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eHealth – Enabling High Quality and Coordinated Care for People with Long Term Conditions
 

eHealth – Enabling High Quality and Coordinated Care for People with Long Term Conditions

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The Atos Origin Alliance will provide an overview of how eHealth can support the delivery of high value, coordinated and personalised care for people living with Long Term Conditions. There will be ...

The Atos Origin Alliance will provide an overview of how eHealth can support the delivery of high value, coordinated and personalised care for people living with Long Term Conditions. There will be particular focus on how we can support the Reshaping of Older People’s Care pathway from a whole systems perspective.

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    eHealth – Enabling High Quality and Coordinated Care for People with Long Term Conditions eHealth – Enabling High Quality and Coordinated Care for People with Long Term Conditions Presentation Transcript

    • E HEALTH – ENABLING HIGH QUALITY AND CO-ORDINATED CARE FOR PEOPLE LIVING WITH LTC’s
    • CONTENT
      Some key challenges
      Integrating Care – supporting MDT’s
      Reshaping delivery of Older People’s Care
      E Pharmacy current and future opportunity
      The benefits
    • HEALTHCARE DEMAND IS GROWING
      A new Ninewells
      Hospital by 2031!
    • ANGUS CHP – PATIENT PROFILE
      Virtual Wards focusing on
      Tier 4 , Innovative Step Down
      Services are key to success!
      Macro Integrator
      NHS Tayside and Angus Council
      724
      2%
      LTC
      Population
      North West
      187
      North East
      191
      South
      346
      LEVEL 4
      INTENSE
      CASE
      MANAGEMENT
      VIRTUAL
      WARD
      ANTICIPATORY
      CARE PLANS
      PATIENT
      PASSPORTS
      CASE
      MANAGEMENT
      10148
      28%
      LTC
      Population
      LEVEL 3
      CASE
      MANAGEMENT
      North West
      2631
      North East
      2673
      South
      4844
      PRO-ACTIVE
      CONTACT
      SUPPORTING
      SELF CARE
      70%
      LTC
      Population
      LEVEL 2
      SUPPORTED
      SELF CARE
      25372
      North West
      6577
      North East
      6684
      South
      12111
      PRO-ACTIVE
      CONTACT
      SUPPORTING
      SELF CARE
      LEVEL 1
      HEALTHY
      COMMUNITIES
      72487
      66%
      Overall
      Population
      North West
      18790
      North East
      19096
      South
      34601
      LTC’s
      Asthma
      6101
      COPD
      2056
      Diabetes
      4698
      HBP
      16423
      CHD
      5318
      Obesity
      11854
    • ENSURE OUTCOMES ARE DELIVERED….
      Project
      Definition
      Statement
      Benefits
      Statement
      Project
      Status
      Report
      Is used for:
      Stating your case for change
      Current state analysis
      Evidence / Data
      Envisaged Change
      Summarise benefits
      Is used for:
      Define benefits in detail
      Define appropriate measures
      Summarise enabling changes ( PP&T)
      Summarise milestone tracking
      Is used for:
      Report on delivery progress.
      Report on Benefits Realisation against plan.
      Escalate to Project Board or EMT for decision, support etc
      Multi- disciplinary Project
      Board, Clinical and
      Finance essential
    • RESHAPING CARE FOR OLDER PEOPLE – OUTCOMES 1
    • RESHAPING CARE FOR OLDER PEOPLE – OUTCOMES 2
    • User
      Device
      Access
      TECHNOLOGY ENABLING INTEGRATED CARE
      Applications
      Security
      Service
      Complex
      Case
      Management
      Collaboration Tools
      Staff ID
      Virtual
      Database
      Case
      Management
      Clinical Portal
      RBAC
      PMS
      GP
      Community
      Health&
      Social
      Pro-active
      Contact
      TELEHEALTH
      PREDICTIVE RISK
      TELECARE
      BUSINESS ANALYTICS
      Prevention
      Integration Platform
    • IHI CARE CO-ORDINATION MODEL
      Person Centred
      For people with multiple needs
      Personalised Multi-channel interface
      Family, associated assets
      Family
      Social Care
      Peer Groups
      Carer/s
      Voluntary
      Goals(G)
      Co-ordination(C)
      PATIENT
      IDENTIFICATION
      OUTCOMES
      Value
      Proposition
      Service
      Delivery
      Service
      Design
      Supporting with enabling technology
      CARE CO-ORDINATOR
      Predictive Risk
      Tools
      GP Systems
      Community Information Systems
      Telehealth
      Telecare
      Performance Management
      Business Analytics
    • INTEGRATED CARE(VIRTUAL WARDS) - THE CHALLENGE
