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Toward Adoption of Health Risk Assessment in Population-Based and Clinical Scenarios: Lessons From JADECARE
Ruben Gonzalez-Colom1, David Monterde2,3, Roberta Papa4
1Fundació de Recerca Clínic Barcelona -Institut d'Investigacions Biomèdiques August Pi i Sunyer (FRCB-IDIBAPS), Barcelona, Spain.
International Journal of Integrated Care
|June 10, 2024
Summary
This study demonstrates the successful transfer of the Adjusted Morbidity Groups (AMG) algorithm, a health risk assessment (HRA) strategy, to new healthcare settings. The findings provide a roadmap for wider adoption of HRA across Europe.
Area of Science:
- Health Services Research
- Health Informatics
- Value-Based Healthcare
Background:
- Health Risk Assessment (HRA) strategies are crucial for transforming healthcare systems towards value-based, patient-centered care.
- The implementation steps for HRA adoption remain undefined, hindering widespread integration.
- This research analyzes the transferability of the Adjusted Morbidity Groups (AMG) algorithm from Catalonia to Marche (Italy) and Viljandi Hospital (Estonia) within the JADECARE initiative (2020-2023).
Observation:
- An implementation research approach was employed, including a 12-month pre-implementation phase for feasibility assessment and local action plan definition.
- A 16-month implementation phase followed, utilizing a combination of experience-based co-design and quality improvement methodologies.
- The evolution of the Catalan HRA strategy from 2010-2023 was examined to understand its transformation potential and transferability.
Findings:
- Successful adoption of the AMG algorithm was achieved in both Marche and Viljandi, confirming its transferability.
- Marche identified essential requirements for a population-based HRA strategy.
- Viljandi Hospital demonstrated the clinical utility of the AMG algorithm, supporting value-based healthcare.
Implications:
- The study identifies key barriers and facilitators for HRA adoption.
- A set of actionable steps is proposed to guide customized HRA deployment.
- This research contributes to a roadmap for large-scale HRA adoption across European healthcare systems.
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