Training programme of PRISSM Leonardo 1st Workshop “On the integration of social services in...

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Training programme of PRISSM Leonardo 1st Workshop “On the integration of social services in Europe” Christina Karaberi, EU Project Management (e-Trikala SA) “PRISSM” 1 ο Workshop, Trikala 04-05 February 2014

Transcript of Training programme of PRISSM Leonardo 1st Workshop “On the integration of social services in...

Page 1: Training programme of PRISSM Leonardo 1st Workshop “On the integration of social services in Europe” Christina Karaberi, EU Project Management (e-Trikala.

Training programme of PRISSM Leonardo1st Workshop “On the integration of social services in

Europe”

•Christina Karaberi, EU Project Management (e-Trikala SA)

“PRISSM” 1ο Workshop, Trikala 04-05 February 2014

Page 2: Training programme of PRISSM Leonardo 1st Workshop “On the integration of social services in Europe” Christina Karaberi, EU Project Management (e-Trikala.

Integrated services in healthcareIntegration in the field of healthcare has been a priority in shaping healthcare policy in the countries of North America and Europe over the last decadesThe objective is to enhance cohesion, continuity and cooperation between different healthcare institutions with a view to increasing efficiency and quality both of services and the life of users.

Page 3: Training programme of PRISSM Leonardo 1st Workshop “On the integration of social services in Europe” Christina Karaberi, EU Project Management (e-Trikala.

A cause for IntegrationThe lack of coordination or absolute autonomy have not yielded the expected positive results for users of healthcare services and the added cost was much higher. For each country to be able to offer financial & quality healthcare services, it should review the healthcare services structure according to the principles of integration.The parametres that render integration imperative are the following:•Ageing population, chronic diseases•Unequal access to health services•Fragmented services, gaps & meaningless overlapping•Access, continuity and coordination problems•Ineffective use of resources•Suboptimal results and medical errors•Failure to contain spending•Poor allocation of responsibilities and lack of accountability•Decrease of users’ trust in the healthcare system

Page 4: Training programme of PRISSM Leonardo 1st Workshop “On the integration of social services in Europe” Christina Karaberi, EU Project Management (e-Trikala.

Examples of integration in healthcare: Health Maintenance Organization (HMO)

Health Maintenance Organization (HMO) is a typical example of a health system with a manager, an American, market-oriented philosophy, and ingredients that have been adopted in modern integrated care systems:•Healthcare services financing system•Organizational planning•Supplier’s networking•Integrated information systems •Coordinated healthcare services

Page 5: Training programme of PRISSM Leonardo 1st Workshop “On the integration of social services in Europe” Christina Karaberi, EU Project Management (e-Trikala.

Examples of integration in healthcare: Integrated Delivery Systems (IDSs)

Integrated Delivery Systems (IDSs) – also known as organized delivery systems, integrated delivery systems, integrated services networks and integrated care bodies: •Examples of vertical integration, bringing together different healthcare bodies, such as hospitals, medical units and other service provision entities, through common goals in cooperation with insurance schemes. •IDSs are a network that extends into different organizations and systems promoting integrated and continuous service provision :1.Information networks which facilitate the exchange of knowledge and ideas. 2.Coordination networks which bring together service providers allowing them to maintain their autonomy in clinical and financial issues. 3.Procurement Networks, linking suppliers and binding them through common contracts, to guarantee be stability in both quality and fiscal responsibility.4.Fully Integrated Networks at an administrative level, where the provision and financing of healthcare services are ensured through a single entity or hierarchical structure.

Page 6: Training programme of PRISSM Leonardo 1st Workshop “On the integration of social services in Europe” Christina Karaberi, EU Project Management (e-Trikala.

Examples of integration in healthcare: case management

One of the most well known coordinated healthcare service application and one of the most important tools for integrated care.

It is an integrated and systematic procedure of investigation, evaluation, coordination and control of multiple healthcare services for high risk chronic patients with numerous needs.

This procedure includes multiple levels (administrative, service provision or/and clinical) and has at least three objectives: (1) improve suitability, coordination and cohesion among services (2) strengthen the choice and flexibility in service provision (3) improve services efficiency and impact on patients.

Page 7: Training programme of PRISSM Leonardo 1st Workshop “On the integration of social services in Europe” Christina Karaberi, EU Project Management (e-Trikala.

Examples of integration in healthcare: Chronic Care Model (CCM)

The Chronic Care Model (CCM) proposes a more global and integrated management of chronic disease compared to a more conventional approach of the disease. •Its is a management framework based on indications of 30 specific interventions involved in 6 key areas: healthcare organizations, community resources, self-management, service provision planning, decision support and medical information systems•These elements pervade the healthcare system aiming to mobilize patients in a productive interaction with the healthcare professionals•Focus is on the need for communication with parties outside the healthcare system, as this is the where primary healthcare takes place• Focus is on chronic patients’ self-management

Page 8: Training programme of PRISSM Leonardo 1st Workshop “On the integration of social services in Europe” Christina Karaberi, EU Project Management (e-Trikala.

The example of VITRY-LE-FRANCOIS

Page 9: Training programme of PRISSM Leonardo 1st Workshop “On the integration of social services in Europe” Christina Karaberi, EU Project Management (e-Trikala.

The example of VITRY-LE-FRANCOIS

Page 10: Training programme of PRISSM Leonardo 1st Workshop “On the integration of social services in Europe” Christina Karaberi, EU Project Management (e-Trikala.

The example of VITRY-LE-FRANCOIS

• Communication with parents was achieved through letters and information leaflets

• The overall monitoring (planning, implementation and communication) of the project was undertaken by the Organizing Committee consisting of representatives from the Municipality, the education service, the employees, the professors, etc.

• Methodology: 1. Meetings were held – coordination in smaller groups2. Monitoring and integration evaluation was undertaken by a special

committee (representatives of the Municipality, the employees, the people in charge of extra-curricular activities, professors and parents)