The idea of Integrated Care is simple: everyone involved in someone’s care should know what everyone else is doing, everyone should be working to the same end, to the same plan, all agreed with the person receiving that care.
Firstly, we combine public health and preventive approaches with classical medical healthcare, placing particular importance on primary care which we regard as central to high quality health services and the foundation on which accountable care is best built. Secondly, we work with and bring together all major players in an area. We support, and where necessary develop, healthcare networks in which doctors, therapists and hospitals, as well as pharmacies, gyms, clubs, schools, businesses and local authorities, are involved. Our project Gesundes (“Healthy”) Kinzigtal GmbH is a good example of how we work and is widely recognised to be one of the leading managed care-systems in Europe (read more).
And, of particular importance to us: everything we do is evaluated.
Evaluation by independent university research institutes as well as our own health services research means that the success of our work is assessed and can be shared. We also build in processes that ensure continuous improvement. Gesundes Kinzigtal, well-known throughout Germany and internationally, shows that our idea works (read more). We have also demonstrated that the success achieved in Kinzigtal can, properly implemented, be replicated elsewhere.
What makes our regional IC Model unique:
- We create a local health management organisation with full participation of local clinicians and their organisations. Working through this organisation, they can be fully involved in the design and delivery of integrated care in their community.
- We recognise that health is influenced by more than health services. We support and promote cross-sectoral healthcare, made possible by IT networking, including electronic patient records, case conferences, jointly developed clinical pathways etc. We support and co-design IT systems to maximize the value of the information available, including patients´ access to their data.
- We design and deliver healthcare programs for people at high risk or with long term conditions such with osteoporosis, high blood pressure or heart failure, and prevention programs for children and young families. Most importantly, programme implementation is systematic and at scale.
- People and communities have a major role in creating and maintaining their own health. We promote “activation” of the local community through their involvement in treatment, therapeutic objective agreements, consultations and more to help people and communities develop the ability and confidence to take more responsibility for their own health.
- There is still too much waste and variation in the way health and care is currently delivered. We take systematic approaches – targeted healthcare control – through efficient, standardised processing, collation and analysis of routine data from CCGs, hospitals and other parts of the health and care system, data from medical information systems and specially collected primary data to reduce this waste.
- Evaluation is essential. We build evaluation using valid, relevant scientific methods into all that we do. This information is used to help us continually improve services – and to generate information that we and others can use to account to the public and others for how the resources made available for health and care are being used.
- We promote the design and implementation of innovative funding models that properly align incentives for individuals, teams and organisations with system goals – the achievement of those desirable health benefits which also lead to savings for CCGs and move us away from a system that is fragmented and driven by activity or unnecessary duplication, are avoided.
- We facilitate the participation of local community organisations in the health network – clubs, schools, businesses and local authorities can and should all be involved.
- We work with local employers through out Corporate health management programmes to support prevention and the promotion of health in the work place.
- Securing community-based healthcare – with the promotion program Practical Future for general practitioners and training support for other occupational groups. This is a practical means of accelerating the delivery of the GP Forward View (GPFV).
We have examples of where we have worked with committed medical networks, therapists and hospitals in numerous German regions and in the Netherlands (read more)
If you are interested in finding out more: Please contact us.