Human Resource Management in Healthcare Organizations. Future use cases of ehealth and Brain Healthcare for HR management problems

Transcription

1 Human Resource Management in Healthcare Organizations Future use cases of ehealth and Brain Healthcare for HR management problems

2 Drivers of change Economic issue 2

3 Economic crisis (in Europe) 3

4 The sustainability of the healthcare system Since the 60s: health costs are increasing faster than economic growth A structural problem exacerbated by large-scale economic crises but still cyclically 4

5 The problem of the sustainability: Health expenditure A higher socioeconomic status, spending growth slows down... but still above GDP growth Causes of increased health expenditure are known and well documented Causes of growth in health spending will be maintained in the coming years 5

6 Causes of increased health expenditure 1. New technologies 2. Increased health inflation above general inflation 3. Increased use of health services 4. Systemic inefficiencies in health care model 6

7 Drivers of change Economic issue Demographic and epidemiologic changes 7

8 Demographic and epidemiologic changes Source: United Nations (2013) World Population Ageing

9 Demographic and epidemiologic changes The fastest-growing segment of the total population is the oldest old those 80 and over 9

10 Demographic and epidemiologic changes People (%) with a fixed number of chronic diseases by age group 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% >=85 5 pathologies 4 pathologies 3 pathologies 2 pathologies 1 pathologies 0 pathologies 10

11 Drivers of change Economic issue Demographic and epidemiologic changes Informed and exigent patient 11

12 Informed and exigent patient Fast, immediate Comparative information Individual values and choices Comfort Extended medicalization 12

13 Drivers of change Economic issue Demographic and epidemiologic changes Informed and exigent patient Therapeutic and technological innovation 13

14 Therapeutic and technological innovation Minimally invasive technologies Genomics Miniaturization Robotics Personalized Medicine Diagnostic Imaging 14

15 Drivers of change Economic issue Demographic and epidemiologic changes Informed and exigent patient Therapeutical and technological innovation Contribution from the ICT 15

16 Contribution from the ICT mhealth Electronic Health Records Big Data Telemedicine 16

17 Contribution from the ICT A system that works like communicating vessels... The different institutions work as communicating vessels, where collaboration between each is important for: guaranteeing the continuity of care for patients facilitating the global effectiveness of the care system Medical facilities Acute inpatient care Subacute care LTC Home care e-health Source: gentleness from Antares Consulting,

18 Drivers of change Economic issue Demographic and epidemiologic changes Informed and exigent patient Therapeutic and technological innovation Contribution from the ICT Changes within the professions and the professionals The current change drivers have never been acting simultaneously with such an intensity as today 18

19 Changes within the professions and the professionals Some resistances to change? 19

20 Changes within the professions and the professionals A new scientific truth does not triumph by convincing opponents and making them see the light, but rather because its opponents eventually die, and a new generation grows up that is familiar whit it. Max Planck ( ) Nobel Prize in Physics

21 Changes within the professions and the professionals Virtualization of medical activity - Non physical contacts with the physician - Distance relationship with other colleagues - Authority delegation with other professions New relation doctor patient New professional roles Teamwork and leadership Shared responsibility Skill mix Ethical issue 21

22 AMI Code (Acute Myocardial Infarction) 22

23 Stroke Code 23

24 24

25 Junaid Masood (left), who posted the picture while at Homerton University Hospital in London, said immigration is 'the backbone' of the NHS. The photo, titled 'We are Europe!', shows three scrub nurses from Spain, an Irish radiographer, a German consultant anaesthetist, a Greek urology specialist registrar and Dr Masood, a British Pakistani consultant urologist