scholarly journals Skills building seminar: Capacity-building for implementing integrated care

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
◽  
Keyword(s):  
Knowledge Management ◽  
Capacity Building ◽  
Integrated Care ◽  
Real Life ◽  
Scaling Up ◽  
Healthcare Systems ◽  
Added Value ◽  
European Regions ◽  
Care Systems ◽  
Different Levels

Abstract Rationale The significance of integrated care as a means for improving health outcomes and effectiveness and sustainability of health and care systems is widely acknowledged. Integrated care is a central element in many on-going or planned healthcare system reforms, however, the main challenge remains of how to build relevant capacity and know-how for the successful implementation of integrated care. Capacity-building is both the foundation and aspiration of SCIROCCO Exchange EU Health Programme funded project. The project aims to facilitate access to tailored, evidence-based support and improvement planning by recognising different staring points, or levels of maturity of healthcare systems in Europe. Objectives This round table aims to explore different levels of local maturity and capacity to implement integrated care in three European regions; Basque Country, Flanders and Poland. The workshop will be a practical opportunity to dispute what actions and activities should be prioritised in these regions in order to improve their capacities for the adoption and scaling-up of integrated care. The workshop also aims to raise awareness about different levels and mechanisms of capacity-building support for integrated care that exists at European level. In particular, the workshop will feature SCIROCCO Exchange Knowledge Management Hub as one of the capacity-building tools and its application in the real-life settings. Added value Sharing learning more widely will help to build sustainable integrated care systems and tackle the risks of people working in isolation or re-inventing the wheel. Format of the workshop The workshop will consist of two keynote presentations, providing necessary background into the existing European policies, programmes and initiatives to support the adoption and scaling-up of integrated care. The introductory presentations will then follow by three snapshot presentations of 5 minutes featuring the main findings on the maturity and capacity of three European regions to implement integrated care. In the second part of the meeting, the participants will have the opportunity to discuss interactively with the representatives of the regions the use of SCIROCCO Exchange Knowledge Management Hub in the real-life settings, its added value and implications of the outcomes for future actions and improvement planning. The ultimate objective is to stimulate the discussion and knowledge on how to address the existing difficulties in implementing integrated care. Key messages Integrated care is considered as fundamental element driving transformation of healthcare systems. The challenge remains how to address different levels of capacities to implement integrated care. SCIROCCO Exchange can facilitate the access to capacity-building support that is needed for transition and/or improvement of existing systems for the adoption and scaling-up of integrated care.

scholarly journals 17.C. Workshop: I-Care Lab: Puglia scaling up in integrated care for the future of digital health and social system

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
Keyword(s):  
Integrated Care ◽  
Digital Health ◽  
Chronically Ill ◽  
Scaling Up ◽  
Healthcare Services ◽  
Added Value ◽  
Good Practices ◽  
Health And Social Care ◽  
Care Systems ◽  
Sustainable Health

Abstract Background Healthcare systems around the world are under great pressure to drive forward transformation in order to meet the evolving needs of their populations. Ageing and chronicity are the main challenges to be tackled. In many countries care is too often fragmented and has clear deficiencies in quality, inducing low responsiveness of the healthcare system and low satisfaction with healthcare services. To address these challenges, the transformation towards integrated care has the potential to address deficiencies in order to obtain accessible, quality, effective and sustainable health care. Objectives The objectives of this workshop are to present 3 innovative projects undertaken by Puglia Region, by means of its Strategic Regional Agency for Health and Social Care AReSS, within the framework of the I-CARE LAB, a think tank and beta site for integrated care focused on the production of evidence-based knowledge and systematic approaches to exploitation and scaling up of good practices. The workshop will present the results of the research that has taken place around the above-mentioned projects and to gather feedback from the participants on their opinions and perspectives about integrate care models, policies, tools and practices. Results The featured projects are based on the collaboration with national and international partners interested in developing tools and approaches to stimulate changes towards more sustainable health and care systems, and in supporting scalability and transferability of good practices in Europe. The knowledge transfer among these institutions represents the added value that can establish a common language and framework of integrated care. The showcased projects focus on vulnerable populations for which integrated care might be most beneficial, e.g., chronically ill, frail elderly, and multi-morbid persons; the projects have identified and described an impressive number of promising practices; there are several plans to evaluate these in the coming years, and other plans to facilitate the wider-spread implementation and scaling up of such programs. During this session, 3 of such projects will present their findings, approaches and connections: SCIROCCO Exchange (assessment of integrated care interventions), FooDia-NET (patient engagement and literacy), EURIPHI (innovation procurement). Conclusions The workshop will be a 90-minute session with 3 presentations with ample time for audience interaction (30-minutes). Three individual members of the above-mentioned projects will be responsible for conducting the workshop (the chair, and 3 people making 3 presentations). The session will be chaired by the AReSS Puglia CEO, who will introduce the workshop. A set of presentations will follow, covering the different session topics corresponded to the 3 projects of the Puglia I-Care Lab. Participants will be asked to actively join in the discussion on the further projects enhancement. Key messages The first impact of the proposed workshop consists of stimulating knowledge and discussion about emerging tools and approaches in Europe towards more sustainable health and care systems. The second expected impact is to create awareness and to support scalability and transferability of good practices in Europe and abroad.

