{"id":781,"date":"2017-03-14T22:39:45","date_gmt":"2017-03-14T22:39:45","guid":{"rendered":"https:\/\/www.basilstrategies.com\/fr\/?p=781"},"modified":"2017-03-14T22:39:45","modified_gmt":"2017-03-14T22:39:45","slug":"jordi-piera-badalona","status":"publish","type":"post","link":"https:\/\/test.basilstrategies.com\/fr\/2017\/03\/14\/jordi-piera-badalona\/","title":{"rendered":"Mieux coordonner les soins h\u00f4pital-ville, gr\u00e2ce \u00e0 l’e-sant\u00e9 : l’exemple de Badalona #HIMSSLiege"},"content":{"rendered":"

BSA est un organisme de soins int\u00e9gr\u00e9s pour la r\u00e9gion de Barcelon\u00e8s Nord. BSA g\u00e8re l\u2019h\u00f4pital municipal de Badalona, les soins \u00e0 domicile, le centre sanitaire et social El Carme, sept centres de soins primaires, et le Centre pour la sant\u00e9 sexuelle et reproductive qui sert la banlieue la plus importante de Barcelone. Badalona est situ\u00e9 sur la c\u00f4te espagnole, \u00e0 dix kilom\u00e8tres au nord de Barcelone.
\n\"badalona\"<\/a><\/strong><\/p>\n

Le partage de dossiers de sant\u00e9 informatis\u00e9s entre les diff\u00e9rents \u00ab\u00a0niveaux\u00a0\u00bb de ce syst\u00e8me de soins permet aux patients de voir un sp\u00e9cialiste, sans qu\u2019il y ait de la duplication. Les sp\u00e9cialistes peuvent voir les patients chez eux et dans les centres de soins.<\/p>\n

J\u2019ai \u00e9t\u00e9 ravie d\u2019interviewer\u00a0Jordi Piera,\u00a0CIIO de Badalona Serveis Assistencials (BSA), pendant HIMMS 17 aux Etats-Unis. Jordi, dipl\u00f4m\u00e9 en \u00ab\u00a0Computer Science Engineering\u00a0\u00bb et en Gestion des entreprises, a \u00e9galement r\u00e9alis\u00e9 un Mast\u00e8re en T\u00e9l\u00e9m\u00e9decine. Il rapportera son exp\u00e9rience de Badalona \u00e0 HIMSS Li\u00e8ge les 28-29 mars, 2017.<\/p>\n

Denise: Jordi, parlez-nous de vos responsabilit\u00e9s \u00e0 BSA<\/strong>.<\/h4>\n

JP : En tant que CIIO ou \u2018Chief Information and Innovation Officer\u2019 pour la r\u00e9gion de Badalona, j\u2019ai plusieurs casquettes. Badalona Serveis Assistencials fournit des soins primaires, aigus, et interm\u00e9diaires, ainsi que des services sociaux, pour 500 000 personnes, chiffre qui continue de grandir. Je travaille aussi bien sur les probl\u00e8mes du quotidien que sur la recherche et l\u2019innovation. A ce titre, nous mettons l\u2019accent sur l\u2019am\u00e9lioration de la qualit\u00e9 des soins de notre population cible, gr\u00e2ce aux TIC.<\/p>\n

DS\u00a0: BSA collabore avec HIMSS depuis plusieurs ann\u00e9es\u2026<\/strong><\/h4>\n

JP : Oui, nous avons commenc\u00e9 \u00e0 collaborer avec HIMSS en 2006, tout au d\u00e9but de l\u2019installation europ\u00e9enne de HIMSS. L\u2019h\u00f4pital municipal de Badalona avec ses 120 lits, \u00e9tait l\u2019un des premiers en Europe \u00e0 acc\u00e9der au niveau HIMSS 6 et le premier en Espagne, avec l\u2019h\u00f4pital Denia. Nous en sommes tr\u00e8s fiers et cela m\u2019a beaucoup plu de faire partie du processus. Ceci dit, EMRAM ou le \u00ab\u00a0Electronic Medical Record Adoption Model\u00a0\u00bb qui nous a permis d\u2019atteindre ce niveau est seulement pertinent pour les soins aigus \u00e0 l\u2019h\u00f4pital et cela ne nous a pas pleinement satisfait. Nous devons assurer tout l\u2019\u00e9ventail des soins. Nous \u00e9tions donc int\u00e9ress\u00e9s par \u00e9valuer notre organisation dans le cadre du HIMSS Continuity of Care Maturity Model (CCMM) lorsque nous en avons pris connaissance.<\/p>\n

\"jordi<\/a><\/h4>\n

DS\u00a0: Qu\u2019allez-vous pr\u00e9senter lors de votre intervention \u00e0 \u00a0HIMSS Li\u00e8ge qui est consacr\u00e9 au \u00ab\u00a0Continuity of Care Maturity Model\u00a0(CCMM)\u00a0\u00bb \u00a0?<\/strong><\/p>\n

\u00a0<\/strong>JP : Je vais expliquer comment le CCMM nous aide \u00e0 \u00e9valuer tous les services sanitaires que nous proposons \u00e0 Badalona : les soins primaires, les soins aigus, les soins interm\u00e9diaires, les soins \u00e0 domicile et le soutien social.<\/p>\n

