|
Monday, 3 December, 2007
|
|
|
|
9:00
|
- What are the demands of the Society?
- The need for transformation in the Netherlands
- Setting up priorities for reform
|
|
|
|
|
9:30
|
- Concepts of ‘disease’ are changing
- Chronic diseases (particularly common ones) are often infectious,
and they are not always persistent
- Many non-chronic diseases behave as if they were chronic, yet are
never included in compendia of 'chronic diseases'
- Multi-morbidity is usually present in people with chronic diseases
- It is multi-morbidity, rather than chronicity of a disease, that
makes high demands on health services
- The appropriate care model is chronic care, not chronic disease care
- Chronic care is synonymous with PRIMARY CARE: first contact,
person focused and comprehensive care provided over time, with
coordination of care when it is needed elsewhere
|
|
|
|
|
10:00
|
- Status of ROI measurement in the US
- Predictive modeling, the economics of chronic care programmes,
and models for assessing intervention opportunity
- Intervention automation - the key to efficient intervention
programmes
|
|
|
|
|
10:30
|
|
|
|
|
11:00
|
|
|
11:30
|
- Improving providers accountability for chronic care outcomes
- Creating a hybrid system between fee-for-service payments
and primary care capitation
- Using financial incentives to improve outcomes in
community settings
- Engaging hospitals while reducing avoidable and
inappropriate admissions
|
|
|
|
|
12:30
|
|
| Chair: |
|
|
Robert Stegwee
Professor, E-Health Architectures and Standards,
University of Twente; Principal Consultant for IT in Healthcare
Capgemini Consulting Services
The Netherlands
 View Biography
|
|
|
|
14:30
|
|
|
15:00
|
|
|
15:30
|
|
|
16:30
|
|
|
|
|
17:00
|
- Health and social care systems need to identify suitable metrics
to achieve clinicians’ engagement and patients’ participation
- Chronic diseases offer two measures of outcome
- Intermediate outcomes or processes are likely to contribute to
health gain, more readily available for vascular related conditions
- Patient reported outcome measures/quality of life indicators
- Care plans are a vehicle to deliver on a shared set of outcomes
between the patient and their clinical care giver
- Need to align incentives to ensure primary and hospitals work
together and where necessary include social care
- Joint or programme budgets: a necessary prerequisite to ensure
better co-ordination of care?
|
|
|
|
|
17:30
|
- An absolute prerequisite is a well defined standard of care that is unanimously approved and supported by all disciplines involved
- Care should be delivered in an integrated fashion by multidisciplinary teams on the basis of an accepted standard
- Aggregated evaluations of results should be feasible continuously and on a routine basis with bench-marked feed-back by documenting patient data and care delivered on a standard basis in an unrestrictedly applicable electronic patient file
- Reimbursements by the healthcare insurance companies should be on the basis of results achieved as described and defined in the contract between the insurer and the multidisciplinary team of health care deliverers
|
|
|
|
|
18:00
|
|
|
18:30
|
|
|
19:00
|
|
|
20:30
|
|
Printer Friendly
Bookmark Page
