Institut Català d’Oncologia Xavier Gómez-Batiste MD, PhD Director, WHO Collaborating Center for Public Health Palliative Care Programs WHO Meeting OSI/WHOCC.

Slides:

Advertisements

Similar presentations

Department of Medicines Policy and Standards The WHO Model List of Essential Medicines – Palliative Care update Suzanne Hill World Health Organisation.

Advertisements

Family Doctor for All Overview & Research Opportunities Kristin Anderson Director, Primary Health Care Branch Applied Health Research.

Transforming Illinois Health Care Illinois Medicaid 1115 Waiver.

WHO Public Health approach in the planning and implementation of Palliative care: Experience and evidence from Catalonia Xavier Gomez-Batiste Pal Care,

Institut Català d’Oncologia ICO DiR. The ‘Qualy’ End of Life Care Observatory - WHO Collaborating Centre for Public Health Palliative Care Programmes Needs.

An Introduction to Expenditure Analysis ~ an overview of the NASA methodology Teresa Guthrie Centre for Economic Governance and AIDS in Africa OSI Workshop,

Mayo Clinic College of Medicine Rochester Higher Education Development Committee August 19, 2005.

LEUKEMIA & LYMPHOMA SOCIETY TEAM IN TRAINING. THE LEUKEMIA & LYMPHOMA SOCIETY WORLDS LARGEST VOLUNTARY HEALTH ORGANIZATION DEDICATED TO FUNDING BLOOD.

University of Nebraska Medical Center PRIMARY CARE Definitions Millis Commission – 1966 First-contact, continuing, and comprehensive care Institute of.

Royal Wolverhampton Hospitals NHS Trust Medical Staff Induction Day Palliative Care at New Cross Hospital Dr Clare Marlow Dr Benoît Ritzenthaler Consultants.

Socialdepartementet Primary care and the care for the elderly.

WHO Collaborating Centre for Public Health Palliative Care Programmes. BARCELONA. III/2011 Institut Clínic Malalties Hematològiques i Oncològiques Palliative.

PALLIATIVE CARE: ANY STAGE, ANY AGE WHAT PROVIDERS NEED TO KNOW May 2013.

Program Development for Safety Net Institutions Catherine Deamant, MD Director, Palliative Care Services Cook County Health and Hospitals System Coleman.

Nancy D. Zionts Chief Operating Officer Chief Program Officer Jewish Healthcare Foundation © 2013 JHF & PRHI.

Building palliative care specialist services and teams

EDUCATION & RESEARCH Deliverables: not all delivered yet! Prof.dr.K.C.P. Vissers, MD, PhD, FIPP Subcommittee on Education EFIC.

The US Healthcare System and the Roemer Model

The Role of Leadership Lee B. Sacks, M.D. Executive Vice President, Chief Medical Officer Advocate Health Care Chief Executive Officer Advocate Physician.

NATIONAL QUALITY POLICY IN POLAND Barbara Kutryba, Poland POLISH SOCIETY FOR QUALITY PROMOTION IN HEALTHCARE WORKSHOP 1, ENQual Programme Utrecht, 28 –

Seminar in Palliative Care September 26 – October 02, 2010 Salzburg, Austria in Collaboration with.

WHO Public Health Strategies for developing palliative NCCP Barcelona, March 2011 Jan Stjernswärd MD PhD FRCP (Edin)

Palliative Care in the UK – now-and where are we going? Professor Mari Lloyd-Williams Professor and Director of Academic Palliative and Supportive Care.

Respiratory Effectiveness Group Study Proposal (REG) Insert name of Lead Investigator & key collaborating groups Please direct all questions and correspondence.

An Integrated Healthcare System’s Approach to ACOs Chuck Baumgart, M.D., Chief Medical Officer Presbyterian Health Plan David Arredondo, M.D., Executive.

Institut Català d’Oncologia ICO DiR. The ‘Qualy’ End of Life Care Observatory - WHO Collaborating Centre for Public Health Palliative Care Programmes The.

Xavier Gómez-Batiste MD, PhD

MICROARRAY GENE EXPRESSION ANALYSIS OF FATTY ACID SYNTHASE (FAS) Palliative Care Service ICO-L’Hospitalet Hospital Duran i Reynals March 2011.

