IMPROVEMENT AND SAVINGS OBTAINED WITH A PROJECT IN A SPANISH REGIONAL HEALTH SERVICE

(1)

IMPROVEMENT AND SAVINGS

OBTAINED WITH A PROJECT IN A

SPANISH REGIONAL HEALTH SERVICE

IMPROVEMENT AND SAVINGS

OBTAINED WITH A PROJECT IN A

SPANISH REGIONAL HEALTH SERVICE

CIMA AP FARMACIA

(2)

Cuadro de Mandos

(3)

CIMA ap FARMACIA

• ¿What?

Needed infomation (return)

• ¿Who?

–

Central Office in charge of:

• Information

(mismo formato e indicadores)

• Delivery to the owner

–

Health Áreas in charge of:

–

Health Áreas in charge of:

• Implementation and following-up in its own territory

• ¿Whom?

–

Heath Area Managers and Pharmacysts

–

Prescriptor

: Primary Care FD y Pediatrician

• Sent streight from SMS Central Office

• 2 closed envelops

(FD and Ped) with all the information to Health

Center Director who delivers them to the physicians

(4)

CIMA ap FARMACIA

• ¿How?

Comparative (group, not alone)

• Visibility, recognition, benchmark

• ¿When?

Monthly

–

Data are 3 months old :

1. Prescription

2. Delivery at Chemisit’s

(1 month)

3. Charging

to SMS (endo of the month)

4. Carga en

Faceta

(depende de nº de incidencias a resolver)

5. Carga en

AdN

6. CIMA

• ¿What for?

Improvement list

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REPORT DIMENSIONS:

• Primay Care

Pediatrician

• Family doctor

22 de abril de 2012

5

(6)

PEDIATRICIANS

:

6 Indicators MC 2010

• Active Drug Principle

• Salbutamol

• Antibiotics DHD

• Penicilin

• LIMIT amoxi-clavulanic

• LMIT macrolidos

22 de abril de 2012

6

(7)

FAMILY DOCTORS

6 INDICATORS

MC 2010

• Active Drug Principle

• Antibiotic DHD

• Omeprazol

• IECA

• Simvastatin

• β

β

2-corticoides Associations

7

(8)

MÉDICO DE FAMILIA

8

(9)

MÉDICO DE FAMILIA

(10)

10

(11)

Results

1. Satisfaction Survey

:

Good

2. Improvement:

a) Historic compliance

: Since 2005

b) Improvement

(same month previous year): since 2009

b) Improvement

(same month previous year): since 2009

• SMS

• Indicators

• Health Areas

3. Savings:

a.

Priorised groups

b. Global

11

(12)

Satisfaction Survey

CIMA AP Farmacia

12

(13)

Satisfaction Survey

CIMA AP Farmacia

Asessement per indicator:

13

(14)

SMS Mean Compliance

01/2005 – 08/2011

14

(15)

SMS Improvement

:

Same month previous year

01/ 2009 – 08/2011

15

(16)

FAMILY DOCTOR:

6 Indicators

2010 MC-P

• Active Principle

• Antibiotic DHD

• Omeprazol

• IECA

• Simvastatin

• β

β

2-corticoids Association

16

(17)

Improvement per Indicator:

Active Principle

17

(18)

Indicator Improvement:

IECA

18

(19)

Indicator improvement:

Beta-2 Assoc

19

(20)

Indicator Improvemente:

Omeprazol

20

(21)

Indicator Improvement:

Simvastatine

21

(22)

Health Area Improvement

22

(23)

Accumulativ. Improv. 2010-11

23

(24)

FD improvement per HC

5,38 4,44 3,54 3,50 3,42 2,90 2,82 2,79 2,79 2,77 2,67 2,54 2,53 2,52 2,39 2,29 2,21 2,14 2,09 1,97 1,95 1,91 1,91 1,74 1,70 1,64 1,61 1,58 1,57 1,48 1,46 1,45 1,39 1,35

-2,00

-1,00

0,00

1,00

2,00

3,00

4,00

5,00

6,00

EAP Cehegín EAP Blanca EAP Abarán EAP Cieza EAP Los Dolores EAP Algezares EAP Sangonera La Verde EAP Torre Pacheco Este EAP Puerto Lumbreras EAP Águilas Sur EAP Puente Tocinos EAP Alguazas EAP Yecla Oeste EAP Beniel EAP Ceutí EAP Barranda EAP Molinos Marfagones EAP Bullas EAP Los Alcázares EAP Molina Sur EAP Fortuna EAP Torres de Cotillas EAP Monteagudo EAP Alhama EAP Fuente Álamo EAP Jumilla EAP Caravaca EAP Alquerías EAP Archena EAP Santomera EAP Torre Pacheco Oeste EAP Nonduermas EAP Yecla Este EAP Santa Mª de Gracia

24 CIMA AP Farmacia: RESULTADOS

1,35 1,34 1,32 1,31 1,29 1,29 1,26 1,21 1,17 1,17 1,13 1,13 1,09 0,99 0,97 0,90 0,86 0,84 0,83 0,83 0,83 0,82 0,79 0,77 0,76 0,76 0,74 0,73 0,72 0,67 0,65 0,53 0,53 0,46 0,27 0,26 0,21 0,16 0,14 -0,05 -0,06 -0,06 -0,22 -0,53 -0,72 -0,92

EAP Santa Mª de Gracia EAP Cartagena Casco EAP Llano de Brujas EAP Beniaján EAP Mula EAP San Andrés EAP Vistalegre EAP Cartagena Este EAP Espinardo EAP Murcia Centro EAP Alcantarilla S.laSeca EAP La Manga EAP San Javier EAP Zarandona EAP Cabezo de Torres EAP Alcantarilla Casco EAP El Palmar EAP Santa Lucía EAP Infante Juan Manuel EAP Calasparra EAP Barrio Peral EAP La Unión EAP Cartagena Oeste EAP Moratalla EAP Abanilla EAP San Antón EAP Pozo Estrecho EAP La Alberca EAP Barrio del Carmen EAP Totana EAP Campo de Cartagena EAP Mazarrón EAP Molina Norte EAP Los Barreros EAP Mar Menor EAP Lorca Centro EAP San Pedro del Pinatar EAP Lorca San José EAP Puerto de Mazarrón EAP Vistabella EAP Lorca San Diego EAP Lorquí EAP Águilas Norte EAP La Ñora EAP La Paca EAP El Ranero