A service by IDI Eikon

AdsuM+

Integrated Care and Care Coordination Services

+Quality

+Efficiency

Go ahead!

Introduction

Why AdsuM+?

The socio-sanitary market actively demands data consulting services aimed at generating value and knowledge for different actors: clinicians, patients/society, public administration and the pharmaceutical industry.

In a scenario where budgetary control is fundamental for the health system, these actors demand data evidencing, documenting and justifying the use of certain treatments in daily clinical practice, as well as the ideal moment to use certain medications or doses ("Treat to Target").

Therefore, it is necessary to provide the socio-sanitary system with tools allowing:

What is AdsuM+?

AdsuM+ is a technological platform developed on standard and open-source languages and components that deploys either in the cloud and/or "in-house", a series of services for:

Introducción

AdsuM+ is able to generate important volumes of anonymized data so that, in addition to the existing control in clinical practice and patient health outcomes, third parties can analyze them, using Business Intelligence and Big Data Analytics techniques.

How does AdsuM+ perform Data Consultancy services?

AdsuM+ contributes to the stream of “Ensure data for research purpose” by "opening AdsuM+ raw data" without further elaboration, but in such an "interoperable" way (in terms of "reusability") that other research communities could integrate in their respective [big] data repositories for further research elaboration.

Additionally, AdsuM+ allows its users to perform accurate analysis processes of any clinical or care-related data.

Accurate analysis of medical data benefits is not oriented to early disease detection, but to improve patient care treatment and quality of life and to decrease harmful side effects of drug interactions that can lead to serious unwanted effects or to a reduction in the therapeutic effects of some drug substances.

This “Management by Results” of AdsuM+ makes it easier for the Public Health Systems to reach purchase agreements with laboratories where prices, especially of high-impact medicines (cost), are set based on the effectiveness or results of the own treatment.

Health systems themselves define this new type of agreements in this way:

“It is a new financing model for medicines based on payment by results (EPR) schemes that involves a shared risk agreement with the pharmaceutical industry (ARC) for which drugs payment is conditioned to their therapeutic result. This is, the pharmaceutical laboratory agrees to return the amount of those units of medicines not giving the expected result. The shared risk contributes to the savings and sustainability of the Public Health Systems, especially in the introduction of new biological medicines ”.

Among the targets of AdsuM+, we aim to streamline machine learning algorithms and deep neural networks for effective prediction of acute outbreaks which can be utilized to identify high-risk patients, reduce medical cost (as high-risk patients often require expensive healthcare resources) while improving the quality of their lives.

State of the Art

The Problem: mostly “reactive” care models are used when caring for Patients

All socio-sanitary systems anywhere in the world face the same challenge: basically, care is delivered based on a reactive model (waiting for patient to come in with a problem) and this, jointly with population ageing and chronic conditions prevalence (among other factors), results in very high rates of over-usage of socio-sanitary services.

El problema

This situation is generating 2 main problems:

El problema

Integrated Care

What is AdsuM+ offering

AdsuM+ proposes a very pragmatic model for delivering Integrated Care services both for Vertical Integration (in between health providers at Primary Care – Specialized Care – Hospital levels) and for Horizontal Integration (in between Health and Social providers, like Social Workers). This ensures de-centralized care models are deployed and very important amounts of care actions can be transferred from Hospitals and Institution-based scenarios to Primary Care and Home-based scenarios.

The model AdsuM+ deploys is based on European Commission strategies promoted from the EIP-AHA partnership: View Info-Graphic

Vertical - Horizontal

AdsuM+ is delivering proactive care (tracking patient’s status before problems get serious) on a coordinated way, always starting from whatever available data we have on Electronic Health Records (or similar ICT systems) and relying on a specific set of AdsuM+ features

Basic Features

Motor

Integrated Care Pathway Engine

For multi-disciplinary care teams to design and manage care plans with no dependency from ICT Department

Calendars

Actionable Care Calendar

For every stakeholder (including Patient) to perform whatever care action required or assigned to him... “the Patient CRM”

Asistentes

Simple wizards to complete care actions

So anyone can follow up designed care plans and pathways (Clinical Decision Support System; adding value to non-specialist roles)

Interoperabilidad

Full interoperability with pre-existent systems

For collecting and sending back whatever valuable data from and to third party systems (EHR, HIS, Active Directories, patient’s demographic databases...) so processes are not duplicated

Know more

Benefits

Silos

REAL Integrated Care; even in between “silos”

MORE
Continuidad

TOTAL Interoperability = Continuity of Care

MORE
Auto-cuidados

Patient-Centric model leverages Self-Care

MORE
Arrow

+Efficiency

+Quality of Service

Achievements

Improving Quality Key Performance Indicators along Care Delivery processes

12 months after AdsuM+ is deployed

+0 Patients

+0 Socio-Sanitary Providers

Emergency Visits

Emergency Visits

0%

Admissions

Admissions

0%

Stays

Stays

0%

(2 days less)

Re-Admissions

Re-Admissions

0%

Integrated Care Models

There is not just one way of using AdsuM+: every socio-sanitary organization uses AdsuM+ according to their own needs, strategies, priorities and available resources, designing care delivery models setting its focus on Prevention, Social Services, Chronic Conditions Management, etc.


The ultimate goal is always contributing to improve socio-sanitary systems’ long term sustainability while improving quality of delivered care services.

Towards Population Health Management Systems

Population Health

References

Here we list some AdsuM+ references for deployment cases in Spain, Europe and United States, not only in pure health scenarios but also for different socio-sanitary care co-ordination and Integrated Care success stories.


We would like to highlight INCA European Project as a key trans-border deployment case for AdsuM+ on the Integrated Care topic:

INCA
EBA Manises Generalitat Bupa Iasis Murcia Murcia Cartagena Quart Ayuntamiento de Cartagena Ventspils Rijeka Geroskipou Croatian Cudeca Slimnica