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Research theme 3The Institute of Health Policy & <strong>Management</strong> (iBMG) is one of theparticipants in a three-year project called Managed Outcomes, which isfinanced via the EU Seventh Framework Programme Health 2009.This project runs from January, 2010 to December, 2012. AaltoUniversity in Helsinki is the scientific coordinator of the project and theconsortium consists of 10 partners from 8 countries. The iBMG projectteam consists of Jan Vissers, Sylvia Elkhuizen, Mahdi Mahdavi and Jorisvan de Klundert.The assumption of Managed Outcomes is that demand-based andoperations management-based approaches in the regional delivery ofcare contribute to improved health outcomes and cost-benefits. This isoperationalised for four different cases: patients with diabetesmellitus type 2, patients with a stroke, patients with hip osteoarthritis,and patients admitted to hospital with dementia as co-morbidity. Theselection of cases is based on the expectation that innovative practicesfor these patients are required to meet the challenge of the increaseddemand for health care across Europe.In 2010, iBMG developed the methodology for the project. Wedeveloped an operational model to describe a regional network ofservice providers for a specific patient group in a standardised way.The operational model links demand to services, service journey,24
esources and costs. This standardised description of the managementof these primary operations is complemented with clinical data onoutcomes of processes and a survey among the users of the services ofthe regional delivery system. Based on this methodology, pilot studieshave been performed for the four selected patient groups. In thesepilot studies, quantitative models tailored to the patient groups havebeen developed to support data gathering and analysis in the nextsteps. Furthermore, iBMG has worked on the pilot case study fordiabetes. In this pilot we investigated the delivery of health services todiabetes type 2 patients in the region of Delft Westland Oostland andNieuwe Waterweg Noord. Following these pilots, 6 countries startedcollecting data for the four case studies for the selected patientgroups. In the Netherlands, the four case studies are carried outby iBMG.In 2011, comparison of the results from the four case studies acrossall six countries will make clear what best practice models can bedefined to meet the future health care challenges. The next stagewill be to discuss the findings of the case studies in both nationaland international workshops that will provide input for scenariodevelopment. The scenario analyses will provide more insight in towhat extent the best practice models will meet the future Europeanhealth care challenges.Managed outcomes“The assumption of Managed Outcomes is that demandbasedand operations management-based approachesin the regional delivery of care contribute to improvedhealth outcomes and cost-benefits.”Prof. Jan Vissers, PhD & Sylvia Elkhuizen, PhD25
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Dror, D.M., Putten, O. van & Koren,
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Hakkaart-van Roijen, L., Verboom, P
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Kippersluis, J.L.W. van, O'Donnell,
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Poel, E. van de & Speybroeck, N. (2
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Tromp, M., Eijsden, M. van, Ravelli
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Wyers, C.E., Breedveld, J.J.L., Rei
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Zuiderent, T. & Berg, M. (2010). Th
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Thunnissen, M.M., Duivenvoorden, H.
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WETENSCHAPPELIJK ARTIKEL / BRIEF AA
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Hasman, A., Andersen, S.K., Klein,
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Pirnejad, H. (2009). Invited commen
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Hout, E. van, Stibane, R., Frederik
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Stoopendaal, A.M.V. (2009). De zorg
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