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Management and investment company with health sciences background
Cooperation with doctors, hospitals, health insurance funds, pharmaceutical & medical industry to provide entire regions with integrated (full-service) health care solutions
Analyses of health care data and independent, data-based real-life care research
Best practice model:Gesundes Kinzigtal
From Health Sciences to Real-Life-Interventions
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Helmut HildebrandtPharmacist, studies in sociology, over 30 years management and consulting experience for: WHO and ministerial boards, hospitals, physician networks and others
Currently 13 employees (health economy, management, social sciences, IT and data sciences)
Prof. Dr. rer. natGerd Glaeske
Prof. Dr. med. Dr. phil. Alf Trojan
Dr. med. Manfred Richter-Reichhelm
Dr. Hans Jürgen Ahrens
Prof. Dr. rer. pol. Eberhard Wille
Dr. med. Hans-NikolausSchulze-Solce
OptiMedis gets support from and is controlled by a supervisory board
Kinzigtal is in the Southwest of Germany (today we are looking forward to replicate the model in several regions of Germany as well as in NL, AU and CH)
Cooperation Contract / Regional Health Management Company
Integrator* as facilitatorAn “integrator” is an entity that accepts responsibility for all three components of the Triple Aim for a specified population. Importantly, by definition, an integrator cannot exclude members or subgroups of the population for which it is responsible
Two committed partners:Medical experience regarding medical supply problems on site, contact with other regional providers(about 44 GPs, psychotherapists, specialists + some Hospital Physicians)
Public Health & Health economic knowledge, prevention & health promotion, controlling- and management competence, investment capability
The pillars of optimization and quality-Integrated health care system Gesundes Kinzigtal
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Committed network partners
Primary prevention Health programs Cross-cutting issues
Gesundes KinzigtalGesundes Kinzigtal
Health lectures
Club sportsClub sports
Course offers (e.g. aqua fitness)
Course offers (e.g. aqua fitness)
Heart failureHeart failure
Metabolic syndromes Metabolic syndromes
Back painBack pain
Psychic crisesPsychic crises
DepressionDepression
Geriatric careGeriatric care
etc.etc. etc.etc.
Health managementHealth management
World of health®World of health®
Quality indicatorsQuality indicators
Incentive program
Hildebrandt H, Schulte T, Stunder B. Triple Aim in Germany: Improving population health, integrating health care and reducing costs of care in the Kinzigtal-region – lessons for the UK? Journal of Integrated Care, Vol. 20 Iss: 4, pp.205 - 222 (2012). Emerald Group Publ. DOI: 10.1108/14769011211255249
Additional payments for management and substituting actions/ prevention
Tangible investment:
Health insurance
Normally expected
costs (allocations by
means of the Morbi-
RSA algorithm)M
anag
emen
t com
pany
The management company invests and benefits from its success
Hildebrandt H, Hermann C, Knittel R, Richter-Reichhelm M, Siegel A, Witzenrath W. S Gesundes Kinzigtal Integrated Care: improving population health by a shared health gain approach and a shared savings contract. International Journal of Integrated Care [serial online] Vol. 10, 23 June 2010 Available from: www.ijic.org
The external scientific evaluation (control group based approach) shows even better results (here AOK and LKK results combined)
*) Standardisierung: jahresweise nach Altersgruppen und Geschlecht, Referenzpopulation: »Kinzigtal«AOK: Vertragsärztliche Kostendaten für 2009-2011 nicht darstellbar, aufgrund von unvollständigen ambulanten Kostendaten von HZV-Teilnehmern.LKK: Vertragsärztliche Kostendaten für 2004 und 2006 unvollständig.AOK: Sachleistungsdaten für 2009-2011 nicht verfügbar.AOK+LKK: AU Kosten komplett nicht verfügbar.
cost savings per insuree living in the Kinzigtal region in comparison to a control group drawn from AOK and LKK insurees in Baden-Württemberg*
Less fractures after program participation „Strong Muscles – Solid Bones“ (n= 438) for patients with osteoporosis
Longer survival rates for GK-enrollees, less potential years of life lost (trend V2 Statistisches Bundesamt)
Schulte T, Pimperl A, Fischer A, Dittmann B, Wendel P, Hildebrandt H (2014) Ergebnisqualität Gesundes Kinzigtal –quantifiziert durch Mortalitätskennzahlen. www.optimedis.de
IV: 1.433,8 vs. NIV: 1427,1; Log-Rank 0,082; censoring ofdeceased withinfirst 182 days aswell as of healthinsurancechangers
Schulte T (2014) Osteoporose Programm Gesundes Kinzigtal: Frakturrate und Kosten gesunken. www.optimedis.de
Reduction of hospital cases for patients with mood [affective] disorders
Köster I, Ihle P, Schubert I (2014): Evaluationsbericht 2004 –2011 für Gesundes Kinzigtal GmbH: AOK-Daten. Available at PMV Forschungsgruppe, University of Cologne
Very high recommendation rate of Gesundes Kinzigtal members “certainly” or “probably”: 92,1%
„I live healthier now“ …. Answering in a positive way is correlated with the intensity of involvement, cooperation and shared-decision making
All respondents:
Chronically ill:
GK-programparticipants:
Definition of goals:
37,6 %
26,1 %
45,4 %
31,7 %
Siegel A, Stößel U (2014) Patientenorientierung und Partizipative Entscheidungsfindung in der Integrierten Versorgung Gesundes Kinzigtal. In: Pundt J (Hrsg.) Patientenorientierung: Wunsch oder Wirklichkeit?. 195-230. Apollon Bremen
A clever long lastingcontract, oriented towards„Integrated Chronic Care“ and„Triple Aim“ with thepossibility to invest and toanalize the claims data, guarantees success – in thelog run
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„But: there is no free lunch“: Regional integrated care for a whole population and the re-integration of Public Health, healthpromotion (in the meaning ofWHO-Euro and the Ottawa Charata) and traditional healthcare management needs a lot ofinvest and courage….
… … but out of the health sciences there is so much input to betaken and the work delivers such an amount of pride, excitement andgenerates real value for the whole society … so it is real worthful.