Hasan Chaudhary said, “Progress is happening, but unfortunately whenever we see around the world and people talk about integrated care, they cannot always point to the best practice,” Hasan Chaudhary said , The session in integrated care ‘best practice – what success looks. , ‘Wednesday (15 June) at the HimSS22 European Conference
The speaker was: Hasan Chaudhary, Global Digital Health Specialist, Healthcare UK, UK Department for International Trade, HIMSS Global Innovation Committee; Dr. Carlos Ferrando, Head of Surgical and Trauma Intensive Care Unit, Department of Anesthesiology, Hospital Clinic Barcelona, Spain; Juha Jolcon, Director of Social Services and Healthcare Division, Helsinki, Cities of Finland; Professor Nick Guldemond, Professor Healthcare and Public Health, Leiden University Medical Center, Netherlands.
Hospital clinic Dr. of Barcelona. What an example of what can be seen by Carlos Ferrando can look at a local level can look. He explained how the ‘zero project’ aims to use technology to achieve zero prevention deaths and zero prevention adverse events for surgical patients in the hospital, which performs about 30,000 surgery a year.
In Barcelona, he said that hospitals do not share health data with each other at present or with primary care, making integrated care a major challenge.
“Our idea was to start inside the hospital. We wanted to create continuity of important care – which means we needed technology, we needed data and we needed human resources, ”Dr. Ferrando said.
The zero project aims to monitor patients on the hospital floor, to find out if they had adverse events and what was happening when they went to the surgery room.
“We needed to measure what is happening and create a clinical passage to improve the results of these surgical patients,” Dr. Ferrando explained.
To achieve this, he searched for technical solutions that were wearable, wireless and individual for each patient.
“We started spending a lot of money on technology to give all these data, automate processes and avoid human mistakes,” Dr. Ferrando continued. “We worked with a data engineer to create a data center system that is capable of generating an alarm and is able to tell us what is happening so that we can improve patient treatment and by improving the clinical passage Can Now we are working on the next stage – to share data with our primary care colleagues. ,
Preliminary results after one year of the project show reduction in patient mortality, reduction in living length, decrease in intensive care unit (ICU) decrease in length, increase in years of patient’s life profit and decrease in surgical complications.
“In this way we can reduce the number of days in a surgical patient hospital and reduce the cost of healthcare without increasing the risk of the patient,” Dr. Frarando concludes, “This is the way I watch integrated care while working inside a hospital.”
Breaking silo
Juha Jolconan, director of Social Services and Healthcare Division, gave an example of the city of Helsinki, how to work at the city-wide level. In Helsinki and many other finish cities, citizens have access to the MAISA app, based on Epic’s Mychart.
“Most people can contact their information and all their publicly funded with social and health services,” Jolcon said. “This is an example of integration in behavior.”
Jolconon said that it was important for patients to reach all social and health services easily.
The university at the university of Helsinki uses a common patient and customer data system based on epic, which has been expanded to cover all social and health services including special healthcare, primary healthcare and social services. It covers about 1.7 million citizens.
“We should not be in siloz when it comes to responding to the solution to your problem,” he said. “Good coordination is good for equality. This is good for customer experience. You can get many different benefits from integration. ,
Jolconon said that when funding comes from the same source, it can provide an incentive for innovation.
“Around 15-25% people-depending on how you measure it-use more health services and expenses, so it is intelligent for services that are integrated and provide them the best possible option in various situations Are integrated to. “
According to Jolconon, multi-disciplinary teams with team leaders are the key to integration.
“We still trust doctors a lot. We need to use various types of professionals and expertise more often – this is also integration, ”they argued. “We need cross-sectoral, we need integrated service systems, we need services with different types of models, for example the center for the elderly people where you can get many different services from the same contact Are.”
Human factor
Professor Nick Guldemond, Professor at Leiden University Medical Center in Netherlands, is researching the success of integrated and value-based care approaches in various countries, concluding.
“There is really no country that is successful in implementing these views in a cost effective manner. Although we see some examples at a local level, it is still fragmented, ”he said.
According to Professor Guldemond, even countries with solid infrastructure such as Netherlands and well -trained health professionals are failing to meet good examples of integrated care.
He said, “It indicates that you may have everything, but still may not realize better care with better results in a more durable way,” he said.
So what is the solution? Professor Guldemond believes that success will be achieved only through total system changes.
“All ideas that will bring revolution in data or technology integrated care are not so true – what we know by implementation successes is very limited,” he said. “The new form of human factor and services within the system is the key to driving integrated care. Technology is just an environment. Instead of pushing solutions, it is about how we can install and feel integrated together. ,