scholarly journals Maturity of integrated care in the Basque Country - What can we learn?

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
J Txarramendieta
Keyword(s):  
Capacity Building ◽  
Integrated Care ◽  
Assessment Tool ◽  
Basque Country ◽  
Transformational Change ◽  
End Users ◽  
Added Value ◽  
Assessment Process ◽  
Self Assessment ◽  
Public And Private

Abstract Issue/Problem The need for sustainable resourcing drives professionals, end-users and the wider public and private sectors to draw on their experience and expertise to meet those needs. Tools and methodologies that help understand these complex transformational processes and orchestrate discussions of all stakeholders involved are core to this process. As a result, Basque Country was keen to apply SCIROCCO tool to assess their readiness for integrated care. Results The application of SCIROCCO self-assessment tool showed a range of strengths and weaknesses of Basque Country to adopt and implement integrated care. More than 15 stakeholders were involved in this process which proved the importance and added value to the assessment process. In addition, the outcomes of this process help to identify the potential focus of the capacity-building support. Lessons SCIROCCO tool is a very useful participatory tool which can help to drive the transformational change towards integrated care.

scholarly journals The transfer of knowledge on integrated care among five European regions: a qualitative multi-method study

2019 ◽  
Author(s):  
Liset Grooten ◽  
Hubertus Johannes Maria Vrijhoef ◽  
Tamara Alhambra-Borrás ◽  
Diane Whitehouse ◽  
Dirk Devroey
Keyword(s):  
Knowledge Transfer ◽  
Integrated Care ◽  
Qualitative Content Analysis ◽  
Knowledge Exchange ◽  
Scaling Up ◽  
Clear Understanding ◽  
Transfer Of Knowledge ◽  
European Regions ◽  
Multiple Sources ◽  
Transfer Processes

Abstract Background To examine how the knowledge transfer processes unfolded within SCIROCCO, a EU funded project (3rd Health Programme (2014-2020)) that aimed to facilitate the process of knowledge sharing across five European regions, to speed up adoption and scaling-up of integrated care initiatives. Methods A qualitative multi-method design was used. Data collection methods included focus groups, project documents and action plans of the regions. The data was analysed using a qualitative content-analysis procedure, which was guided by the frameworks of knowledge exchange and the why, whose, what, how framework for knowledge mobilisers Results All five components (including the themes) of knowledge exchange could be identified in the approach developed on the knowledge transfer processes. The four questions and accompanying categories of the framework of knowledge mobilisation were also identified to a large degree. Conclusions The observed incorporation of distinct forms of knowledge from multiple sources and the observed dynamic and fluid knowledge transfer processes both suggest that SCIROCCO developed a comprehensive knowledge transfer approach aiming to enable the adoption and scaling-up of integrated care. Overall, the multi-method qualitative nature of this research has allowed some new and practical insights in the knowledge transfer activities on integrated care between several European regions. To obtain a clear understanding of the content of the knowledge transfer approaches, which could assist the operationalising of models to support the evaluation of knowledge transfer activities, it is strongly recommended that further research of this type should be conducted in other research settings.

