3. Implement and Change


Managing the change needed for sustainable implementation of regional eHealth enabled integrated care entails a long journey. Besides deploying new technologies, organisations and individual professionals have to adjust to using a multitude of data required to plan, predict and execute resources in a new but highly efficient manner.

Concrete implementation evolves through a phased organisational transformation. Based on continuous monitoring of data at regional (epidemiological) as well as individual (e.g. chronic disease management) data, integrated care programmes are established and evaluated, as well as modified continuously. This involves a step-wise process of combining knowledge at different professional levels into multi-disciplinary pathways, meanwhile integrating and fine-tuning existing habits and processes. Additionally, informal and self-care are introduced as crucial elements of a client / patient centred approach.

To translate this widely accepted vision into ‘modern care’, change management support is required at many levels, including e.g.: regional (and often also national) governance, organisational management, multidisciplinary teams, physician leadership, individual professionals, and ICT providers.