Business Case
of Your Proposal
Team C
04 July 2013
Safer Medicine Management amongst Older People Living in their Own Homes
http://hsi.cloudapp.net/
Team C
• Team Coordinator: Amalin Dutt
• Team members
– Caroline McIntyre
– Chris Cooper
– Helena...
http://hsi.cloudapp.net/
Proposal
• A System Change for Medicines Optimisation
– An integrated, coordinated, patient-focus...
http://hsi.cloudapp.net/
Service User Segments
• Older people
• High needs patients with long term conditions
• Patients o...
http://hsi.cloudapp.net/
Value Propositions
• Individualised System
• Open referral process to support patients according ...
http://hsi.cloudapp.net/
Channels
• Face-to-Face interaction
• Telephone
• Mobile phone
• Auto-alarms
• Phone Apps
• Tele ...
http://hsi.cloudapp.net/
Service User Relationships
• Leaflets and information
• Care co-ordination
• Face-to-face contact...
http://hsi.cloudapp.net/
Outcomes
• Support for patients
• Increased patient satisfaction
• Increased family and carer sat...
http://hsi.cloudapp.net/
Key Activities
• Education and training for providers
• Multidisciplinary working
• Pilot and sho...
http://hsi.cloudapp.net/
Key Resources
• Care co-ordinator
• CCG clinical leadership
• Pharmacy leadership
• District nurs...
http://hsi.cloudapp.net/
Key Partners
• Patient groups
• Voluntary groups
• Social services
• CCG
• Age UK
• Acute trusts ...
http://hsi.cloudapp.net/
Expenditure
• Staffing
• Freeing capacity in existing services
• Money following the patient
• Op...
http://hsi.cloudapp.net/
Risk
• Increasing demand
• Insufficient capacity
• Increasing costs
• Destabilising existing syst...
http://hsi.cloudapp.net/
Milestones
• Pilot preparation July-October 2013
• Pilot implementation November 13 – March 14
• ...
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Team C - Business Case

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Team C - Business Case

  1. 1. Business Case of Your Proposal Team C 04 July 2013 Safer Medicine Management amongst Older People Living in their Own Homes
  2. 2. http://hsi.cloudapp.net/ Team C • Team Coordinator: Amalin Dutt • Team members – Caroline McIntyre – Chris Cooper – Helena Tjader – Samantha Soulsby – Sebastian Sarama – Charlene Teloka – Angela O’Shea – Patricia McCormack 2
  3. 3. http://hsi.cloudapp.net/ Proposal • A System Change for Medicines Optimisation – An integrated, coordinated, patient-focused approach to supporting at-risk patients to take their medicines effectively – Raising awareness and providing education and training for all healthcare professionals on the range of options for support patients – To evaluate and where appropriate improve access to new technologies and evaluate their cost-effectiveness 3
  4. 4. http://hsi.cloudapp.net/ Service User Segments • Older people • High needs patients with long term conditions • Patients on multiple medications • Tier 4 risk stratification patients • Dexterity or literacy problems 4
  5. 5. http://hsi.cloudapp.net/ Value Propositions • Individualised System • Open referral process to support patients according to need • Single Assessment Process including Risk Assessment • Navigator to co-ordinate care • Single medicines HelpLine for Islington • Maximising impact of existing useful services and minimising those not useful 5
  6. 6. http://hsi.cloudapp.net/ Channels • Face-to-Face interaction • Telephone • Mobile phone • Auto-alarms • Phone Apps • Tele Health if appropriate • Patient groups • Expert patients • Voluntary action 6
  7. 7. http://hsi.cloudapp.net/ Service User Relationships • Leaflets and information • Care co-ordination • Face-to-face contact • Expert patients 7
  8. 8. http://hsi.cloudapp.net/ Outcomes • Support for patients • Increased patient satisfaction • Increased family and carer satisfaction • Increased awareness • Increased medication review • Reduced significant events • Reducing healthcare attendance and hospital admissions • Reducing wastage 8
  9. 9. http://hsi.cloudapp.net/ Key Activities • Education and training for providers • Multidisciplinary working • Pilot and short term evaluation • Longer term service evaluation • Outcome measures reported and service impact feedback and accountability 9
  10. 10. http://hsi.cloudapp.net/ Key Resources • Care co-ordinator • CCG clinical leadership • Pharmacy leadership • District nursing • Re-ablement service • Communication systems • Pharmacy technicians • Integrated care teams • Academic support 10
  11. 11. http://hsi.cloudapp.net/ Key Partners • Patient groups • Voluntary groups • Social services • CCG • Age UK • Acute trusts and Integrated Care Organisations • LMC • LPC • Islington Carers’ Forum • Mental Health Trust • Expert patient Group 11
  12. 12. http://hsi.cloudapp.net/ Expenditure • Staffing • Freeing capacity in existing services • Money following the patient • Opportunity costs • Learn from current pilots and sharing best practice 12
  13. 13. http://hsi.cloudapp.net/ Risk • Increasing demand • Insufficient capacity • Increasing costs • Destabilising existing systems • Lack of knowledge of services available 13
  14. 14. http://hsi.cloudapp.net/ Milestones • Pilot preparation July-October 2013 • Pilot implementation November 13 – March 14 • Pilot evaluation – April 14 • Live reporting • Regular feedback to patient groups • On-going use of website • Academic evaluation – on-going process • Communication and training November 13 – March 14 • Subject to refinement and resources 14

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