PCP - STARS OMC's: Project Goals, Achievements and Planning
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PCP - STARS
OMC’s: Project Goals, Achievements and Planning
Italy – Ancona January 18th, 2018
Germany – Mülheim January 24th, 2018
The Netherlands – Maastricht January 25th, 2018
Spain – Cordoba January 31st, 2018
Spain – Barcelona February 02nd, 2018
On behalf of the STARS Consortium:
P.B. Kwant, PhD, MSc, MBA
Structure of presenta.on Mission Statement PCP - STARS • PCP • Consor.um • Envisaged PCP process Project goals • Descrip.on of the public need • State of the art • KPI’s & Business case Ques.ons
Mission Statement A consor.um of five leading European academic hospitals uses the European commission’s Pre-commercial Procurement (PCP) funding scheme to challenge and s.mulate European industry to: Design and develop a resilient support tool, to be applied in the field of pa6ents, planned for surgery, with the aim of reducing stress and anxiety as well as improving the health condi6on of the pa6ent during the complete care path. The available budget for the development of this innova.ve solu.on is 4.7 million euro of which 3.26 million euro (including VAT) will flow as innova.on subsidies to the industry.
Structure of presenta.on Mission Statement PCP - STARS • PCP • Consor.um • Envisaged PCP process Project goals • Descrip.on of the public need • State of the art • KPI’s & Business case Ques.ons
PCP Cofund Ac.ons PCP to steer the development of solu.ons towards concrete public sector needs, whilst comparing/valida.ng alterna.ve solu.on approaches from various vendors PPI to act as launching customer / early adopter / first buyer of innova.ve commercial end-solu.ons newly arriving on the market STARS Specific Call Ac.ve ageing and self-management of health SC1-PM-12–2016: PCP - eHealth innova.on in empowering the pa.ent. Goals / expected impact of European Commission • Empowering the hospitalised pa.ents, outpa.ents and their families/carers to support a con.nuum of care across a range of services supported by ICT • Enhance the ICT skills and increase adherence of pa.ents and care givers • Increase the role and the responsibility of the pa.ent • Support self-management of health
STARS - Beneficiaries - LAUREA-AMMATTIKORKEAKOULU OY - UNIVERSITEIT MAASTRICHT (C) - ACADEMISCH ZIEKENHUIS MAASTRICHT (P) - ZENIT ZENTRUM FUR INNOVATION UND TECHNIK IN NRW-GMBH - AGENCIA DE QUALITAT I AVALUACIO SANITARIES DE CATALUNYA - HOSPITAL SANT JOAN DE DÉU (P) - FUNDACIO PARC TAULI (P) - SERVICIO ANDALUZ DE SALUD (P) - BEDIN SARA - ISTITUTO NAZIONALE DI RIPOSO E CURA PER ANZIANI INRCA (P) - ETHNIKO KAI KAPODISTRIAKO PANEPISTIMIO ATHINON
Envisaged PCP process
Preparatory Open market Start tender Phase 1 Phase 2 Phase 3
phase Consulta>ons process
Achieved • Ancona (I)
• Needs Assessment Invita.on to Tender Solu.on Design Prototype Development Original Development
• Mülheim an der
• Challenge brief and and Tes.ng of limited
Ruhr (DE)
uncovered volume of 1st test
• Maastricht (NL) Supplier A
func.onali.es products / services
• Cordoba (ES)
• Website STARS
• Prior Informa.on • Barcelona (ES)
Supplier B Supplier B Supplier B
No.ce
Due for Mar 2018 Supplier C Supplier C
• State of the Art
• Regula.ons and
Cer.fica.on Supplier D Supplier D Supplier D
• Design PCP model
Jan 2017 – Jul 2018 Jun 2017 – Feb 2018 Jul 2018 Feb 2019 – Jun 2019 Jul 2019 – Feb 2020 May 2020 – Dec 2020Goals of Open Market Consulta.on Main goals: • Market consulta.on is a powerful instrument that helps understanding (not solving) the gap between demand and supply and is vital as means to create and increase awareness of the market rela>ng to the needs of public authori.es • A market consulta.on could offer the necessary informa.on on how to split the development process into (sub-)phases and how to organize the field tes.ng ac.vi.es. • Market consulta.ons could shed light on several paramount issues for the success of the project, including technical feasibility and market poten.ality. A market consulta>on can not be used (to ask) to pre-select the market operators for the procurement phase.
Structure of presenta.on Mission Statement PCP - STARS • PCP • Consor.um • Envisaged PCP process Project goals • Descrip.on of the public need • State of the art • KPI’s & Business case Ques.ons
Public Need (I) - Stress during pa.ent journey
MEDICAL CONSULT
INCLUSION SURGERY
REGISTER
PATIENTS´ HOSPITALISATION
HOME DAY BEFORE Consequences increased stress
SURGERY
• Increased Mortality
HOSPITALISATION • Complica.ons during surgery
SURGERY DAY
• Increase in re-hospitaliza.on
PRE-SURGERY • Seda.ng Drugs (delirium)
ROOM
• Increased .me wound healing
OPERATING INTENSIVE • Delay in return to daily rou.ne
ROOM CARE UNIT • Reduced quality of life
INTERMEDIATE
CARE UNIT
HOSPITALISATION
ROOM
CLINICAL EARLY
DISCHARGE CHECKING
1 2 3 4 5 6 7 8 9 10
HOSPITAL With the courtesy of
DISCHARGE Ignacio Muñoz Carvajal MD, PhD
Cardiovascular surgery unit
MEDICAL Reina Sofia university hospital
CONSULT
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% DISCHARGE
Low stress Medium stress High stressPublic need (II): State of the art
Reducing stress before anesthesia, Dr. H. Sauer Videoconferencing doctor, Medeo, AMS Health
Post clinical visits at home, nos.nl Cliniclowns, marvia.nl
Disadvantages: ScaKered & Supply-drivenPublic Need (III): STARS as Service Innova.on
Empowering pa>ents by professional STress Avoidance and Recovery Services during the en>re pa>ent journey
Pa.ents should not be public, but become playersSTARS: KPI’s & Business case Selec>on of some KPI’s • Reduc.on of use of medica.ons during pa.ent journey, such as seda.ves. • Safe reduc.on of Length of Stay (LOS) in the hospital • Reduced number of avoidable re-admissions to Intensive Care Unit (ICU) • Reduced number of avoidable re-admission to hospital aper discharge • Reduced number of visits to the hospital during the pa.ent journey • Increase in pa.ent empowerment: increase level of informa.on of next step • Enhanced personal autonomy • Increase in pa.ent sa.sfac.on Methods to assess: Morisky and Green, PAM, NET Promoter Score, Resource Consump6on Business Case • Reduced number of direct contacts with medical team. • Reduced number of complementary medical examina.ons. • Reduced use of medica.ons with 20%. • Reduced LOS with 10% (Costs per day extra is approx. €600 in the Netherlands & approx. 400 €/ day in Spain). • Reduced re-admissions to hospital and ICU (es.mated costs per readmission are € 6.000). • Reduced numbers of avoidable pa.ent mortality, .me off from work and overall u.liza.on of health care.
Structure of presenta.on Mission Statement PCP - STARS • PCP • Consor.um • Envisaged PCP process Project goals • Descrip.on of the public need • State of the art • KPI’s & Business case Ques.ons
Thank you for your aren.on!
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