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Explore the transformative strategies for integrated healthcare, enhancing self-management, prevention, and care coordination in the evolving landscape of primary care. Discover key enablers and challenges in implementing high-impact changes, empowering patients, and improving performance standards. Dive into the concept of Integrated Care Organisations and the importance of healthy organizations for sustained performance success. Learn how to navigate the transition with clarity, strategic oversight, and collaborative relationships to create a new era of healthcare excellence.
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“The Brave New World” May 2011 By Paul Zollinger- Read
The King’s Fund 10 High Impact Changes • Self-management • Primary prevention • Secondary prevention • Managing ambulatory conditions • Integrating mental & physical health care
The King’s Fund 10 High Impact Changes • Care coordination & integration • End-of-life care • Medicines management • Managing elective activity • Managing emergency activity
Enablers • Post Industrial Primary Care • Integrated Care • Systematic and proactive management of Long Term Conditions • Empowerment of patients • Population management
Primary Care • Coordination and signposting • Become the navigator to steer patients • No longer act as the sole reactive care giver • New deal with patients • Measure performance, improving care standards, and transparent reporting
Integrated Care Organisations • Cross organisational • Capitated budget • Governance models • Across Care Pathways
The Bigger Picture • Be clear on decision making process • Risk management • Strategic oversight • Learn and build on clinical networks • Power of relationships
ZRs First Law SP = (C * I ) CR SP = Sustained Performance C = Capabilities I = Incentives
Healthy Organisations • Strong correlation between “healthy organisations” and performance • Set clear medium term health aspirations • Strive for a baseline of good health • Involve a broad leadership coalition, develop followership
The Challenge for Consortia Relationships between practices must be build on shared values and vision, trust, respect and collaboration. As well as requiring leadership from the consortium, this will require member practices to have time, patience and commitment. Kings Fund Report on Primary Care Quality 2010
Carpe Diem 10 + 5