Netherland
Confidential
Regional Health System Redesign
PROJECT DETAILS
Case Study.pdf
CLIENT
Multiple — Teaching Hospital, Community Hospital, Primary Care System, Regional Health Insurer, Local Governments (Confidential)
REGION
Netherland
YEAR
SERVICE AREAS
Hospital Transformation
Governance
We were not brought in to consult.
We were brought in to build from the inside.
Dr Anna van Poucke · Founder, GHT
01
Situation
A region with a large lower socioeconomic and ageing population with a significant care gap — services were not fit for purpose and not accessible for the local population. Years of mismanagement and misalignment between providers and local governments had left the health system inadequate and inaccessible.
02
Challenge
No collaboration where needed between providers, leading to a lack of specialised care in the region. Ageing threatened the future supply of workforce. Aligning multiple competing stakeholders around a shared vision for a redesigned regional health system.
03
Action
1
Stakeholder alignment
Aligning providers, regional insurer and local government including Ministry of Health on a programme for future regional health system redesign.
2
Population design conference
Large working conference for population representation to create design principles for the future health system, with alignment from providers, government and insurers.
3
Persona-based design of future care pathways across diverse care types including AE, oncology, cardiology, elective, maternity, chronic care, elderly and mental health.
Future care pathways designed for diverse care types including AE, oncology, cardiology, elective, maternity, chronic care, elderly and mental health.
4
Future portfolio development
Design of future regional health system combining social, primary, hospital and complex medical care, based on demand and capacity analysis.
04
Result
Design for future regional and integrated health system accepted by regional providers, insurers and local politicians.
01
Stakeholder alignment achieved across providers, regional insurer and local governments including Ministry of Health.
02
Population-representative design principles developed and agreed by all stakeholders.
03
Persona-based future care pathways designed across all major care types
04
Future portfolio developed incorporating design principles, care pathways and demand & capacity analysis.
THE MODEL
A two-channel care model
Separating acute & complex care from elective care — so scarce workforce and infrastructure are deployed where they create the most capacity.
University Medical Centre
Acute & complex care
High acuity
Emergency
Specialist referral
Elective care
Planned
High volume
Day-case
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