Small steps or giant leaps? How to improve quality of care - PowerPoint PPT Presentation

Small steps or giant leaps? How to improve quality of care – anywhere! Diaverum Annette Kumlien Aug 20, 2018

Agenda Setting the scene • Incremental change or giant leaps (paradigm shifts) • Acute care vs Chronical decease care • Our experience What can be measured can be improved • Implemented in Quality systems and back up by research, implement in procedures and policy's • Create a standard operation procedure SOP and educate on how to adhere to it. • Feedback culture Our future • Understanding the patients journey • Deliver Coordinated care

New demand on the system - Acute vs Chronical Chronic – multiple and recurring needs Acute – from ill to cured 3

Innovations and improvements Incremental innovation Or one giant leap innovation 4

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Chronic Kidney Disease (CKD) A silent illness and a global challenge... Chronic Kidney Disease Chronic Kidney Disease Stage 1-4 Stage 5 Total population – 7 billion 10 % of total population – 700 million 3 million In Clinic Hemodialysis Home care (Peritoneal Dialysis, Hemodialysis) Transplant Medical related (e.g. Vascular access, diabetology) Holiday dialysis 6

A growing cost – we need a better approach We need change Number of dialysis patients globally 4.000.000 Causes of CKD: Share of CKD Diabetes (40%) (Medicare costs and population in the US) 3.000.000 High blood pressure (30%) Other (30%) 1 2.000.000 1.000.000 ¹ Kidney Inflammation, Polycystic kidney Source: World Kidney Day 0 7

CKD Diabetes and hypertension are key causes of CKD Diabetes is the cause High blood pressure of 40% of all chronic causes 30% of all kidney diseases chronic kidney diseases 425 million people High blood worldwide suffer from 1 billion people pressure diabetes worldwide suffer from high blood pressure This number will Diabetes amount to 629 million This number will in 2045 amount to 1.6 billion by 2025 Other Kidney inflammation Polycystic kidney Source: International Diabetes Federation and WHO Hypertension Data 8

Key elements of high quality renal care High Quality Renal Care Clear protocols High quality facilities Continuous monitoring and benchmarked to best and operations improvement of medical outcomes practice Clear incentives for Effective auditing Competent and quality programme motivated staff 9

High Quality facilities and operations Potsdam, Germany Dammam, Customer treatment area Staff area Patient welcoming area Saudi Arabia

Clear protocols and benchmark of best practice based on scientific evidence Numerous scientific publications in top nephrology and medicine journals on: • Quality and patient safety in dialysis • Healthcare systems • Diabetes • Vascular access • Transplantation • Acute kidney injury • Preventive measures in patients with various types of chronic kidney disease • Benefits and harms with drug usage in p atients with chronic kidney disease • Quality of life and customer focus in hemodialysis (depression, oral disease) • Improving technology in hemodiafiltration • Peritoneal dialysis & Home hemodialysis

Continuous monitoring and improvment of medical outcomes with clear quality incentives CPM scores (2013-2016) Columna1

Effective auditing programme

Competent and motivated staff d.ACADEMY Correlation between patient and employee satisfaction Patient satisfaction 100 5 95 4.5 92 92 90 91 4 85 90 90 3.5 90 80 3 89 75 89 2.5 70 88 65 2 Argentina Australia Chile France Germany Hungary Italy Kazakhstan Lithuania Poland Portugal Romania Saudi Arabia Spain Sweden Turkey UK Uruguay 1309 1312 1402 1405 1409 1501 1505 1510 1603

The future – we coordinate patient care

Challenges and solutions to create high quality care Patient Cost Staff 16

Questions ? 17