Reducing Hospitalization for Target Patient Groups

Two interrelated factors—the growing prevalence of chronic diseases and population aging—are placing a heavy burden on health systems. In all parts of the world except Africa, chronic diseases are by far the leading cause of death and disability, and they now account for seventy percent of global health care spend. Furthermore, in almost every country, the proportion of people age seventy or older is growing far faster than any other age group, a result of both longer life expectancy and declining fertility rates. As people grow older, they are more apt to suffer from chronic diseases, but aging alone can increase their frailty—and their need for health care.

Integrated care or coordinated care is a powerful force in healthcare delivery. Research shows that integrated care can substantially reduce hospital re-admission rates, decrease per-patient costs, and result in improved success rates—such as fewer lower limb amputations for diabetes patients. We work with payors, providers, and social and public care organizations to help clients design and manage the integrated delivery of primary and secondary care in a seamless and efficient network.

Integrated Care

We help healthcare systems make the fundamental shifts necessary to succeed in integrated care. Specifically, we help our clients:

Plan a new program. We help clients prepare for their first pilot efforts, segmenting patient populations and choosing high-potential groups to start with. We help design the new program, creating a multidisciplinary system to integrate patient registry, clinical protocols, care plans, and care delivery across organizations.

Integrate the care system. Our teams help establish organizational links and put in place accountability and joint decision-making approaches, foster leadership from clinicians to drive culture change, and establish partnerships between care organizations.

Design incentives. We help set up financial incentive programs that encourage all players to focus on the tasks necessary for making integrated care work. Programs ensure economically positive outcomes for all parties, compensating for increased clinical workloads, for example.

Create an IT support structure. We help clients identify the right information to share and who needs it, ensuring that clients make only necessary and high-impact investments in their IT systems. Some client situations call for fully integrated information systems and some do not; we can help determine the appropriate level of investment.

Launch and scale up. We support pilot programs, helping clients measure and communicate early success to build support and momentum. For clients who have seen early success, we help build on that foundation, expanding efforts to additional patient groups and geographies. We ensure that moving toward delivery at scale will cover costs and achieve desired health outcomes.

In most parts of the world, integrated care is still a new idea, and the number of integrated-care providers is small. Thus, considerably more research is needed to determine how integrated care can best be used to improve clinical outcomes and control health care costs. However, enough organizations have had sufficient experience with integrated care to prove that it can be a highly effective way to enhance the well-being of chronically ill and elderly patients.

Forging Connections

We regularly convene industry conferences. A few examples:

  • The Medical Affairs Leadership Academy, a 'field and forum' program that aims to heighten the leadership capabilities of Medical Affairs divisions in our clients
  • The R&D Leadership Development Forum, which helps rising executives at pharmaceutical and biotech companies network and share their perspectives
  • We also frequently give R&D presentations at investor meetings and conferences including the Lindau Nobel Laureate Meeting and Citi's Global Healthcare Conference and have published in Nature Reviews Drug Discovery on topics including R&D productivity, trends in clinical trial success rates, and sourcing pharmaceutical innovation.

Executive Leadership

Mr. James Moore

Mr. James Moore

Mr. David Solomon

Mr. David Solomon

Related Practices

We focus on improving the efficiency of government institutions and aligning system incentives to prioritize the delivery of high-quality, high-value healthcare.

How can we help you?

We have unparalleled access to an exclusive network of leaders from thirty regional health systems around the world to share best practices and compare healthcare delivery strategies across geographies.

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