Integrated Care Pathways

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Presentation describing the DMA INSIGHT programme and its use in collaboration with St Andrews Hospital Charity to develop person centred integrated care pathways - presented at International Forensic Conference - UCLAN

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Integrated Care Pathways

  1. 1. Collaborative development of a Forensic Secure Integrated Care Pathway:towards a reduction in length of stay and an improvement in the patient experience Colin Doyle & Debra Moore
  2. 2. St Andrews – service background• challenging behaviour• secure care pathways• mental health• learning disability, autism• brain injury• adolescents• men, women• older people
  3. 3. Service Background The Therapeutic MilieuPhysical Relational Person PositiveSecurity Procedural Cultural Security Centred Behaviour Security Values & Approach Support Behaviour A charity leading innovation in mental health
  4. 4. Debra Moore Associates• Organisational Development• Strategic Planning• Service improvement and redesign• Business development• Training including blended learning• Networks and forums
  5. 5. A partnership on many levels • Between two organisations • Across different sites and services • Across professionals • BETWEEN PEOPLE WHO USE OUR SERVICES, THEIR FAMILIES AND STAFF
  6. 6. Drivers?• Policy Context – high quality, safe, person centred care• Increased user involvement• Need to articulate the Care Pathway or ‘patient journey’• CQUINS• QIPP• Regulation CQC
  7. 7. Common conundrums for health services• How to evidence the care pathway and delivery of timely and effective interventions• How to ensure staff have basic knowledge and understanding of care pathway, assessments, interventions, tools etc• How to ensure all staff are working to national and organisational policies and procedures• How to ensure all staff are aware of and acting in accordance with good practice guidance and research• How to ensure all paperwork is the right paperwork!• How to inform staff development – knowing where the needs and strengths lie within the workforce• How to increase user involvement and promote ‘choice and voice’• How to create a easy to use system that can manage knowledge and provide relevant data to measure performance
  8. 8. What can happen?• Confusion• Variable quality• Not person centred• Dehumanising
  9. 9. Using appreciative inquiry – taking a strengths based approach• When health care is patient centred – what does it look like?• How does it feel?• Need to create a compelling picture and move towards it
  10. 10. Tell me about a time……• Ask all stakeholders• Interview each other• Take a ‘slice’ of the organisation• Hear the patient and their carer
  11. 11. Understanding the patient’s journeyPre- admission Admission Person centred care planning
  12. 12. Understanding the patient’s journeyTreatment Pre Discharge Post Dischargephase Planning Support
  13. 13. 3 BIG phasesMoving Moving Moving in through out
  14. 14. DMA INSIGHT Programme• A dynamic process• Bespoke to the service• Captures the ‘real’ patient journey (care pathway)• Version for staff• Version for patients and carers• Contains local and national resources• Blended learning
  15. 15. DMA INSIGHT - ONLINE• Using new techniques to engage• Reduce ‘ring binder’ culture
  16. 16. Summary• Puts the patient and their experience at the centre; improving patient experience• Clarifies the care pathway and works towards a reduction in length of stay• Supports the ‘frontline’ with tools, resources and learning
  17. 17. Any questions?
  18. 18. More informationdebra@debramooreassociates.com CDoyle@standrew.co.uk
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