MHADIE Recommendations in the Clinical Context A European and International Perspective.

MHADIE Recommendations in the Clinical Context

A European and International Perspective

Recall MHADIE Results

• ICF feasible in the Clinical Context– Along the continuum of care– Across health conditions– Over the life span

• ICF serves as basis for the development of clinical measurement instruments

• Information on functioning must complement information from the condition perspective!

Challenges and Approaches beyond MHADIE

• Develop ICF based practical tools– ICF Core Set Project

• Implementation of the ICF and ICF Core Sets as European and international standards– Leadership: Rehabilitation Medicine

Rehabilitation Medicine is the Medicine of Functioning

The ICF is the Core Concept of Rehabilitation Medicine

The ICF, the first universal language for all health professionals involved in rehabilitation!

Development of ICF Core SetsDevelopment of ICF Core SetsInternational Standards for Clinical International Standards for Clinical Practice, Research and StatisticsPractice, Research and Statistics

WHO FIC CC Germany (DIMDI)ICF Research Branch

Ludwig-Maximilian University Munich

World Health Organization

&European Union of Medical Specialists (UEMS)

European Society of Physical and Rehabilitation Medicine (ESPRM)International Society of Physical and Rehabilitation Medicine (ISPRM)

&European and International Collaboration Network

Testing and Validation6 World Regions, 50 Countries, 300 Study Centers

The Service and Care Continuum

Acute contextAcute care

Early post-acute contextEarly postacute rehabilitation

Long-term context Post-acute rehab, Re-Rehab

Curative Strategy

Rehabilitative Strategy

Chronic widespread pain Low back pain Osteoarthritis Osteoporosis Rheumatoid arthritis Chonic ischemic heart disease Diabetes Obesity Obstructive pulmonary diseases Depression Breast cancer Stroke

ICF Core Sets for Chronic Conditions

Current DevelopmentsAmputation Sydney AustraliaAnkylosing SpondylitisMaastricht NetherlandsBipolar disorders Barcelona SpainHearing Stockholm SwedenOropharyngeal Cancer Munich GermanyPsoriasis Arthritis Wellington New

ZealandMigraine Milan ItalyMultiple Sclerosis Valens SwitzerlandScleroderma Vienna Austria SLE Vienna Austria Sleep Helsinki FinlandSpinal Cord Injury Nottwil SwitzerlandTraumatic Brain Injury Barcelona SpainVision Munich Germany

Current Development

Generic ICF Core Set

Project:

‘Case studies to describe an ICF and Rehab-Cycle based rehabilitation management in Spinal Cord Injury’

Swiss Paraplegic Research

www.icf-casestudies.org

ICF Evaluation Sheet

Applications

• Using information on the individual level (electronic-health-records) to generate statistics relevant for service planning and policy

• Patient-oriented and need-based case management across services based on European standards

• Quality Assurance Programs