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Project Integrate https://www.projectintegrate.eu.com/ Thu, 06 Feb 2020 16:15:12 +0000 en-GB hourly 1 IJIC Special Collection on Project Integrate https://www.projectintegrate.eu.com/integrated-care/resource/ijic-special-collection-project-integrate Wed, 22 Nov 2017 15:49:54 +0000 http://www.projectintegrate.eu.com/?p=3354 This special collection seeks to support the dissemination and learning from the Project by providing summaries and links to the published works of the academics involved, including to original papers published in IJIC. Specifically, the special collection focuses on the core work undertaken in the final phases of the research programme that investigated factors in […]

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This special collection seeks to support the dissemination and learning from the Project by providing summaries and links to the published works of the academics involved, including to original papers published in IJIC. Specifically, the special collection focuses on the core work undertaken in the final phases of the research programme that investigated factors in the design, implementation, management and policy of integrated care programmes.

Involving an analysis of four European case studies of care integration, the research concluded that integrated care was an approach to service transformation that had the potential to improve the quality of care experiences and outcomes to patients. However, the research found that implementation was highly context-specific requiring a set of essential pre-requisites to be met at a micro-, meso- and macro-level.

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The Project Integrate Framework https://www.projectintegrate.eu.com/integrated-care/resource/the-project-integrate-framework Wed, 12 Apr 2017 10:29:43 +0000 http://www.projectintegrate.eu.com/?p=3341 The following slides show the dimensions and items of the conceptual framework developed and validated within the WP11 of the EU-funded Project INTEGRATE that concluded in August 2016.

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By Stefano Calciolari, Laura G. González Ortiz, Dr Nick Goodwin and Dr Viktoria Stein

 

The following slides show the dimensions and items of the conceptual framework developed and validated within the WP11 of the EU-funded Project INTEGRATE that concluded in August 2016.
The methodologic aspects in the development and validation of the framework are explained in the official Project report to the EU and will be published in forthcoming academic papers.
The framework provides an evidence-based understanding of the key dimensions and items of integrated care that the research showed were associated with successful implementation.
The different framework dimensions and items were see to be both relevant and important in different country-contexts and to different disease- and condition-specific population groups.
The framework aims to provide a conceptual basis for reflecting on the design and implementation of new integrated care programs/projects.

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The Development, Description and Appraisal of an Emergent Multimethod Research Design to Study Workforce Changes in Integrated Care Interventions https://www.projectintegrate.eu.com/integrated-care/resource/the-development-description-and-appraisal-of-an-emergent-multimethod-research-design-to-study-workforce-changes-in-integrated-care-interventions Wed, 12 Apr 2017 10:02:29 +0000 http://www.projectintegrate.eu.com/?p=3338 The Development, Description and Appraisal of an Emergent Multimethod Research Design to Study Workforce Changes in Integrated Care Interventions

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By Loraine Busetto , Katrien Luijkx, Stefano Calciolari, Laura G. González Ortiz, Hubertus J. M. Vrijhoef

 

“This article provides a detailed and explicit description of the processes and decisions underlying and shaping the emergent multimethod research design of our study on workforce changes in integrated chronic care.”

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Financial Models for Care Integration https://www.projectintegrate.eu.com/integrated-care/resource/articles/financial-models-for-care-integration Wed, 12 Apr 2017 08:45:39 +0000 http://www.projectintegrate.eu.com/?p=3326 Financial Models for Care Integration Healthcare systems across the world are facing an augmenting burden of chronic disease. The need for better integration of care systems and patient pathways has been increasingly recognised in the last decades. Existing care systems in Europe have proven difficult to navigate in particular for patients with complex health issues […]

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Financial Models for Care Integration

Healthcare systems across the world are facing an augmenting burden of chronic disease. The need for better integration of care systems and patient pathways has been increasingly recognised in the last decades. Existing care systems in Europe have proven difficult to navigate in particular for patients with complex health issues and multi-morbidity, and such patients are also often those that have proved to be most challenging to manage in a good way within current organisational models. The financial organisation and the reimbursement system play a constituent part in the management operations of a healthcare system, together with legal frameworks, clinical guidelines, norms, forums for collaboration, information support systems and care practices. Payment reform is considered an important component of a broader set of strategies to achieve greater degrees of care integration.

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Find out more information here

 

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Managing Excellent Integration of Care https://www.projectintegrate.eu.com/integrated-care/blog/managing-excellent-integration-of-care Wed, 14 Sep 2016 09:21:24 +0000 http://www.projectintegrate.eu.com/?p=3314 Project INTEGRATE was established to develop managerial recommendations and a managerial toolkit to allow health care leaders to realise the full potential of the integration of care. Evidence has shown that integration will lead to better outcomes in terms of population health, efficient use of resources and patient experience (Triple Aim) . In a review of the literature, managerial frameworks were contrasted with the compelling results of Project INTEGRATE. The insights and learnings were presented at the Final Project INTEGRATE Conference, held in the context of the International Foundation for Integrated Care Conference, on 24 May in Barcelona.

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Project INTEGRATE was established to develop managerial recommendations and a managerial toolkit to allow health care leaders to realise the full potential of the integration of care. Evidence has shown that integration will lead to better outcomes in terms of population health, efficient use of resources and patient experience (Triple Aim) . In a review of the literature, managerial frameworks were contrasted with the compelling results of Project INTEGRATE. The insights and learnings were presented at the Final Project INTEGRATE Conference, held in the context of the International Foundation for Integrated Care Conference, on 24 May in Barcelona.

