• NAME: JADECARE

  • FULL NAME: JOINT ACTION ON IMPLEMENTATION OF DIGITALLY ENABLED INTEGRATED PERSON-CENTERED CARE

  • PROJECT NUMBER: 951442

  • FUNDING BODY: CHAFEA

  • WEBSITE: Under construction 

  • DURATION: 1st of October 2020 till 30th of September 2023

  • PROJECT COORDINATOR: Kronikgune Institute for Health Service Research

The aging population, with the growing burden of chronic conditions and multi-morbidity, is constantly increasing the demand for more comprehensive and efficient care and smarter personalized care delivery based on innovative solutions and health outcomes.

Health systems seek to deliver integrated services that are person-centered and based on the needs of citizens through new technologies, products, and organizational changes. In this framework, digital innovation has the potential to improve coordination and information channels and provide more targeted, personalized, effective and efficient health care. The transformation of health systems in Europe and the design, development and implementation of innovative technologies that ensure the sustainability of the systems has begun. To this aim, the European Union has launched a series of initiatives to address these challenges through the EIP on AHA, with the “Twinnings” between regions, joint actions or funding of research projects. The Joint Action JADECARE was born on the basis of these actions, after the European Commission selected four original good practices developed and implemented at regional level to be transferred to other EU countries. These practices range from integration, chronic diseases, multi-morbidity, fragile people and patients with complex needs, self-care, prevention and promotion of population health, disease management and case management.

JADECARE Joint Action aims to transfer four good practices, to 23 European contexts. The four practices were selected by Member States at the “Steering Group on Promotion and Prevention” held in February 2019 following their presentation at the “Marketplace on integrated health care“, organized by the European Commission in December 2018 in Ispra, Italy.

OBJETIVOS GENERALES:  

– Strengthen the capacity of health authorities to successfully address all major aspects of health system transformation, in particular the transition to digital, integrated and person-centered care.

– Support the transfer of best practices from “First Adopters” to “Next Adopters” systems.

In particular, JADECARE will strengthen the capacity of the care authorities to:

  • Support change management and reorganize existing care models as a result of the pilot practices to be implemented
  • Incorporate digital technologies and tools into care services
  • Reorganize care pathways including the experience and point of view of patients
  • Consider and monitor the roles and skills of health care workers with digital technologies and data development
  • Build the capacity of individuals and communities to participate in the care process
  • Empower citizens to participate actively in health care decision-making, including the use of patient-reported data
  • Analyze new payment methods
  • Evaluate new methods of performance evaluation

The scope, scale and extension of these general objectives will be adapted to each of the regions that will implement good practices, “next adopters” according to their needs and their interest in developing local strategies and action plans.

The four Best Practices that will be transferred are

  • Basque health strategy on ageing and chronicity: Integrated care (Basque Country, Spain
  • Catalan Center for Open Innovation on ICT-supported integrated care services for chronic patients (Catalonia, Spain)
  • The OptiMedis model – integrated population-based care (Germany)
  • Digital roadmap to an integrated health care sector (Southern Denmark Region)

By transferring these four practices, JADECARE proposes to strengthen the capacity of health authorities to successfully address all important aspects of the transformation of the health system towards digital, integrated and person-centered care.

JADECARE will employ a three-phase implementation strategy previously designed and used in the CHRODIS Plus Joint Action.

The phases will be:  
o Pre-implementation phase: application planning and preparation, where action plans for “Next Adopter” interventions will be developed
o Implementation phase: start-up and operation, based on the PDSA cycle methodology (Plan, Do, Study, Act)
o Post-implementation: impact assessment and learning

A set of methods and techniques will be used to improve the adoption, implementation and sustainability of the four Good Practices.

To contribute to the creation of innovative, efficient and sustainable integrated health care systems focused on the person.

To encourage innovation, enhance the sustainability of health systems, and improve their health care performance and outcomes.

To achieve the digital transformation of health services in which professional end users, care users or citizens, health providers, actors providing digital solutions and governments will have a key role.

The scope, scale and extent of these results will be different for each of the “Next Adopters”, depending on their maturity, their needs, their strategies and local resources. The aim is to achieve changes in different areas and aspects:
– Change management and reorganized care models
– Technologies and digital tools incorporated into care services
– Reorganized care pathways, including new financing or payment methods
– Development of the functions and skills of health personnel
– Empowering citizens to actively participate in health care decision-making
– Improved performance evaluation methods

JADECARE will improve collaboration and trust among participating agents, support knowledge transfer and learning, and generate evidence on integrated care. This will produce benefits beyond the time frame of the Joint Action. JADECARE will share its main findings and ensure the sustainability of policies at local, regional and national levels.

The Basque Good Practice “Basque health strategy on ageing and chronicity” presents the specific health strategies implemented to face ageing and chronicity during the last ten years. The Basque Country has implemented integrated care in the system with the creation of Integrated Healthcare Organizations (IHOs).