scholarly journals The transfer of knowledge on integrated care among five European regions: a qualitative multi-method study

2019 ◽  
Author(s):  
Liset Grooten ◽  
Hubertus Johannes Maria Vrijhoef ◽  
Tamara Alhambra-Borrás ◽  
Diane Whitehouse ◽  
Dirk Devroey
Keyword(s):  
Knowledge Transfer ◽  
Integrated Care ◽  
Qualitative Content Analysis ◽  
Knowledge Exchange ◽  
Scaling Up ◽  
Clear Understanding ◽  
Transfer Of Knowledge ◽  
European Regions ◽  
Multiple Sources ◽  
Transfer Processes

Abstract Background To examine how the knowledge transfer processes unfolded within SCIROCCO, a EU funded project (3rd Health Programme (2014-2020)) that aimed to facilitate the process of knowledge sharing across five European regions, to speed up adoption and scaling-up of integrated care initiatives. Methods A qualitative multi-method design was used. Data collection methods included focus groups, project documents and action plans of the regions. The data was analysed using a qualitative content-analysis procedure, which was guided by the frameworks of knowledge exchange and the why, whose, what, how framework for knowledge mobilisers Results All five components (including the themes) of knowledge exchange could be identified in the approach developed on the knowledge transfer processes. The four questions and accompanying categories of the framework of knowledge mobilisation were also identified to a large degree. Conclusions The observed incorporation of distinct forms of knowledge from multiple sources and the observed dynamic and fluid knowledge transfer processes both suggest that SCIROCCO developed a comprehensive knowledge transfer approach aiming to enable the adoption and scaling-up of integrated care. Overall, the multi-method qualitative nature of this research has allowed some new and practical insights in the knowledge transfer activities on integrated care between several European regions. To obtain a clear understanding of the content of the knowledge transfer approaches, which could assist the operationalising of models to support the evaluation of knowledge transfer activities, it is strongly recommended that further research of this type should be conducted in other research settings.

scholarly journals EU level actions and instruments to support the implementation of integrated care

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
L Gatzoulis
Keyword(s):  
European Commission ◽  
Integrated Care ◽  
Scale Up ◽  
Healthcare Systems ◽  
Fiscal Sustainability ◽  
Term Care ◽  
Health Authorities ◽  
Care Systems ◽  
Increasing Demand

Abstract Issue/Problem The significance of integrated care as a means for improving health outcomes and the effectiveness and sustainability of health and care systems is acknowledged in several policies at national and EU level, for example: the European Commission’s Communication on effective, accessible and resilient health systems, the 2017 European Semester: Communication on Country Reports, the Joint Report on Health Care and Long-Term Care Systems and Fiscal Sustainability by the European Commission and the Economic Policy Committee, the Companion Report 2017 of the State of Health in the EU and the most recent Commission Communication on the digital transformation of health and care in the Digital Single Market. As such, there may be no doubt about whether one needs to transform the health and care model and move to integrate care, but the question is how to design and implement integrated care successfully. One pre-condition for this to happen, is for health authorities to have adequate capacity and relevant know-how. Results The European Commission aims at assisting Member State authorities at national, regional and local levels to fulfil this pre-condition and proceed with their health system reforms. There is a number of instruments, initiatives and funding support to raise the capacity of national and regional healthcare authorities to adopt and scale up integrated care. Lessons There is an increasing demand and need to provide support and assistance to Member states to drive the transformation of healthcare systems towards more coordinated, integrated and sustainable healthcare systems.

scholarly journals Personalized medicine – challenge for healthcare system: a perspective paper

2021 ◽  
Vol 15 (2) ◽  
pp. 1-6
Author(s):  
Dorota Stefanicka-Wojtas ◽  
Donata Kurpas
Keyword(s):  
Personalized Medicine ◽  
Integrated Care ◽  
Health Sector ◽  
Real Life ◽  
Healthcare Systems ◽  
Fully Integrated ◽  
Care Services ◽  
Palliative Care Services ◽  
Personalized Diagnosis ◽  
The Life Course

