Consumer Driven Healthcare John Church CEO Arthritis Ireland

Arthritis – a Major Population Health Issue Any Condition Blood Pressure Arthritis High Cholesterol Asthma Chronic Pain Infections Heart Disease Diabetes Depression Cancer Osteoporosis Other Mental Illness Other Serious Illness ,370,000 1,185, , , , , , , , ,000 99, , ,000 98, ,000 90, ,000 87,000 75,000 78,000 55,000 48, ,000 46,000 16,000 9,000 98,000 95, Source: 2008 Pfizer Health Index

Duplication of Conditions All Adults Blood Pressure ArthritisHigh Cholesterol AsthmaChronic Pain Heart Disease Diabetes %%%% Blood pressure Arthritis High Cholesterol Asthma Chronic pain Infections Heart Disease Diabetes Depression Cancer2* Osteoporosis Source: 2008 Pfizer Health Index

12 Months Early Diagnosis Essential

What Do we Do? Supporting People living with Arthritis Finding a Cure Voice of Rheumatology in Ireland

Board Make-Up 4 Patients 4 Medics 7 Co-opted members

The Challenging Environment Healthcare Budget Cuts –More for Less –Decisions made Now!! Current Rheumatology service issues Ageing Population –More dependency on system –Increased chronic diseases The Patient’s voice –Hierarchy of Medicine Managing Patient expectations

Consumer Driven Healthcare Listening to the Consumer Active involvement in care pathway development Education and Health Promotion Promoting active self-management –Taking more Responsinility for their health –Monitor consumer expectations over the years “An Informed patient is a better self manager” (PARE)

Consumer’s Role OLDNEW Defer to Providers AuthorityShare Responsibility for own Health Be PassiveBe Active. Self-manage health & condition Share History, when askedShare goals, history, values, beliefs and preferences. Be Assertive Learn about condition from provider Learn from provider, inform self. Access reliable information Don’t worry about medications (it’s all in the medicine cabinet) Share responsibility for keeping medication list up to date Respond to provider questions about progress during clinical visits Keep track of own progress between visists, share duirng visits

Consumer Driven Healthcare Best Practice Arthritis Self-Management Programmes –Stanford Model

Consumer Driven Healthcare Case Histories Arthritis Self-Management Programmes –Stanford Model Let’s Talk Arthritis

Consumer Driven Healthcare Case Histories Arthritis Self-Management Programmes –Stanford Model Let’s Talk Arthritis Patient as Educator

Consumer Driven Healthcare Some Early Wins Consumer role in HTA Better Care = Reduced drug dependency = less cost Reform HSE budget system –PCCC versus Hospital Pharmacy Innovative thinking on Resource deployment

Thank You