1. Promoting learning | Developing guidance | Sharing ideas Benchmarking Integrated Care for better Management of Chronic and Age-related Conditions in Europe Evidence-informed Management of Chronic and Age-related Conditions in Europe. EHMA Conference Breda, NL. June 2015 Lucinda Cash Gibson, IESE Business School Magdalene Rosenmöller, IESE Business School, Coordinator, Project INTEGRATE

2. Promoting learning | Developing guidance | Sharing ideas 2 Benchmarking Integrated Care for better Management of Chronic and age - related conditions in Europe. www.projectintegrate.eu

3. Promoting learning | Developing guidance | Sharing ideas Rationale Increasing challenge of sustainability in healthcare systems. An opportunity to develop and provide innovative solutions for patients and Europe’s health and social security systems. A new innovative paradigm is needed to effectively manage and coordinate the diverse needs of today’s service users (especially multi-morbid, chronic and complex). Budget: 2.8 M € Call: FP7-HEALTH Duration: 2012-16 Coordinator: IESE

4. Promoting learning | Developing guidance | Sharing ideas Strategic Objectives Gain in-depth knowledge: how integrated care can be developed and delivered successfully. Identify success-promoting and hindering factors of integrated care. Generate specific knowledge: process design and delivery models, patient involvement, professional skills mix/ ICT, financial flows and regulatory issues. Examine management and leadership strategies used to promote integrated care. Formulate policy recommendations for fostering integrated care at regional/ national /EU levels.

5. Promoting learning | Developing guidance | Sharing ideas Project INTEGRATE - Overview

6. Integrated care is a ‘complex intervention’: multi-component, dynamic, and context/client specific. Difficulty of understanding cause and effect. In-depth case studies using mixed methods. Phase 1: Four Case Studies 6

7. Promoting learning | Developing guidance | Sharing ideas Phase 1: Common methodological approach

8. Promoting learning | Developing guidance | Sharing ideas First Insights from Phase 1: Case studies Facilitating Elements Leadership / Motivation / Space for Action Multi-disciplinary Teams Incentives Political Support (Health Strategy) Process Design Dedicated hospital resource / Director of Chronic Care M&E Processes - Data from IT systems Barriers Silos / border of the sector Unprepared health professionals Financial arrangement's /flows ICT systems not adjusted.

9. Promoting learning | Developing guidance | Sharing ideas Phase 2: Horizontal/ cross cutting themes Care Process Design (FCRB/ IESE/ VUB) Professional skill-mix/ HR management (Tilburg/ USI) Financial Flows (SINTEF/ VUB/ Tartu) Patient Involvement (Charite/ Tartu) ICT management (KI/ FCRB)

10. Promoting learning | Developing guidance | Sharing ideas Phase 2: Horizontal/ cross cutting themes Care Process Design (FCRB/ IESE/ VUB) Professional skill-mix/ HR management (Tilburg/ USI) Financial Flows (SINTEF/ VUB/ Tartu) Patient Involvement (Charite/ Tartu) ICT management (KI/ FCRB) OBJECTIVE: Develop a framework that allows for description & analysis of existing integrated care practices/processes in order to identify commonalities and differences in the EU different settings and how integrated care can impact on existing care processes & design of new care processes. [Methods: case study review, literature review, BPMN tool, adaptation of management frameworks/principles, Delphi Study]. Implications of findings ---> Practical and Managerial lessons & policy lessons (Phase 3).

11. Promoting learning | Developing guidance | Sharing ideas Phase 3: Horizontal Issues International Checks (USI/ IFIC) Policy Recommendations (VUB/ UT/ IESE/ Tilburg/ SINTEF) Operational/ Practical Recommendations (IESE/ FCRB/ Charite)

12. Promoting learning | Developing guidance | Sharing ideas Phase 3: Horizontal Issues International Checks (USI/ IFIC) Policy Recommendations (VUB/ UT/ IESE/ Tilburg/ SINTEF) Operational/ Practical Recommendations (IESE/ FCRB/ Charite) OBJECTIVE: Develop principles for ‘best practices’ in integrated care; Elaborate handbook for the adoption and successful management of integrated care by different care providers.

13. Promoting learning | Developing guidance | Sharing ideas Phase 3: Horizontal Issues International Checks (USI/ IFIC) Policy Recommendations (VUB/ UT/ IESE/ Tilburg/ SINTEF) Operational/ Practical Recommendations (IESE/ FCRB/ Charite) OBJECTIVE: Bring together policy relevant evidence from the horizontal and vertical studies; Provide recommendations and policy options to policy makers at EU and National level to bring forward legislation and regulations in order to foster the integration of care.

14. Promoting learning | Developing guidance | Sharing ideas http://integratedcarefoundation.org/ IFIC; PAHO/WHO; Secretariat of Health in Mexico; Secretariat of Health of Federal District; National College of Specialist on Integrated Medicine (CONAEMI); Anahuac University.

15. Promoting learning | Developing guidance | Sharing ideas Final Project INTEGATE Presentations/ Workshop 2016 http://integratedcarefoundation.org/

16. Promoting learning | Developing guidance | Sharing ideas This project has received funding from the European Union’s Seventh Framework Programme for research, technological development and demonstration under grant agreement no. 305821 www.projectintegrate.eu Thank you. LCashgibson@iese.edu