RITMOCORE transforms the care pathway of patients with bradycardias, implanted with a pacemaker, most aged over 70. The steady growth of the demand, mostly due to the ageing population, and budgets’ resistance to follow such demand has two main consequences, on one hand there is a requirement to purchase more devices, and on the other hand, the increase in the workload of clinicians becomes unsustainable.
RITMOCORE’s model addresses both problems: how to purchase more devices, and how to make the best use of clinicians’ time, while increasing quality of care and contributing to preserve long term sustainability of the healthcare system. With that aim, RITMOCORE shifts from purchasing devices to purchasing services, where payments are outcome based, and where services are supported by advanced ICT systems. The model increases efficiency in healthcare systems by fostering alignment between all participants in the care pathway - healthcare services, suppliers, and patients.
Thus, RITMOCORE was articulated around through risk-sharing contracts around these pillars:
I. The personalisation of the treatment to the patients to offer them the most adequate attention to their condition and environment, including the provision of devices, the storage logistics, the technical assistance services during the implantation and explanation procedures, as well as the most appropriate technologies to the characteristics of each patient.
II. Remote monitoring of patients, reducing travels and visits to the hospital to only those clinically relevant.
III. The coordination of the monitoring, control and treatment of patients with pacemakers between the different levels of care involved, by means of the integration, connection and interoperability of the solution.
IV. Activation of the patient through human and technological resources, to participate in the control and monitoring of their own condition, improving their sense of security and self-control through information, training, support, monitoring, participation in patient networks.
V. The Change Management, key to implement in an effective way the advances proposed by the RITMOCORE model in each hospital.
