IEC SRD 63234-2:2020
(Main)Economic evaluation of active assisted living services - Part 2: Example of use - Monitoring patients with chronic diseases
Economic evaluation of active assisted living services - Part 2: Example of use - Monitoring patients with chronic diseases
IEC SRD 63234-1:2020 provides a descriptive framework and template for the economic evaluation of the implementation of technology-supported home healthcare, wellness or AAL services. IEC SRD 63234-2:2020 provides an example of the use of the framework, specifically analysis and economic evaluation of the implementation of technology-supported, remote, in-home monitoring of patients (AAL care recipients) with chronic diseases.
This analysis is completed from the point of view of the healthcare system/services funder (e.g. the government in a state-sponsored healthcare system or possibly a health management/health insurance company in a privately funded system).
This document is structured like IEC SRD 63234-1:2020, to provide a means of capturing data for the Reference Scenario (the current means of providing care, also known as 'usual care', to the target population of members of the population with one or more chronic diseases living at home), compared against an Alternate Scenario (the deployment of an AAL service which provides remote patient monitoring). Standard economic measures have been estimated (using an electronic spreadsheet) including Return on Investment (ROI), Net Present Value (NPV), and Payback Period of the investment.
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Standards Content (Sample)
IEC SRD 63234-2 ®
Edition 1.0 2020-02
SYSTEMS
REFERENCE DELIVERABLE
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Economic evaluation of active assisted living services –
Part 2: Example of use – Monitoring patients with chronic diseases
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IEC SRD 63234-2 ®
Edition 1.0 2020-02
SYSTEMS
REFERENCE DELIVERABLE
colour
inside
Economic evaluation of active assisted living services –
Part 2: Example of use – Monitoring patients with chronic diseases
INTERNATIONAL
ELECTROTECHNICAL
COMMISSION
ICS 03.080; 03.100.60 ISBN 978-2-8322-7834-5
– 2 – IEC SRD 63234-2:2020 © IEC 2020
CONTENTS
FOREWORD . 4
INTRODUCTION . 6
1 Scope . 7
2 Normative references . 7
3 Terms, definitions and abbreviated terms . 7
3.1 Terms and definitions. 7
3.2 Abbreviated terms . 8
4 General . 9
4.1 Document objective . 9
4.2 Economic evaluation process overview . 9
4.2.1 Alternate versus Reference Scenario . 9
4.2.2 Time period for analysis . 9
4.2.3 The cost of money . 9
4.2.4 The economic or financial indicators . 9
4.2.5 Multiple Alternate Scenarios . 10
4.2.6 Risks and critical success factors . 10
4.3 Document structure – the example . 10
5 Overview of the analysis and results of a remote patient monitoring service . 10
6 Description of the AAL Service or Intervention . 12
7 The non-financial benefits of the AAL service . 14
7.1 Overview . 14
7.2 Improving the health of the population . 14
7.3 Improving the patient experience with healthcare . 15
7.4 Improving the work life of healthcare workers . 15
8 The financial/sustainability analysis . 15
8.1 The financial analysis cost data . 15
8.2 Reference Scenario costs . 16
8.3 Intervention/Alternate Scenario implementation costs . 16
8.4 Intervention/Alternate Scenario health system costs . 17
9 Cashflow analysis and calculating the financial indicators . 18
9.1 Cash flow analysis: Alternate Scenario A - Ramp up to 10 000 patients . 18
9.2 Financial indicators for Alternate Scenario A . 19
9.3 Cash flow analysis: Alternate Scenario B - Ramp up to 100 000 patients . 20
9.4 Financial indicators for Alternate Scenario B . 21
10 Identifying risks and critical success factors . 21
11 Conclusions and recommendations . 22
11.1 Conclusions . 22
11.2 Recommendations . 22
Bibliography . 23
Figure 1 – Cash flow analysis table Alternate Scenario A . 19
Figure 2 – Cash flow analysis table Alternate Scenario B . 20
Table 1 – Overview of the remote patient monitoring AAL Service . 10
Table 2 – Description of the AAL Service . 12
Table 3 – Reference Scenario healthcare costs . 16
Table 4 – Alternate Scenario AAL service implementation costs . 17
Table 5 – Alternate Scenario health system costs . 18
Table 6 – Financial indicators Alternate Scenario A . 20
Table 7 – Financial indicators Alternate Scenario B . 21
– 4 – IEC SRD 63234-2:2020 © IEC 2020
INTERNATIONAL ELECTROTECHNICAL COMMISSION
____________
ECONOMIC EVALUATION OF ACTIVE ASSISTED LIVING SERVICES –
Part 2: Example of use – Monitoring patients with chronic diseases
FOREWORD
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IEC SRD 63234-2, which is a Systems Reference Deliverable, has been prepared by IEC
systems committee Active Assisted Living.
The text of this Systems Reference Deliverable is based on the following documents:
Draft SRD Report on voting
SyC AAL/154/DTS SyC AAL/166/RVDTS
Full information on the voting for the approval of this Systems Reference Deliverable can be
found in the report on voting indicated in the above table.
This document has been drafted in accordance with the ISO/IEC Directives, Part 2.
A list of all parts in the IEC SRD 63234 series, published under the general title Economic
evaluation of active assisted living services, can be found on the IEC website.
The committee has decided that the contents of this document will remain unchanged until the
stability date indicated on the IEC website under "http://webstore.iec.ch" in the data related to
the specific document. At this date, the document will be
• reconfirmed,
• withdrawn,
• replaced by a revised edition, or
• amended.
IMPORTANT – The 'colour inside' logo on the cover page of this publication indicates
that it contains colours which are considered to be useful for the correct understanding
of its contents. Users should therefore print this document using a colour printer.
– 6 – IEC SRD 63234-2:2020 © IEC 2020
INTRODUCTION
Under the "Triple Aim" [1] concept (now "Quadruple Aim"[2]), a well defined, inclusive set of
objectives for new interventions leading to improvements in the local and national healthcare
systems consists of the following:
• improving the health of the population;
• improving the patients' (e.g. AAL care recipients) experience of care,
• lowering (or holding constant) the per-capita cost of care to the healthcare system to ensure
sustainability; and
• (the recently added fourth aim) improving the work life of healthcare providers (e.g.
healthcare professionals and AAL formal carers), clinicians, and other staff.
Economic evaluations of proposed new healthcare services and technologies involve the
assessment of the costs and effect
...
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