      • Emergency admissions and associated bed days not hitting HEAT T12 target..
      • Challenge around Health Population Management (HPM)
      • Lack of effective collaboration between Health and Social Care
      • Alignment of e Health with key HEAT T6-T12 outcomes
      • Key improvement areas:
      Reduce all age Emergency Beds
      More effective HPM
      Standard operating procedures
      Effective MDT working
      Effective medication concurrence
    • ePharmacyProgramme
    • SUPPORTING THE NEW COMMUNITY PHARMACY CONTRACT
      Acute Medication Service eAMS (& ETP):
      • eAMS enables the generation and delivery of 1.6M electronic prescription messages per week at all of Scotland’s 1000 GP Practices and used in all 1200 Pharmacies. This improves patient safety through assurance for patient and medication item selection and allows for significant efficiencies to be achieved in payment processing ( £3.2M+ pa in efficiency savings for National Services Scotland.)
      Chronic Medication Service eCMS
      • eCMS improves the care of patients with long term conditions through a systematic approach to their care, enables eligible people to register with a community pharmacy of their choice, to have a personalised Pharmaceutical Care Plan record created and monitored and to have ‘serial’ prescriptions to be created to cover up to a years worth of medication. The medication will then be dispensed and monitored in their registered pharmacy. Reduces patient visits to GPs and reduces the number of paper prescriptions plus improves medicines management & reduces the drugs budget.
      Minor Ailment Service eMAS
      • eMAS aims to support the provision of direct pharmaceutical care within the NHS by community pharmacists to members of the public with a common self-limiting condition. enables eligible people to register with a community pharmacy of their choice and have their common conditions treated, including prescribing, by their community pharmacist on the NHS without the need to visit a GP and enabled by a revolutionary remuneration process
    • LOOKING FORWARD TO A BETTER FUTURE
    • SOME IDEAS FOR THE FUTURE
      Telepharmacy Electronic Dispensing and Payment Processing for NHS24, OOH Pharmacy & Pandemics – Trial withUniversity of Aberdeen
      ECS + PCRs arethe makings of anational patient summary record
      ECS
      PCRs
      Patient
      Registration
      Service
      InformationServicesDivision
      Remote Electronic Prescribing (iPrescribe) mobile prescribing and pharmacy services – prototype 2011/12
      ePharmacy
      Message
      Store
      Payment process
      PharmacyCareRecord
      ePay rules engine
      Scanning and message processing
      Complianceblister pack technology ???
      End to End Medicines & Compliance Management in NHSS – better dispensing and Pharmacy care informationsystems…add secondary care ePrescribing and compliance product to provide a unique medicines management service improving patient care and reducing costs through reducing re-admissions to secondary care and managing the drugs budget
      Delivering beneficial change and efficiency gains and using innovative ways of sharing, developing and implementing to benefit the full patient journey
    • INTEGRATED CARE(VIRTUAL WARDS) - THE BENEFITS
      • Test of change demonstrators commenced March 2011 following introduction of PEONY2…
      • Enabling technology being fully utilised
      • Aligning with local improvement initiatives eg CMR in Angus, Case Management and ACP’s across Tayside..
      • Envisaged benefits across Patient Access, Service Redesign and Patient Experience:
      Drive effective attendance at A&E
      Reduction in unscheduled bed days
      Effective discharge models
      Focus on the right patients
      Increase value multi-disciplinary team time
      Net CRES of £1.5-2.0m per annum.
    • INTEGRATED CARE(VIRTUAL WARDS) - THE APPROACH
      • Next future state workshop brought together over 70 integrated care professionals and patient groups…
      • Followed up be local sessions in CHP areas…
      • NHS Tayside worked with partners to develop new HPM toolset – PEONY2
      • Test of Change Demonstrators set up in each CHP
      • Wider collaboration with Social Care, Voluntary Sector and Social Care
      • Align outcomes with LDP, HEAT and Reshaping of Older People’s services
    • SUMMARY
      • A whole system approach is key..
      • Identify high impact projects and prioritise resource..
      • Fully align with LDP and national outcome requirements
      • Quality improvement with associated CRES takes priority..
      • Early engagement of whole system stakeholders essential..
      • Build on best practice evidence and focus on reducing unwarranted variation…
      • Small steps, quick wins…