Regional Health System Redesign

PROJECT DETAILS

CLIENT

Multiple: Teaching Hospital, Community Hospital, Primary Care System, Regional Health Insurer, Local Governments

REGION

Netherlands

YEAR

SERVICE AREAS

Hospital Transformation

Population Health

Governance

Case Study.pdf

Situation

A region with a large lower socio-economic and ageing population, with a large ‘care gap’ where services were not fit for purpose and not accessible for the local population.

Challenge

Due to years of mismanagement and misalignment between providers and local governments, the health system was inadequate, inaccessible, and did not provide the right services for the population. No collaboration where needed between providers, leading to a lack of specialised care in the region. Ageing was also a threat to the future supply of workforce.

Action

Stakeholder alignment

alignment with providers, regional insurer, and local government (including Ministry of Health) to get agreement on a programme for future regional health system redesign.

Population design conference

Large working conference for representation of the population to create design principles for the future health system; alignment with provider, government, and insurer stakeholders on these principles as a starting point for design.

Future care pathways

Persona-based design of future care pathways for diverse care types (AE care, complex care [oncology, cardiology], elective care, maternity, chronic care, care for the elderly, and mental health care).

Future portfolio development

Development of a future portfolio for the region incorporating design principles and care pathways; also based on demand and capacity analysis, design of a future regional health system combining social, primary, hospital, and complex medical care.

Result

Design for future regional and integrated health system accepted by regional providers, insurers and local politicians.

Stakeholder alignment achieved across providers, regional insurer and local governments including Ministry of Health.

Persona-based future care pathways designed across all major care types

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