Buurtzorg & Ecare
Meet
• Ecare
• Omaha System
• Our solutions (demo)
Mission Ecare
“Help improve the quality
of care , by developing
software that supports the
caregiver”
Because the Dutch healthcare system is based on
old-fashioned principles
Financieel proces
As a result we have become
accustomed to talking in the
healthcare sector on
price x quantity
From back to front??
`
`
`
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While we are dealing with
People !
So rather place humanity above bureaucracy!
How
?
How does it work?
For example,Buurtzorgweb was developed to enable
effective schedule planning for the nurses and to
create a forum to sharing experiences and innovative
solutions. At the result while nurses at other health
care organisations need to fill in printed forms, that
are administrated by others, nurses at buurtzorg can
log in to their own system and fill in their
administration such as client registration, treatment
times and communication history.
From front to back!
BUURTZORG best employer in 2015!
“Put the profession
back in the hands of
the employees”
Buurtzorg method
• Self-managing teams
• Minimize administration
• Let IT support the primary
process so nurses can do
their work
• Use the community
• Give insight into team
results
Buurtzorg team
Minimize administration
Primary proces
Welinked
‘The community’
Team insight
Team insight
Omaha System
Developments in health care
mean that:
• more and more people continue
to live at home independently
for longer.
• more care and welfare
professionals must work at local
level.
• Unity of language is important.
• It ensures transparency and
standardized information on
deployment, content and effect
of care
How effective is
our recordkeeping?
• We write a lot
• but this has not led to
‘knowledge’
• In addition, the payer
determines the
'information'
How did it start?
The desire to describe dimensions of care for men
Unity of language and logic model as:
Resource in daily practice
Knowledgebase
Identify
Define and capture
Management of information
Communicate and share
How did it start?
• Information remains hidden in everyday
practice
• What do caregivers and social workers?
• Why?
• What happens to clients?
• What makes the difference in outcomes?
How did it start?
USA
Community based
care
Public Health
Home Health
When it started?
1975 – 1993
4 research projects
American government
Scientific basis, validated
developed by health profesionals
Public domain: no license!
What is the Omaha
System?
- Classification
- Terminology system
- Code system
What is the result?
Designed to support and
improve the:
- Daily practice
- Recordkeeping/documentation
- Information Management
- Holistic
- Easy to handle / volume
- Understandable / simple
What is the result?
1. Entire care process
(assessment, actions, outcomes)
2. Selfcare, selfmanagement
3. Multidisciplinary
Suitable for individuals, families,
communities regardless:
 Age
 Location
 Medical diagnose
 Social-economic setting
 Religion
 Etnicity
 Culture
Three linked parts
Classification/assessment
42 problems, signs and symptoms/ modifiers
measurement a problem; scale-scores
Method to evaluate the process, client outcomes, 5 point scale
• Status: severity of the signals
• Knowledge: Is the client aware of the problem
• Behavior: how the client behaves
Actions
42 problems x 4 intervention categories x 75 actions
planned or done
Method
Health Analytics
Health care is changing, the focus is on
impact and quality of care.
Classified records
Many cases analysed
Accurate analyses
‘ANALYZING CLIENT CHARACTERISTICS
AND NEEDS IN HOME HEALTH CARE’
Ecare is ready for this!
Health analytics
Standardize, structure
and classify,
it is no more difficult
than this!
Coming up
Mid 2016
The English version of:
• Buurtzorgweb
• Community
• Assessmenttool
• Clientkompas
Thanks for your attention
and have a safe trip back to Scotland!