D4.1 Guide on maturity requirements of Good Practices viable for scaling up WP4 Maturity requirements in selected Good Practices D4.1. Guide on maturity requirements of Good Practices viable for scaling up Document information Organisation responsible – Kronikgune Authors Txarramendieta Suarez, Jon (Kronikgune) De Manuel Keenoy, Esteban (Kronikgune) Fullaondo Zabala, Ane (Kronikgune) Albaina Bacaicoa, Olatz (Kronikgune) Pavlickova, Andrea (NHS 24 Scotland) Henderson, Donna (NHS 24 Scotland) Zabala Rementeria, Igor (Osakidetza) Gonzales Llinares, Rosa María (Osakidetza) Avolio, Francesca (ARES Puglia) Graps , Elisabetta (ARES Puglia) Gutter, Zdenek (FNOL) Lundgren, Lisa (NLL) Kassberg, Ann-Charlotte (NLL) Delivery date – 31st December 2016 Dissemination level P Public Version history Version Date Changes made By Sent to V0.1 15/07/2016 Structure of the document Jon Txarramendieta Andrea Pavlickova V0.2 23/12/2016 Version to be revised Jon Txarramendieta Andrea Pavlickova Ane Fullaondo Esteban de Manuel V0.3 28/12/2016 First revision Andrea Pavlickova Donna Henderson V1.0 31/12/2016 Final version Donna Henderson Anne-Marie Yazbeck Grant Agreement 710033 (CHAFEA) Public version 1 D4.1. Guide on maturity requirements of Good Practices viable for scaling up Statement of originality This deliverable contains original unpublished work except where clearly indicated otherwise. Acknowledgement of previously published material and of the work of others has been made through appropriate citation, quotation or both. Grant Agreement 710033 (CHAFEA) Public version 2 D4.1. Guide on maturity requirements of Good Practices viable for scaling up Executive summary The overall objective of the Deliverable D4.1 “Guide on Maturity Requirements of Good Practices for Scaling up” is to provide a contextual analysis of the requirements for the adoption of Good Practices in integrated care in Europe. The potential of a Good Practice to be transferable within or outsides the region / organisation depends on its viability but also on the maturity required for the system in which the Good Practice is implemented. In fact, the transferability potential would increase, the higher the viability score and the lower the system maturity levels needed is for a particular Good Practice. To this end, the Guide describes: • The definition and methodology for the collection of Good Practices; • The assessment of the viability of Good Practices for scaling up; • The outcomes of maturity assessment of Good Practices in integrated care, using the B3 Maturity Model (B3-MM). Thirty-four Good Practices in integrated care were collected from five European regions participating in SCIROCCO project – Basque Country, Norbotten County Council, Olomouc region in Czech Republic, Puglia region in Italy and Scotland. The Good Practices were initially assessed in terms of their viability for scaling up. As a result, 15 Good Practices were prioritised for the application of the B3-MM to assess the maturity requirements necessary for their adoption and replication in Europe. This Guide can be used by potential adopters of Good Practices to help them to understand the conditions and requirements for a particular Good Practice to be scaled up or transferred. The Guide has also an ambition to facilitate the implementation and scaling up of Good Practices at local, regional or country level by providing a tool enabling multidimensional assessment of the capacity of regions for adoption of Good Practices in integrated care in Europe. The outcomes of this deliverable will feed into the next stages of SCIROCCO project, in particular by providing further inputs into the refinement of the B3-MM and development of the SCIROCCO tool. Grant Agreement 710033 (CHAFEA) Public version 3 D4.1. Guide on maturity requirements of Good Practices viable for scaling up List of abbreviations D Deliverable WP Work package NA Non Applicable EIPonAHA European Innovation Partnership on Active and Healthy Ageing B3 AG B3 Action Group on Integrated Care B3-MM B3 Maturity Model MMD Maturity Model Dimension WHO World Health Organisation Grant Agreement 710033 (CHAFEA) Public version 4 D4.1. Guide on maturity requirements of Good Practices viable for scaling up Table of Contents EXECUTIVE SUMMARY ................................................................................... 3 LIST OF ABBREVIATIONS ................................................................................ 4 1 INTRODUCTION ...................................................................................... 7 1.1 PURPOSE OF THE DOCUMENT .......................................................................... 7 1.2 STRUCTURE OF THE DOCUMENT ........................................................................ 