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Value-based care
management in
integrated social and
health careIiris Hörhammer, DSc. (Tech.), MSc. (Econ.)
Miika Linna, D...
”Value” in performance measurement frameworks
Value =
Health outcomes*/
dollars spent
*outcomes valued by the
patient
24.4.2018
3
Elderly people’s services: use, costs, effectiveness
and financing (ELSE project)
Patient-level data on elderly citizens (...
Atrial fibrillation incident cohort, housing status 2 years
before and after diagnosis
24.4.2018
5
Source: Elderly people’...
Atrial fibrillation incident cohort, housing status 2 years
before and after diagnosis, sub-group with stroke
24.4.2018
6
...
Cost (€) in atrial fibrillation subgroups with adverse
events (1 year follow-up)
24.4.2018
7
Dementia patients’housing status transitions, 1
year follow-up after diagnosis
24.4.2018
8
Big municipalities, averageMuni...
24.4.2018
9
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Presentation in the IMPRO´s kick-off seminar: Integration of health and social care – predicting the quality, costs and consequences 17.4.2018

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Iiris Hörhammer: Value-based care management in integrated social and health care

  1. 1. Value-based care management in integrated social and health careIiris Hörhammer, DSc. (Tech.), MSc. (Econ.) Miika Linna, Docent, DSc. (Tech.) HEMA Institute (Healthcare Engineering Management and Architecture) Department of Industrial Engineering and Management Aalto University
  2. 2. ”Value” in performance measurement frameworks Value = Health outcomes*/ dollars spent *outcomes valued by the patient
  3. 3. 24.4.2018 3
  4. 4. Elderly people’s services: use, costs, effectiveness and financing (ELSE project) Patient-level data on elderly citizens (75 and older, 2014) in big and middle-sized Finnish municipalities, years 2009-2014 Around 2/3 of Finnish elderly citizens Service data included: Health care (primary and secondary) Social care (home care, sheltered housing, nursing home and institutionalized care (primary care ward) 24.4.2018 4
  5. 5. Atrial fibrillation incident cohort, housing status 2 years before and after diagnosis 24.4.2018 5 Source: Elderly people’s services: use, costs, effectiveness and financing (ELSE) ELSE project, Association of Finnish Local and Regional Authorities
  6. 6. Atrial fibrillation incident cohort, housing status 2 years before and after diagnosis, sub-group with stroke 24.4.2018 6 Source: Elderly people’s services: use, costs, effectiveness and financing (ELSE) ELSE project, Association of Finnish Local and Regional Authorities
  7. 7. Cost (€) in atrial fibrillation subgroups with adverse events (1 year follow-up) 24.4.2018 7
  8. 8. Dementia patients’housing status transitions, 1 year follow-up after diagnosis 24.4.2018 8 Big municipalities, averageMunicipality A, average Source: Linna et al. 2018. Hoidon vaikuttavuuden ja sote-palveluiden käytön alueellinen vertaileminen [In Engl. Comparing regional effectiveness of care and use of social and health care services], ELSE project
  9. 9. 24.4.2018 9

Presentation in the IMPRO´s kick-off seminar: Integration of health and social care – predicting the quality, costs and consequences 17.4.2018

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