Abstract: Personalized Medicine is a challenge for healthcare systems in Central and Eastern Europe if they are to provide patients with personalized diagnosis and treatment. Personalized medicine (PM) is about tailoring a treatment as individualized as the disease. [1 Integrated care involves receiving care along a continuum of health promotion, disease prevention, diagnosis, treatment, disease-management, rehabilitation and palliative care services, coordinated across the different levels and sites of care within and beyond the health sector, and according to the needs of patients throughout the life course. [2] Personalized Medicine and Integrated Care are among the most important concepts related to the management and organization of healthcare systems. This article intends to identify challenges to the adoption of personalized medicine and stimulate fruitful dialogue and debate about the evaluation of barriers and facilitators within the implementation of personalized medicine interventions, identify the barriers and take systematic actions to remove as many of them as possible to create a future where PM is fully integrated into real-life settings.

scholarly journals The transfer of knowledge on integrated care among five European regions: a qualitative multi-method study

2019 ◽  
Author(s):  
Liset Grooten ◽  
Hubertus Johannes Maria Vrijhoef ◽  
Tamara Alhambra-Borrás ◽  
Diane Whitehouse ◽  
Dirk Devroey
Keyword(s):  
Knowledge Transfer ◽  
Integrated Care ◽  
Qualitative Content Analysis ◽  
Knowledge Exchange ◽  
Scaling Up ◽  
Clear Understanding ◽  
Transfer Of Knowledge ◽  
European Regions ◽  
Multiple Sources ◽  
Transfer Processes

Abstract Background To examine how the knowledge transfer processes unfolded within SCIROCCO, a EU funded project (3rd Health Programme (2014-2020)) that aimed to facilitate the process of knowledge sharing across five European regions, to speed up adoption and scaling-up of integrated care initiatives. Methods A qualitative multi-method design was used. Data collection methods included focus groups, project documents and action plans of the regions. The data was analysed using a qualitative content-analysis procedure, which was guided by the frameworks of knowledge exchange and the why, whose, what, how framework for knowledge mobilisers Results All five components (including the themes) of knowledge exchange could be identified in the approach developed on the knowledge transfer processes. The four questions and accompanying categories of the framework of knowledge mobilisation were also identified to a large degree. Conclusions The observed incorporation of distinct forms of knowledge from multiple sources and the observed dynamic and fluid knowledge transfer processes both suggest that SCIROCCO developed a comprehensive knowledge transfer approach aiming to enable the adoption and scaling-up of integrated care. Overall, the multi-method qualitative nature of this research has allowed some new and practical insights in the knowledge transfer activities on integrated care between several European regions. To obtain a clear understanding of the content of the knowledge transfer approaches, which could assist the operationalising of models to support the evaluation of knowledge transfer activities, it is strongly recommended that further research of this type should be conducted in other research settings.

scholarly journals A scaling-up strategy supporting the expansion of integrated care: a study protocol

2019 ◽  
Vol 27 (3) ◽  
pp. 215-231 ◽  
Author(s):  
Liset Grooten ◽  
Cristina-Adriana Alexandru ◽  
Tamara Alhambra-Borrás ◽  
Stuart Anderson ◽  
Francesca Avolio ◽  
...  
Keyword(s):  
Integrated Care ◽  
Large Scale ◽  
Scale Up ◽  
Implementation Fidelity ◽  
Scaling Up ◽  
Realist Evaluation ◽  
Content Type ◽  
Project Outcomes ◽  
Care Systems ◽  
Funded Project

