Chronic disease management: an economic appraisal

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1 Chronic disease management: an economic appraisal Prof. dr. Guus Schrijvers, November 4, 200, keynote address to leading professionals from the Canton of Bern, Maastricht 200

2 To introduce myself: Professor in public health since 987 In the multidisciplinary Julius Center Of the University Medical Center Utrecht Many educational duties I do research on integrated care with 25 collaborators I have an economic background I was Editor in chief of the International Journal of Integrated Care (IJIC). Go to

3 Content of the lecture Definitions of integrated care Horizontal integration or one stop shops in Holland Vertical integration in Holland and in Europe A theoretical model for chronic disease management An economic theory of DMP s

4 Summary or take home messages Chronic disease management exists everywhere in Europe Is a third way between competition and top down policy Economic outcomes are promissing but not proven

5 Integrated care Provided by professionals with different disciplines, competencies en degree of specialisation With the first objective to promote cooperation With as final objective to promote quality and efficiency of care

6 Definition of disease management Disease management consists of a group of coherent interventions designed to prevent or manage one or more chronic conditions using a systematic, multidisciplinary approach and potentially employing multiple treatment modalities. The goal of disease management is to identify persons at risk for one or more chronic conditions, to promote self management by patients and to address the illnesses or conditions with maximum clinical outcome, effectiveness and efficiency regardless of treatment setting(s) or typical reimbursement patterns. Schrijvers AJP, Disease management: a proposal for a new definition, International Journal of Integrated Care, 2 March ISSN

7 Four models of integrated care No integration linkage coordination full integration With thanks to Kodner & Kiriacou (IJIC, 2000) and Cor Spreeuwenberg and Dennis Kodner (IJIC, 2002) see

8 (Dis)advantages of integrated care Advantages Economies of scope Economies of scale Continuity of care More efficiency within primary process Disadvantages Diseconomies of scope Diseconomies of scale Scalability More costs of coordination

9 De relation between the degree of integration of care and quality of care Quality of care mate van integratie

10 The relation between average costs of care and the degree of integration of care Average costs mate van integratie

11 Horizontal integration or one stop shops in Holland Health centres for primary health care Hospital discharge and transfer points Emergency care centres Office for needs assessment for all types of long term care Multidisciplinary youth health centres Multidisciplinary centres for the elderly Julius Centrum UMC Utrecht

12 Vertical integration in Holland Cooperation projects between PHC,nursing homes and hospitals DMO s for diabetes, COPD, CVRM and haert failure Chains of emergency and accident services Care programs in mental health services Many other DM programs Telemonitoring programs Visit

13 Eigen publicatie

14 Disease management in the Dutch context This is an English book Written by Guus Schrijvers, Cor Spreeuwenberg, a.o. On persons with CF, diabetes type 2, depression,heart failure, palliative care On implementation of DMP s in Holland Read this book Order it on

15 Characteristics of a program based on full integration: care programs and DMP s. One health problem or target group 2. Patient education as independant product 3. Emphasis on prevention and cooperation with cure 4. EBM and structured agreements 5. Patient groups divided in in care and clinical pathways 6. Task substitution from doctors to nurses 7. Use of modern ICT 8. Use of management instruments as feed back 9. Robust organisation structure 0. Central program management and payment system

16 Population stratification: the Kaiser triangle Case Management Level 3 Highly complex patients Specialist Disease Management Level 2 High risk patients Supporting care And Self Care Level 70-80% of a Chronic disease pop

17 thanks to Wim Buisman, Jellinek Clinics Amsterdam) Lower costs Universal prevention Higher costs Better results Poorer results No consumption Experimental use Use, no complaints risky use without complaints Risky use with complaints Addicted Severe chronic addiction Care Specialized treatment Short intervention

18 Tabel. Number of inpatient admissions per * NHS Kaiser USA Stroke Angina Pectoris COPD Heart failure Acute myocardial 550 infarction * Kaiser and USA standardised to NHS

19 Tabel 2. Length of hospital stay (in days) 65+ * NHS Kaiser USA Stroke 27, 4,3 6,5 Angina Pectoris 5,9 2,2 2,6 COPD 9,9 3,8 5,4 Heart failure 2,4 3,7 5,4 Acute myocardial 9,4 infarction * Kaiser and USA standardised to NHS 4,4 5,5

20 Tabel 3. Costs comparisons NHS and Kaiser Permanente NHS Kaiser Per capita expenditure in dollar Acute bed days per 000 per year Time spent with PCP in minutes ,

21 References Articles: Dixon J, Lewis R, Rosen R, e.a. Can the NHS learn from US managed care organisations? BMJ 2004;328: Feachem RGA, Sekhri N, White K. Getting more for their dollar: a comparison of the NHS and California's Kaiser Permanente BMJ 2002;324: Gillies GL, Abrams KR, Lambert PC, e.a. Pharmacological and lifestyle interventions to prevent or delay type 2 diabetes in people with impaired glucose tolerance: systematic review and meta-analysis BMJ 2007;334:299 Ham C, York N, Sutch S, Shaw R. Hospital bed utilisation in the NHS, Kaiser Permanente, and the US Medicare programme: analysis of routine data BMJ 2003;327:257 Holman H, Lorig K. Patients as partners in managing chronic disease BMJ 2000; Light D, Dixon M. Making the NHS more like Kaiser Permanente BMJ 2004; Murphy E. Case management and community matrons for long term conditions BMJ 2004; Shapiro J, Smith S. Lessons for the NHS from Kaiser Permanente BMJ 2003; Wagner EH. The role of patient care teams in chronic disease management BMJ 2000; Other sources: Letters in BMJ on the debate Kaiser vs. NHS see: BMJ 200; , 2004; RIVM. Health on course? The 2002 Dutch Public health status and forecasts report p. 74 Stivoro. Annual report 2006 p. 53

22 Chronic care model by Wagner

23 Literatuur over chronic care model Randomized Control Trials Battersby MW. Health reform through coordinated care: SA HealthPlus. BMJ 2005; 330(7492): [Link] Southern Australia HealthPlus : four regions working on eight sub-trials found that a generic model of coordinated care resulted in improved well-being for people with a wide range of chronic conditions in both rural and urban settings. Lozano P, Finkelstein JA, Carey VJ et al. A multisite randomized trial of the effects of physician education and organizational change in chronic-asthma care: health outcomes of the Pediatric Asthma Care Patient Outcomes Research Team II Study. Arch Pediatr Adolesc Med 2004; 58.(9): [Link] This RCT compared planned asthma care to physician education; planned care was shown to be more effective than physician education alone in decreasing asthma symptom days for children with mild to moderate asthma. Piatt GA, Orchard TJ, Emerson S et al. Translating the chronic care model into the community: results from a randomized controlled trial of a multifaceted diabetes care intervention. Diabetes Care 2006; 29(4):8-7. [Link]

24 Summary or take home messages Chronic disease management exists everywhere in Europe Is a third way between competition and top down policy Economic outcomes are promissing but not proven We can learn from Europe, Canada and USA

25 I thank you very much for your attention

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