This document summarizes a presentation on virtual wards, which are a form of case management that integrates health and social care. It describes predictive modeling to identify high-risk patients for virtual ward enrollment and the multidisciplinary staffing of virtual wards. Evaluations of virtual ward programs in different locations found they enrolled complex, high-cost patients but did not consistently reduce emergency admissions or costs in the short-term. Implementing large-scale service changes takes time and hospital use is not the only impact measure of these programs.
Evaluating health and social care interventions in a CCG - Jo BroadbentIan Brown
This document summarizes two case studies evaluating health and social care interventions in a clinical commissioning group (CCG) in the UK. The first case study found that expanding early supported discharge (ESD) services for stroke patients reduced social care packages by 57% and saved an estimated £172k-£572k per year. The second case study evaluated "virtual wards", which used multidisciplinary case management in the community, and found a 19% reduction in avoidable hospital admissions and increased integration between health and social care services. The document discusses challenges with evaluation including data limitations and managing expectations of decision-makers.
The document discusses NHS Lanarkshire's plans to develop a clinical portal that will pull together a patient's clinical information from various systems into a single view, addressing issues around fragmented records and information sharing between services. It aims to provide clinicians with a complete patient record regardless of where data was created or stored. The portal is intended to improve care coordination and reduce risks around late intervention or lack of awareness of a patient's full clinical history.
Dr David Maltz: The challenge of length of stayNuffield Trust
In this slideshow, Dr David Maltz, of The Oak Group, explores the challenge of length of stay and opportunities for improvement.
Dr Maltz spoke at the Nuffield Trust ‘Reducing the length of stay’ event in September 2014.
This inaugural NYeC | PCIP Learning Series is targeted at DSRIP PPS leads, service providers, and others who would like to learn more about New York State’s current and future programs to increase HIT adoption, usage, and practice transformation.
In this first session, we will focus on two tactical areas. First, how DSRIP PPS leaders can analyze participating provider data to facilitate project planning, outreach, and program success. Second, an industry expert from Primary Care Development Corp will provide a helpful overview of how organizations can prepare for and achieve Patient Centered Medical Home (PCMH) recognition.
There will be more sessions to follow and we welcome your input to help shape future content to assist those working to transform healthcare in New York State.
Agenda:
• 9:00 am - Welcome, Programs Update (REC, EP2, NYS PTN)
• 9:10 am - DSRIP – PPS Provider Analysis Reporting and Outreach
• 9:30 am - PCMH – Overview and Readiness
• 9:50 am - Q&A, Call for future subjects
May 14, 2015
Prof David Oliver: older people and acute care. Nuffield Trust
In this slideshow, Prof David Oliver, Consultant Geriatrician, Royal Berkshire NHS Foundation Trust, presents on how we can shorten and improve hospital care for older people with complex needs.
Dr Thompson spoke at the Nuffield Trust ‘Reducing the length of stay’ event in September2014.
Health Works: Supporting Health in the Working AgeNHSScotlandEvent
Hear about the innovative practice being developed in Scotland to allow people rapid access to case managed support to help them back to work, using a person‐centred, biopsychosocial model.
Pro-poor health policy in Burkina Fasovaléry ridde
To reduce financial barriers to healthcare services presented by user fees, Burkina Faso adopted a policy to subsidize deliveries at 80%. Women must pay the remainder on a fixed-rate basis: 900 F CFA ($2) at the primary healthcare level for a normal delivery.
This study was conducted in the Ouargaye rural district. Normal deliveries are carried out in the 26 maternity units of the primary healthcare centres.
Evaluating health and social care interventions in a CCG - Jo BroadbentIan Brown
This document summarizes two case studies evaluating health and social care interventions in a clinical commissioning group (CCG) in the UK. The first case study found that expanding early supported discharge (ESD) services for stroke patients reduced social care packages by 57% and saved an estimated £172k-£572k per year. The second case study evaluated "virtual wards", which used multidisciplinary case management in the community, and found a 19% reduction in avoidable hospital admissions and increased integration between health and social care services. The document discusses challenges with evaluation including data limitations and managing expectations of decision-makers.