Purpose To ensure that more people will benefit from integrated care initiatives, scaling-up of successful initiatives is the way forward. However, new challenges present themselves as knowledge on how to achieve successful large-scale implementation is scarce. The EU-funded project SCIROCCO uses a step-based scaling-up strategy to explore what to scale-up, and how to scale-up integrated care initiatives by matching the complementary strengths and weaknesses of five European regions involved in integrated care. The purpose of this paper is to describe a multi-method evaluation protocol designed to understand what factors influence the implementation of the SCIROCCO strategy to support the scaling-up of integrated care. Design/methodology/approach The first part of the protocol focuses on the assessment of the implementation fidelity of the SCIROCCO step-based strategy. The objective is to gain insight in whether the step-based strategy is implemented as it was designed to explore what works and does not work when implementing the scaling-up strategy. The second part concerns a realist evaluation to examine what it is about the SCIROCCO’s strategy that works for whom, why, how and in which circumstances when scaling-up integrated care. Findings The intended study will provide valuable information on the implementation of the scaling-up strategy which will help to explain for what specific reasons the implementation succeeds and will facilitate further improvement of project outcomes. Originality/value The expected insights could be useful to guide the development, implementation and evaluation of future scaling-up strategies to advance the change towards more sustainable health and care systems.

scholarly journals Assessment of the implementation fidelity of a strategy to scale up integrated care in five European regions: a multimethod study

BMJ Open ◽  
2020 ◽  
Vol 10 (3) ◽  
pp. e035002
Author(s):  
Liset Grooten ◽  
Isabelle Natalina Fabbricotti ◽  
Dirk Devroey ◽  
Hubertus J M Vrijhoef
Keyword(s):  
Integrated Care ◽  
Scale Up ◽  
Implementation Fidelity ◽  
Scaling Up ◽  
European Regions ◽  
Participant Recruitment ◽  
Participant Responsiveness ◽  
Original Plan ◽  
Facilitating Conditions ◽  
Questionnaire Studies

ObjectiveThe SCaling IntegRated Care in COntext (SCIROCCO) project tested a step-based scaling up strategy to explore what and how to scale up integrated care initiatives in five European regions. To gain a profound understanding of which factors influence the implementation of this strategy, the objective of this study was to assess the extent to which the SCIROCCO strategy was implemented as planned.DesignMultimethod study.MethodsThe extended version of the conceptual framework for implementation fidelity was used to evaluate what factors influence the implementation of the scaling up strategy. Data were collected in the five participating European regions during the intervention period. Data collection methods included: key informant interviews, focus groups, questionnaire studies and project documents.ResultsAll three main steps of the scaling up strategy were implemented with acceptable fidelity. Variations were observed in the duration of implementing the steps in the regions. Also, variations were observed in the coverage of experts to participate in the steps of the strategy. Several factors were observed to influence the implementation: facilitation conditions (ie, good coordination for implementation) and participant responsiveness (ie, a positive experience of participants in the organised study visits). Factors that may have moderated adherence to the original plan of the strategy were found in facilitating conditions (ie, in the flexible approach), participant recruitment factors (ie, adaptions of the procedure by the regions) and contextual factors (ie, the level of development of integrated care).ConclusionThis was the first study to assess implementation fidelity of a European project that used a step-based scaling up strategy in five European regions. Similar European projects that are based on collaboration between several European regions can learn from the lessons captured in SCIROCCO and can become more aware of the facilitating factors and pitfalls of implementing such projects.

scholarly journals Maturity of integrated care in Poland - What can we learn?

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
K Wiktorzak
Keyword(s):  
Capacity Building ◽  
Integrated Care ◽  
Assessment Tool ◽  
Transformational Change ◽  
End Users ◽  
Added Value ◽  
Assessment Process ◽  
Self Assessment ◽  
Public And Private

Abstract Issue/Problem The need for sustainable resourcing drives professionals, end-users and the wider public and private sectors to draw on their experience and expertise to meet those needs. Tools and methodologies that help understand these complex transformational processes and orchestrate discussions of all stakeholders involved are core to this process. As a result, Poland was keen to apply SCIROCCO tool to assess their readiness for integrated care. Results The application of SCIROCCO self-assessment tool showed a range of strengths and weaknesses of Poland to adopt and implement integrated care. More than 15 stakeholders were involved in this process which proved the importance and added value to the assessment process. In addition, the outcomes of this process help to identify the potential focus of the capacity-building support. Lessons SCIROCCO tool is a very useful participatory tool which can help to drive the transformational change towards integrated care.

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