A single point of access for clients- First BeyondSilos user went live in February 2015

After a very short time of preparatory work of only one year, a group of Badalona’s older people who live with multiple chronic conditions now receive better joined-up social and healthcare services.

The BeyondSilos service in Badalona consists of health and social care services provided by Badalona Serveis Assistencials (BSA), an integrated health and social care organisation with entirely public capital. Multidisciplinary teams led by case managers and comprising physicians, nurses, social workers, family workers, volunteers and third party organisations, continuously assess the needs of the service users and deliver appropriate integrated care services to meet their identified needs. This includes an integrated homecare plan set-up during the assessment and monitored continuously. The Homecare Department, through its Case Managers, is the single point of access for all clients. Stakeholders involved in the delivery of integrated care services have access to subsets of the Integrated Care Record (ICR), which facilitates efficient and high-quality provision of the BeyondSilos services.

 

Regional contact: Jordi Piera Jimenez (jpiera(at)bsa(dot)cat)