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Catalan open innovation hub on ICT-supported integrated care services for chronic patients

The Catalan Open Innovation Hub on ICT-supported integrated care services for chronic patients aims to foster a collaborative network at European level in terms of generation, deployment and evaluation of digitally-supported innovative health services. The practice is conceived to serve the entire population of Catalonia (7.5M citizens), Spain (ES). However, the target group are chronic patients with focus on multimorbidiy management and on coordination with social support and dependence. Accordingly, it encompasses both vertical (specialized vs. community-based care) and horizontal (healthcare vs. social support) integrations, combining a population-health orientation with a collaborative adaptive case management approach. The Catalan Open Hub promotes and assesses the transfer of care complexity from hospital-based to community-based care aiming at generating health value both at provider and at health system level with a triple aim approach (i.e., Improve Population Health, Improve Care Experience and Reduce per Capita Cost). Ultimately, the practice fosters the transfer of biomedical knowledge and technologies to healthcare service providers, health-related actors and industry. The initiative would like to generate a significant contribution of Catalonia toward a more efficient healthcare scenario in the 21st Century, based on the following strategic areas: Deployment and assessment of ICT-supported integrated care services. Priority is given to services focused on prevention, enhancement of patients’ resilience to disease and rehabilitation. Application of holistic strategies for subject-specific risk prediction that consider multi-level covariates influencing patient health in order to increase predictive power and enhance clinical decision-making based on sound estimates of individual prognosis. Alignment with the Big Data Analytics Master Plan promoted by the Catalan Health System (SISCAT) fostering adoption of cloud-based services in real world settings.
Background
Geographical scope: 
Regional level
Region involved:
Countries involved:
Download information: 
Organisation
Organisation name: 
Institut d'Investigacions Biomediques August Pi i Sunyer (IDIBAPS); Hospital Clinic de Barcelona (HCB) & Universitat de Barcelona (UB)
Organisation address: 
IDIBAPS (http://www.idibaps.org/) - Carrer del Rosselló, 149, 08036 Barcelona HCB (https://www.clinicbarcelona.org/ca) - Carrer Villarroel, 170, 08036 Barcelona School of Medicina-UB (http://www.ub.edu/medicina/( - Carrer de Casanova 143, 08036 Barcelona)...
Kind of organisation: 
Hospitals
Primary care centres
Specialised physicians
General practioners
Nurses
Research centres
Academia
Viability
Time for deployment: 
More than three years
Preparation of implementation: 
The practice was formally initiated with the Catalan Health Plan 2011-2015. Core targets of the Catalan Health Plan 2016-2020 are: i) maturity of comprehensive digital health services, ii) consolidation of achievements of the period 2011-2015; and, iii) multilevel clinical risk assessment with a...
Investment per citizen / service user / patient: 
Between 1.000 – 5.000 EUR per targeted citizen / patient
Cost calculation: 
General cost-calculation description and example for COPD patients (From Vela E et al. BMJ Open. 2018 Mar 6;8(3):e017283. doi: 10.1136/bmjopen-2017-017283): Allocation of healthcare expenditure to each patient, including pharmacy, was done through the Personal Health Identification Number since it...
Evidence of practice: 
Agreed evidence. Evidence is based on an agreed established monitoring system/process before and after implementation of the good practice
Evidence creation: 
From Vela E et al. BMJ Open. 2018 Mar 6;8(3):e017283. doi: 10.1136/bmjopen-2017-017283): The Catalan Health Surveillance System (CHSS) includes updated registries of the region of Catalonia (Spain) (7.5 million inhabitants) from Primary Care, Hospital-related events (hospitalisations, emergency...
Maturity level: 
The practice is “on the market” and integrated in routine use. There is proven market impact, in terms of job creation, spin-off creation or other company growth.
Maturity level detalis: 
Medium-high maturity level following the maturity matrix assessed in Scirocco (https://www.scirocco-project.eu/). Evidence of impact during the period 2011-2015 - Health-preserved expect. survival to expect. survival ratio: from 78 to 82.1% - Percentage reduction of referrals to specialized...
Time of impact: 
Long term and sustainable impact – e.g. a long time after the pilot project ended and routine day-to-day operation began
Kind of impact: 
Shorter stay in hospital (economic)
Aspects time of impact: 
Evidence of impact during the period 2011-2015 (from the introduction to the Catalan Health Plan 2016-2020) - Health-preserved expect. survival to expect. survival ratio: from 78 to 82.1% - Percentage reduction of referrals to specialized care: - 50% - Reduction of hospitalisations: - 7,500...
Transferability level: 
Ready for transfer, but the innovative practice has not been transferred yet. The innovative practice has been developed on local/regional/national level and transferability has been considered and structural, political and systematic recommendations have been presented. However, the innovative practice has not been transferred yet.
Transferability details: 
Transferabitity strategies will need customization taking into account two main aspects: (i) the elements of the practice to be transferred; and, (ii) the maturity level and specificities of the receptor site. Transferability of the entire practice is not a realistic , likely not possible,...
Initiative
Type of Practice: 
Good practice
Stakeholders concerned: 
Hospitals
Primary care centres
Specialised physicians
General practioners
Pharmacists
Nurses
Day care centres
Home care centres
Nursing homes
Informal caregivers
Private companies
Micro-sized industry
Small-sized industry
Medium-sized industry
Research centres
Academia
NGOs
Regional public authorities
Local public authorities
Reach of initiative: 
> 100,000
Age group: 
Irrelevant
Baseline information: 
ICT fully deployed: i) regional Health Information Exchange platform (HC3), ii) Personal Health Folder (La Meva Salut); iii) ePrescription; and, iv) Population-based registries & GMA scoring system. Actions: - Promote ICT-supported value-generating services with a preventive focus. -...
Source of funding: 
Regional funding