We have been building an innovative, patient-oriented and cross-sectoral healthcare network in a deprived urban area since January 2017. The long-term aim of this new model of care is to improve health-related chances of the population living in two neighbourhoods located in the East of Hamburg, Germany. The model pursues the triple aim: improving population health, improving patient experience and reducing per capita cost.
Interdisciplinary project participants
Shareholders of Gesundheit für Billstedt/Horn UG are:
- Ärztenetz Billstedt-Horn e. V. (physicians network)
- OptiMedis AG (management and investment company)
- SKH Stadtteilklinik Hamburg“ (hospital)
- NAV Virchow-Bund e. V. (physicians association)
Partners in the consortium are OptiMedis AG, AOK Rheinland/Hamburg and BARMER GEK, Hamburg Center for Health Economics, Institute of General Medicine University Hamburg and the digital health company Connected-health.eu GmbH with the product LifeTime. The Hamburg Center for Health Economics (HCHE) will evaluate the effectiveness of the interventions and their transferability to other regions.
Numerous other cooperation partners from the health sector, social sector and educational sector, e.g. as well as the municipal administration are supporting the project.
Lower health-related chances
Due to low socioeconomic status, people living in Hamburg’s neighbourhoods of Billstedt and Horn have lower health-related chances than the rest of Hamburg’s population. In these parts of the city there are more social welfare recipients, more people with a migrant background, lower levels of education and more single parents than in the rest of Hamburg. These citizens get ill earlier in life, are more likely to suffer from a chronic disease and have a lower life expectancy. At the same time, access to healthcare is limited – there are for example less primary care physicians and specialists in Billstedt and Horn than in other parts of Hamburg. This may be one reason why the use of emergency care services has increased over the past years.
An new model of population-based and cross-sectoral care
The chance to live a healthier life in Billstedt and Horn will be improved. In order to achieve that, the project partners will implement a patient oriented and interdisciplinary health network. It aims to:
- Empower patients to take more responsibility for their health
- Decrease the work load of general practitioners
- Use resources efficiently
- Increase quality of care
The project partners carry out various interventions aimed at strengthening the collaboration between the medical and social sectors. The main interventions are:
- A health kiosk based at a central location – here, insures are consulted in their mother tongue while doctor appointments can be prepared or revised
- Innovative IT-communication-solutions: electronic patient records and mobile applications to facilitate the exchange of health data between patients and providers
- Integrated healthcare management – to improve care for chronically ill patients and with multimorbidities
- Training of physicians in drug safety
At the moment, only patients that are insured at the AOK Rheinland/Hamburg can benefit from these services.
Project duration and funding
The innovation fund of the Federal Joint Committee (Gemeinsamer Bundesausschuss, G-BA) financially supports the project for three years with up to 6.3 million euros (start date: 1st of January 2017).
The project will be implemented over the course of three years. The AOK Rheinland/Hamburg has already closed an Integrated Healthcare Contract with the Gesundheit für Billstedt/Horn UG.
More information (in german): www.gesundheit-bh.de