Healthcare Region Carus Consilium Sachsen. Who organizes the Healthcare of the future?

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1 Healthcare Region Carus Consilium Sachsen Who organizes the Healthcare of the future?

2 AGENDA I. Strategy: - Challenges for the Health Care System - Establishment of Networks: Ways of Healthcare in the Future II. The Healthcare Region Carus Consilium Sachsen III. Who organizes (this) Health Care? Seite 2 CCS Stand:

3 External Conditions Healthcare in Germany is shaped by its structural challenges: Demographic Change Over-Demand Under-Funding Sectorization Inefficient Organization and Misallocation Ungenaue Kalkulation: fehlende Steuerungsmöglichkeiten Seite 3 Integrierte Gesundheitsversorgung der Zukunft Stand:

4 CPopulation 65-years and older in Germany 2010 Seite 4 Titel als Fußzeile einfügen Stand:

5 Changes in the number of >80 years old 2005 bis 2025 (%) Data Base: BBR- Bevölkerungsprognose /bbw BBSR Bonn 2009

6 How can Innovations reach the Healthcare System? Scientific Innovations in Healthcare are particularly marked by the improvement of processes and structures and therefore by the extension of what already exists. Requirements are: The ability to develop and evaluate new processes and structures The ability to implement and evaluate regulations in the system The ability to foster scientific progress and transfer the results continuously into the care system The ability to translate acquired knowledge to other regions Seite 6 Integrierte Gesundheitsversorgung der Zukunft Stand:

7 From Wheelwork to Network Specialisation Desintegration Automatisation Networking Cooperation Integrated Care Function-related Managed Care Seite 7 Integrierte Gesundheitsversorgung der Zukunft Stand:

8 AGENDA I. Strategy: - Challenges for the Health Care System - Establishment of Networks: Ways of Healthcare in the Future II. The Healthcare Region Carus Consilium Sachsen III. Who organizes Health Care? Seite 8 CCS Stand:

9 UHD as Partner Goal: Equal Partnerships Innovation & Financing Quality & Efficiency by integrated care Physicians University Hospital CCS Health Insurance Company Hospital Research Institutes IT-Sector Care/Rehabilitation/ Physio Pharma-, Biotech Companies Medical Technology Seite 9 CCS Stand:

10 Alliances and Partnerships Health Service Research and health-economic analyses Cooperation of institutes and organizations Co-determination of framework-political guardrails Cooperations of different services in health economy 1. sport and leisure 2. wellness 3. Living and diet 4. tourism 5. health insurance 6. research and development 7. public administration 8. organization of the health care management industry 9. pharmaceutical industry 10. Health business 11. Bio- and genetic engineering 12. medical technology 13. whole sale with health products 14. specialised and retail trade (incl. Pharmacies) 15. health care system (hospitals, health care facilities, physicians) Seite 10 Titel als Fußzeile einfügen Stand:

11 Our Vision The vision of the Carus Consilium Sachsen is it to deliver continuous care to the population as well as offering prevention, consultation, guidance, training, nursing and medical treatment, in order to enable them to live a long life, to improve their quality of life and to avoid the appearance of different regional earnings quality. The Healthcare Region Carus Consilium Sachsen is successful if it manages to win a critical number of partners and stakeholders within the region and involve them in the development process of a strategy for the establishment of the Healthcare Region CCS. Seite 11 CCS Stand:

12 The Healthcare Region CCS Weißwasser Hoyerswerda Leipzig Wurzen Rothenburg Riesa Großenhain Kamenz Radeburg Bautzen Meißen Coswig Radebeul Moritzburg Dresden Pulsnitz Radeberg Arnsdorf Bischofswerda Löbau Görlitz Mühlau Rochlitz Freiberg Klipphausen Wilsdruff Freital Niederschöna/ OT Hetzdorf Possendorf Kreischa Pirna Gohrisch Sebnitz Bad Schandau Großschönau Ebersbach Oderwitz Zittau Ostritz Chemnitz Bad Gottleuba-Berggießhübel Glauchau Altenberg Zwickau Elsterberg Bad Elster Seite 12 Titel als Fußzeile einfügen Stand:

13 Projects as Framework for Cooperations The Healthcare Region CCS places its main emphasis on the following core areas for the orientation and organization of the model project regionally organised and integrated healthcare employment, work with young talents and shortage of skilled workers telemedicine and IT-integration in the healthcare region communication and transparency demographics and population-based, comprehensive healthcare Seite 13 Integrierte Gesundheitsversorgung der Zukunft Stand:

