Around the world, many healthcare systems are still reactive, often configured to treat people at times of crisis in hospitals and may be poorly designed to prevent hospitalisation or proactively treat people in the right care setting.
In the face of unprecedented pressures, healthcare policymakers, payers, commissioners, providers and suppliers need to rethink how they work.
Out of hospital, community-based services play a vital role in the move to broader integrated care networks that place the individual at the center. The benefits are significant, from improving care outcomes to reducing system-wide costs, and alleviating pressures on hospitals.
The change to this type of system does not require structural solutions, but it does need a change in thinking and attitude. High-performing health services focus on improving individual health outcomes by working in partnership across the system.
Out of hospital care covers an extensive and diverse range of activities, and there is no single model of provision. However, health systems should integrate services around the user’s needs and make the best use of their assets (workforce, technology, estate) to improve care delivery. So, what could a patient’s model of care look like?
Daniel is 76 years old and his family no longer lives nearby. He has been diagnosed with Type 2 diabetes, is overweight and smokes. He has been admitted to hospital recently after a series of falls and knows he must control his blood sugar levels. One of his main fears is losing a toe, foot or leg to diabetes.
To make healthcare systems sustainable, focus should be put on prevention and self-care and integrated services to reduce hospitalisation.
Digital transformation and technologies have disrupted traditional care models, and are vital components in delivering seamless out of hospital services because they connect care. Below are a few examples of digital solutions that connect and exchange information between organisations to allow more collaborative working across local health systems.
The shift to create Integrated Care Networks and Integrated Care Systems provides an excellent opportunity to fundamentally redesign out of hospital care services and care system redesign specialists in KPMG member firms can support this transformation.
To help understand where your system faces challenges take the Online Maturity Assessment and learn how KPMG can help transform your organisation to improve health outcomes, quality of care and lower costs.