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Digitally Enabled Integrated care
- 2. Copyright © 2017, Oracle and/or its affiliates. All rights reserved. | Safe Harbor Statement The following is intended to outline our general product direction. It is intended for information purposes only, and may not be incorporated into any contract. It is not a commitment to deliver any material, code, or functionality, and should not be relied upon in making purchasing decisions. The development, release, and timing of any features or functionality described for Oracle’s products remains at the sole discretion of Oracle. Commercial in Confidence 2
- 5. Copyright © 2018, Oracle and/or its affiliates. All rights reserved. People with long term conditions 30% of the population account for 70% of the spend 50% 64% 70% 70% 50% of all GP appointments 64% of all outpatients 70% of all inpatient days £7 out of £10 spent on LTCs Source: Department of Health (2012). Report. Long-term conditions compendium of Information: 3rd edition
- 6. Copyright © 2018, Oracle and/or its affiliates. All rights reserved. What people with long term conditions want To be treated as a whole person and for the NHS to act as one team “I want to be involved in decisions about my care – and to be listened to” “I want access to information to help make these decisions” “I want support to understand my condition and confidence to manage it – support to self care” “I want joined up, seamless services” “I want proactive care” “I do not want to be in hospital unless it is absolutely necessary and then only as part of a planned approach” Source: Department of Health (2012). Report. Long-term conditions compendium of Information: 3rd edition
- 7. Copyright © 2018, Oracle and/or its affiliates. All rights reserved. Integrated care centred on the person Person centred integrated care will consume fewer overall resources while at the same time being better for patients Person Home care Commun ity care Pre op / post op care Primary care Acute care Urgent care Outcomes sought § Care is seamless and addresses user needs § Treatment decisions are evidence-based and data-led § Population-based health and care is pro- active and preventative § Everyone can access services that supports them § The workforce is delivering the right care at the right time and right place
- 8. Copyright © 2018, Oracle and/or its affiliates. All rights reserved. Supported by one ecosystem Enabled by digital Areas of value § Patient centric journeys § Care seamlessly coordinated across all channels, driving continuity § Leveraging best practice pathways and technology innovation § Leverages data, driving accountability for improved clinical quality and safety § Care is more accessible and affordable £ cost of intervention Number of interventions Digital Telephonic Clinic Hospital Health Info Apps Devices Coaching Peripat etic Out Patient In Patient Data Driven, Person Centric Pathway supported by HCP’s 100% of LTC’s 20%
- 9. Copyright © 2017, Oracle and/or its affiliates. All rights reserved. | Imagine if you could take a business idea and build a prototype with a business justification in 12 weeks or less Oracle Confidential - Internal The challenge
- 10. Copyright © 2017, Oracle and/or its affiliates. All rights reserved. | A cross-functional team of experts from a clinicaland business background A core team to socialise the idea and develop the customer journey map A sharingworkshop with executive stakeholders Time commitment for a hands-on, innovation workshop Interim meetings to evolve and refine the proposition Combing innovation, strategy and prototyping into a simple, end-to- end offer.
- 11. Copyright © 2018, Oracle and/or its affiliates. All rights reserved. PATIENT Feeling empowered by digital care services on demand – accessing medical knowledge from certified sources, plus your own records Experiencing a consistent and personalised service that truly reflects today’s digital world but is inclusive of all Having peace of mind through a personal care community of loved ones monitoring your wellbeing and groups who share your situation Gaining safe, relevant advice at any time, accessing professionals when it matters most to you, through telecare and video conferencing technology Imagine if…
- 12. Copyright © 2018, Oracle and/or its affiliates. All rights reserved. NURSE Loving your workplace, empowered to quickly implement the right care model for a patient's needs, easing the pressure off you Accessing innovative mobile, systems allowing you to share knowledge across departments and in the community, anytime, anywhere, in an instant Access training digitally, with the flexibility to suit you – and your shift patterns Saving even more lives, because automated processes means you have the time to provide the care you aspire to, every day Reducing demand through better public awareness – omni-channel community care messaging about healthier choices and appropriate use of NHS services Imagine if…
- 13. Copyright © 2018, Oracle and/or its affiliates. All rights reserved. Manchester Amputation Reduction Service ‘Whole systems analysis’ 13 The problem • 1000 amputations across GM – half avoidable • Significant inequalities in service provision Mars approach • One community pathway for foot and leg ulcers • Take ‘hospital’ services into community • ‘whole systems analysis’ population based transformation • Incorporates prevention, health/social care, and IT Outcomes sought: • Reduce chronic wounds by 15% within 5 years • Reduce hospital AE attendances, admissions and outpatient referrals • Reduce annual spending by £70m within 5 years • Reduce inequalities in service provision • Put the patient experience first
- 14. Copyright © 2018, Oracle and/or its affiliates. All rights reserved. Oracle Confidential - Internal
- 18. Copyright © 2017, Oracle and/or its affiliates. All rights reserved. | Oracle Confidential – Internal, Jacqueline Gummer Digital citizen-engagement tool delivering self-care and professional communication across a range of digital devices (e.g. computer, mobile, tablet). Family Assist The West Sussex NHS FT story Oracle Confidential – Internal, Jacqueline GummerOracle Confidential – Internal, Jacqueline GummerOracle Confidential – Internal, Jacqueline GummerCopyright © 2017 Oracle and/or its affiliates. All rights reserved. 70% registration rate Significant reduction in calls to triage 0.5% escalation to enquiries 42% saving on printing
- 19. Copyright © 2017, Oracle and/or its affiliates. All rights reserved. | Oracle Confidential - Internal https://www.youtube.com/watch?v=ucudMJs0840
- 20. Copyright © 2018, Oracle and/or its affiliates. All rights reserved. Multiple Patient Personas Multiple Pathway Visions One Platform Integrated Care Platform Maternity Pathway Family Assist Amputation Pathway