PHOENIX PATIENT SERVICES JOURNEY RESULTS AND LEARNINGS FROM DUTCH EXPERIENCES. Brussels 10 th of March 2015, Paulien Schul

Transcription

1 PHOENIX PATIENT SERVICES JOURNEY RESULTS AND LEARNINGS FROM DUTCH EXPERIENCES Brussels 10 th of March 2015, Paulien Schul

2 Presentation outline 1. Patient Services 2. BROKIS Zorgcoach 3. Results 4. Learnings 5. Final Remarks on Patient Services 12-Mar-15 PHOENIX group - We deliver health 2

3 1. Patient Services PHOENIX: Integrated Healthcare Provider link between medicine and patient + Delivering the right pack To the right pharmacy At the right time Helping the right patient To take the right medicine At the right time continuously! MEDICINE + = PATIENT CARE PATIENT Patient outcome VALUE Health costs 12/03/15 PHOENIX group We deliver health 3

4 2. BROKIS Zorgcoach Dutch example of Integrated Patient Care What is BROKIS Zorgcoach? IT Monitoring tool dashboard developed and implemented by Brocacef to support pharmacists in pharmaceutical patient care programmes It facilitates to perform patient care services in an efficient and uniform way and to be able to measure outcomes and report on them Via pre-screening patients are selected who might be eligible for patient care services (clinical rules run through a data-ware-house of dispensed medicines data and medication evaluation profiles can be provide overview to the pharmacists) Follow-up and reporting is pragmatic, harmonised, transparent and is used for benchmarking Currently two applications are available: 1. BENU Zorgprogramma s The program is filled with clinical rules, based on guidelines and quality performance indicators 2. BENU Check This program supports the medication review (clinical level) Pharmacy Information System BENU DataWareHouse BROKIS Zorgcoach BENU Zorgprogramma s BENU Check 12-Mar-15 PHOENIX group - We deliver health 4

5 2. BROKIS Zorgcoach Schematic IT monitoring tool - dashboard Exchanging between central and local via integrated approach PHOENIX group - We deliver health 5

6 2. BROKIS Zorgcoach IT monitoring tool - dashboard Moving dashboard meters and graphics show targets and individual progression of different programs 12-Mar-15 PHOENIX group - We deliver health 6

7 2. BROKIS Zorgcoach Searches / Clinical rules: Medication Evaluation Profile IT IT-Algorythm compiles long-list of potentially nonadherent patients PRE SCREENING VIA DWH 12-Mar-15 PHOENIX group - We deliver health 7

8 3. Results Process indicators BROKIS Zorgcoach Figures BENU Zorgprogramma s 31st of December 2014 Pharmacies included 251 Patients screened Patients selected for intervention Recommendations for intervention Interventions in process Interventions completed Figures BENU CHECK 31st of December 2014 Pharmacies included 259 BENU Checks started BENU Checks in process 656 BENU Checks completed Started in March Mar-15 PHOENIX group - We deliver health 8

9 3. Results Example: Asthma / COPD Service Educate and support patients to stay on therapy & gain control over their lung disease Improve adherence through pre-screening and a toolkit of interventions >>> choice through patient assessment. Process Indicator: Implementation-rate of 80% of the service Primary Outcome: : increase on average of about 35% (n=~ patients yearly, adherence increased from ~ 55% to 68-87%) Secondary Outcome: less exacerbations (antibiotics, prednisolon and overuse salbutamol) IPF together for COPD Tertiary outcome: measure of reduction of health cost and less hospitalization Follow-up IPF is a partnership of Brocacef, Health Insurer, KNMP and 4 manufacturers. 12-Mar-15 PHOENIX group - We deliver health

10 4. Learnings Sales & Marketing & Communication PHOENIX Patient Services Journey Training & Education: Change management & Reputation management Pharmacist is recognized as indispensable team member of local primary healthcare team Manufacturer is recognized as indispensable industry for cost- effective healthcare providing Branding the profession & Branding the medicine 12-Mar-15 PHOENIX group - We deliver health 10

11 4. Learnings Data / Business Intelligence Measure outcome of adherence programme to get stakeholders on board Data and legal aspects need to be checked for each country Data gathering Data storing Data analysis Data reporting Understand, create and capture value PMR Interventions / tools / services Patients characteristics - Access to electronic prescription databases or national one - Access to clinical values like kidney insufficiency Connectivity Proven increase in patient s outcome is key for long-term success 12-Mar-15 PHOENIX group - We deliver health 11

12 4. Learnings Data / Business Intelligence: Start Basic and then step up Process indicators # pharmacies # patients # recommendations - # interventions Primary outcome measures Persistence (# drop outs) Dispensing / Adherence rate Secondary outcome measures Exacerbations Clinical values (BP, Glucose, HbA1c, Cholesterol) Evidence based prescribing Tertiary outcome measures Less health costs Less hospitalization 12-Mar-15 PHOENIX group - We deliver health 12

13 4. Learnings Process & Structure: Fundament & Preconditions Fundament of Patient Services Partnership with stakeholders & Local relationship of patient-prescriber-pharmacist triangle (3Ps) in concordance model Prescriber Patient Pharmacist Wholesaler Preconditions: - Complying to legislation / privacy / informed consent - Complying to Professional guidelines - Respecting professional autonomy - Good relationship & partnership - Resources [workload/data gathering/it support] - Good IT tools in order to facilitate monitoring A collaborative approach 12-Mar-15 PHOENIX group - We deliver health 13

14 4. Learnings Process & Structure: Key principles Ensure Implementation There is no one size fits all solution Different levels of services to be offered Keep it practical, pragmatic and simple A collaborative approach Patient Communication is key to success Monitoring Evaluating Reporting Prescriber Pharmacist Wholesaler Trust, transparency and sharing is the cornerstone of partnership 12-Mar-15 PHOENIX group - We deliver health 14

15 5. Final Remarks on Patient Services Patient Services enhanced by PHOENIX Facilitate local network of experts / healthcare providers and thus support the direct contact with the patient to optimise the treatment and health outcomes Facilitate local MEDICINE network of experts / healthcare + providers and thus PATIENT support the direct contact with the patient to optimise the treatment and health outcomes = PATIENT CARE Patient outcome VALUE Health costs value@customer & value@company & value@society \ Understand, create and capture value 12-Mar-15 PHOENIX group - We deliver health 15

16 QUESTIONS? DO YOU WANT TO GO FAST, GO ALONE DO YOU WANT TO COME FAR, GO TOGETHER (AFRICAN WISDOM) THANK YOU!