Finding the future of IBD care in banking
A new approach in IBD care is expected to result in fewer relapses for patients. Doctors will have more time for seriously ill patients, while other patients can skip some doctor's visits. Quality of life increases – while the hospital could save SEK 76 million. In one year.
Algorithm provides support to predict relapses
Previously, all patients with the gastrointestinal disease Inflammatory Bowel Disease (IBD) were called in for check ups regularly every six months, regardless of how ill they were. Now the doctors classify the patients into four groups based on care needs instead. Patients are then contacted based on this classification.
More resources for those who need them
The new approach entails a redistribution of resources. Patients with greater need are more closely monitored, while other patients can avoid unnecessary medical visits. It also means that necessary interventions, such as ostomy surgery, are planned to a greater degree than in the past, thereby avoiding emergency procedures.
Prediction model frees up time
Classification is currently carried out manually by the doctors and is therefore time-consuming. However, moving forward this will be done using a prediction model, which is under development. The model could substantially simplify work for doctors, and even free up their time – and cost-effectiveness is expected to improve further.
Fewer days in hospital
The health economic evaluation shows that care is more efficient and patient quality of life increases with the new approach. Karolinska would see a decrease of 1.88 hospital days per patient and year, with an annual savings of SEK 27,104 per patient, or a total of almost SEK 76 million per year for the 2,790 patients.
Several other healthcare organizations are now interested in this approach.
The initiative has been carried out as a proof of concept and the algorithm will now be validated at three hospitals.
Phone: +46 (0)70-756 22 60
E-mail: Fredrik Öhrn
Under the new working method, IBD patients are grouped based on their care needs. The variables that serve as the basis for dividing patients into groups were extracted from quality registries, using a new algorithm inspired by pattern analysis in the banking and financial sector.
Project partners: Bestor and Takeda, with support from the Stockholm City County Innovation Fund.
Hospital services involved: Patient flow IBD within the Inflammation and Infection Theme
Project manager: Francesca Bresso
Coordinator at the Center for Innovation: Fredrik Öhrn