The document discusses NHS Lanarkshire's plans to develop a clinical portal that will pull together a patient's clinical information from various systems into a single view, addressing issues around fragmented records and information sharing between services. It aims to provide clinicians with a complete patient record regardless of where data was created or stored. The portal is intended to improve care coordination and reduce risks around late intervention or lack of awareness of a patient's full clinical history.
Dr David Maltz: The challenge of length of stayNuffield Trust
In this slideshow, Dr David Maltz, of The Oak Group, explores the challenge of length of stay and opportunities for improvement.
Dr Maltz spoke at the Nuffield Trust ‘Reducing the length of stay’ event in September 2014.
This inaugural NYeC | PCIP Learning Series is targeted at DSRIP PPS leads, service providers, and others who would like to learn more about New York State’s current and future programs to increase HIT adoption, usage, and practice transformation.
In this first session, we will focus on two tactical areas. First, how DSRIP PPS leaders can analyze participating provider data to facilitate project planning, outreach, and program success. Second, an industry expert from Primary Care Development Corp will provide a helpful overview of how organizations can prepare for and achieve Patient Centered Medical Home (PCMH) recognition.
There will be more sessions to follow and we welcome your input to help shape future content to assist those working to transform healthcare in New York State.
Agenda:
• 9:00 am - Welcome, Programs Update (REC, EP2, NYS PTN)
• 9:10 am - DSRIP – PPS Provider Analysis Reporting and Outreach
• 9:30 am - PCMH – Overview and Readiness
• 9:50 am - Q&A, Call for future subjects
May 14, 2015
Prof David Oliver: older people and acute care. Nuffield Trust
In this slideshow, Prof David Oliver, Consultant Geriatrician, Royal Berkshire NHS Foundation Trust, presents on how we can shorten and improve hospital care for older people with complex needs.
Dr Thompson spoke at the Nuffield Trust ‘Reducing the length of stay’ event in September2014.
Health Works: Supporting Health in the Working AgeNHSScotlandEvent
Hear about the innovative practice being developed in Scotland to allow people rapid access to case managed support to help them back to work, using a person‐centred, biopsychosocial model.
Pro-poor health policy in Burkina Fasovaléry ridde
To reduce financial barriers to healthcare services presented by user fees, Burkina Faso adopted a policy to subsidize deliveries at 80%. Women must pay the remainder on a fixed-rate basis: 900 F CFA ($2) at the primary healthcare level for a normal delivery.
This study was conducted in the Ouargaye rural district. Normal deliveries are carried out in the 26 maternity units of the primary healthcare centres.
This document summarizes a webinar about using hospital harm data and resources to inform quality improvement plans. It includes an agenda with presentations on the patient perspective, an organization's experience in Fraser Health, and tips for using the Hospital Harm Improvement Resource. It discusses why reducing hospital harms is important to patients, and Fraser Health's journey to reduce common harms like UTIs, pneumonia, and sepsis. It promotes engaging patients and provides links to resources on including the patient experience and engaging patients as partners in safety. Attendees are invited to learn more about the Hospital Harm project through listed websites and contacts.
A presentation by Dr Imran Waheed, Consultant Psychiatrist, on strategies to reduce the length of stay of psychiatric inpatients. Delivered in Birmingham, UK in July 2010.
Keynote presentation delivered by Dr Irem Patel, Integrated Consultant Respiratory Physician, Kings Health Partners, at the Pan London Airways Network Summer Meeting 2016
This document discusses engaging patients and families in recognizing deteriorating patient conditions. It provides an overview of a webinar on the topic, which includes a patient and family perspective on experiences, a provider perspective from a professor, and a case study example. The webinar aims to understand deteriorating conditions and what to do if they occur. It also discusses a track-and-trigger early warning system called HEWS (Hamilton Early Warning Score) that monitors vital signs and triggers escalating care. Lessons learned from implementing HEWS include recognizing high-risk patients earlier and reducing critical events. The webinar discusses challenges and resources for improving partnership with families in patient safety.
