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Facing the challenge of the new healthcare landscape

Facing the challenge of the new healthcare landscape. Integrated care and information technologies. Josep Roca Hospital Clinic.University of Barcelona . Integrated Care in Catalonia. Main challenges. Conclusions. agenda. Hospital. Consultant. ER team. Case Manager. Primary Care.

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Facing the challenge of the new healthcare landscape

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  1. Facing the challenge of the new healthcare landscape Integrated care and information technologies Josep Roca Hospital Clinic.University of Barcelona

  2. Integrated Care in Catalonia Main challenges Conclusions agenda

  3. Hospital Consultant ER team Case Manager Primary Care Mobile teams Patient Primary Care Team Home Relatives& carers Integrated care

  4. Hospital 2nd level hospital Home Care CCMC Primary Care • Triage • Information • Education Emergency Informal carers Non health related services Integrated care platform The Chronic Care Management Centre (CCMC) organizes and coordinates the care of target chronically ill people

  5. - 2.4 - 6.9 4.2 1.7 8.1 3.5 1.7 Home hospitalisation Control Clinical efficacyhome hospitalization program Home hospitalisation decreased relapses SGRQ Total LOS (group) LOS (patient) Home visits Hernandez C et al. Eur Respir J, 2003

  6. Physical activity Knowledge disease Compliance oxygen therapy Inhalation technique Compliance inhalation therapy Compliance oral treatment Usual care Home hospitalization Change in behaviourhome hospitalization program INTEGRATED CARE USUAL CARE

  7. 1255 € 2033 € Cost containmenthome hospitalization program Home hospitalization Usual care

  8. 52% (p=0.026) 33% Usual care Integrated care Clinical efficacyPrevention of hospitalizations Patients free from admission 100% 0 365 days

  9. High Quality Spirometry in Primary Care BCN tele-collaboration pilot

  10. Clinical efficacy Behavioural changes Satisfaction Cost containment

  11. Integrated Care in Catalonia Main challenges Conclusions agenda

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