Healthcare Reform

Why do we need to reform healthcare? Increased care needs in response to the rise in the number of inhabitants, many of whom are elderly The quality of the medical care we provide is good but there are areas that could be improved The working methods, organisation and structure need to be developed Healthcare must be brought closer to the people and primary care provision needs to strengthened – ‘Hospital-heavy’ healthcare People expect a greater degree of access and continuity within the healthcare system than we can offer at present Lack of continuity – Need for coordination New external demands are being made – We need to harness the potential of digitalisation

Welfare needs are rising (VGR) Change in percentage terms in different age groups 2017 – 2025 0 years 1-19 years Working age 20-64 years 65-79 years 80- years 11% 12% osv May 2017 Healthcare Reform

Factors influencing health Environmental conditions Genetics Medical care Social circumstances Behavioural choices

We must reform to meet various needs Vårdsituationer No process/No conclusion Process/Conclusion One unit Several units Leading Healthcare Swedish Association of Local Authorities and Regions Healthcare situations

We must make use of the opportunities presented by digitalisation Patienten har ett hälsoproblem och… …ringer för att boka ett Physical läkarbesök Physical care encounter Self-service tools Digital care encounter Search, read information Choose channel Case history Triage Make an appointment Assess, Treat, Refer Physical care encounter Documentation. Care provider’s healthcare information system (Medical records)

We must reform if we are to provide the necessary skills and know-how We aim to become the best public sector employer in Sweden New working methods and approaches Data interchange Competence development

We must reform to ensure a satisfactory financial outcome Revenue and cost trend VGR* (R12) Revenue and cost trend (rolling 12-month accounting period) 5.48% 4.16% Outcome, operating revenue, including taxes, grants Budget, operating revenue, including taxes, grants Outcome, operating expenses Budget, operating expenses

Expanding local healthcare provision – our greatest challenge Clear definition Quantification, targets, timetables etc. Transfer of duties and resources Primary care sector remit Provision of skills, know-how and experience

The reform is not about making savings It is a case of increasing value for those we are there to serve in relation to the resources that are utilised

Aims and objectives Prevent disease and promote good health among the population Increase the proportion of self-efficacy Patient care must in many cases be provided locally Benefit from the opportunities offered by digitalisation Improved medical and patient-perceived quality, patient safety, accessibility, personal focus, coordination, equality, productivity and efficiency

Aims and objectives Provide the fundamentals for dealing with the provision of skills and know-how as healthcare needs increase The reform will lead to a greater degree of realisation of the healthcare goals funded by Region Västra Götaland Healthcare quality goals HR policy goals Financial goals

Political unity

Direction taken by the reform and the areas in which it will take place We will create the greatest possible value for the patients/population based on available resources Develop and reinforce local healthcare Concentrate care in order to achieve better quality and accessibility Increase the use of digital services and forms of care Focus on quality-driven organisational development

Focus 2018 Complete the tasks that have commenced Commence the assignments that have been decided Run pilot projects and produce a basis for policy decisions Move from a reform situation to a regular operating system