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Case study

sekTOR-HF: A research project for cross-sectoral needs-based care for patients with heart failure and for the development of an alternative remuneration model - Part 1

Dominik Walter, Ira Simon, Denise Zehe, Matthias Arnold, Dimitar Divchev, Antke Wolter, Thorben Korfhage and Bernd Griewing
Management in Healthcare: A Peer-Reviewed Journal, 6 (1), 21-31 (2021)
https://doi.org/10.69554/LYDZ8627

Abstract

Heart failure (HF) is one of the most common hospital admissions diagnoses and causes of death in Germany. In the care of HF, there are false incentives owing to quantity-based remuneration and separate remuneration models for inpatient and outpatient care. The research project of RHÖN-KLINIKUM AG, ‘sekTOR-HF’, has been promoted by the German government’s innovation fund and is intended to ensure better care for HF patients in Germany with the help of optimal coordination of the cross-sectoral care process and new incentives in remuneration. Part 1 describes the initial situation and concept that paved the way for the project in 2020. Patient inclusion began in March 2021. After the project has been completed, in November 2023, a second part will present the project evaluation and the results.

Keywords: integrated care; network medicine; campus-concept; coordination platform; cross sectoral; network office; process management; full supply model; compensation model; bundled payment

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Author's Biography

Dominik Walter has studied business administration in Giessen at the Technische Hochschule Mittelhessen University of Applied Sciences with a focus on healthcare and human resources (2010). He has also successfully completed a master’s degree with a focus on hospital process management (2012). For the past 13 years, he has been working at RHÖN-KLINIKUM AG in various positions as a manager. He currently runs the department of medical process management and is working on new care models as project leader of sekTOR-HF.

Ira Simon has studied healthcare management at the Ostfalia University of Applied Sciences in Wolfsburg (2015). In 2017, she successfully completed her Master of Science in Public Health at the University of Applied Science Fulda. She then worked as a scientific associate on current health policy issues at the Institute for European Health Policy and Social Law at Goethe University Frankfurt. Since 2019, she has been working in the executive board division of medicine at RHÖN-KLINIKUM AG in the field of medical process management.

Denise Zehe studied healthcare management at the Technical University of Applied Sciences in Rosenheim (2017) while, concurrently, working at a German health insurance company and completed an apprenticeship as a social security employee in a dual system. Later she worked as a consultant for prevention and corporate health management for regional companies. Since 2020, she has been working in the executive board division of medicine at RHÖN-KLINIKUM AG in the field of network medicine and innovations.

Matthias Arnold Dr. Matthias Arnold has studied economics (University of Heidelberg, 2008); global health and development (University College London, 2011) and business research (Ludwig-Maximilians-University München, 2015). Between 2009 and 2013, he worked as a development expert and freelancing consultant with national and international organisations, focusing on the economics of health problems in developing countries. Between 2013 and 2018 he worked as a research fellow at Ludwig-Maximilians-University’s faculty of management and completed his PhD in 2018. After a postdoctoral position at the Centre for Health Economics of the University of York, he started working as a senior health economist at the Institute of Applied Health Services Research (Inav) in Berlin in 2020.

Dimitar Divchev completed his medical studies in Dresden and received his MD degree from Hannover Medical School, Germany. He then pursued an academic career at Hannover Medical School, specialising in Cardiology (2001–2010), after which he worked as a senior consultant cardiologist with a primary focus on interventional cardiology at the University Heart Center Rostock, where he was responsible for the management of patients with chronic heart failure and structural heart disease. He then moved to the University Clinic Giessen and Marburg, Campus Marburg, in December 2015, where he was mainly responsible for the Heart Failure programme. In 2017, Dr. Divchev became a Fellow of the Heart Failure Association (FHFA) of the European Society of Cardiology (ESC).

Antke Wolter has studied social sciences at Leibniz University Hannover, specialising in healthcare and non-profit management. After getting her diploma in 2008, she started working at the Medical Faculty of the University Medical Center Hamburg-Eppendorf. From 2013 up to 2018, she worked as deputy head of the vice deanery for research. In 2018 she completed her Master of Business Administration in Health Management at the University of Hamburg. Since then she has been working in the department of health services research and innovation at the DAK-Gesundheit, a statutory health insurance in Germany, where she coordinates innovation fund projects funded by the Federal Joint Committee (G-BA).

Thorben Korfhage Dr. Thorben Korfhage studied economics at Eberhard Karls Universität Tübingen and Freie Universität Berlin and holds a PhD in economics from the University of Duisburg-Essen. He works as a postdoctoral researcher in the health economics department at RWI — Leibniz Institute for Economic Research.

Bernd Griewing Prof. Dr. med. Bernd Griewing received his MD degree from the University of Muenster. He holds a professorship in neurology at the Ernst-Moritz-Arndt-University Greifswald. From 1998 till 2015, he was chief physician at the Neurologische Klinik GmbH of Bad Neustadt, and since 2002 he has been serving as medical director. Prof. Griewing was appointed to the executive board of RHOEN-KLNINIKUM AG as chief medical officer in January 2016. He led the patient safety, quality management and hygiene division, the medical process management division and the network medicine and innovation division. He is also a member of various boards, such as the Muench foundation.

Citation

Walter, Dominik, Simon, Ira, Zehe, Denise, Arnold, Matthias, Divchev, Dimitar, Wolter, Antke, Korfhage, Thorben and Griewing, Bernd (2021, September 1). sekTOR-HF: A research project for cross-sectoral needs-based care for patients with heart failure and for the development of an alternative remuneration model - Part 1. In the Management in Healthcare: A Peer-Reviewed Journal, Volume 6, Issue 1. https://doi.org/10.69554/LYDZ8627.

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cover image, Management in Healthcare: A Peer-Reviewed Journal
Management in Healthcare: A Peer-Reviewed Journal
Volume 6 / Issue 1
© Henry Stewart
Publications LLP

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