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), the Murcia Health Service and The Fundation for Health Training and Research of the Region of Murcia.
- Coordination: Jon Txarramendieta (Till 20th of November 2022), Yhasmine Hamu, 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, Sonia Navarro del Cabo
List of consortium partners:
Spain:
- Kronikgune Institute for Health Service Research
- 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)
- Fundación para la Formación e Investigación Sanitarias de la Región de Murcia (FFIS)
Bosnia & Herzegovina:
- Institute for Public Health of the Federation of Bosnia and Herzegovina (ZZJZFBIH) – Until 2nd of March 2022
Croatia:
- Croatian Institute of Public Health (CIPH)
- Croatian Health Insurance Fund (CHIF)
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:
- 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) – Until 30th of June 2021
- Semmelweis University (SU-HSMTC)
- Jahn Ferenc Dél-pesti Kórház és Rendelőintézet (JFDPK)
- OKFŐ- ORSZAGOS KORHAZI FOIGAZGATOSAG – Since 30th of June 2021
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) – Until 30th of June 2021
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
Belgium:
- Department for Self-Determined Living of the German-Speaking Community of Belgium – Since 30th of June 2021