Design Considerations

NEXES explored in depth the enabling role of Information and Communication Technologies (ICT) in the extensive deployment of integrated care services (ICS). The design of the project allowed the comparison between two different technological approaches: Health Information Exchange (HIE) across levels of care (Elin platform in Norway) and Health Information Sharing (HI-Sharing) (Linkcare platform in Spain and Greece).

The pivotal role of the ICT platform providing organizational interoperability among actors involved in coordinated care has been demonstrated. Moreover, its potential to support knowledge management into ICS has been explored. NEXES has clearly shown the benefits of ICT in several dimensions, namely: enhanced accessibility for both patients and professionals, information sharing among all stakeholders and remote monitoring.

Integration among formal healthcare, biomedical research and informal healthcare

Integration among formal healthcare, biomedical research and informal healthcare

Architecture of the Linkcare Platform supporting NEXES services

Architecture of the Linkcare Platform supporting NEXES services

We have identified achievements in the following dimensions that are main contributors to a successful deployment of NEXES services:

  • Practicalities of the four integrated care programs for their deployment beyond the core groups promoting the project.
  • Technological issues including integration at local level and interoperability at systems level
  • Evaluation strategies to ensure external validity of the project conclusions in the different dimensions assessed.
  • Definition of strategies for adoption of integrated care services at European level with identification of associated business models ensuring sustainability. The consortium has generated specific proposals in two areas:
    • Design of novel reimbursement modalities based on payment for outcomes of ICS-ICT involving shared agreements between tiers of care.
    • Setting of financial incentives promoting healthcare innovation in ICS-ICT based on shared risks among different actors: payers, healthcare providers and other stakeholders.