In addition, the system has worked on providing a population-based approach to care through preventive interventions, risk stratification implementation and care plans based on the needs of our citizens. Finally, Osakidetza Basque Health Service places special emphasis on continuity of care and patient empowerment and self-management. The eHealth strategy in the Basque Country includes multiple tools and digital platforms launched in recent years. Good examples are, the Unified Electronic Health Record, e-Rezeta, Personal Health Folder, telemedicine for specific patients, Health Council, School of Health (“Osasun Eskola”) and Apps available to citizens.

Kronikgune is the coordinator of the Joint Action. The Ministry of Health nominated Kronikgune Institute in 2019 as the beneficiary and single signatory in this Joint Action at National (Spanish) level. The entities affiliated to the Kronikgune Institute are: AQuAS and IDIBAPS, from Catalonia, the Ministry of Health and Families of the Andalusian Government (CSFJA), the Regional Health Management of Castilla y León (SACYL), the Cantabrian Health Service (SCS) and the Murcia Health Service.

  • Coordination: Jon Txarramendieta, José Mari Aguirre, Ane Fullaondo, Esteban de Manuel. 
  • Principal Research Group: Igor Zabala Rementeria, Mikel Ogueta, Antonio de Blas, Begoña Bellarra, Eduardo Millán, Lourdes Ochoa de Retaña

List of consortium partners: 

Spain:

  • Instituto de Investigación en Servicios de Salud Kronikgune
  • Consejería de Salud y Familias Junta de Andalucía
  • Servicio Cántabro de Salud
  • Gerencia Regional de Salud de Castilla y León
  • Servicio Murciano de Salud
  • Agència de Qualitat i Avaluació Sanitàries de Catalunya (AQuAS)
  • Institut d’Investigacions Biomèdiquest August Pi i Sunyer (IDIBAPS)
  • Fundación Pública Andaluza Progreso y Salud
  • Instituto de Investigación Marqués de Valdecilla (IDIVAL)
  • The Foundation for Health Training and Research of the Region of Murcia

Bosnia & Herzegovina:

  • Institute for Public Health of the Federation of Bosnia and Herzegovina (ZZJZFBIH)

Croatia:

  • Croatian Institute of Public Health (CIPH)
  • Croatian Health Insurance Fund (CHIF)  Croatia

Czech Republic:

  • Ministry of Health of the Czech Republic (MZCR)
  • University Hospital Olomouc (UHO)

Denmark:

  • North Denmark Region (RND)
  • Region South Denmark (RSD)

Estonia:

  • Estonian Ministry of Social Affairs (EMSA)
  • Viljandi Hospital (VH)

France:

  • Eurometropole de Strasbourg (EUSTRAS)

Germany:

  • Subcontratación de Optimedis
  • Behörde Für Arbeit, Gesundheit, Soziales, Familie und Integration Hamburg (BAGSFI)
  • Bavarian Health and Food Safety Authority (LGL)
  • Zentrum für Telematik und Telemedizin Gmbh (ZTG GmBH)

Greece:

  • 4th Regional Health Authority of Macedonia (4THYPE)
  • School of Medicine, Aristotle University of Thessaloniki (AUTH)

Hungary:

  • National Healthcare Service Center (AEEK)
  • Semmelweis University (SU-HSMTC)
  • Jahn Ferenc Dél-pesti Kórház és Rendelőintézet (JFDPK)

Italy:

  • Agenzia Nazionale per i Servizi Sanitari Regionali (AGENAS)
  • Azienda Sanitaria Locale Napoli 2 Nord–(ASL NA2)
  • Regione Lombardia –(LOMBARDIA)
  • Agenzia Regionale di Sanita – ARS della regione Toscana –(ARS TOSCANA)
  • Azienda Unita Sanitaria Locale Umbria 1 (USL UMBRIA 1)
  • Regione Marche (MARCHE)
  • PROMIS – Azienda Ulss n. 4 Veneto Orientale (PROMIS)
  • Ministero della Salute (Italian Ministry of Health)-MhH)

Latvia:  

  • National Health Service (NVD)
  • Childrens Clinical University Hospital (CCUH)

Lithuania:

  • Ministry of Health of Lithuania (LR SAM)

Portugal:

  • Central Administration of the Health System (ACSS)
  • Universidade NOVA de Lisboa (ENSP/NOVA)
  • Shared Services of the Portuguese Ministry of Health (SPMS)

Serbia:

  • Ministry of Health of Republic of Serbia (MoHRS)

Slovenia:

  • National Institute of Public Health (NIJZ)
  • Health Insurance Institute of Slovenia (ZZZS)

United Kindong:

  • HEALTH AND SOCIAL CARE BOARD (HSCB) NORTHERN IRELAND