This document summarizes the accomplishments, challenges, and lessons learned from providing comprehensive care for HIV patients at Kenyatta National Hospital's Comprehensive Care Center (KNH CCC) in Nairobi, Kenya. The KNH CCC provides medical, psychological, social, spiritual, and nutritional support services. It has experienced high patient loads, staffing shortages, and challenges ensuring all aspects of comprehensive care. Key lessons include the need for multidisciplinary teams, networking between organizations, clear guidelines, counseling to support adherence, and coordinated monitoring and evaluation. Moving forward, the KNH CCC aims to strengthen community support, maintain quality services, expand counseling services, and improve linkages between inpatient and outpatient care
These guidelines provide evidence-based recommendations for falls prevention among older community-dwelling people in Queensland. They aim to inform good practice, recognizing that falls have significant health and economic impacts. The guidelines discuss population aging trends, falls epidemiology, risk factors, screening and assessment tools, and effective prevention interventions. Recommendations include addressing modifiable risk factors, targeting multiple factors through multidisciplinary programs, and integrating falls prevention into broader health initiatives for older adults. The goal is to support efforts that can reduce falls and fall-related injuries in Queensland.
Redefining the care team to meet Population Health objectivesSIMUL8 Corporation
Dr. Phil Smeltzer from The Medical University of South Carolina demonstrates an interactive simulation that helps physicians adopt a population health mindset.
An electronic early warning score system was proposed to address the shortcomings of a manual paper-based system. The electronic system would calculate scores based on recorded vital sign observations and trigger alerts and escalation pathways for deteriorating patients. The system could be deployed on mobile devices at bedsides or fixed iPads to facilitate real-time data entry and alerts. It leverages an existing electronic medical record platform already in use in New Zealand to provide an integrated, feasible solution.
The document discusses using Day-of-Care Surveys (DoCS) to improve patient flow across acute and community hospitals in Scotland. It provides an overview of recent Pan-Scotland DoCS results, including that 21% of patients surveyed did not meet criteria for ongoing acute care. It recommends developing integrated health and social care action plans to address the top reasons for discharge delays. The document also provides recommendations for using DoCS data to prioritize reducing lengths of stay and shifting the discharge time curve earlier.
As patients and families impacted by harm, we imagine progressive approaches in responding to patient safety incidents – focused on restoring health and repairing trust.
We can change how we respond to healthcare harm by shifting the focus away from what happened, towards who has been affected and in what way. This is your opportunity to hear about innovative approaches in Canada, New Zealand, and the United States that appreciate these human impacts.
This interactive webinar is hosted by Patients for Patient Safety Canada, the patient-led program of the Canadian Patient Safety Institute and the Canadian arm of the World Health Organization Patients for Patient Safety Global Network.
Martin Bardsley: integration and innovation in healthNuffield Trust
This document summarizes two case studies that used retrospective evaluations of existing administrative data to assess the impact of healthcare interventions. The first case study evaluated the Marie Curie Nursing Service and found it significantly increased home deaths and reduced hospital admissions and costs at end of life. The second case study evaluated eight community interventions under the Partnerships for Older People Projects but found none reduced hospital use as anticipated. Both cases highlighted strengths and limitations of using retrospective evaluations of routine data to assess healthcare interventions.
Modeling an Integrated System for Obesity & Weight ManagementSIMUL8 Corporation
Worldwide obesity has more than doubled since 1980 (WHO; 2015). This is contributing to the growing number of patients living with chronic diseases and placing mounting pressure on health systems.
In 2013, part of the Public Health system in England transferred out of the NHS into local government. Responsibility for the prevention and management of obesity in adults and children transferred with these teams, while parts of the NHS primary and secondary care system remained responsible for aspects of treatment, including bariatric surgery.
