Julien Van Geertsom Belgian Federal Public Planning Service for - - PowerPoint PPT Presentation

Comprehensiveness and Care Coordination Integration of social and primary care 31 August 2015

Julien Van Geertsom Belgian Federal Public Planning Service for Social Integration (PPS SI)

Contents

• What do we do?
• Introductory video
• Our perspective on Block 9 of

the Framework

• Patient-centered medical

facilities in Belgium

• The role of PSWCs in

connexion with health

• Experts by Experience
• Intercultural mediators in

hospitals

• Looking to the future…

What do we do?

• Federal administration in charge of policy design and

implementation in the fields of social integration, fight against poverty and urban policy

• We aim to guarantee a dignified existence to all those

who do not qualify for social security and who live in poverty

• Our privileged partners: Public Social Welfare Centers

(PSWCs), local authorities, NGO’s

• Hot issues for the moment: social activation in PSWCs,

better integration of social services at the local level, workfare, developing our FEAD programme, …

‘t SPOOR An award-winning example of care coordination and comprehensiveness

Comprehensiveness

• Making sure the patients are provided with everything

they need

But also…

• Making sure the most vulnerable patients are provided

with the attention they need

(Care) Coordination

• The responsibility of primary care to arrange for services

that primary care is unable to provide such as social services, orientation services, etc

But also…

• The need for other services to integrate health and have

a holistic approach regarding the person

• The need for coordination and cooperation between

different levels and areas of governement

Patient-centered medical facilities in Belgium

Regional policy

• An alternative approach to medical care
• Providing care to people who have more

difficulties to access the healthcare system

• Multidisciplinary (doctors, nurses, social workers,

physiotherapists, dieticians, dentists, etc)

• Focus on prevention, health promotion and

participation of the “patientèle”

Patient-centered medical facilities in Belgium

Regional policy

• In FRENCH speaking Belgium  Maisons médicales
• In FLEMISH speaking Belgium  Wijkgezondheidscentra
• In BRUSSELS  both

Also worth mentioning…

• Family planning services (Wallonia)
• CAW (Flanders)
• Houses of the Child (Flanders)

The role of Public Social Welfare Centers in connexion with health (medical aid)

NON-URGENT

• Mainly for foreign nationals with

residence permit (asylum seekers, migrants granted residence on the basis

• f health motives)
• Allowing or renewing health coverage
• Medical card
• Agreements with health practitioners
• Paying for medication

URGENT

• For people without a legal residence

permit

• Not a financial aid
• Not technically “urgent”
• Must be administratively approved

by the PSWC

• This constitutes a barrier to

immediate health provision – we’re working on this with our project Mediprima (using computer-based technology to systematize decisions)

Federal policy – Local implementation

Experts by experience

• A new profession aiming to tackle poverty by

introducing the 'missing link' between services of the federal government and persons who find themselves in a situation of poverty

• The healthcare sector is also covered with

experts by experience in

• 2 hospitals
• the federal administration in charge of

persons with a disability

• one of the agencies in charge of providing

health insurance 24 Experts by Experience

Federal policy

In 13 federal administrations

What does all this mean in practice? [optional video]

Experts by Experience getting a boost in the health care sector

• The Experts by Experience methodology is to be

broadened in the health care sector

• Collaboration between the PPS SI and the National

Institute for Illness and Invalidity Insurance Federal policy

• Federal Plan to Fight Poverty : health is one of the core

areas of this action plan

Also worth mentioning…

Intercultural mediators in hospitals

• Eliminate all linguistic or cultural obstacles that constitute

a barrier to health care access

• Stimulate better communication between the patient and

the health practitioner Federal policy

• Improve the reception
• f the patients in the

hospital and in primary care

Looking to the future

Belgium has a high performing health system but there is always room for improvement Better coordination at all levels and between levels Good example: PPS SI and FPS Public health working together to implement the ROMED* programme (training intercultural mediators in hospitals to better respond to the Roma target population)

* A programme financed by the Council of Europe

Looking to the future

Belgium has a high performing health system but there is always room for improvement Aiming for comprehensiveness at the local level with systematic attention to those who are the most in need Good example: the Children First project supports local consultation platforms to prevent, detect and identify child poverty by putting all the relevant local professionals around the table (anti-poverty associations, child care centres, schools, sport clubs,…) in order to offer an all- round service offer to the children and families who benefit from the project

4 Golden Tips for Good Health

• 1. Think before you eat
• 2. Think before you act
• 3. Think before you speak
• 4. Think before you decide

Thank you for your attention More information on www.mi-is.be