7 2 OBJECTIVES .......................................................................................... 8 3 METHODOLOGY ...................................................................................... 8 3.1 DEFINITION OF GOOD PRACTICE ....................................................................... 8 3.2 CRITERIA FOR THE SELECTION OF GOOD PRACTICES .................................................... 9 3.3 DATA COLLECTION ................................................................................... 10 3.4 VIABILITY ASSESSMENT OF GOOD PRACTICES ......................................................... 10 3.5 MATURITY REQUIREMENTS OF THE GOOD PRACTICES VIABLE FOR SCALING UP ........................ 11 4 GOOD PRACTICES IN INTEGRATED CARE ...................................................... 12 4.1 GOOD PRACTICES IN SCOTLAND ..................................................................... 13 4.2 GOOD PRACTICES IN THE BASQUE COUNTRY ......................................................... 14 4.3 GOOD PRACTICES IN PUGLIA REGION, ITALY ......................................................... 15 4.4 GOOD PRACTICES IN OLOMOUC REGION, CZECH REPUBLIC ........................................... 17 4.5 GOOD PRACTICES IN NORBOTTEN COUNTY COUNCIL, SWEDEN ....................................... 18 5 VIABILITY ASSESSMENT OF GOOD PRACTICES IN INTEGRATED CARE .................... 19 5.1 VIABILITY ASSESSMENT OF GOOD PRACTICES ......................................................... 19 5.2 PRIORITISATION OF GOOD PRACTICES WITH A POTENTIAL FOR SCALING-UP ........................... 21 6 MATURITY REQUIREMENTS OF GOOD PRACTICES VIABLE FOR SCALING UP ............ 23 6.1 MATURITY REQUIREMENTS OF GOOD PRACTICES IN SCOTLAND, UK .................................. 23 6.2 BASQUE COUNTRY, SPAIN ........................................................................... 28 6.3 PUGLIA, ITALY ...................................................................................... 32 MATURITY REQUIREMENTS FOR “TELEHOMECARE PROJECT” .............................................. 32 MATURITY REQUIREMENTS FOR “CHRONIC KIDNEY DISEASES (CKD) INTEGRATED-CARE” ................. 34 MATURITY REQUIREMENTS FOR “REMOTE MONITORING IN HEART FAILURE (RMHF) OUTPATIENT” ........ 35 6.4 OLOMOUC, CZECH REPUBLIC ........................................................................ 36 6.5 NORRBOTTEN, SWEDEN .............................................................................. 40 6.6 DIMENSIONS OF MATURITY MODEL FOR INTEGRATED CARE ........................................... 43 Grant Agreement 710033 (CHAFEA) Public version 5 D4.1. Guide on maturity requirements of Good Practices viable for scaling up 6.6.1 MMD1. Readiness to change ............................................................ 44 6.6.2 MMD2. Structure & Governance ........................................................ 45 6.6.3 MMD3. Information & eHealth services .............................................. 46 6.6.4 MMD4. Standardisation & Simplification ............................................ 47 6.6.5 MMD5. Finance & Funding ............................................................... 48 6.6.6 MMD6. Removal of inhibitors ........................................................... 49 6.6.7 MMD7. Population approach ............................................................ 50 6.6.8 MMD8. Citizen empowerment .......................................................... 51 6.6.9 MMD9. Evaluation methods ............................................................. 52 6.6.10 MMD10. Breadth of ambition ......................................................... 53 6.6.11 MMD11. Innovation management .................................................... 54 6.6.12 MMD12. Capacity building ............................................................. 55 7 DISCUSSION ......................................................................................... 57 8 MATURITY REQUIREMENTS GUIDE .............................................................. 60 APPENDIX I: SCIROCCO TEMPLATE FOR COLLECTION OF GOOD PRACTICES ................ 61 APPENDIX II: VIABILITY ASSESSMENT CRITERIA .................................................. 75 APPENDIX III: REFINED MATURITY MODEL ........................................................ 77 APPENDIX V: VIABILITY ASSESSMENT OF GOOD PRACTICES .................................. 295 SCOTLAND, UK ......................................................................................... 295 BASQUE COUNTRY, SPAIN ............................................................................... 298 PUGLIA, ITALY .......................................................................................... 300 OLOMOUC REGION, CZECH REPUBLIC ..................................................................