A focus on the implementation of integrated care – As initiating the implementation of integrated care can present challenges, the preliminary phase is considered crucial for successful implementation, particularly in ensuring the continuum of care. To facilitate this, the processes have a straightforward, clear design, so that health professionals are more likely to adopt and adhere to change. In the design of services, the involvement of all stakeholders – especially patients and families/informal care givers – is paramount. Ideally, health and care systems work reciprocally with the patient and communities.

Education activities increase patients’ health literacy and act as a vehicle for patient empowerment, co-decision taking and self-management. Evidence from Project INTEGRATE shows that physicians have a particular responsibility here. Education is also an important tool for supporting care professionals in fostering their managerial skills in the implementation and realisation of integrated care. Health professionals who have benefited from training in new roles and responsibilities are able to provide higher quality care, thus realising the full potential of integrated care in the sense of the Triple Aim. Team building exercises also help to develop a greater level of interaction between care professions, while multidisciplinary teams facilitate the management of integrated care.

ICT systems are an essential ingredient of integrated care. Health IT departments are often under-resourced, which limits the functions of tools. Ideally, ICT systems are professionally built from the ground up and designed to accommodate all care processes and services. For example, electronic health records can be shared among care professionals in order to improve information distribution and develop patient profiles from different perspectives. Patients able to access their health records are better engaged in their health and care, leading to increased empowerment and self-management.

The Three Circles of Excellence are extracted from the Triple Aim, and are an excellent way of framing aspects of managing integrated services: Technological Excellence is about superior technology and knowledge management; Operational Excellence concerns bringing all the different resources together in the most efficient way, while all of this contributes to an enhanced Patient Experience. As such, it is a very useful tool for managers of integrated care.

Expert panel discussion – In-depth discussions with leading experts in the field were held at the Final Conference in May 2016. From these emerged the fundamental importance of clear integrated care models that are more conducive to cohesive and efficient care, and that enable care professionals to quickly assume their new responsibilities, while increasing their knowledge of the development of integrated care.

Experts also agreed on the importance of joining together in order to learn from integrated care experiences, as this is likely to be the future of health care, with the trend being particularly evident in Europe and parts of Asia. Project INTEGRATE’s case studies were highly valued, as there is still not a great deal of evidence on what does or does not work in chronic care management. This will be important for scaling up positive experiences, acquiring the necessary funds for doing so, and at the same time making the best use of resources – so giving full value for patients, citizens and health systems. Integrated care researchers working with advocacy groups (consumers or physicians, for example) will be better placed to change the system, and further economic studies will also allow for the economic case to be made, proving integrated care to be economically effective, and actually cost-saving.

Another aspect has been to respond more explicitly to the increasing expectations of populations, showing how integrated care represents a valid response to the demographic and economic challenges of health care systems. Integrated care will allow professionals to offer solutions, providing high quality care to patients in a less expensive way, thus making systems more sustainable, which is particularly important given current budget constraints. All of this will increase the case for care integration.

A great deal has already been achieved in integrated care – Project INTEGRATE has shown that it does work, and has contributed a set of highly valuable insights. More evidence is needed, and we look forward to increasing our knowledge and understanding of how management in integrated care can respond to today’s economical, societal and health systems challenges, and contributing to the Triple Aim of better health, more efficient use of resources and improved patient experience in Europe, and globally.

 

Magdalene RosenmollerMagdalene Rosenmöller
Senior lecturer in the Department of Production,
Technology and Operations Management
IESE Business School, Spain

 

 

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Patient Involvement https://www.projectintegrate.eu.com/presentations/patient-involvement-2 Tue, 30 Aug 2016 13:29:42 +0000 http://www.projectintegrate.eu.com/?p=3308 The post Patient Involvement appeared first on Project Integrate.

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Aligning financial flows to care pathways https://www.projectintegrate.eu.com/presentations/aligning-financial-flows-to-care-pathways Tue, 30 Aug 2016 13:20:24 +0000 http://www.projectintegrate.eu.com/?p=3301 The post Aligning financial flows to care pathways appeared first on Project Integrate.

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Project Flyer Phase 3 https://www.projectintegrate.eu.com/integrated-care/resource/project-flyer-phase-3 Tue, 30 Aug 2016 10:51:51 +0000 http://www.projectintegrate.eu.com/?p=3296 The post Project Flyer Phase 3 appeared first on Project Integrate.

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Project INTEGRATE Final Conference (Presentations) https://www.projectintegrate.eu.com/integrated-care/resource/project-integrate-final-conference-3 Thu, 11 Aug 2016 14:49:29 +0000 http://www.projectintegrate.eu.com/?p=3274 The final dissemination conference of Project INTEGRATE, funded through the European Union’s Seventh Framework, took place as part of ICIC16 on Monday, 23 May 2016. This final conference described the key lessons learned across each phase of research and based on this learning provided managerial and policy recommendations for those tasked with designing and delivering […]

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The final dissemination conference of Project INTEGRATE, funded through the European Union’s Seventh Framework, took place as part of ICIC16 on Monday, 23 May 2016.

This final conference described the key lessons learned across each phase of research and based on this learning provided managerial and policy recommendations for those tasked with designing and delivering integrated care services. The results and recommendations were set within an international context and delegates had the opportunity to discuss with project members and expert advisors what the impact of the research will be and how the lessons and recommendations can be applied at a national, regional and local level.

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Better policies for better chronic care https://www.projectintegrate.eu.com/presentations/better-policies-for-better-chronic-care Thu, 11 Aug 2016 14:42:47 +0000 http://www.projectintegrate.eu.com/?p=3270 The post Better policies for better chronic care appeared first on Project Integrate.

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