This concept of full cycles of care is important for patients, physicians, organizers, decision-makers and sponsors:  centred and coordinated around the patient, comprehensive medicine promises to optimize treatments and outcomes, including decreasing costs.
Currently comprehensive care cycles - a patient-centric journey, whether it is for a specific illness or for an elderly patient with multiple comorbidities - encompass the concepts of continuity and holistic approach to treatment.
The HAS international seminar was focused on 4 questions: 

• How can we implement a full care pathway that will go beyond a single structure? (session 1)
• How can we evaluate quality and outcomes from integrated cycle of care? 
  (session 2)
• How can we calculate its costs and compare the efficiency and value of different care cycles? (session 3)
• An example for stroke has been discussed in the last session of the workshop (session 4)

All presentations are available below.

Thursday, 15^th December 2011

Session 1: HOW TO IMPLEMENT A FULL CYCLE OF CARE?

Moderator: Rosa Sunol, Avedis Donabedian Foundation, Spain
Secretary:  René Amalberti, HAS Safety Expert, France

• Driving Value with Clinical Pathways, Carol Sawka, Canada
• Heart failure pathway in Lyon, Alice Teil, France
• Improving Health Pathways: the elderly and chronic diseases, Marie-Dominique Lussier, France
• The Mayo Clinic Experience, Veronique Roger, USA

Session 2: HOW TO MEASURE QUALITY AND OUTCOMES OF A FULL CYCLE OF CARE?

Moderator: David Ballard, Baylor’s Institute, USA
Secretary: Niek Klazinga, OECD

• Pathways’ evaluation, HAS concept, Armelle Leperre-Desplanques, France
• Quality measurement across continuum of care: the example of heart failure, Cliff Fullerton, USA
• Clinical outcomes and evaluation of MI pathways, Nicolas Danchin, France
• Myocardial infarction from home to home, Carlos El Khoury, France
• Reducing “iatrogenic disability” in the hospitalized elderly patient, Fati Nourhashemi, France 

Friday, 16^th December 2011

Session 3: HOW TO DEFINE VALUE?

Moderator: Catherine Le Gales Camus, High Council for Public Health, France
Secretary:  Françoise F. Hamers, Medical epidemiologist, HAS, France

• Principles of a value-based delivery, Harvard Business School, USA
• Health system performance on disease based value chains for cancer and CVD, Niek Klazinga, OECD
• Evidence for value and efficiency: the NICE approach, Mike Kelly, UK
• Value improvement and care integration, Anthony Staines, CH
• Value of emergency pathways for myocardial infarction, Christine Roullière-Le Lidec, France

Session 4: CASE STUDY: A FULL CARE CYCLE FOR STROKE

Moderator: Véronique Roger, Mayo Clinic, USA
Secretary: Philippe Michel, Aquitaine Centre for Quality and Safety, France

• A full care cycle for Stroke, Tony Rudd, UK
• An approach to  implementation, Alberto Deales, Italy  
• Integrative model of stroke care, Thierry Moulin, France
• Principles for measurement of quality & outcomes, Florence Saillour, France
• Stroke pathways, the point of view of policy makers, Alain Corvez, France 

03/01/2012