Improvement of integrated care with local partners

A data driven approach

Misja Mikkers

Dutch Healthcare Authority (NZa) and Tilburg University

April 20, 2023

And, the challenges are the same

Contribution to health outcomes

Change is needed

Three levels of data analysis

Regional collaboration of regional initiatives with the external supervisor NZa

Descriptive analysis: patient flows in the acute care of Zeeland

Predictive analysis: Emergency Department utilization in Amsterdam

Target population identification based on predictive model

Causal analysis: GP Practice Afferden

  • At the consultation level -> flexible consultation duration, positive health, and group interventions

  • At the practice level -> Alternative funding, coordination of high-need patients, patient information

  • At the macro level -> Collaboration in the neighborhood/municipality

Causal model: Difference in Difference (DiD)

Results of the intervention

Effects with uncertainty

Conclusion

  • Data-driven learning is important for improving health.
    • Insight into outcomes is necessary but scarce.
    • Knowledge of the context is enormously important.
    • Complete a learning cycle.
    • Exchange and link data.