OECD PaRIS initiative
As part of an international consortium, in the OECD “Patient-Reported Indicator Surveys” (PaRIS), OptiMedis developed procedures to assess the experiences of and outcomes for chronically ill patients, and to collect data in OECD countries. The aim is to develop internationally comparable indicators and to assess the experiences and outcomes of chronically ill patients in outpatient care. Among other activities, OptiMedis developed a questionnaire from the proven Patient-Reported Outcome Measures (PROMs) and Patient-Reported Experience Measures (PREMs) methodologies.
Kronikgune – Institute for Health Services Research
The Joint Action on implementation of digitally enabled integrated person-centred care (JADECARE) is part of an EU funded project and part of the EU’s “The third health programme 2014-2020 – funding health initiatives”. A patient-centric digitally supported health care for the population should be promoted as part of the digital transformation of the health systems in the EU. Seventeen partners from forty regions across Europe are participating in the project. Four best practice models in Europe serve as templates for the implementation of reliable and proven health care methods in the various European health systems; one of these is the health care model developed by OptiMedis. In cooperation with the Eurometropolis Strasbourg, OptiMedis advises institutions in six European countries on the introduction of the OptiMedis approach.
Academic Medical Centre Amsterdam, University of Oxford, Pisa School of Advanced Studies
AOK Northwest, TK, Hamburg Center for Health Economics
Further Information (German only)
M@dita, (an acronym that translates as ‘Maternity care@digitalteam from the start’) is a project aimed to improve health care for pregnant women. The project initiators want to reduce the rate of premature and small for date babies and increase the number of infants fully breast fed for four months after birth. A further project aim is to develop a regional network to systematically combine medical and social care structures. The pregnant women are personally cared for by a networked team of gynaecologists and midwives. The M@dita-App provides access to digital maternity records, individual information and much more. AOK Nordwest, a health insurer, initiated the care program in cooperation with TK, a health insurance fund, the Hebammenverband Schleswig-Holstein (Schleswig-Holstein Midwives Association), OptiMedis and the Hamburg Center for Health Economics (HCHE) of the University of Hamburg. Among other things, OptiMedis was responsible for funding acquisition, communication and external presentation.
SAFEST’s ambition is to play a decisive role in improving patient safety in perioperative care, through the definition, implementation and evaluation of evidenced-based standardised practices developed by SAFEST in 10 hospitals in 5 EU countries. Between 8% and 12% of patients admitted to hospitals in the EU suffer adverse events. Of these, surgical adverse events are among the most common. When considering surgical safety, one must consider the entire surgical pathway. In fact, several studies have shown that most surgical errors occur outside the operating room, before and after surgery. In addition to the damage caused in terms of loss of life, the economic burden for the EU public health sector is significant: direct costs related to patient safety represent around 21 billion EUR (1.5% of healthcare expenditure).
Fundación Avedis Donabedian para la mejora de la calidad asistencial, Netherlands Institute for Health Services Research, NOVA University Lisbon, IQ healthcare, Sistema Español de Notificación en Seguridad en Anestesia y Reanimación, Institute of Clinical Medicine of the University AGof Tartu, European Hospital and Healthcare Federation, European Society of Anaesthesiology and Intensive Care, Spojená akreditační komise
COMPAR-EU aims to identify, compare, and rank the most effective and cost-effective self-management interventions (SMIs) for adults in Europe who suffer from type 2 diabetes, obesity, chronic obstructive pulmonary disease, and heart failure. Based on the development on a thorough comparison of various SMIs, decision making tools are made for doctors, patients, guideline developers and political decision makers. OptiMedis is one of seven partners from five countries. OptiMedis is responsible for the project website, www.self-management.eu, which, in the future, will have comprehensive information available for patients and service providers and will act as the primary information portal on this topic in the EU. In addition, we are developing a Data Management Plan which will assist in collecting and processing larger data volumes for the duration of the project, a plan to communication and dissemination plan for the project and business plans for the practical implementation of the chosen interventions.
Universitat Autònoma de Barcelona, Cochrane Centre Barcelona, Netherlands Institute for Health Services Research, European Patient Forum
The Healthcare Performance Intelligence Professionals (HealthPros) is part of Marie Sklodowska-Curie Innovative Training Network for Healthcare Performance Intelligence Professionals, running from January 2018 – 2022. As part of a specially developed programme, thirteen international PhD students (HealthPros fellows) will be trained in data science for health system performance assessment. Following the training, the fellows will be able to systematically combine health care data with strategic planning decisions. The background of the project is an international need for inter-disciplinary experts, with knowledge of medicine, social sciences, IT, and health politics, who can take measures to improve the health system and health services. Dr. Oliver Gröne, the deputy chairman of the OptiMedis board, is Co-Principal Investigator in the project and is leading the ‘Governance-Mechanisms to improve services”. In the project OptiMedis and Prof. Jonas Schreyögg from the Hamburg Center for Health Economics are jointly responsible for the further education and supervision of two PhD students.
