The Esther approach to healthcare in Sweden: A business case for radical improvementOutcomes and performance indicators The Esther Network for re-designing patient care has been crucial in delivering improved patients outcomes, whilst delivering resource savings. The success of the project became obvious very early. A total system wide redesign took place, from 2000-2001 onwards to focus energy and funds on caring for the patient at home. This resulted in a 20% reduction in hospital admissions. In 2003, the Esther Network won the ‘GotaPriset, Swedish national award for quality improvement. This was because the project exhibited outcomes such as:
Unnecessary days in hospital: The measurement here is the amount of days the patient remains still in hospital although they no longer have a medical need for specialist care. This can occur for example if the homecare service or primary care does not have the capacity to look after the patient at home. Esther resulted in the following changes:
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Nicoline Vackerberg Nicoline Vackerberg wrote this case study for Governance International in January 2013.
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