Pascalle Van Bilsen PPT

The client’s needs as a basis for
service design
EPR Annual Conference
10-11 June 2013, Dublin, Ireland
Pascalle van Bilsen
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Adelante
Centre of expertise
for rehabilitation
and audiology
Hoensbroek
Maastricht
Valkenburg
(children)
Heerlen
2
Innovation policy
Health care is constantly evolving
Concerns about
Cost-effectiveness
Quality of care
Proof that we deliver value for money
and detect shortcomings in existing care
3
Care program
“All specified, coordinated activities and
measures to deliver healthcare services,
or to reach a certain effect in a specified
target population.”
Joosten T.C.M. (2012). Redesign in mental healthcare. Tilburg: University Tilburg (pag. 26)
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Main Principles
Client-oriented (demand-driven)
Interdisciplinary
Evidence and ICF based
Tailor-made
Effective / Efficient
Measurable results
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Workshop 1
Clients needs
Professionnal perspective
ICF classification
– Body function
– Activity and participation
– Environmental factors
– Personal factors
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Workshop 2
Module “tree”
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Diagnostics
Plan
Indicators
Interventions
Evaluation
Level 2. Intake
Level 3.
Basic module
Discharge
Aftercare
Ex
3. Output
2. Intervention (rehabilitation and school)
Level 1. Total
Indicators
Teammeeting
Teammeeting
1. Input
Criteria
Intake
Criteria
Registration
Criteria
Referral
Criteria
Criteria
Ex
Indicators
Level 4. Intensive
Specific
modules
Problems
Spec.module
Level 5.
Aftercare
Extensively
Intensive
Intensive
inpatient
Basic module
Needs
Spec.module
Problems
Extensively
Extensively
Intensive
Spec.module
Problems
Extensively
Intake
Intensive
Spec.module
Problems
Extensively
Intensive
Intensive
outpatient
Basic module
Needs
Spec.module
Problems
Extensively
Extensively
Intensive
Spec.module
Problems
Extensively
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Peter van Essen
CVA
Outpatient
Intensive
Self care
Problem
Extensively
Intensive
Communication
Problem
Extensively
Inpatient
Intensive
Mobility
Problem
Extensively
Basismodule
Intake
Diagnostics
What is minimally needed to get the patient
home safely?
Treatment on basic functions
in order to perform activities safely at home
(self-care,
(self care, communication, mobility, behaviour/mood,
social environment, cognition)
Behaviour/
Mood
Intensive
Problem
Extensively
Needs
Intensive
Social
environment
Problem
Cognitive
Problem
Extensively
Intensive
Extensively
Labor/
leisure
Intensive
Problem
Extensively
HDL
Problematiek
Intensive
Extensief
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10
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Lessons learnt
More complex and time-consuming then
assumed
Unavoidable changes in thinking, activities
and decision making
Difficult to explicit activities in an
interdisciplinary context
Afraid of standardization, de-personalized
care and critical reflection
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Conclusion
Back to basics (clients needs)
Shift from cause (diagnosis) to impact
(activities and participation)
Basic module in order to get the client
needs clear
Less can be more
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THANK YOU
• Pascalle van Bilsen
• p.bilsen@adelante-zorggroep.nl
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