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EIP-AHA B3 TOOLKIT TO SUPPORT SCALING UP IN EUROPE
Dr Andrea Pavlickova – NHS24, Scotland
Towards the B3 Toolkit on integrated care…
• Journey of B3 Integrated Care collaborative
– Strategic Implementation Plan (2011)
– B3 Action Plan (2013)
– EC Scaling-up Strategy (2014)
• B3 toolkit on integrated care
– B3 Assets
– B3 Maturity model
– B3 Good practices
From vision to action…
1. Organisational Models
2. Change Management
3. Workforce Development
4. Risk Stratification
5. Care Pathways
6. Patient Empowerment
7. Electronic Care Records /
ICT/Teleservices
8. Finance, Funding
Mapping of innovative practices
Practical Toolkits
More integrated, more efficient services
Implementation on large scale
provide input and expertise through an open collaboration
Commitments of the partners
B3 Action Group on Integrated Care
2013-2014
2015
>50 regions by 2015
Delivery Targets for B3 Action Group
2015 2014
Expected implementation • At least 6 regions will
measure their current and future needs for integrated care
• Good practice “pioneer” regions will coach “follower” regions
Expected outcomes • B3 self-assessment toolkit to support
scaling up • Database of good practices • Database of resources to assist with
implementation of integrated care (literature reviews, maturity matrixes, recommendations, etc.)
• Collaboration with EU funding projects (Momentum, ACT, Smartcare)
2013
B3 Toolkit for Integrated Care
Objective self-assessment
tool for regions
Identification of gaps
Tailored recommendations
Relevant good practices from other regions
Benchmarking of EIP B3 regions
… …
……Maturity matrixes for
change management, organisational model;
…Integrated care pathways;
..Risk stratification mapping;
…Patient Empowerment Framework;
…Momentum Blueprint
…
B3 Assets B3 Maturity Model B3 Good practices
Tools
Methodologies Review Docs
Papers EU funded
projects
Repository
Knowledge Transfer
Maturity model for integrated care
How to use the B3 maturity model? Domain Objectives Indicators Assessment
Information & ehealth services
• Essential components, secure and trusted services;
• Availability of fundamental building blocks to enable eHealth and eHealth services;
• Confidentiality and security designed into patient records, registries, online services, etc.
• Enablement of new channels for HC delivery
Unique citizen ID; Linked health records, Regional longitudinal EHR, At-scale teleservices; Ability to combine health and social care information; Care collaboration platforms
0 – No connected health services, just isolated medical record systems 1 - No integrated services used, only pilots/local services 2 – ehealth deployed in some areas, but limited to specific organisations or patients 3 – Voluntary use of regional/national eHealth services across the HC system 4 – Mandated or funded use of regional/national ehealth infrastructure across the HC system 5 – Universal, at scale regional/national ehealth services used by all integrated care stakeholders
How to use the B3 maturity model?
0
1
2
3
4
5
6
7
8
9
Readiness to Change
Structure & Governance
Information & eHealth services
Standardisation & Simplification
Removal of Inhibitors
Population Approach
Evaluation Methods
Breadth of Ambition
Innovation Management
Capacity Building
Valchronic
Practice 2
Practice 3
Added value of the B3 maturity model
• Bottom-up approach – capturing the experience and knowledge from the regions/local authorities;
• Comprehensive and systematic model that:
– Allows easy and quick detection of areas of improvement, gaps and strengths;
– Orientates efforts to the most effective collaborations; – Facilitates multidisciplinary discussions; – Provides baseline on state of art of integrated care in Europe’ – Enables comparisons of integrated care in Europe and
objective measurement where the regions stand – Enables sharing of good practices and “matchmaking “of
regions
Expected impact of the B3 maturity model
• Scale up of integrated care in European regions
– Assessment of health and care’s system’s capacity to adopt integrated approaches to deal with challenges of ageing;
– Assessment whether a particular good practice is adoptable by a health and care system • Identification of maturity characteristics necessary for adoption and scale
up of good practice; Understanding the context and conditions in adopting and transferring regions
• Match – adoptable; Mismatches – further actions/attention before the system can adopt the practice
