1 / 30

Currently managing of 10.8 million lives across the UK & Canada

Currently managing of 10.8 million lives across the UK & Canada. Integrated Care . What’s in a name……. Today, 175 definitions of “Integrated Care”. (Kings fund). Integration [definition]: Person centered coordinated care* (National Voices)

jadon
Download Presentation

Currently managing of 10.8 million lives across the UK & Canada

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Currently managing of 10.8 million lives across the UK & Canada

  2. Integrated Care • What’s in a name……

  3. Today, 175 definitions of “Integrated Care” (Kings fund) • Integration [definition]: Person centered coordinated care* (National Voices) • “My care is delivered from people who work together to understand me and my carer(s) needs, and coordinate services to achieve my best outcome”

  4. Innovation driving integration? = Interoperability Integration

  5. Interoperability: diverse systems working together 3rd sec LA Data Comm. System Vol. Sev. Hospital PAS GP System Moving DATA between services & settings

  6. Integration: Person centered coordinated care Moving PATIENTS between services & settings

  7. Strata connects the entire network of providers; ensuring the patient’s journeyis planned & monitored; creating a truly shared approach Moving PATIENTS between services & settings

  8. …so many care pathways, what is safe? Religious Support Long Term Care Social Care Addictions Age Concern Village Support A&E Health Visiting Socialization MAU End of Life Hospital Rapid Response District Nursing Bereavement Counseling Mental Health Deal or no deal ? Community Services PT OT Assisted Living

  9. But an insurmountable task?

  10. No, very much within the ‘Art of the Possible’! • ‘Process’ defines ‘outputs’ - no panacea • Need a framework that underpins local best practice process • Clinically lead, operational driven, & supported by IT • Bespoke needs of patients • Local Best Practice process & service delivery • Dynamic: expect change • CI culture: CHC/DST, reduce readmissions, social housing, anti-coagulation, mental health

  11. System wide care coordination value proposition: planned, transparent, consistent = QIPP

  12. NHS IMAS: 8 principles for patient flow Early senior review. Daily senior review. Focusing on discharge. Continuity of care. Matching capacity to demand and reducing variation. Internal professional standards. Ambulatory emergency care. Managing patient flow streams.

  13. Making Integration Happen: Kings Fund Developing integrated care means overcoming barriers between primary and secondary care, physical and mental health, and health and social care to provide the right care at the right time in the right place. Innovate in the use of commissioning, contracting and payment mechanisms and use of the independent sector

  14. Ever heard of this guy?

  15. Patient Flow…through the hospital

  16. Patient Flow through the entire system! CCG’s Local Authority Community Services Volunteer Services

  17. System Wide Collaboration RESOURCES MATCHING, CAPACITY, PULLING & PUSHING, Status intervals, messaging, thresholds / breach driving KPI’s

  18. Actions during the patient journey / hand off facilitated by Strata Access ALL options on patient hand-off DDA (2003) replace inefficient transactions Decision Support Increasing plurality of Provision Transactional progression of patient hand-off Admission criteria bespoke to local service Dashboard tasks & waitlists Real time Capacity a fx of Process Interval time benchmarked

  19. System-wide access drives utilization across the entire health ecosystem A&E / Hospitals Patient Assessment / DST GP’s CFT / Social Care / Volunteer/ 3rd sector Business Intelligence

  20. The Challenge: reduce time wasted on manual communication / paper process

  21. The Solution: a common referral & automated process to direct clinicians to appropriate services

  22. DTOC reduced 23% overall, driven by 63% across ‘waiting for completion’ Assessments ‘waiting for completion’ More than halved

  23. But even more so: collaboration of teams, resulting in outcomes we can ALL be very proud of!

  24. Across the Commonwealth, dramatic results in reduced DTOC! Over the last 4-year ends, patients waiting in hospital beds for more appropriate care levels/locations has trended down to a low of 27 clients over 2000 beds! ALOC days are now <2% of total acute beds -Nancy Hughes, Director CHR

  25. Gains maintained over the years

  26. Patient choice & satisfaction increased! • A demonstrable increase from 60% to 84% of first placements to a location / geography of patient choice!* *Auditor General Alberta Calgary Annual Report 2002/2003

  27. International Reference: Internal Strategy Internal Strategy / Training Video RM&R today – z patient & family’s perspective

More Related