This workshop explores the challenges in commissioning a healthcare organization to provide an integrated service for obesity, weight management, and treatment in Nottinghamshire County, UK. These challenges include:
- Estimating the health needs of overweight and obese people across the County
- Taking into account the fact that needs will change over time
- The lack of available evidence
Learn how out how Scenario Generator, a population health modeling and simulation tool, was used to test assumptions and develop the evidence to procure an integrated service
Presentation 230 obermann and lyon financial cost of als a case study-phoeni...The ALS Association
This document summarizes a study on the financial costs of ALS care over 10 years for one patient. The total costs were $1.4 million, with 84.7% ($1.2 million) covered by insurance, 6.5% ($92,740) covered by charity, and 8.8% ($126,161) paid out of pocket. The highest cost categories were in-home care at $669,150 and pulmonary care at $347,461. Strategies to reduce costs included effective insurance case management and utilizing charity resources. The study highlights ALS as an expensive disease and identifies ways to address the financial burden on patients.
Multi-Disciplinary Renal Clinic Presentation to Exec LeadershipTJ O'Neil
This document proposes a patient-aligned kidney care model that utilizes a multidisciplinary team approach to manage chronic kidney disease (CKD). It argues that the current model of standalone nephrology clinics is outdated. A multidisciplinary team that includes nephrologists, nurses, dieticians, pharmacists, and social workers could more effectively manage CKD patients, slow disease progression, reduce costs, and improve outcomes. Implementing this model could save the VA money by decreasing hospital admissions, increasing transplant rates, and lowering overall costs of treatment like dialysis.
What does “patient centricity” really mean and how is it actually done? This was the driving question of the DayOne Experts Meeting in Basel, co-hosted by Arcondis.
This document discusses inclusion health and digital health. It provides an introduction and agenda for the meeting which will address equality, health inequalities, and digital inclusion. It summarizes research showing health inequalities are associated with increased costs to the health system and wider society. The document also outlines proposed analyses on health inequalities for CCGs to help impact national indicators.
Candace Imison, Director of Healthcare Systems at the Nuffield Trust, presents on how we need the right workforce to transform the delivery system in healthcare.
Magnus Liungman: RCTs in complex settings Nuffield Trust
Magnus Liungman and Dr Gustaf Edgren present on the lessons learned from developing a healthcare prevention intervention for frequent emergency department visitors.
This document summarizes a webinar about using hospital harm data and resources to inform quality improvement plans. It includes an agenda with presentations on the patient perspective, an organization's experience in Fraser Health, and tips for using the Hospital Harm Improvement Resource. It discusses why reducing hospital harms is important to patients, and Fraser Health's journey to reduce common harms like UTIs, pneumonia, and sepsis. It promotes engaging patients and provides links to resources on including the patient experience and engaging patients as partners in safety. Attendees are invited to learn more about the Hospital Harm project through listed websites and contacts.
A presentation by Dr Imran Waheed, Consultant Psychiatrist, on strategies to reduce the length of stay of psychiatric inpatients. Delivered in Birmingham, UK in July 2010.
Keynote presentation delivered by Dr Irem Patel, Integrated Consultant Respiratory Physician, Kings Health Partners, at the Pan London Airways Network Summer Meeting 2016
This document discusses engaging patients and families in recognizing deteriorating patient conditions. It provides an overview of a webinar on the topic, which includes a patient and family perspective on experiences, a provider perspective from a professor, and a case study example. The webinar aims to understand deteriorating conditions and what to do if they occur. It also discusses a track-and-trigger early warning system called HEWS (Hamilton Early Warning Score) that monitors vital signs and triggers escalating care. Lessons learned from implementing HEWS include recognizing high-risk patients earlier and reducing critical events. The webinar discusses challenges and resources for improving partnership with families in patient safety.
This document summarizes the accomplishments, challenges, and lessons learned from providing comprehensive care for HIV patients at Kenyatta National Hospital's Comprehensive Care Center (KNH CCC) in Nairobi, Kenya. The KNH CCC provides medical, psychological, social, spiritual, and nutritional support services. It has experienced high patient loads, staffing shortages, and challenges ensuring all aspects of comprehensive care. Key lessons include the need for multidisciplinary teams, networking between organizations, clear guidelines, counseling to support adherence, and coordinated monitoring and evaluation. Moving forward, the KNH CCC aims to strengthen community support, maintain quality services, expand counseling services, and improve linkages between inpatient and outpatient care
These guidelines provide evidence-based recommendations for falls prevention among older community-dwelling people in Queensland. They aim to inform good practice, recognizing that falls have significant health and economic impacts. The guidelines discuss population aging trends, falls epidemiology, risk factors, screening and assessment tools, and effective prevention interventions. Recommendations include addressing modifiable risk factors, targeting multiple factors through multidisciplinary programs, and integrating falls prevention into broader health initiatives for older adults. The goal is to support efforts that can reduce falls and fall-related injuries in Queensland.
