1 / 25

A self-management organization in Primary Health Care, an innovative experience

A self-management organization in Primary Health Care, an innovative experience. Carlos Brotons MD , PhD. Providers of Primary Care in the Catalan Health Care system. HEALTH CARE PROFESSIONALS. Certain hospitals. HEALTH CARE PROFESSIONALS. HEALTH CARE CENTER GP’S AND NURSE ASSOCIATION.

eldon
Download Presentation

A self-management organization in Primary Health Care, an innovative experience

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. A self-management organizationin Primary Health Care, an innovative experience Carlos Brotons MD , PhD

  2. Providers of Primary Care in the Catalan Health Care system HEALTH CARE PROFESSIONALS Certain hospitals HEALTH CARE PROFESSIONALS HEALTH CARE CENTER GP’S AND NURSE ASSOCIATION What makes us different… E.B.A.

  3. SELF-MANAGMENT IN PRIMARY CARE • In the year 1996 it was open the first PHC center in Catalonia where a group of health professionals organized themselves as a General Practitioners (GPs) association. • They are called Entitat de Base Associativa-EBA in Catalan language

  4. CHARACTERISTICS OF AN ‘EBA’ Entidad de Base Asociativa = GPs & nurses association PUBLIC COMPETITION SHAREHOLDER = WORKER PUBLIC CONTRACT: periods between 5 and 10 years

  5. Professionalsadvantages What makes us different…

  6. SELF-MANAGMENT IN PRIMARY CARE • Self-managment in PC provides a highlevel of autonomy, allowing to create a professionalteam, to take real decisionsaboutbudget, providingservicesforthePublicHealthSystem. Publiccentersprivatelymanaged

  7. EBA’S FOUNDATION CALENDAR

  8. Characteristics of an ‘EBA’ Autonomy: SALARIES AND INCENTIVES CONTRACTS AND TIMETABLES PURCHASES €

  9. EBA’sreferencepopulation in Catalonia: 235.000 (3,3% of the total population) 69,23 % EBAs are located in Barcelona Area GIRONA Peralada Pediatria dels Pirineus LLEIDA BARCELONA Vic BARCELONA BARCELONA Sardenya Centelles BARCELONA Poble Sec Pere Virgili 1 Pere Virgili 2 BARCELONA BARCELONA Bonaplata 2 Bonaplata 1 BARCELONA BARCELONA Alcover Dreta Eixample TARRAGONA BARCELONA Prevenció Assistència i Seguiment BARCELONA Number of EBAs in Catalonia 13

  10. Benchmarking • In theprocess of bestpracticemanagement, • theGovernmentidentifiesthebestPrimary • HealthCenters in Catalonia.

  11. Benchmarking • In the region of Barcelona, benchmarking has been • used to measure performance using 4 dimensions • (ACCESSIBILITY, EFFECTIVENESS, CAPACITY TO • RESOLVE HEALTH PROBLEMS, AND COST- • EFFICIENCY) resulting in a metric of • performance that can be compare within centres.

  12. Benchmarking • From a total of 214 health centres covering a • population of 4.203.430 inhabitants in the region of • Barcelona, all the EBAs have been allocated in the • benchmarking within the first 20 top centres.

  13. EFFICIENCY OF EBAs The mean cost per patient and year in PHC: 459 euros The mean cost per patient and year in EBAs:329 euros Data providedbythe Catalan Health Department

  14. EFFICIENCY OF EBAs In the year 2010, all the EBAs spent 30% less per individual than the rest of health centres in Catalonia. If we could extrapolate this model to the whole PHC system in Catalonia in the year 2011, 900 millions of euros would have been saved.

  15. PATIENT SATISFACTION SURVEY GLOBAL SATISFACTION LEVEL • E CatSalut 2011

  16. EAP Sardenya experience • EAP Sardenya is a Primary Health Care center created by a GP’s association team (EBA) to provide the Primary Health Care services to the population assigned by the Government of Catalonia.

  17. Areacoverage Population on attendance: 19.776 26 % older than 65 years 2 geriatrics institutions 300 patients Anar a Google maps Los Tilos Lepant geriatric institution geriatric institution EAPSARDENYA Web IIB Sant Pau HOSPITAL SANT PAU HOSPITAL DOS DE MAIG

  18. Integrationcare: hospitals-primarycare Referrals to emergencyroom Referrals to specialist Specialistscome to PHC as consultants Direct contactthroughemails Sharingelectronicmedical record Pre-Alt programme Collaborating in teaching and research Anar a Google maps EAPSARDENYA HOSPITAL SANT PAU During the year 2013, 104.053 patients were visited in the center and 6,381 patients were referred to specialists HOSPITAL DOS DE MAIG

  19. EAP SARDENYA Main activities Family Medicine Paediatrics Nursery Social Worker Research Unit Teaching Unit Dental Care • Material without mercury • Computerized medical records • All prescriptions are computerized

  20. Not covered by public insurance: • Private services OdontologySport MedicineVascular Surgery Aesthetic Medicine Podology Coaching

  21. Teaching and Research This type of model facilitates the implementation of research and teaching activities.

  22. Research Unit • Created in March, 2002 • Integrated by two part-time family physicians, one full-time research nurse and one full-time statistitian. • Member of Biomedical Research Institute Sant Pau

  23. Research Unit • More than 75 pharmacological clinical trials and epidemiological projects have been carried out

  24. TeachingUnit www.udaceba.cat

  25. Thankyou!

More Related