10997-D01- Implementation of outcomes-based payment models based on iPDM in a Danish community setting

This report documents our efforts to develop and implement outcomes-based paymentmodels based on iPDM in a Danish community setting. We describe the outcomesdefined in our work and the progress made during the EIT funding period. We present adetailed model of data-infrastructure and health economic financing for the pilot projectPreCare, which was developed in collaboration with Region Zealand and the municipalityof Odsherred. The model merges digitally submitted self-reported data and data fromclinical and administrative data registries at the regional and municipal level in Denmark.These different data types are used to create an economic payment model, whereremuneration to the clinic is based on an index of selected outcomes measures. Weevaluate progress and discuss barriers, future adjustment needs and scalability issuesfor the iPDM based model to other Danish Regions as well as other European countriesand healthcare systems.Since the iPDM outcomes-based model is implemented in a Danish community setting it is important toclarify a number of contextual issues in regards to the Danish health system structure, economic steeringmechanisms and current digital data infrastructure. This is done in chapters 4-5. Chapter 6-7 contain theactual model description including definitions of outcomes, data infrastructure and financial flows. In thesubsequent chapter 8 we discuss barriers, future adjustment needs and scalability issues for the iPDMbased model to other Danish Regions and beyond.