on Patient-Centered Care at the Healthcare DENMARK Ambassador Summit 2014 in Copenhagen.

1. MUNICIPALITY OF LYNGBY-TAARBÆK
HEALTH
Healthcare Denmark 27 –28. Oktober2014

2. Lyngby-Taarbæk Municipality
•Lyngby-Taarbæk: A municipalitywithapprox. 53.000 Citizens –an avaragesizemunicipalityi DK.
•App. 3.800 citizensareestimatedto sufferfrom COPD in the Municipality–only50 pct. Diagnozed.
•EpitalHealth is a Citizen-centricCOPD-telemedicineprojectaimedat tackling the challengesfacingthe healthcaresector
•Project initiatedi november 2011 –52 activeCOPD- citizensactivetoday–target2015: 150 citizens.
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3. A Citizen-centricapproach to a sectorneutral healthcaresystem focusedat;
•Selfmonitoringof keyhealthindicators
•Citizen Empowermentthroughhealthpromotingservice offers
•Supervision from a call-centerand proactivemeasurestowardscriticalpatient valuemeasurements
•24-Hour on-calldoctorto support CallCenter nurses –LEON
•FullIT-basedsupport system for processesog documentation
The Vision
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4. 1.Betterquality-of-lifefor citizensand reducedmortalityrates
2.Diminishinghealthcareexpenditurethroughfeweracutehospitalisationsand ambulant treatments
3.Diminshingexpenditureonhomecarefor citizens
4.Competencydevelopmentof employees, aimingto support the effortsto digitalisethe public welfareservices
The Goals
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5. The actorsin EpitalHealth
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Citizen
Pharmacy
Subacuteunit
EpitalTechnical
Service team
General
Practitioner
EpitalClinical
Service team
EpitalHealth
Coach
Physiotherapist
Dietician
Municipality
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6. ”The Funnel”
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Reduction
of
admissions
Admission
athospital
Selfmanaged
Support 1
Support 2
Managed
Controlled
30%
10-15%
10%
10%
10%
25-30%
Measures
Activity
Empowerment
IT-Support
Selftreatment
AsyncronousTM
EpiCallCenter
SynchronousTM
Responseteams
Intensified
observation
Empowerment
HealthyLifestyle
Insightto ownhealth
Network/Communities
Increasecomptences
Symptom understanding
Selftreatmentplan
IT-baseddecsion
support
Link to ECC
Rapidresponse
Professional support
Optionalservices
Care/coaching
Coordination
Monitoring
Sparring
1. Clinicallysupported
care
2. Outgioingspecialised
ClinicalService Team
”Admitted” at
home
Admittedat
Subacuteunit at
Municipality
Intensified
observation andcare
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7. Citizen -Summer 2014
Medical box –rescue medication
e-health navigator
e-health monitoring devices

8. CallCenter, Lyngby-Taarbæk, –Summer 2014

9. Instant acces to core clinical data
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Real-time communication while having access
to updated clinical data

11. Results?


12. ResultsI -Economics
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Activities of 28 citizens in Epitalet
Periode
01.10.2013-31.03.2013
01.10.2014-31.03.2014
Pct. Change
Number of hospitalizations
10
5
-50%
Number of days in the hospital
70
15
-79%
Total cost of hospitalization (DDK, DRG-value)
1.149.560
129.090
-89%
Municipality direct payment of hospitalization (DDK)
97.112
43.890
-55%
Number of outpatiens visits
26
14
-46%
Total cost of outpatiens visits (DDK)
73.066
39.239
-46%
Visits general practitioner
239
250
5%

13. ResultsII –Qualityof life
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Megetuenig
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Meget enig
Respondents
27. It means a lot to me that I can make measurements to check my health conditions, whenever I need that (n = 22)
Agree
Disagree

14. ResultsII –Qualityof life
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Megetuenig
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Meget enig
Respondents
22. After I joined the Epital, I have had less need to contact the emergency/ 1813, when I feel bad (n = 15)
Disagree
Agree

15. ResultsII –Qualityof life
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Meget uenig
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Meget enig
Respondents
34. I am completely comfortable with giving The health staff the needed information through Epital in order to help me (n = 22)
Disagree
Agree

16. 1.Expandingthe numberof citizensin the project–150 in 2015 (and more) includingcitizensfrom surrondingmunicipalities: Gettingmore data for studies.
2.Considerationsof expansionaf projectto othergroupsof cronicdiseases-The Epitalis a genericsystem : positive business case ?
3.Scrutinizethe national strategictargetsand politicalagenda: municipalitiesand regions shouldgo in the same direction.
Perspectives
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