´Chroninnovation´: reimbursement models for innovation in chronic care
| Reference number | |
| Coordinator | Stockholms läns landsting - Hälso- och sjukvårdsförvaltningen |
| Funding from Vinnova | SEK 4 394 000 |
| Project duration | April 2014 - September 2016 |
| Status | Completed |
Purpose and goal
Kroninnovation has fulfilled the aim of developing a reimbursement model for primary care, supporting innovation and care of patients with chronic diseases. The model has been developed in collaboration between stakeholders, limited by current responsibilities of primary care centers and existing support systems. Focus has been on removing obstacles for innovation and care of resource intense patients. The model has been tested at four primary care centers, but has also influenced the reimbursement models for all primary care centers in the region in the same direction.
Expected results and effects
The expected outcomes have partly been reached. Kroninnovation has on the provider level enabled introduction of new ways of working (e.g. video visits, direct referral for psychosocial conditions) and increased focus on resource intense patients (e.g. through nurse led receptions). However, changes take time to spread and settle. For HSF, the project has developed a pilotarea for improving reimbursement systems, closer dialogue with healthcare providers and a positive example of using smaller scale pilots when improving the healthcare system. New pilots are on the way.
Planned approach and implementation
The development of the reimbursement model was based on literature review, interviews and quantitative analysis. The work has brought together competences from HSF and research (KI) to create a model that is possible to scale to all primary care centers within SLL. A close dialogue with the healthcare providers have enabled their views to be considered in the design of the model, anchoring the project as well as supporting the providers in adapting new ways of working. The pilot will continue for one year and close 2017-12-31 and an evaluation will be conducted during 2017 and 2018.