180 likes | 355 Views
Introduction. Who / what is SGEVision SGE care for chronic illnessesBackgroundReason for DBCStructure DBC in the centreModules DBCResults. SGE -foundation. integrated primary healthcare Foundation established in 1982 from the ?Philips Medische Dienst"10 Health Centres in the various neighbou
E N D
1. Diabetes Primary Care and a diagnose related group (DBC)
Presentation: Petra Huijbregts & Ed Berends
2. Introduction Who / what is SGE
Vision SGE care for chronic illnesses
Background
Reason for DBC
Structure DBC in the centre
Modules DBC
Results
3. SGE -foundation integrated primary healthcare
Foundation established in 1982 from the “Philips Medische Dienst”
10 Health Centres in the various neighbourhoods of Eindhoven
4. SGE -foundation 80.000 patients (33% population Eindhoven)
260 employee’s48 general practitioners, 7 pharmacies, 29 physiotherapists, 15 psychologists, 17 practice supporters GP
Turnover: +/- 25 million Euros
5. SGE -foundation Sources of financing:90% treatments10% contract with health care insurer (module integrated primary health care)
6. Our locations GC Gestel i.o.
GC Josephlaan
GC Meerhoven
GC Orion
GC de Parade
GC Prinsejagt
GC Stratum
GC Strijp
GC Tongelre
GC Woensel
Central location psychologists
Central location support
7. Our locations
8. Our locations
9. Vision SGE chronical care
Chronic illnesses in primary care
Chronic care close to home
10. Back ground SGE first organisation in the Netherlands to develop health care programmes
Hereby improving health care
Care offered close to home
Collaboration with Maastricht University
11. Reason for DBC Better health care quality
Higher demands health care insurers
Costs manageable
Better insight in results
12. Ideas about improvement (1) Better organisation diabetes care
Better quality of care
Introduce a practice nurse for chronic disease management
More personal attention for patient
Supervision by GP annual controls; and FAQ’s by practice nurse
Collect data (e.g. lab foot screening tension etc) from individuals
Diabetes care online
13. Ideas about improvement (2) Better figures glucose and HBa1c
Better hypertensioncontrol
More patients get cholesterollowering med
Earlier start of renal protection when signs of protein leakage
Increase of footcare and search for retinal problems
More patiënt-satisfaction
14. Structure DBC in the centre DBC embedded into the primary care
Multiple disciplines are involved
Deliberation between various health care professionals is essential
Patient has 3 consults per year
15. Modules DBC Module 1: new patient; the year of detection
Module 2: controls diet and oral medication
Module 3: the year of starting insulin-therapy
Module 4: controls insulin dependent patient
Module 5: extra consultations in case of problems
16. Results (1) a small increase in percentage of properly set HbA1c in cases of long-term diabetes
stress registration is still a big issue and isn’t clear
statine use increased by 100%
17. Results (2) Ace-inhibitor in case of Albuminuria increased by 400%
registration of foot screening improved in content
delivery of medical records not yet 100%
18. Results (3) often self-checking of weight and glucose, decreases with increased age