The SCIROCCO Exchange project aims to support health and social care authorities in the adoption and scaling-up of integrated care in Europe. The project includes the development of models for integrated health care, implementation in several EU states and the relevant knowledge transfer. OptiMedis is managing the SCIROCCO Exchange Maturity Model for the integrated health care in Germany and provides, based on the insights from the matrix, specific measures to improve quality to the federal states, relevant to regional needs.
The results and links to publications will be available on the project website in the near future.
Further Information (German Only)
Prevention of nursing home sensitive hospital cases (PSK)
When older patients from nursing homes go to hospital there is always the risk that their health will deteriorate, whether from the psychological stress, infection, or prolonged immobilisation. As part of the Innovationsfonds* project ‘Needs-based care for nursing home residents by reducing nursing home sensitive hospital cases’, OptiMedis and the Witten/Herdecke University sought to determine whether hospitalisation was avoidable, which new structures are needed and what re-training is needed for the relevant personnel. The project was successfully completed in 2021. A list of nursing Home-Sensitive Hospital Cases (PSK, from the German Pflegeheim-sensitive Krankenhausfälle) was compiled and the respective chance to avoid hospitalisation was assessed. At the same time, we identified measures which could reduce the number of nursing home sensitive hospital cases and calculated the associated potential savings for statutory health insurance that could arise. We published a catalogue at the end of the project that can be used by the health insurers to identify and quantify prevention potential. The recommendations are aimed at funding bodies, health care service providers and political decision makers. The Innovationsfonds is a German federal instrument that funds integrated healthcare and health services research.
The results will be presented in a video and final report.
German Federal Ministry of Health, Kassenärztliche Vereinigung Westfalen-Lippe, Aktionsbündnis Patientensicherheit
Further Information (German Only)
Act@Scale published a handbook with best practice analyses and experiences from the project, available as a PDF.
Advancing Care Coordination & Telehealth Deployment at Scale (ACT@Scale) is an EU project that was successfully completed in 2019. It identified both integrated health care pilot projects in the EU and best practice models for the care coordination and telehealth areas in new contexts and that could be scaled up for larger populations. In the project, some 75000 citizens and patients could access new heath care models. The target groups were patients suffering from chronic illnesses and the elderly, who were frail, mentally ill or who needed to make use of social services. Project partners included several European health regions and universities. OptiMedis had two roles in the project. Firstly, we supported Gesundes Kinzigtal GmbH, a regional health provider and also a project partner, with their analysis of the relevant population’s health. We then evaluated the impact of two of Gesundes Kinzigtal GmbH’s intervention programmes, namely Gesundheitsberatung (Health Advice) and Trainingswelt (Training world), which had already been implemented. The programmes were concerned with agile approaches to identify and set up measures to improve health care. Secondly, OptiMedis, in cooperation with the University of Groningen developed business plans for the pilot projects, to ensure sustainable implementation and also support adaptation to other regions.
BigMedilytics is an EU project with 35 partners in 12 countries. It covered multiple pilot projects on the use of Artificial Intelligence (AI) on population health, chronic disease, oncology and process optimisation in the field of health care. OptiMedis, INCLIVA, a biomedical Research institute in Valencia, Spain and Philips, a corporation, undertook to develop and implement better methods for predicting patients’ utilisation behaviours. With our partners, OptiMedis assessed a comprehensive data set from the Spanish region of Valencia. This included detailed clinical data and individual risk behaviour in addition to the usual health care data. The aim was to see how AI could lead to better processes in the health system, to assess risks and benefits and to develop new health care models.
Training program for occupational health management
In order to support hospitals and care facilities in their measures for occupational health promotion, vdek, an association of health insurers, OptiMedis AG and the DNGfK (German Network of Health Promoting Hospitals and Health Serivces), jointly developed a training program for occupational health management. It was aimed at hospitals, (semi-)inpatient care facilities and outpatient care services. A structured series of seminars, designed by OptiMedis, were tested in 20 facilities. We sought to determine what company framework conditions must be created for successful occupational health management and how employees can be taught a health-promoting work and lifestyle. Healthy leadership was a further point of discussion.
Redesign of decision-making processes in outpatient care
Patients are rarely involved in medical decisions, information and decision-making processes are poorly structured and too little is documented. These shortcomings in patient involvement have long been criticised. In cooperation with OptiMedis, the Bertelsmann Stiftung, a foundation, examined current care processes and analysed the experiences and expectations of patients, doctors and experts. The project was completed in 2021. The results were recommendations for better information, communication and participation, with a special focus on shared decision-making.
The study, in German, is available for download as a PDF file on the Bertelsmann Stiftung website.