Accountable Care in Germany

The project "Accountable Care in Germany - Improving Patient Care through Networking of Service Providers and Informed Dialogue" is funded by the Innovation Fund of the Joint Federal Committee (G-BA) with almost four million euros under the consortium leadership of Professor Leonie Sundmacher. In cooperation with Hannover Medical School, Heinrich Heine University Düsseldorf, the statutory health insurances AOK Rhineland/Hamburg and AOK Northwest, Techniker Krankenkasse (TK), the Associations of Statutory Health Insurance Physicians (KV) in Hamburg, Schleswig-Holstein, Westphalia-Lippe and North Rhine and with the Central Institute for Statutory Health Insurance Physicians in Germany (ZI), the project aims to improve the coordination of care between physicians involved in the treatment and thus improve health care.

In the German health care system, patients play a decisive role in deciding which physicians cooperate in treatment through their utilization. However, not all physicians involved are always informed in time: On average, a general practitioner would have to talk to about 700 colleagues in private practice every year in order to coordinate with all the physicians involved in the outpatient treatment of his patients.

On the basis of routine data, the informal networks of practices in Hamburg, Schleswig-Holstein and North Rhine-Westphalia that provide care to patients in cooperation and are thus "accountable" for them are therefore to be recorded. Around 100 randomly selected care networks are provided with information in moderated network meetings to identify approaches for improving care processes and develop locally specific treatment pathways for selected disease patterns and thus improve the continuous care of patients.

The project has a term of three years.

The main contact for this project is Wiebke Schüttig.

Latest News

The term of the ACD project came to an end in March 2021. Currently, the evaluation is being carried out.

The 19th German Conference for Health Services Research (DKVF) took place in Berlin from 30th September to 1st October. The project team presented preliminary findings of the process evaluation of the study.

In consultation with the moderators and participants, invitations to network meetings will be issued again in the coming weeks depending on the regional relaxations of corona restricitions.

Due to the current situation, no network meetings will take place until the end of April. If the situation allows, the meetings will be held at a later date.

We will inform you about possible dates in time.

In the next few weeks, physicians and therapists in the ACD project will receive the fifth of a total of six pieces of ACD network information (sent out quarterly). The network information contains pseudonymized information on patient characteristics, specialist visits, outpatient processes as well as prescribed medicines of all AOK and TK patients included in the research project with the indication "back pain" and a second indication group.

The 19th German Conference for Health Services Research (DKVF) took place from 9th to 11th October. The project team presented first results of the process evaluation of the study on two posters.

In the next few weeks, physicians and therapists in the ACD project will receive the forth of a total of six pieces of ACD network information (sent out quarterly). The network information contains pseudonymized information on patient characteristics, specialist visits, outpatient processes as well as prescribed medicines of all AOK and TK patients included in the research project with the indications "COPD and bronchitis" and a second indication group.

In the next few weeks, physicians and therapists in the ACD project will receive the third of a total of six pieces of ACD network information (sent out quarterly). The network information contains pseudonymized information on patient characteristics, specialist visits, outpatient processes as well as prescribed medicines of all AOK and TK patients included in the research project with the indication "cardiac insufficiency" and a second indication group.

Presentation of the ACD-Project at the HAM-NET Symposium - Transfer of research into practice.

In the next few weeks, physicians and therapists in the ACD project will receive the second of a total of six pieces of ACD network information (sent out quarterly). The network information contains pseudonymized information on patient characteristics, specialist visits, outpatient processes as well as prescribed medicines of all AOK and TK patients included in the research project with the indication "ischemic heart disease" and a second indication group. 

In the past few weeks, physicians and therapists in the ACD project received the first of a total of six quarterly ACD network reports. The report was sent specifically to doctors and therapists in the ACD intervention study if they are part of an ACD network that was formed within the framework of the project on the basis of pseudonymised patient accounting data. The network information is offered for informal exchange and to stimulate discussion for the ACD network meetings. The network information contains pseudonymized information on patient characteristics, specialist visits, outpatient processes as well as prescribed medicines of all AOK and TK patients included in the research project with the indication "diabetes mellitus" and a second indication group. An invitation to the next ACD network meeting will be sent to the doctors and therapists of the ACD networks in a separate letter within the next few weeks. 

 

Consortium Partners

 

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