14 Partners CCS Fokusgruppe PRÄVENTION SEHVERLUST CCS Fokusgruppe PROSTATA Seite 14 CCS Stand: Prof. Dr. med. Andrea Morgner

15 Aims for the Establishment of a Regional Care Concept Creation of Supply Organizationstructure, Development Business plan, Marketing Idea, Objective/Target Determination of demand Seite 15 Integrierte Gesundheitsversorgung der Zukunft Stand:

16 Services of the CCS GmbH Consultation: Regulatory Frameworks, business model/ project type (integrated care), Analyses of demand, potential partners, remuneration Networking: i.e. bringing providers and cost bearers together Development of Concepts, Applications Project Monitoring: Calculation, Project Management, Communication, Documentation, Quality Assurance Seite 16 Integrierte Gesundheitsversorgung der Zukunft Stand:

17 Projects and Events Strategic Region-specific Partner-sectoral integrating Regionally organised and integrated Healthcare Organisation of focus groups, participation in care and quality studies, establishment of quality circles SOS Net, SOS Care, care analysis Dementia Shortage of young professionals and winning of skilled personnel Telemedicine and IT Networking in Saxony Communication Demography and nation-wide healthcare concepts Weiterbildungsverbund CCS (Further Education Alliance CCS), Case/Network Management certificate course (DIU, DGCC) CCS Telehealth/ Tele-Konsil, ehealth, mobile intersectoral care, efa (electronic patients files) Partnerdialog, Koordinierungsstelle Gesundheitswirtschaft (Coordination Center Health Economy), SZ advisory council Medizin heute, Website CCS, CCS Newsletter, AMiCE Teletumorboard, Telepathology, integrated Stroke Care SOS Net (ESF-Project), Tele Nursing Moderation and Initiation of cooperations, Initiative Öffentlichkeitsarbeit ostsächsischer Krankenhäuser (initiative public relations of hospitals in East Saxony) Modell Project Sebnitz, Familiengesundheitspaten CCS (Family Health Godparents) Seite 17 Integrierte Gesundheitsversorgung der Zukunft Stand:

18 Perspectives 2012/13: New Contents Work Areas of the Future: Topics Projects Telemedicine and IT-networking in Saxony CCS-Telehealth (Partners a.o.: T-Systems International GmbH, UHD, TU Dresden) Communication Project Support Koordinierungsstelle Gesundheitswirtschaft (Coordination Center Health Economy) (Partner: DIU) SOS-Care / SOS-Net / telemedical counseling of patients with diabetes Consulting Services report POMERANIA/ Geriatrics project (geriatric care after treatment in hospital/ Case Management) Seite 18 Vorschlag zur Kosten-. Und Erlösoptimierung Stand:

19 Project 1: Strategic Cooperation Telemedicine CCS Telehealth East Saxony: Telematic Networking in the Healthcare Region Carus Consilium Sachsen in order to overcome the lack of professionals as well as the aftermaths of the demographic development Carus Consilium Sachsen University Hospital Dresden University of Technology Dresden Projects: T-Systems/Deutsche Telekom Telenursing, Telepathology, Teletumorbord and SOS-CARE Seite 19 Integrierte Gesundheitsversorgung der Zukunft Stand:

20 Strategic Cooperation Telemedicine CCS Telehealth University Hospital Dresden Telecoaching Telestroke-Care Telepathology Teletumorboard Partners: Heart Center Dresden Partners: Rehab Clinic Nursing Service DUSC DIU Partners: UKL Clinic Freiberg Organ Cancer Centres Oncologic Centers TeleHealth Platform Partners: UKL Hospitals and Clinics in Saxony Onkology Centers

21 Project 2: SOS-CARE On May 2nd, the project Case Management an den Schnittstellen der integrierten Schlaganfallversorgung *, which is funded by the European Social Fund, started in the Healthcare Region Carus Consilium Sachsen. Goal: Development and Implementation of integrated care for stroke patients, supported by case management. Partners are a.o.: German Association for Care and Case Management, AOK Plus, Stiftung Deutsche Schlaganfallhilfe. *Case Management at the Interface of Integrated Stroke Care Seite 21 Integrierte Gesundheitsversorgung der Zukunft Stand:

22 SOS NET/SOS CARE Stroke Care East Saxony Network (SOS-NET) Quality-Assured Case Management in the Region East Saxony (SOS-CARE)