Redefining the care team to meet Population Health objectivesSIMUL8 Corporation
Dr. Phil Smeltzer from The Medical University of South Carolina demonstrates an interactive simulation that helps physicians adopt a population health mindset.
An electronic early warning score system was proposed to address the shortcomings of a manual paper-based system. The electronic system would calculate scores based on recorded vital sign observations and trigger alerts and escalation pathways for deteriorating patients. The system could be deployed on mobile devices at bedsides or fixed iPads to facilitate real-time data entry and alerts. It leverages an existing electronic medical record platform already in use in New Zealand to provide an integrated, feasible solution.
The document discusses using Day-of-Care Surveys (DoCS) to improve patient flow across acute and community hospitals in Scotland. It provides an overview of recent Pan-Scotland DoCS results, including that 21% of patients surveyed did not meet criteria for ongoing acute care. It recommends developing integrated health and social care action plans to address the top reasons for discharge delays. The document also provides recommendations for using DoCS data to prioritize reducing lengths of stay and shifting the discharge time curve earlier.
As patients and families impacted by harm, we imagine progressive approaches in responding to patient safety incidents – focused on restoring health and repairing trust.
We can change how we respond to healthcare harm by shifting the focus away from what happened, towards who has been affected and in what way. This is your opportunity to hear about innovative approaches in Canada, New Zealand, and the United States that appreciate these human impacts.
This interactive webinar is hosted by Patients for Patient Safety Canada, the patient-led program of the Canadian Patient Safety Institute and the Canadian arm of the World Health Organization Patients for Patient Safety Global Network.
Martin Bardsley: integration and innovation in healthNuffield Trust
This document summarizes two case studies that used retrospective evaluations of existing administrative data to assess the impact of healthcare interventions. The first case study evaluated the Marie Curie Nursing Service and found it significantly increased home deaths and reduced hospital admissions and costs at end of life. The second case study evaluated eight community interventions under the Partnerships for Older People Projects but found none reduced hospital use as anticipated. Both cases highlighted strengths and limitations of using retrospective evaluations of routine data to assess healthcare interventions.
Modeling an Integrated System for Obesity & Weight ManagementSIMUL8 Corporation
Worldwide obesity has more than doubled since 1980 (WHO; 2015). This is contributing to the growing number of patients living with chronic diseases and placing mounting pressure on health systems.
In 2013, part of the Public Health system in England transferred out of the NHS into local government. Responsibility for the prevention and management of obesity in adults and children transferred with these teams, while parts of the NHS primary and secondary care system remained responsible for aspects of treatment, including bariatric surgery.
This workshop explores the challenges in commissioning a healthcare organization to provide an integrated service for obesity, weight management, and treatment in Nottinghamshire County, UK. These challenges include:
- Estimating the health needs of overweight and obese people across the County
- Taking into account the fact that needs will change over time
- The lack of available evidence
Learn how out how Scenario Generator, a population health modeling and simulation tool, was used to test assumptions and develop the evidence to procure an integrated service
Presentation 230 obermann and lyon financial cost of als a case study-phoeni...The ALS Association
This document summarizes a study on the financial costs of ALS care over 10 years for one patient. The total costs were $1.4 million, with 84.7% ($1.2 million) covered by insurance, 6.5% ($92,740) covered by charity, and 8.8% ($126,161) paid out of pocket. The highest cost categories were in-home care at $669,150 and pulmonary care at $347,461. Strategies to reduce costs included effective insurance case management and utilizing charity resources. The study highlights ALS as an expensive disease and identifies ways to address the financial burden on patients.
