1. Healthcare Reform

2. 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

3. 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

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

5. 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

6. 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)

7. 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

8. 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

9. 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

10. 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

11. 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

12. 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

13. Political unity

14. 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

15. 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