HSA 171 CAR. 1436/ 7/4  The results of activities of an organization or investment over a given period of time.  Organizational Performance: ◦ A measure.

Research with the Human Tissue Repository RAFT Session April 10, 2015 Corey C Ford, MD, PhD Sr. Associate Dean for Research.

Welsh Rural Health Plan Developing the “Rural Practitioner” role.

Institut Català d’Oncologia Workshop 7: Training strategies Xavier Gómez-Batiste MD, PhD Cristina Lasmarias WHO Collaborating Center for Public Health.

The Christ Hospital Inpatient Palliative Care Consult Service Easing the Burden of Serious Illness.

Evolution & Maturation of the Practice of Hospice and Palliative Medicine Charles F. von Gunten, MD, PhD May 16, 2013 Vice President, Medical Affairs Hospice.

Institut Català d’Oncologia The Basics of Palliative Care Models of Care and Settings of Care Kathleen M. Foley, MD October 26,2011 Brasov, Romania 1.

Institut Català d’Oncologia ICO DiR. The ‘Qualy’ End of Life Care Observatory - WHO Collaborating Centre for Public Health Palliative Care Programmes Central.

Setting a Culture for Innovation Penn Medicine Center for Health Care Innovation Shivan Mehta, MD, MBA Assistant Professor of Medicine, Division.

„ Innovations and role of state : „ Innovations and role of state : the Polish experience” Krzysztof Gulda Chairman of Team of experts on innovations and.

Outcomes of Managed Care. MCOs and Controlling Costs MCOs do so by controlling 1)MDs 2)Patients 3)Health Care Institutions.

The Institute for Post-Acute and Senior Care Kyle Allen, D.O. Medical Director, Post Acute & Senior Services, Summa Health System Chief, Division of Geriatric.

SAVINGS PROPOSALS 2012/13 CITY & HACKNEY CCG. CONTEXT This report provides information to the Shadow Health & Wellbeing Board on proposed savings in 2012/13.

Improving Care for Older Adults with Serious Illness Amy S. Kelley, MD MSHS Brookdale Leadership in Aging, 2009 Fellow Mount Sinai School of Medicine June.

BEST PRACTICES IN CARE OF THE DYING James Hallenbeck, MD Hospice Medical Director VA Palo Alto HCS In Search of.

The Patient-Centered Medical Home: A Work in Progress Alliance for Health Reform Briefing Washington D.C. September 22, 2008 Diane R. Rittenhouse, MD,

Sustaining Primary Care in the Adirondacks Trip Shannon August 2, 2010 Office of Rural Health Policy Rural Health Network Development.

Provide the right care for each patient at the right time in the right care setting Transitions in Care: Caring for our Patients Connecting our Partners.

India-WHO Essential Drugs Programme implemented by Delhi Society for Promotion of Rational Use of Drugs (since 1997)

Disability Services Value for Money and Policy Review 29/11/20151 Value for Money and Policy Review of Disability Services in Ireland Presentation to the.

Volume to Value: Quality Based Purchasing for Policymakers Trish Riley, Director Governor’s Office of Health Policy and Finance

Health Reform: Local Safety Net Implications Karen J. Minyard, Ph.D., Executive Director, Georgia Health Policy Center, Georgia State University.

ACS CAN Advocacy Update Jen Hunt, American Cancer Society Cancer Action Network (ACS CAN)

End of Life Issues in Cancer Care “Just as dying is part of the life of an individual, and part of the life and history of a family, caring for those among.

Institut Català d’Oncologia ICO DiR. The ‘Qualy’ End of Life Care Observatory - WHO Collaborating Centre for Public Health Palliative Care Programmes Workshop.

6 June 2007 Dias 1 Peter Furu DBL – Centre for Health Research and Development, Charlottenlund, Denmark WHO Collaborating Centre for Health and Environment.

Institut Català d’Oncologia ICO DiR. The ‘Qualy’ End of Life Care Observatory - WHO Collaborating Centre for Public Health Palliative Care Programmes.

C4A-MD Program: transforming social care for persons with mental disabilities Ludmila Malcoci, PHD KHSIMA Executive Director Ministry of Labor, Social.

Palliative Care/End of Life Identified Area for Improvement: 1) A scoping exercise to map the range of end of life / palliative care services in rural.

