A cost-benefit indicator set for integrated care

The assessment uses a pre-defined set of cost and benefit indicators for different potential stakeholders in a service, covering service clients / patients, informal carers, different types of health and care provider organisations as well as their staff, payers and the ICT industry. The indicator set was specifically developed to capture the impacts of integrated care services and to allow for the development of value or business models in this field. It is, however, also applicable to other service concepts that do not focus on vertical and horizontal co-operation of service providers.

The indicators cover the most common costs and benefits occurring in the implementation of health and care services, including efforts for service development, efforts for training (providing and receiving), costs for the procurement of hardware and software and other material goods, costs for the procurement of supporting services (such as installation or maintenance), different types of quality and efficiency benefits, as well as different types of revenue streams.

A core element consists of indicators covering the time spent (cost) on service provision (for providers) and service use (for clients / patients and informal carers), as well as time liberated (benefit) e.g. due to more efficient work processes, avoided hospital stays or visits to and by providers. This part of the indicator set is conceptually linked to the two SmartCare high-level pathways for integrated care, one covering short-term support (e.g. after hospital discharge), the other long-term support (e.g. for people with chronic conditions).

The complete indicator set can be found in D9.2B "SmartCare Interim Report on Exploitation Activities".