Ican Care: Patient management optimization
Ican Care management program is designed to manage diseases over the entire life cycle, from identifying individual’s susceptibility, to prevention, to early diagnosis, to pre-emption of acute and chronic complications and smarter and more personalized treatment.
Advances in the medical management of acute events, such as heart attack, led to a drastic reduction in early mortality, to an increase in life expectancy but leaves the patient with chronic long-term conditions (ie heart failure) and costly treatments.
Clearly medical interventions should intervene earlier in the natural cycle of diseases, before irreversible damages develop. The shift from a late curative paradigm to an early preemptive one is a key goal of the ICAN Institute.
The vision of the ICAN Institute is to provide a new model to care management that should:
- identify new phenotypes and new biomarkers to pre-empt acute clinical events and irreversible damages
- develop a new model in patient pathway resulting in less hospitalizations and shorter hospital stay, two major sources of health expenses
- reduce the contribution of drugs to cardiovascular prevention by enhancing the role of lifestyle changes.
The care management project handles, as initial topics, cardiac failure, familial hypercholesterolemia and bariatric surgery.
Integration of both metabolic and cardiovascular management into a unique patient-centered approach are key to avoid delays in providing care, undue hospitalizations and disparities in health care leading to an increase in quality of care and a decrease in medical expenses.
Ican methodology, incorporates first a comprehensive assessment of needs, second, care planning and third, implementation through an iterative process of the care plan using harmonize care procedures between all care departments: using a “single stay” management, doctors and paramedic move to the patient rather than patients are transferred between the various care departments. *
For patients with multiple comorbidities this will improve the patient pathway.
This patient-centered approach needs the involvement of paramedics properly informed, involved and trained.
Patient follow up and awareness need also to be improved through a wider use of telemonitoring. These systems can record simple vital parameters (heart rate, blood pressure, weight, glycaemia), but also subtle parameters (intra cardiac pressures, pacemakers characteristics…).
Identification of quality indicators for monitoring improvement in patient pathways are under review, as well as benchmarking in other care systems like Québec and Barcelona.