23 SOS-NET Structure Hospital 1 University Hospital Carl Gustav Carus Dresden Stroke Center SOS-NET Stroke Unit Hospital 2 Hospital 3.. Telemedicine Transfer of Quality Standards Quality Assurance Help after a Stroke - SOS-CARE 23

24 SOS-NET Current Status DUSC Tele-Partner Tele-Partner in Preparation Regional Secondary Center Regional Stroke Unit Help after a Stroke- SOS-CARE

25 Healthcare Chain Stroke Prevention Emergency Management Acute- Care Rehabilitation Reha After Care Outcome Optimized Acute Care Good Access to Rehabilitation BUT Need for Optimization at the interfaces Need for Optimization in aftercare

26 Help after a Stroke SOS-CARE Prevention Emergency Management Acute Care Rehab After Care 1.Patient Pathway Notfall- and quality-assured Akut- regional Case Managements Prävention Management Versorgung Nachsorge 2. efa(case File) incl. Workflow Management 5. BOOT and IV Contract 3. Certification Course Case Management 4. Evaluation Concept

27 SOS-Care Solution Sketch Description Case Managers work on an electronic workplace in clinics within the SOS-Net Monitoring of current treatment locations and constitution of the patient Support of the CM in the treatment process of the quality assurance model (QUIS) Administration and standard security of patient data via efa(electronic case file) Electronic transfer of data and applications to secondary institutions

28 Project 3: Familiengesundheitspaten What it is: The project Familiengesundheitspaten (Family Health Godparents) is a joint project of the Carus Consilium Sachsen (CCS) GmbH and the University Child-Woman s Center at the University Hospital Carl Gustav Carus Dresden (UHD). Time Frame: Area: Dresden Target: Winning of honorary family godparents as constant contact persons and confidants of the family. The family godparents accompany during trips to the authorities and pass information on regional offers around children. Seite 28 Titel als Fußzeile einfügen Stand:

29 Familiengesundheitspaten General Goals: Support of the health-related and social development of children in the first three years of their lives Strengthening of the parents-child-relationship/ strength of the family Establishment of networks for the demand-oriented offers for pregnant women and families respectively fathers and mothers with children up to the age of three Offer This offer is made to ALL families from the city of Dresden that expect children/already have children Regardless of their heritage, nationality, social status Seite 29 Titel als Fußzeile einfügen Stand:

30 Project 4: AMiCE AMiCE-An amicable network of Academical Medical Centers in Europe AMiCE Participating Hospitals > Already established amicable network of 8 European Medical and Educational Institutions > Coordination of the network by the Healthcare Region Carus Consilium Sachsen and therefor tight personell linkage to the University Hospital Dresden, which has the presidency over the network from > Exchange in fields of research, education, management, healthcare > Admission of further partners in the future possible Seite 30 Integrierte Gesundheitsversorgung der Zukunft Stand:

31 AMiCE Network Goals of the AMiCE-Network > Enhancement of the European University Hospital network s activities in the following 3 years > Aim: To increasingly interlink the activities of the European Healthcare Regions and intensify the cooperation (Prof. Albrecht, Chair of the AMiCE Network ) > Initiating and organisational support of joint projects of the member hospitals in the areas of medical education, research and healthcare on the European level > Joint formulation of the agenda of the eight members and their institutions to the EU and bundling of regional network activities of similar orientation 1) "Amicable Network of Academical Medical Centres in Europe" > Research and processing of information via potential EU funding in the areas of research, education and healthcare as well as transfer of those to the members Seite 31 Integrierte Gesundheitsversorgung der Zukunft Stand:

32 AGENDA I. Strategische Positionierung für die Zukunft: - Herausforderungen an das Gesundheitssystem - Netzwerkbildung: Versorgungsformen der Zukunft? II. Die Gesundheitsregion Carus Consilium Sachsen III. Who organizes healthcare? Seite 32 CCS Stand:

33 The (regional), operative Management Company as organizational framework Quelle: nach Greuel, 2010 Seite 33 Integrierte Gesundheitsversorgung der Zukunft Stand:

34 Conclusion Regionally integrated comprehensive healthcare as model of the future Business Health regionale, operative Management Company - Structured documentation and secure communication(epa) - patient-specific treatment pathways - Identification and development of incentive systems Basis is always the regional demand and the demand-oriented benefits plan (strategic health organization) Seite 34 Integrierte Gesundheitsversorgung der Zukunft Stand:

35 Thank you very much for your attention! Contact: Sabine Rößing Tel.:

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