Health Services Executive<br />Services for Older People<br />Ann Coyle<br />National Planning Specialist for Older People...
Services for Older People<br />To support Older People to remain in their own homes and communities<br />Support family/in...
Priorities<br />Hospital Avoidance<br />Accelerated Discharge<br />Residential Care Avoidance<br />Improved Quality of Car...
Home Support Services<br />360 million spent in home care<br />Increase of 131 million since 2006<br />10 million addition...
Main reasons for residential care admission<br />Dementia<br />Falls<br />Stroke <br />
HSE StructureClinical Strategy and Programmes<br />20 Clinical Care Programmes<br />To improve the quality of care <br />T...
Clinical Strategy and Programmes<br />	Care of the Elderly<br />	Diabetes<br />	COPD<br />	Acute Coronary Syndrome<br />	R...
Objectives of the Elderly Clinical Care Programme<br />Quality<br />Improve the management of acutely ill frail older peop...
Access<br />Every patient has quick access to right care<br />Integrate acute and community services for older people<br /...
Cost<br />Overall reduction in <br />ED attendances<br />Readmissions<br />Hospital Bed Days<br />Nursing Home bed days<br />
Falls<br />Falls Strategy<br />Environmental Sub Group –telecare identified as an enabler<br />Implementation of the Falls...
Interagency working group on Telecare<br />Driven by the HSE<br />Connected to the Housing Aid Grant process<br />DOHC,DEH...
Recommendations<br />Should be a substantive part of Home Care Services<br />HSE and DEHLG should develop Assessment proce...
Challenges<br />Cost containment<br />Return on Investment<br />Integration<br />Change Management<br />User involvement<b...
Challenges<br />No new monies. Any new initiatives must show clear return on investment in hard evidence <br />i.e. reduct...
Integration<br />End to end solutions<br />Any new systems would need to address the whole pathway i.e. provide monitoring...
User Involvement<br />Simple devices<br />Multipurpose<br />Continuous feedback on compliance, ease of use<br />
Governance<br />All projects including pilots need to<br />Involve all relevant stakeholders<br />Ensure compliance with r...
Ageing Challenges<br />Demography<br />Image of ageing<br />Encouraging innovation at a time of shrinking resources<br />B...
Ageing Opportunities<br />Innovative solutions to our problems<br />Opportunities for collaboration<br />Culture Change<br />
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Ann Coyle - Health Service Executive

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Ann Coyle - Health Service Executive

  1. 1. Health Services Executive<br />Services for Older People<br />Ann Coyle<br />National Planning Specialist for Older People<br />
  2. 2. Services for Older People<br />To support Older People to remain in their own homes and communities<br />Support family/informal carers<br />Provide high quality person centred residential care<br />
  3. 3. Priorities<br />Hospital Avoidance<br />Accelerated Discharge<br />Residential Care Avoidance<br />Improved Quality of Care<br />Improved Quality of Life<br />
  4. 4. Home Support Services<br />360 million spent in home care<br />Increase of 131 million since 2006<br />10 million additional in 2010<br />8million additional in 2011<br />
  5. 5. Main reasons for residential care admission<br />Dementia<br />Falls<br />Stroke <br />
  6. 6. HSE StructureClinical Strategy and Programmes<br />20 Clinical Care Programmes<br />To improve the quality of care <br />To improve access to all services <br />To improve cost effectiveness<br />
  7. 7. Clinical Strategy and Programmes<br /> Care of the Elderly<br /> Diabetes<br /> COPD<br /> Acute Coronary Syndrome<br /> Rheumatology<br /> Stroke<br />
  8. 8. Objectives of the Elderly Clinical Care Programme<br />Quality<br />Improve the management of acutely ill frail older people in acute hospital<br />Increase independence in the home<br />Reduce the number of falls in older people<br />Improve education <br />
  9. 9. Access<br />Every patient has quick access to right care<br />Integrate acute and community services for older people<br />Integration with the private sector<br />
  10. 10. Cost<br />Overall reduction in <br />ED attendances<br />Readmissions<br />Hospital Bed Days<br />Nursing Home bed days<br />
  11. 11. Falls<br />Falls Strategy<br />Environmental Sub Group –telecare identified as an enabler<br />Implementation of the Falls Strategy is a key priority for the Elderly Medicine Clinical Care Programme<br />
  12. 12. Interagency working group on Telecare<br />Driven by the HSE<br />Connected to the Housing Aid Grant process<br />DOHC,DEHLG,HSE and user representatives<br />Home Solutions Report<br />
  13. 13. Recommendations<br />Should be a substantive part of Home Care Services<br />HSE and DEHLG should develop Assessment processes for Telecare<br />Training and Support for staff<br />Effective commissioning processes<br />
  14. 14. Challenges<br />Cost containment<br />Return on Investment<br />Integration<br />Change Management<br />User involvement<br />
  15. 15. Challenges<br />No new monies. Any new initiatives must show clear return on investment in hard evidence <br />i.e. reduction in home help hours, reduction in attendances in out patients<br />
  16. 16. Integration<br />End to end solutions<br />Any new systems would need to address the whole pathway i.e. provide monitoring systems plus alert follow up<br />Collaborative solutions<br />
  17. 17. User Involvement<br />Simple devices<br />Multipurpose<br />Continuous feedback on compliance, ease of use<br />
  18. 18. Governance<br />All projects including pilots need to<br />Involve all relevant stakeholders<br />Ensure compliance with relevant legislation and international standards<br />Ensure Procurement Protocols are adhered to<br />
  19. 19. Ageing Challenges<br />Demography<br />Image of ageing<br />Encouraging innovation at a time of shrinking resources<br />Balancing Health and Social Care<br />Fragmentation<br />
  20. 20. Ageing Opportunities<br />Innovative solutions to our problems<br />Opportunities for collaboration<br />Culture Change<br />

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