Modeling approach to managing the deployment of integrated organizational models for multi-morbid patients in the CareWell study. The Basque Country case

Myriam Soto-Gordoa,Juan Ignacio Igartua,Joana Mora,Javier Mar,Arantzazu Arrospide,Igor Larrañaga,Ane Fullaondo,Esteban De Manuel,Marisa Merino

doi:10.5334/ijic.2814

Abstract

Modeling approach to managing the deployment of integrated organizational models for multi-morbid patients in the CareWell study. The Basque Country case

Highlights

An integrated care approach supported by information and communication technologies (ICT) is being deployed in the Basque Country within the European CareWell project, to best respond to the complex needs of multi-morbid patients
Deming’s PDCA cycle, together with statistical analysis, is a well-known tool for management, but to our knowledge, our work is the first to demonstrate the capacity of predictive modeling as a complementary tool in managing integrated health-care models
Resource consumption, demographic trends, epidemiological data obtained with the Dismod II software, parametric survival analysis, economic evaluation, and simulation to inform the planning stage with a tool from the world of engineering

Summary

Introduction

An integrated care approach supported by information and communication technologies (ICT) is being deployed in the Basque Country within the European CareWell project, to best respond to the complex needs of multi-morbid patients. The fact that no significant differences were found indicates that the aim of maintaining stability in multi-morbid patients has not been achieved. This is just a static view of the situation two years after the initial deployment. Necessary, this information is not enough to assess the efficacy of the intervention since the way in which health care is organized is considered as a unitary actor, either adapting to the environment or remaining inert. Integration of health care requires the alteration of delivery processes that change over time in predictable and unpredictable ways. The objective of this work was to apply predictive modeling adapted to the local context to develop a tool within the Deming’s plan-do-check-act (PDCA) cycle to manage continuous improvement in integrated interventions over the long term in the CareWell project

Objectives

Methods

Conclusion