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Driving quality  through integrated care Dr Martin McShane NHS Lincolnshire
Integrated care study tour
 
Key issues <ul><li>Integrated care </li></ul><ul><ul><ul><li>Strategy (the story) </li></ul></ul></ul><ul><ul><ul><li>Prim...
Horizontal and vertical integration Horizontal – Peer review/benchmarking Horizontal – Peer review/benchmarking CCGs Netwo...
 
The GAP - size of challenge
The GAP - size of challenge
Focus?
Feedback
 
Incentives <ul><li>QOF  (QIPP) </li></ul><ul><li>Tariff (30%) </li></ul><ul><li>Pooling (Reablement) </li></ul><ul><li>Blo...
Impact <ul><li>FOPS </li></ul><ul><li>4% reduction for all unscheduled admissions </li></ul><ul><li>7% reduction for all a...
Integrated care <ul><li>About a system – not an organisation </li></ul><ul><li>People – the hearts and minds </li></ul><ul...
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Martin McShane: Driving quality up with integration

Martin McShane, Director of Commissioning Development and QIPP, NHS Lincolnshire PCT Cluster, shares the key integrated care lessons he learnt from the USA and how these can be applied to the NHS.

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Martin McShane: Driving quality up with integration

  1. 1. Driving quality through integrated care Dr Martin McShane NHS Lincolnshire
  2. 2. Integrated care study tour
  3. 4. Key issues <ul><li>Integrated care </li></ul><ul><ul><ul><li>Strategy (the story) </li></ul></ul></ul><ul><ul><ul><li>Primary care </li></ul></ul></ul><ul><ul><ul><li>Leadership </li></ul></ul></ul><ul><ul><ul><li>Workflow </li></ul></ul></ul><ul><ul><ul><li>Information </li></ul></ul></ul><ul><ul><ul><li>IT </li></ul></ul></ul><ul><ul><ul><li>Incentives </li></ul></ul></ul><ul><ul><li>= CULTURE </li></ul></ul>VERTICAL & HORIZONTAL
  4. 5. Horizontal and vertical integration Horizontal – Peer review/benchmarking Horizontal – Peer review/benchmarking CCGs Networks
  5. 7. The GAP - size of challenge
  6. 8. The GAP - size of challenge
  7. 9. Focus?
  8. 10. Feedback
  9. 12. Incentives <ul><li>QOF (QIPP) </li></ul><ul><li>Tariff (30%) </li></ul><ul><li>Pooling (Reablement) </li></ul><ul><li>Block (Risk sharing) </li></ul>
  10. 13. Impact <ul><li>FOPS </li></ul><ul><li>4% reduction for all unscheduled admissions </li></ul><ul><li>7% reduction for all admissions for pts over 65 </li></ul><ul><li>8% reduction for all admissions for pts over 75 </li></ul><ul><li>2% reduction in admissions for ACS conditions for pts 65 and over </li></ul>
  11. 14. Integrated care <ul><li>About a system – not an organisation </li></ul><ul><li>People – the hearts and minds </li></ul><ul><li>Processes – the way we work </li></ul><ul><li>Incentives – used for change not status quo </li></ul>

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