The Observatory of Innovation in Healthcare Management in Catalonia is the instrument used by the Catalan health system to catalogue the efforts made by organisations in innovating in several spheres of management. See more information at http://oigs.gencat.cat

1. http://oigs.gencat.cat
Observatory of Innovation in
healthcare management
Selecting the best practices from innovative experiences:
The Observatory of Innovation in Healthcare Management in Catalonia
Moharra M; Garcia-Altés A; Benítez D; Adroher C; Caamiña I.
Agency for Health Quality and Assessment of Catalonia (AQuAS) http://aquas.gencat.cat

2. BACKGROUND
• The Catalan health care system has been characterized by its
ability to promote and adapt new organizational and
management practices and by being a source of constant
innovation.
• The knowledge generated from the practices carried out by the
professionals of the Catalan health care system is highly valuable
and sharing it is a priority in order to increase the quality and
efficiency of the system

3. OBJECTIVE
• The aims of the Observatory of Innovation in Healthcare
Management in Catalonia are to collect, validate, organize and
value, mainly, the knowledge of the Catalan health system, from
many innovative experiences that are being developed today.
• It provides a forum for compiling some of the best practices
observed in the system, drawn up based on the identification of
innovative initiatives.
• It offers an innovation community web page fostering interaction
among more than 450 health professionals who exchange their
experiences.

4. Selection based on
the quality of the
evaluation and the
impact
Identification of
distinguishing
characteristics
and outcomes of
best experiences
carried out in
the system to
scale.
 Implementation
 Bringing a change
 Impact on
resources
 Scalability
.
Experience that has
carried out a high
quality self-
evaluation
Innovative experience Certified experience Best Practice
METHODS
Identification of a
valuable experience
based on the
following criteria:
183 innovative
experiences
23 Certified
experiences
3 Best Practices

5. METHODS
Identifying Best Practices 2013
Identification of
elements of
success that
make up the
systemic
projects.
Teledermatology
Adequacy of prescription
in primary and
community health care
Online Preop

6. Best Practice Factsheet
RESULTS
 What is it?
 What advantages does it offer?
 Impact
 Key aspects for the implementation
 Which centers/institutions are implementing it?

7. RESULTS
What is it?
Consists of the planned and standardised withdrawal of chronic
medication in elderly and poly-medicated patients.
What advantages does it offer?
 Greater patient satisfaction
 Improvements in functionality and in quality of life
 Reduction of the risk of side effects and interactions
 Lower economic expenditure for the patient and for the community
Economic impact?
• Primary Healthcare Teams (EAPs) have estimated an annual saving of
4.2 million euros, resulting from the withdrawal of medication from
31,000 patients.
ADEQUACY OF PRESCRIPTION IN PRIMARY AND COMMUNITY HEALTH CARE

8. RESULTS
What is it?
Virtual appointment with a professional who reviews the tests previously
conducted on the patient through the Shared Medical History. Next, the
nursing staff contacts the patient to check if the information is correct.
What advantages does it offer?
 Reduces time and costs for patients by avoiding unnecessary face-to-
face appointments;
 Allows professionals to prioritize their time
 Contributes to improving the quality of patient care avoiding
unnecessary complementary exploratory tests.
Economic impact?
• A saving of 25 euros per scheduled procedure taking into account
only the saving in complementary tests was estimated.
• Taking into account the cost associated with missing a day at work:
the global economic saving was estimated at 120 euros per patient
ONLINE PREOPERATIVE

9. RESULTS
What is it?
Consists of a procedure that begins when the primary health care
physician photographs a questionable skin condition on a patient and
attaches it to the patient’s medical history. Next a virtual visit is
scheduled in the dermatologist’s diary and the dermatologist replies to
the physician with the diagnosis and the treatment.
What advantages does it offer?
• Reduces time and costs for patients by avoiding trips to the hospital
• Contributes to reducing the time between diagnosis and treatment
allowing resolution to be optimized in primary health care.
Economic impact?
• Reduction has occurred in the waiting lists for specialist care and a
reduction in referrals to specialist care (average days on the waiting
list for specialist care has fallen from 30 to 16).
TELEDERMATOLOGY

10. • The Observatory offers a public forum for posting and showcasing
innovative management experiences and therefore constitutes a display
cabinet for organisations to publish their experiences and it also forges ties
with other institutions and creates synergies and joint projects.
• Key drivers to identify the best practices are not only based on the
reduction of costs of healthcare but also on the benefits of innovation in
terms of improvement access and scalability to other settings.
• The three best practices offer advantages for patients and professionals in
terms of greater satisfaction for patients (improvement in quality of life,
reduction of risk of side effects) and for professionals (prioritisation of time
and optimisation of primary health care resources).
CONCLUSIONS

11.  Best practice work best when they are contextual. Therefore, to
identify what works and what does not work in different contexts
will be crucial for the adoption and spread of best practices in the
future.
 Rethinking about the exercise of Best Practice in not being a unique
exchange of information in a community web page. Identifying
barriers and drivers for the implementation, sharing problems,
acknowledging failures and finding solutions will be a significant
step forward in the future.
NEXT STEPS

12. Thank you very much for you attention!
Montse Moharra mmoharra@gencat.cat
http://oigs.gencat.cat
Observatory of Innovation in healthcare management Community of Innovation
https://oigs.community innovation

13. The Observatory of Innovation in
Healthcare Management in Catalonia (OIGS) is a project of the Catalan
Health Ministry of the Generalitat de Catalunya
More information at: http://oigs.gencat.cat
© About this presentation. 2015, Generalitat de Catalunya. Departament de Salut.
Agència de Qualitat i Avaluació Sanitàries de Catalunya (AQuAS)
The contents of this presentation are under a Creative Commons license for Attribution-
NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0)
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