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

3

Acute – from ill to cured Chronic – multiple and recurring needs

Innovations and improvements

4

Or one giant leap innovation Incremental innovation

5

Chronic Kidney Disease (CKD)

A silent illness and a global challenge...

6

Total population – 7 billion

In Clinic Hemodialysis Home care

(Peritoneal Dialysis, Hemodialysis)

Transplant

Chronic Kidney Disease Stage 5 Chronic Kidney Disease Stage 1-4 10 % of total population – 700 million 3 million

Medical related

(e.g. Vascular access, diabetology)

Holiday dialysis

A growing cost – we need a better approach

7

We need change Number of dialysis patients globally

1.000.000 2.000.000 3.000.000 4.000.000

Causes of CKD: Diabetes (40%) High blood pressure (30%) Other (30%)1

Share of CKD (Medicare costs and population in the US)

¹ Kidney Inflammation, Polycystic kidney Source: World Kidney Day

CKD

Diabetes and hypertension are key causes of CKD

8

Diabetes High blood pressure Other

High blood pressure causes 30% of all chronic kidney diseases 1 billion people worldwide suffer from high blood pressure This number will amount to 1.6 billion by 2025 Diabetes is the cause

• f 40% of all chronic

kidney diseases 425 million people worldwide suffer from diabetes This number will amount to 629 million in 2045 Kidney inflammation Polycystic kidney

Source: International Diabetes Federation and WHO Hypertension Data

Key elements of high quality renal care

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High quality facilities and operations Clear protocols benchmarked to best practice

High Quality Renal Care

Continuous monitoring and improvement of medical outcomes Competent and motivated staff Clear incentives for quality Effective auditing programme

Dammam, Saudi Arabia Potsdam, Germany Customer treatment area Staff area Patient welcoming area

High Quality facilities and operations

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

CPM scores (2013-2016)

Continuous monitoring and improvment of medical

• utcomes with clear quality incentives

Columna1

Effective auditing programme

d.ACADEMY

Competent and motivated staff

88 89 89 90 90 90 91 92 92 1309 1312 1402 1405 1409 1501 1505 1510 1603

Patient satisfaction Correlation between patient and employee satisfaction

2 2.5 3 3.5 4 4.5 5 65 70 75 80 85 90 95 100 Argentina Australia Chile France Germany Hungary Italy Kazakhstan Lithuania Poland Portugal Romania Saudi Arabia Spain Sweden Turkey UK Uruguay

The future – we coordinate patient care

Challenges and solutions to create high quality care

16

Patient Staff Cost

Questions ?

17