Tadhg crowley primary care in an integrated setting

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Tadhg crowley primary care in an integrated setting

  1. 1. Dr Tadhg CrowleyHealthcare Conferance 2013
  2. 2.  Forprimary care to work we need activity,people ,systems, and infastructure Forintegrated primary care we need this system to have a dynamic equilbrium with secondary and teriary care
  3. 3.  Chronic disease management Radiology Minor Surgery Colonoscopys A and E Inter referral
  4. 4.  Who work is in the primary care team Who pays them How does it fuction? meetings
  5. 5.  IT STANDARDS
  6. 6.  In 2006...it was all about buildings Recession comes and it 2012 it’s about teams
  7. 7.  Copd..finnish model...750 million Drug savings...300 million Diabetes...300 million Minor surgery Radiology...100 u/s saved 52000 euro Retinopathy screening 500...100,000 euro Mirena 1800 vs 80 in primary care
  8. 8.  10% GDP PERCENT TO 18% BY 2025 1/3 OF EUROPE’S POPULATION OVER 60 BY 2025 61% of Irish adults ( 18-64 years ) are overweight or obese
  9. 9.  GOVERNMENT HSE DOCTORS MEDIA
  10. 10. 1.NOT TALKING TO STAKEHOLDERS2.NO GP ON SDU3.MONEY NOT FOLLOWING THE PATIENT4.STILL THINKING IN SILOS5.NO SERVICES TO PRIMARY CARE6. 5 YR CYCLES7. EMPEROR WITH NO CLOTHES..8. CHRONIC DISEASE MANAGEMENT RATHER THAN MEDICAL CARDS FOR EVERYONE
  11. 11.  CEREBRUS...3 HEADS RECENT SERVICE PLAN DID NOT MENTION GP’S ONCE90 PERCENT OF THE POPULATION WITHIN 5 YEARS98 PERCENT SATISFACTION RATINGSAME DAY SERVICE
  12. 12.  ORTHRUS...2 HEADED BEAST...CEREBRUS BROTHER CONSULTANTS AND GP’S UNWILLING TO CHANGE SILO MENTALITY UNWILLING TO CHANGE WORK PRACTICES
  13. 13.  PREOCCUPATION WITH SALARIES NO ANALYSIS OF PROMISES FOR GOVERNMENT LITTLE ANALYSIS OF FAILURES OF POLICY
  14. 14.  GP’S LOOK AFTER THE PATIENT FROM CRADLE TO GRAVE IN A MEASURED AUDITED STANDARDISED WAY PRIMARY CARE TEAMS TO BE EMPLOYED RESOURCE AND TASK TRANSFER FROM SECONDARY CARE PROCEDURES TO BE CARRIED OUT AS MUCH AS POSSIBLE IN PRIMARY CARE HOSPITAL BUDGETS TO BE BASED ON PRIMARY CARE DELIVERY

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