Upscaling selfmanagement In the Netherlands Selfcare supported

Transcription

1 Upscaling selfmanagement In the Netherlands Selfcare supported

2 Combining forces to succeed in upscaling selfmanagement Other patientgroups ZO! >90% NIA ZN KNMG NPCF Taskforce ehealth

3 Selfmanagement is not a question but a fact for everyone and especially for those with a chronic illness. Hours yearly awake. Blue the hours a chronically ill patient is supported by a careprovider (high estimate) From the 5000 hours awake the careprovider can only support a very small part Everyone (with a chronic illness) is active with selfmanagement. Decides over his own life, own nutricion, movement and goals. There is a difference between patients The way they are able and motivated The way they want to be supported The way it is important for their health Bron: Watching over the 5000 hours, Asch e.a 2012, New England journal of medicine

4 Many activities in selfmanagement in the Netherlands, scattered though and not effective enough (yet) 14 different selfcareplatforms NL Many own standards Not enough integration with information systems Really guiding and seducing patients is necessary 42 caregroups active with selfmanagement (1/3 e ) In 42 different ways Only a few succesfull Too little knowledge sharing Not transparant what is and what isn t effective Stijgende zorgkosten Research in cost effectiveness is starting but

5 Technologically it is possible, the patient wants it and it is imperative for society Technological possibilities of ehealth are improving rapidly e.g. VitalHealth HIS example Demand for higher control by the patient Rising healthcare costs Necessary on national level: The Dutch healthcare expenses have risen in the periode with 52 %!! Increase of costs at this pace will lead to higher pressure on collectivity and solidarity.

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7 Increasing amount of evidence indicates selfmanagement leads to a better positive health and quality of life. Support of selfcare means for the patient: Better understanding of the healthcare process More control and setting personal goals with respect to health, lifestyle and behaviour Better balanced process with demand of the patient Higher level of therapy follow up Reduction of burden of disease and better quality of care. Optimal usages of professional care Support by careproviders, ICT, medical devices and surroundings. SROI ZON MW Nivel 42 ZG NL UK USA Bron: Department of Health, Research Evidence on the Effectiveness of Self Care Support, 2007, geraadpleegd via

8 To be effective selfcare has to be supported and facilitated at three levels National Point at the horizon, evidence, tools, toolkit simplifying implementation Local / regional Support for local/regional initiatives active with implementing supported selfcare. Personal / interaction patient and careprovider Support/ facilitating implementation by care providers and patients by pre-competitive coordination reimbursement Source: o.a. NHS

9 Care provider Patient Implementing selfmanagement requires a coordinated cooperation by all involved Processes and (ICT) support Core of success: Co-creation and whole system change! Interaction Commisioning Like building a house: all elements necessary to stabilize the house should be used With supported selfcare it takes a coordinated execution of elements to get a successful implementation: whole system change

10 Careprovider Patient Selfcare Supported is addressing and facilitating the whole system approach Processes Health and (ICT) support insurance company Realisation of selfmanagement demands a coordinated approach of change management for the care provider and organisation, the patient and the insurance companies and the way they interact together. Care provider Interaction Commisioning Patient None of the parties can do it on its own. Selfcare Supported! combines efforts in the triangle patient, care provider and insurance company. Only when implementation elements will be implemented in a coordinated way selfmanagement can be successfully executed. Long term consistent execution of regular processes.

11 Members of Selfcare Supported ensure a coordinated and accelerated implementation of selfmanagement. Pla orm Z Pla orm X Prak jk 44 Prak jk 20 Kennis bundelen: Pilots Kennissessie Par jen verbinden Zorgmodule zelfmanagement Onderzoek 32 Kernset Pla orm Y Landelijke schakelpunt Prak jk 1 Ketenbericht Kennis verspreiden: Toolkit Ambassadeurs Kennisdeling sessies Communica e Implementa e S muleren Kwalita ef inhoudelijke afspraken contractering Implementeren Implementa e s muleren ICT ondersteuning basiseisen (niet zelf maken IT) 25% DM Implementa e faciliteren: Belemmeringen beleggen bij juiste par j om weg te nemen S p op de horizon (rode lijn) Zelfzorg chronisch zieken DM COPD + 11

12 A coordinated and accelerated implementation means creating movement, evidence and ambassadors

13 November 21st 2013

14 June 5th 2014: sharing knowledge

15 December 4th, Translating knowledge in a effectively proven selfmanagement implementation plan with supporting toolkit

16 Still questions remain How to maximally involve the low-literate and low-educated? How to optimally adapt platforms to elderly and chronically ill people How to guide and seduce them to actively work on their own positive health.

17 Upscaling selfmanagement In the Netherlands Selfcare supported