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In 2016 we published again several articles in well-known international journals. We would like to share some of them with you.
Publications before 2016 you find on www.optimedis.com/publications
- Nolte, E., Frølich, A., Hildebrandt, H., Pimperl, A., Schulpen, G. J., Vrijhoef, H. JM (2016): Implementing integrated care: A synthesis of experiences in three European countries. International Journal of Care Coordination, June 30, 2016. Link
Gesundes Kinzigtal is one of three detailed integrated care case studies that are analyzed in this paper. The other two cases are the ‘Integrated effort for people living with chronic diseases’ project in Denmark and Zio, a care group in the Maastricht region in the Netherlands. This paper seeks to understand the processes behind successful projects that achieved some form of ‘routinisation’ and informed systemwide integrated care strategies.
- Pimperl, A., Schulte, T., Mühlbacher, A., Rosenmöller, M., Busse, R., Gröne, O., Rodriguez, H. P., Hildebrandt, H. (2016): Evaluating the Impact of an Accountable Care Organization on Population Health: the Quasi-Experimental Design of the German Gesundes Kinzigtal. Population Health Management 2016 Aug 26. Online ahead of print: 26. August 2016. Link
A major challenge to establishing the evidence base for the impact of ACOs on population health is the absence of a theoretically grounded, robust, operationally feasible, and meaningful research design. In this paper an international group of scientists worked with us to elaborate a routine data based evaluation study design, provide an empirical example (evaluation of Gesundes Kinzigtal), and discuss considerations for generating the evidence base for ACO implementation.
- Behrendt, K., Gröne, O. (2016): Mechanisms and effects of public reporting of surgeon outcomes: A systematic review of the literature. Health Policy 2016. Link
Behrendt and Gröne performed a systematic literature review on the impact of public reporting of surgeon outcomes to gauge the expected results of the UK surgeon outcome initiative. They conclude that there is some evidence that public reporting can be an incentive for low performing surgeons to improve quality. Negative incentive on patient selection as suggested in the USA have not yet been observed in the UK.
- Gröne, O., Hildebrandt, H., Ferrer, L. & Stein, V. (2016). People-centred population health management in Germany. EuroHealth – Quarterly of the European Observatory on Health Systems and Policies, Volume 22, May 2016, 7-10. Link
This special issue of EuroHealth examines priorities for health systems strengthening in the WHO European Region. The chapter about the Gesundes Kinzigtal mode elaborates that a focus on population health management and providing a continuum of care, including health promotion and primary prevention, can lead to cost-effective solutions, while also strengthening communities and healthier people.
- Pimperl, A., Schulte, T., Hildebrandt, H. (2016): Business Intelligence in the Context of Integrated Care Systems. In: A. Wilhelm (Hrsg.): Analysis of Large and Complex Data, Studies in Classification, Data Analysis, and Knowledge Organization. Bern: Springer.
This book chapter describes how business intelligence can be used in the context of integrated care systems. By the example of a best practice model - Gesundes Kinzigtal - it is shown how data from various data sources can be linked in a data warehouse, prepared, enriched and used for management support via a front-end: starting with the project preparation and development via the ongoing project management up to a final evaluation.
- Lang, C., Kern, E., Schulte, T., Hildebrandt, H. (2016): Integrated Diabetes Care in Germany. In: D. Simmons et al. (Hrsg.): Integrated Diabetes Care – A Multidisciplinary Approach. Springer.
Since 2007, Gesundes Kinzigtal has offered a secondary prevention program to reduce the development of risk factors related to the metabolic syndrome, the development of type-2-diabetes mellitus and cardiovascular diseases. This book chapter offers a data analysis dealing with the potentials in type-2-diabetes care in the Kinzigtal region, describes the Gesundes Kinzigtal intervention “Healthy Weight” in this context and highlights first results of the internal evaluation of program participants compared to a risk-adjusted control group showing amongst others less hospitalizations in the intervention group subsequent to the enrollment in the program “Health Weight”.
- Britnell, M., Jamilkowski, M., Kuehn, J. (2016): Are the incentives aligned and flow of funds understood? Germany – Bringing the costs down: Healthy Kinzigtal. In: KPMG (Hrsg.): What works: Paths to population health. Achieving coordinated and accountable care. Link
This KPMG report uses Gesundes Kinzigtal as a case to describe how to align incentives and move from volume to value. The report concludes that Gesundes Kinzigtal shows that a better coordination of healthcare and enhanced self-management capabilities of patients in combination with more intensive health promotion and preventive programs will lead to significant savings and improved wellbeing compared to typical care.