ambrose mcloughlin, secretary general, department of health
DESCRIPTION
The Dynamic Healthcare Environment Its impact on the FutureTRANSCRIPT
The Dynamic Healthcare EnvironmentIts Impact on the Future
Dr Ambrose McLoughlinSecretary General31st October 2012
Patient-Centred Healthcare
Patient Profile
• Patients are living longer• Managed chronic diseases – the “Artificially
Well” patient• Co-morbidities
• Cardiac• Respiratory• Endocrine
The Healthcare Professional• Challenges of the dynamic healthcare environment to today’s healthcare professional
• Changed skillsets for healthcare professionals• Competent practice of their professions• Maintenance of competence • Relationships with patients
The Evidence Base• Modern Healthcare
• Evidence based• Cost effective• Outcomes focussed
• Patient’s environment• Home Care• Self Care• Shared Care• Ambulatory Care• Day Care• 5 Day Care
The TechnologyElectronic Patient Records
• Records follow the patient (digital/chip technology)• Remote patient monitoring• ICT/Smart technologies enable the
care environment― BP monitoring― Clinical & Phlebotomy results
• Access to accurate and current patient records will increase the scope of Health Professionals to add value to patient care
The Technology Patient Self-Monitoring• Patient monitors his/her own condition• Patient takes responsibility• Practitioner and Patient have
access to the relevant information•Smoking cessation•Substance abuse•Obesity•Mental health
• Synchronised messages between patient and practitioner
• “Close the Feedback Loop”
Potential Impact on the Patient• Empowered patient• More active in their own
healthcare
• Healthcare is driven and directed by the patient – demand led patient care
Patient-Centred Healthcare
Economic Analysis
Health Economics
• Cost analysis models• Metrics• Cost of inputs is assessed• Consider the stage of the technology & the
learning curve effect• Mature technologies: cost and skill mix adjustments• Development & growth phase technologies:
opportunities for efficiencies
Patient-Centred Healthcare
Economic Analysis
Patient Protection
Patient Protection – The Role of the Regulator• Protection of patients in a changing
healthcare environment is critical to ensure successful patient outcomes
• Competent Practitioners• Clinical & technology systems in place are
appropriate and meet the standard• Verify that patient outcomes are being
monitored
The Future of Healthcare• An informed patient means increased compliance and
better outcomes• Advancements in technology will change the nature,
scope and location of the patient’s care environment• Specialist Nurse Practitioner and Pharmacist have
greatly enhanced role in the future• Cost Effective Integrated Interdisplenary Care – Best
Outcome• A Real Challenge for all• How can Department of Health and it’s Ministers
Help?