130-603 / Integrated care process management

Spain
GOP Information  
 
Organisation sharing the GOP
Related practices from PaSQ database
Andalusian Regional Ministry of Health and Social Welfare

Topic

Clinical guidelines or pathways
Quality management system
Category
Patient safety culture / Patient safety climate
Human factors
GOP Description
 
Implementation level
Regional
Clinical settings
Primary care
Hospital care
Objectives
Process management in Andalusia is an important project which aims at the reanalysis of workflows that take place in health care, taking into account the multiplicity of scenarios, the participation of different professional groups and the sequential nature of the proceedings, in order to address health care processes integrally. From this perspective, the continuity of care, a proper coordination between levels of care, as well as the orientation towards outcomes are key elements for the improvement of the quality of health care.

The attainment of these objectives is sustained in a few basic elements:

Focus action on the citizen, taking into account their needs and expectations, and measuring their satisfaction.
Involve professionals in process management as an important part of it, making them the engines of change.
Incorporate the best clinical practice based on the best scientific evidence available,
Development of an integrated information system that provides the necessary information to evaluate interventions and sustain continuous improvement.
Population

Population Andalusian
Methods
 
Methodology
Integrated care processes are a tool for quality improvement to facilitate the work of professionals and clinical management. Detailed in the itinerary of the patients, all actions, decisions, activities and tasks that are linked sequentially in your care, care for a specific reason.
Its design is based on flow analysis activities, ensuring continuity of care, clinical effectiveness and taking into account patients' preferences.
Timeframe implementation
Management strategy for integrated care processes began in Andalusia in 2000. At the moment it is implemented throughout the Community
Implementation tools available
Situation analysis: identify existing problems in order to establish those improvements that are necessary to proper implementation of the activities, to establish the role and training needs of professionals and, if it was necessary, the adequacy of training them, optimizing existing resources, the incorporation of new technologies, etc..
-Degree of priority needs: categorize competing needs, prioritizing by importance,
-Define opportunities of improvement and establish a permanent circle of continuous improvement.
-Local adaptation: existing conditions
-Recording and evaluation systems
Implementation cost
The development process is carried out by groups of professionals from the Andalusian Public Health System, specialists in each of them, not to incur expenses.
Editing and publication costs of the books of processes: all processes are currently published only in digital publishing in the Health Portal of the Andalusian Regional Ministry of Health and Social Welfare
Initial professionals training costs for the implementation: this training is included within the own continuing education of health centers.
Results
 
Method used to measure the results
Coverage per Process
Compliance monitoring quality standards defined in each process
Results
Currently there are 66 integrated care processes described and published. The implementation process varies according to health characteristics of the population served in each area.

Care processes have been defined as the frequency of diseases, their impact or the need to order their approach, such as Diabetes, Chronic Obstructive Pulmonary Disease, Breast Cancer, Asthma, Palliative Care, Patient Care multimorbidity, Benign Prostatic Hypertrophy, Pregnancy, childbirth and postpartum
Analysis of the results
Care processes have been defined as the frequency of diseases, their impact or the need to order their approach, such as Diabetes, Chronic Obstructive Pulmonary Disease, Breast Cancer, Asthma, Palliative Care, Patient Care multimorbidity, Benign Prostatic Hypertrophy, Pregnancy, childbirth and postpartum
Implementation barriers
 
Did you find implementation barriers?
No
Please describe implementation barriers
There is no specified text here
Describe the strategies used to overcome the barriers (If needed)
There is no specified text here
Other information
 
Other information about the GOP that you would like to add (Link or attached document)
http://www.juntadeandalucia.es/salud/channels/temas/temas_es/P_3_POLITICAS_Y_ESTRATEGIAS_DE_CALIDAD/P_3_PROCESOS_ASISTENCIALES_INTEGRADOS
615_126_GOP_guia_diseno_mejora.pdf
Contact information
 
Name: Jerónimo Pachón Díaz
Position/function: Quality, Research, Development and Innovation General Director
Department: Directorate of Quality, Research, Development and Innovation
Organisation: Andalusian Regional Ministry of Health and Social Welfare
City: Seville
Country: Spain
Region: Andalusia
E-mail: reyes.sanz.sspa@juntadeandalucia.es/ mconcepcion.barrera@juntadeandalucia.es
Phone: 0034 955006548
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