La 31e édition de la Conférence annuelle du PCSI (Patient Classification System International) se tiendra du 14 au 17 octobre prochain à La Hague, au Pays-Bas. L’événement portera sur le thème « Vers des systèmes de soins sociaux et de santé durable » et mettra l’accent sur les questions qui sont au coeur des programmes de soins de santé et de services sociaux : groupe-patientèle (case mix), information de santé, approche patient, approches fondées sur la valeur (value-based approachs), évaluation des programmes et financement. La conférence offrira la possibilité d’inspirer des travaux scientifiques et de motiver des engagements sociaux en permettant un réseautage inestimable.
La conférence annuelle du PCSI est un événement où des chercheurs, des analystes, des organisations de santé et services sociaux, des responsables gouvernementaux et d’autres acteurs se réunissent pour discuter des récents développements autour du concept de case mix. Les participants apprendront entre pairs à travers des conférences et des affiches scientifiques.
Pour plus d’information sur l’événement ou pour vous inscrire, consultez le site internet à l’adresse suivante: http://www.pcsi2015.org/
Si le la gestion par programme-clientèle vous intéresse, vous aimerez peut-être lire le billet suivant, du professeur Jacob Hofdijk, secrétaire émérite du PCSI, reconnu pour son expertise sur le sujet sujet. (source)
Do you want to contribute to sustainable health care systems ?
Come to the Hague 14-17 October 2015
Positive health is the most cherished gift to mankind, for each and every one of us! The greatest challenge for most of us is to maintain a healthy lifestyle, despite all the delightful temptations so harmful to our health. For years, governments have invested heavily in organizing and financing healthcare, focusing mainly on those with diseases or acute care needs, such as when giving birth to the new generation or during the final stages of life. Healthcare costs have increased both in the National Health Systems and in the insurance-based systems to levels that are unsustainable by public resources. In the effort to control these costs, many strategies have been devised to identify the drivers of the cost explosion, which does not seem to coincide with better and more effective healthcare for the population. Introducing the case-mix concept, originally developed as quality management tool, has yielded impressive results. Linking resources to the health problems of a patient treated in an inpatient hospital setting has given a new dimension to the debate between hospital managers, clinicians and payors and sometimes even patients. All over the world, the case-mix approach has been adopted and modified to match local healthcare cultures and refined to reflect changes in clinical practice and new classification systems, such as ICD10. As most systems are based on the discharge dataset, however, its application has been limited to inpatient care.
Beyond traditional case-mix applications
The growing interest in the effect of the healthcare system on individual patients renders modifying the application of case-mix tools urgent. The drive to add value to individual health presents a challenge for the organization of the healthcare system, which has traditionally been structured according to primary, secondary and tertiary care. As Porter observes, the focus should be on the complete cycle of care, transcending existing boundaries in the healthcare system. In addition to these challenges, the new definition of health links health to wellness, requiring self-reliance and responsibility from citizens. The strategy developed in the Netherlands of applying case-mix systems based on the health issues of the patient exemplifies the shift in orientation from provider to patient. These case-mix systems have been implemented both in hospitals to support contracting based on integral care products and to contract integrated care for patients with chronic diseases and for prenatal and obstetric care based on the so-called Care Standards. These developments have initiated the introduction of a truly patient-centred approach. The care standard defines appropriate care from the perspective of the patient. As patients tend to experience multiple health problems, an integrated approach by different healthcare providers is urgent and needs to be based on a care plan that assigns an active role to the patient. The recent reform of long-term care has increasingly led healthcare to be linked to social care, the missing link in the equation of managing costs related to the modern health definition.
Caring Village of the Future
The ESF-funded study The Challenges of Developing Social Care Informatics as an Essential Part of Holistic Health Care in Keele (UK) in July 2010 revealed that citizens face ill-defined integration of support provisions and segmentation between and even within sectors. Lack of Ownership and Coordination has been identified as a major problem. A series of questions posed has elicited different answers in different countries (or provinces). These include:
- Who coordinates care objectives and related records?
- Who coordinates care delivery from the policy level?
- Who coordinates care delivery at Individual level? (By default this is usually left to the individual citizen or caregiver, though they are likely to be vulnerable and least empowered.)
- Who coordinates Informatics Systems and policies?
- Who provides coordination at EU, Research and Professional policy levels?
Clearly, much needs to be done to support effectively general modernization of social care delivery and coordination with the healthcare sector to form an integrated holistic support network. EFMI has taken the initiative to elaborate a strategy to address each of these issues coherently to provide a framework for developing a sustainable health and social care system from a personalized perspective. A workshop series has been organized with the title Towards the Caring Village of the Future: Linking IT with empathy. At the first Village Workshops during the MIE2012 Conference in Pisa the Five Pillar approach was introduced to identify the fundamental requirements for the ultimate solution for the integration of health and social care.
- Technological Interoperability Systems – The Internet of Things devices, sensors should adhere to communicate with the Blue Line.
- Semantic Interoperability – Understanding the medical and social concepts used in clinical and social care.
- Social Interoperability – How to design systems, operations and work environments to match human capacities and limitations.
- Human Values, Preferences and Priorities are the drivers of the choices people make in decisions about their lives.
- Societal Incentive Framework – Supporting adoption of the 4 key components as a basis for the ecosystem to set the stage for implementing integrated health and social care systems throughout society.
The workshops in Pisa, Copenhagen and Athens have enhanced awareness of the requirements for a fully person-centred – i.e. a demand-driven – system. The overall concept revolves around the person, autonomy and respect for citizens as individuals, with a view toward providing ‘smart’ and integrated health and social care, equality and sustainability in the face of growing demographic and economic challenges. Vital to the approach is not only integrating health and social care delivery but also focusing equally on informal care givers as key partners. Informal care givers are usually treated as more distant and less informed members of the support team than are paid members, even though they tend to be more present and moreover have their own problems and pressures (which are usually overlooked in imposing care burdens on them). At the same time, untapped social capital and goodwill exist, thanks especially to the increasing numbers of active and able elderly. This resource is in part available for inclusion in the informal care setting, but respectful and supportive engagement is key, and information and communication are pivotal. After some initial progress in the The Hague Village Track during the PCSI 2015, the conference will delineate results for each of the pillars. The special track will be dedicated to elaborating the requirements and establishing support from some countries to identify subsequent steps towards sustainable health and social care systems for our next generation. They deserve our sincere commitment and attention.
Conclusion
As the international PCSI case-mix conference traditionally focused on Diagnosis Related Group (DRGs), the association’s goals have expanded to include a broader interest in clustering and grouping techniques in clinical and administrative data for healthcare management and financing. Connection to the Village Concept makes for a link with population-based funding issues and shifts the focus from providers to patients.
Contribute and join us in The Hague in October
The 31st conference will therefore be dedicated to the needs and requirements to achieve sustainable health and social care systems & appropriate funding that extends beyond case mix.