A HIMSS Li\u00e8ge, nous allons \u00e9changer \u00e0 propos de l\u2019int\u00e9gration horizontale de tous ces services. Le CCMM nous donne les bases d\u2019une approche int\u00e9gr\u00e9e. En Espagne, le syst\u00e8me de sant\u00e9 est 100% public. Or, en Ecosse, par exemple, o\u00f9 le service de sant\u00e9 est public aussi, les m\u00e9decins g\u00e9n\u00e9ralistes exercent \u00ab\u00a0en mode priv\u00e9\u00a0\u00bb ce qui impacte le partage de l\u2019information entre les diff\u00e9rents niveaux et fournisseurs de soins.<\/p>\n

DS:\u00a0 Jordi, vous avez eu quelques succ\u00e8s dans ce domaine \u00e0 Badalona. Quels succ\u00e8s vous viennent \u00e0 l\u2019esprit d\u2019embl\u00e9e\u00a0?<\/strong><\/h4>\n

JP: Le premier qui vient a l\u2019esprit c\u2019est le programme \u00ab\u00a0du retour pr\u00e9coce \u00e0 domicile\u00a0\u00bb pour les personnes \u00e2g\u00e9es. Nous pouvons vraiment dire que c\u2019est un programme qui place le patient au centre. Prenons l\u2019exemple de la convalescence apr\u00e8s une fracture de la hanche. Nous avons raccourci la p\u00e9riode de convalescence de 9 \u00e0 6,1 semaines, gr\u00e2ce aux soins int\u00e9gr\u00e9s. Les patients quittent l\u2019h\u00f4pital, post-intervention apr\u00e8s trois jours, car nous pouvons compl\u00e8tement coordonner les services de sant\u00e9 et les services sociaux, et les personnaliser selon les besoins de chaque patient.
\nDeuxi\u00e8mement, nous proposons des exercices pr\u00e9ventifs, pour que les personnes \u00e2g\u00e9es fassent moins de chutes et \"badalona<\/a>fractures. Ce programme marche gr\u00e2ce \u00e0 une collaboration intense entre les soins interm\u00e9diaires (qui identifient les candidats potentiels) et les soins primaires (qui livrent les workshops pour les personnes \u00e2g\u00e9es et leur aidant).<\/p>\n

Et enfin, j\u2019aimerais citer notre \u00ab\u00a0nudging programme\u00a0\u00bb pour les m\u00e9decins. C\u2019est un programme qui incite les m\u00e9decins \u00e0 moins prescrire, tout en douceur. Nous utilisons les TIC pour permettre aux m\u00e9decins de se comparer \u00e0 leurs coll\u00e8gues en fournissant des ratios par d\u00e9partement ou organisme de soins. Les m\u00e9decins voient d\u2019eux-m\u00eames qu\u2019il est possible de faire autrement.<\/p>\n

DS\u00a0: Donc on peut dire que les habitants de Badalona b\u00e9n\u00e9ficient d\u2019une qualit\u00e9 de soins tr\u00e8s \u00e9lev\u00e9e gr\u00e2ce \u00e0 l\u2019apport de l\u2019informatique\u2026<\/strong><\/h4>\n

J<\/strong>P: Oui, tout \u00e0 fait. Je suis entr\u00e9 dans l\u2019univers de l\u2019informatique en l\u2019an 2000. J\u2019\u00e9tais encore \u00e9tudiant et j\u2019ai eu la chance de grandir avec le syst\u00e8me. J\u2019ai pu participer \u00e0 plusieurs mises en \u0153uvre, allant du dossier sant\u00e9 informatis\u00e9 \u00e0 l\u2019int\u00e9gration des services sociaux, et \u00e0 la strat\u00e9gie e-sant\u00e9. Je suis heureux, et ce n\u2019est pas termin\u00e9, car je vais rapporter quelques nouvelles id\u00e9es, j\u2019en suis s\u00fbr, de HIMSS Li\u00e8ge!<\/p>\n

Le prochain \u00e9v\u00e9nement \u00a0HIMSS en Europe est\u00a0\u00a0HIMSS Li\u00e8ge<\/strong><\/a>, (28-29 mars, 2017), organis\u00e9 en partenariat avec HIMSS Europe<\/a>, le CHU de Li\u00e8ge<\/a> et l\u2019Universit\u00e9 de Li\u00e8ge<\/a>, \u00a0Ce sera l\u2019\u00e9v\u00e9nement \u00ab\u00a0Health IT\u00a0\u00bb de la r\u00e9gion Benelux et du Nord de la France. Incluant des sessions en Fran\u00e7ais, en Anglais et en N\u00e9erlandais, ainsi que la visite du CHU de Li\u00e8ge, cet \u00e9v\u00e9nement rassemblera les principaux acteurs de sant\u00e9 europ\u00e9ens.<\/em><\/p><\/blockquote>\n

<\/div>\n

Denise Silber<\/p>\n","protected":false},"excerpt":{"rendered":"

BSA est un organisme de soins int\u00e9gr\u00e9s pour la r\u00e9gion de Barcelon\u00e8s Nord. BSA g\u00e8re l\u2019h\u00f4pital municipal de Badalona, les soins \u00e0 domicile, le centre sanitaire et social El Carme, … Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":776,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[13,14],"tags":[],"class_list":["post-781","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-actualite","category-non-classifiee"],"yoast_head":"\nBadalona est l'exemple m\u00eame de l'apport de l'e-sant\u00e9 aux soins int\u00e9gr\u00e9s. #HIMSSLiege<\/title>\n<meta name=\"description\" content=\"Jordi Piera pr\u00e9sentera \u00e0 HIMSS Li\u00e8ge l'exemple r\u00e9ussi de Badalona, en mati\u00e8re de soins int\u00e9gr\u00e9s, h\u00f4pital ville, gr\u00e2ce \u00e0 l'e-sant\u00e9.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta 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