living at home longer - a 2025 vision for elderly care
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Living at home longer- a 2025 vision for elderly care
CASE DESCRIPTION
City of Oslo
1 May 2023Livework © 2015
Foto: Patrick Doheny
The Nursing Home Agency
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Current healthcare services are not economically
sustainable in the future.
This future is already upon us in 2017.
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Demographic changes
Urbanisation
Non-sustainable public expenses
Decreasing volunteerism
Those who are sick
become sickerWelfare technology
Smarter patients
MEGATRENDS
ECONOMICSITUATION
Reduced income from oil
Low long-term interest rates
Rich generation of elders
Nursing homes are costly
Digitalisation
Municipality 3.0
Competing for competence
Private healtcare providers
Loneliness
Public health polarization
Multi cultural
Big data
Increased expectations and
demands
The Nursing Home Agency (Sykehjemsetaten)Norway's largest operator of nursing homes and the second biggest municipal agency within the City of Oslo
• 4 short term care and rehabilitation health houses
• 44 long-term nursing homes
• Professional Development and Research
• Apprenticeship Training Office for Health, Childhood and Youth Services
• 9,000 residents and patients annually
• 1.6 million nights annually
• 12,000 employees
• 5 Billion NOK / 410 Million GBP annual budget
TargetThe citizens of Oslo should live as long as possible in their own home, with a high quality of life and minimal use of publicly financed services.
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Home
Specialised Health Services
City council
Nursing homes
Healthcare Centre
Users and caretakers at the centre
Triggers for moving to a Nursing Home
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Living al
one
Worn ou
t relat
ives
Lack o
f netw
ork
Needs h
elp to
get ou
t and ab
out
Lonelin
ess / S
ocial
Issola
tion
Housin
g not acc
essab
le
Poor
nutrition
Recuced
func
tion
Tende
ncy to
fall
Severe
pain
Demen
tia & M
emory
Prob
lems
Broken
bonesStro
keCan
cer0%
10%20%30%40%50%60%70%80%90%
Non-disease dependent triggers
Average home care h/w0
2
4
6
8
10
12
14
16
Oslo St.Hanshaugen
Economical triggers
Potential annual cost reduction -923 MNOK
Threshold value: Nursing home > 15 h/w home care
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Planning and facilitation in addition
to long-term comprehensive efforts
Ownershipof inhabitant
Individual homewith a separation between private
and public
Accurate, holistic efforts towards common goals
Future care for the elderly will provide early help to plan own aging, facilitate different forms of housing and provide accurate care services at best timing in each home, customised the individual and their holistic situation
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1. Predictable and smooth transition
2. Accurate reception and early clarification
3. Targeted stay
4. Safe and smooth transition back home
1
2
34
1
2
3
4
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• Facilitate a range of different adapted properties
• All permanent locations are a home
• All services available at all locations
• The 24/7 nursing home is a home equal to other homes.
• 24/7 consist of a range of different forms of living.
• 24/7 are flexible in degree and level of services
Original home
Property with a life-long
standard
Care homes
24/7-offering
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NURSING HOMETreatment, care and
nursingExperience of one’s own home
Safety & Quality of Life
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Case DescriptionPILOT
Female, 70 years
If the city of Oslo had invested accurate and timely from first contact in 2013, they would have saved
1,850,000 NOKby 2018
2010 2011 2012 2013 2014 2015 2016 2017 2018
-1000000-800000-600000-400000-200000
0200000400000600000800000
1000000
IDEAL STANDARD DIFFERENCE
- 1 850 000
IDEAL STANDARD0
500000
1000000
1500000
2000000
2500000
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Case SummaryPILOT
1. Male, 84: - 1 450 0002. Female, 40: - 200 0003. Male, 75: - 900 0004. Female, 70: - 1 850 0005. Male, 79: +
600 000
Total cost reduction for entire period:
3,750,000 NOKAverage cost reduction per year:
115,000 NOK
- 3 750 000
# users in Oslo municipality > 67: 20% = 12 600# users in Oslo municipality < 67: 0,5% = 2 700# users interdisciplinary assessment: 50%
Estimated annual cost reduction:
880 MNOK
STANDARD IDEAL -
1000 000
2000 000
3000 000
4000 000
5000 000
6000 000
7000 000
8000 000
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Four Patient ExperiencesTesting four different patient experiences
WELCOME ACCURATE START ADVICE AND GUIDE RETURNING HOME
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Estimated EffectPILOT
21 users in pilot II.
Estimated effect is not hypothetical, but realised in 2015/16
Cost reduction by running pilot:
2,225,000 NOKAverage cost reduction per user:105,000 NOKAnnual # of users in health house: 4,500
Estimated annual cost reduction:
475 Million NOK
- 2 225 000
Standard Ideal -
1000 000
2000 000
3000 000
4000 000
5000 000
6000 000
7000 000
Female
, 92
Female
, 88
Female
, 93
Male, 8
5
Female
, 76
Male, 9
3
Male, 8
0
Male, 8
5
Female
, 91
Female
, 85
Male, 9
0 -
100 000 200 000 300 000 400 000 500 000 600 000 700 000 800 000 900 000
Ideal Standard
Key Takeaways
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• Trust
• Visionary balance
• Time-consuming
• Several takes
• Political skills
• Numbers
• Road ahead
London Oslo Rotterdam São Paulowww.liveworkstudio.com 1. mai 2023
CONTACT
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Rune Yndestad Møller
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+47 90 24 26 22
@Liveworkstudio
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Bjørg Torill [email protected]+47 91 76 57 76
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