2. Goal To be aware of the current management of the chronic conditions, the raising costs to cope with such diseases, and the need of a new paradigm where ICT and patient empowerment are the drivers towards a new sustainable health system based on a patient centered approach.
3.
4. KaiserPermanentPyramid level 3 High complexity case management High complexity 3-5 % of CDM population 60% of adult population level 2 High risk 15-25% of CDM population disease/care management professional care level 1 self care self care support/ management level 0 40% self care
11. Key elements – WHO recommendations Identify, score and stratifypopulation Planify andcoordinatecarewithinallhealthcarelevels, using case managementmethodology Specificguidelines and protocolsforeachdisease Specificeducationaldiseaseprogrammes IntegratedInformationSystems, allowing a predefinedBalancedScoreBoard Alignresources and incentives Evaluate and improvequality, cost and service Where can technologyhelp?