Ethics & decision-making Dr Barbara Hayes Palliative Care Physician Advance Care Planning Program Health decision dilemmas: Rights responsibilities and.

1 The Faculty of Medicine Name, title of the presentation.

Institut Català d’Oncologia ICO DiR. The ‘Qualy’ End of Life Care Observatory - WHO Collaborating Centre for Public Health Palliative Care Programmes Research.

Introduction to the workshop and overview of our work together.

Moving the Needle: Toward Value-Based Integrated Mental Health Services for Patients with Chronic Medical Conditions James G Baker MD MBA Associate Chair,

MacColl Center for Health Care Innovation

WHO Meeting of Interested Parties

Creating Cancer Care Teams: A Workshop for Patients and Caregivers

BRIGHTLIGHT: from first glow to now – what, why and how

Supporting Continuous Quality Improvement in Family Child Care: A Peer Learning Group Session 5: Improving Outcomes for Children in Family Child Care:

Background Primary care reform was initiated formally in late 90s and early 2000s, for several reasons: Accessing family doctors was difficult. Too many.

Reporting in CRC screening

Clinical research in Southampton is a partnership between University Hospital Southampton NHS Foundation Trust and the University of Southampton, combining.

Presentation transcript:

Institut Català d’Oncologia Xavier Gómez-Batiste MD, PhD Director, WHO Collaborating Center for Public Health Palliative Care Programs WHO Meeting OSI/WHOCC Workshop 9: legislation, standards, financing models

Institut Català d’Oncologia The legislation of palliative care includes The insertion of palliative care in the existing policies and financing models (Global or specific Health plans for Cancer, Geriatric, Aids, and other chronic conditions) The formal approval and recognition of the National Plan Basic legislation (Law, decree, or ministerial order) that could be generic Specific changes to assure opioid availability Other related legislations: advance directives and autonomy, rights of patients, ethical committees, support (funding or changes in labour legislation) for careers

Institut Català d’Oncologia Legislation and standards National Plan General or definition: law or decret (generic) Financing systems (specific for services) Opioid and essential medicines availability (the simplest, the best) Standards of services (description) Other legislations (respite, support of families, etc) “The simplest, the best”

Institut Català d’Oncologia Financing models Insert in the common financing model Combine: structure, activity, results, and quality Concept of “cathalitic” investment Reallocation Estimate expected savings “The simplest, the best”

Institut Català d’Oncologia Costs Medicare last year life Lubitz and Riley, 1993

Institut Català d’Oncologia Efficiency of PCSs Multicenter longitudinal study on the use of resources by cancer patients attended by PCSs Comparison with previous use without PCSs 171 teams / 395 patients

Institut Català d’Oncologia

The palliative care network saves more money than its costs

Institut Català d’Oncologia Costs and savings Type of serviceCalculationSubtotal / typeEstimated savings; Euros HCST229,000 x 72 services16,488,000 (31%)TOTAL SAVINGS: 3,000 / patient x 23,100 = 69,300,000 HST279,000 x 49 services13,671,000 (26%) PCU96 x 209,000 stays20,064,000 (38%) OUTPAT155 x 9,000 processes 1,395,000 (3%) PST190,000 x 5 services950,000 (2%) TOTALTOTAL COSTS: 52,568,000/ year NET SAVINGS: 16,732,000 / year

Institut Català d’Oncologia

Standards of services Description of Palliative care measures in conventional services Specialist services: Basic description of: -Structure - Process or activities - Basic outputs - Basic outcomes ICO DiR. Centre Col·laborador de l’OMS per Programes Públics de Cures Pal·liatives

Institut Català d’Oncologia

Exercise Part I: 1.Review your general pal care legislation Apart from opioids) 2.Propose changes for the next year Part II: 1.Review your financing system 2.Propose a model for palliative care financing ICO DiR. Centre Col·laborador de l’OMS per Programes Públics de Cures Pal·liatives

Institut Català d’Oncologia ICO DiR. The ‘Qualy’ End of Life Care Observatory - WHO Collaborating Centre for Public Health Palliative Care Programmes. The ‘Qualy’ End of Life Care Observatory WHO Collaborating Centre for Public Health Palliative Care Programmes ICO l’Hospitalet Hospital Duran i Reynals Gran Via de l’Hospitalet, l’Hospitalet de Llobregat Institut Català d’Oncologia