Multi-Disciplinary Renal Clinic Presentation to Exec LeadershipTJ O'Neil
This document proposes a patient-aligned kidney care model that utilizes a multidisciplinary team approach to manage chronic kidney disease (CKD). It argues that the current model of standalone nephrology clinics is outdated. A multidisciplinary team that includes nephrologists, nurses, dieticians, pharmacists, and social workers could more effectively manage CKD patients, slow disease progression, reduce costs, and improve outcomes. Implementing this model could save the VA money by decreasing hospital admissions, increasing transplant rates, and lowering overall costs of treatment like dialysis.
What does “patient centricity” really mean and how is it actually done? This was the driving question of the DayOne Experts Meeting in Basel, co-hosted by Arcondis.
This document discusses inclusion health and digital health. It provides an introduction and agenda for the meeting which will address equality, health inequalities, and digital inclusion. It summarizes research showing health inequalities are associated with increased costs to the health system and wider society. The document also outlines proposed analyses on health inequalities for CCGs to help impact national indicators.
Candace Imison, Director of Healthcare Systems at the Nuffield Trust, presents on how we need the right workforce to transform the delivery system in healthcare.
Magnus Liungman: RCTs in complex settings Nuffield Trust
Magnus Liungman and Dr Gustaf Edgren present on the lessons learned from developing a healthcare prevention intervention for frequent emergency department visitors.
Laura Eyre and Martin Marshall: Researchers in residence Nuffield Trust
Laura Eyre, Research Associate and Martin Marshall, Professor of Healthcare Improvement at UCL give an inside perspective on moving improvement research closer to practice.
Ruth Thorlby: capturing patient and staff thoughts in evaluation Nuffield Trust
The document discusses challenges in capturing patient and staff experiences in evaluations. It notes the importance of using a realist approach to understand what works for whom under what circumstances. It then summarizes a Nuffield Trust evaluation of six admission avoidance schemes that sought to understand user and staff experiences through mixed methods. Key challenges discussed include hidden attitudes of staff and how to properly capture user experiences through appropriate tools and methods.
Charles Tallack: Evaluation of new care models Nuffield Trust
The document discusses the evaluation of new care models being developed as part of the NHS Five Year Forward View. It outlines several new models of care including multispecialty community providers, integrated primary and acute care systems, acute care collaboration, and enhanced health in care homes. 29 organizations have been approved to develop these new care models locally. The evaluation aims to understand how the models are developed and implemented, their effects, and which elements contribute to success. Evaluation will occur throughout the development, implementation, and post-implementation phases using quantitative and qualitative methods to assess outcomes, impacts, and lessons learned. The goal is to identify replicable models of care that improve health outcomes and efficiency.
The Health and Social Care Act (2012) paved the way for far-reaching reforms to how patient care in the English NHS is organised, managed and delivered. The changes were formally implemented on 1 April 2013.
This slideshow outlines the main changes to management, accountability and funding structures resulting from the Act.
The first slides show the old and new structure in overview, together with a slide detailing the transitional arrangement. Further slides compare the earlier arrangements that were in place for funding, regulation and monitoring, advice and performance management, and patient and public participation, with the new system at both the national and local level. The final slide outlines the new medical education and training arrangements.
You are welcome to download and use individual slides in your own presentations providing suitable acknowledgement is given.
To find out more about our work on the NHS reforms, visit our dedicated project page. You can also access an interactive timeline showing the complete history of the NHS, putting the current reforms in historical context.
Primary care in Europe: can we make it fit for the future?Nuffield Trust
Primary care provides essential health services but current models are struggling to adapt to changing needs. New models are emerging in Europe to make primary care more comprehensive, coordinated, accessible and sustainable. These include larger group practices, multidisciplinary teams, and integrated community health centers. Redesigning primary care requires principles like continuity, early access to expertise, and payment systems that support coordination and population health.
Transforming Urgent and Emergency Care: Safer, Better, Faster mckenln
Dr. Steve Lloyd is a principal GP, clinical lead for 111/OOH services, and chair of several clinical groups focused on urgent and emergency care. He discusses challenges facing emergency and urgent care systems, including increased demand exacerbating strain on hospitals. Medicine, society, and patients have changed, but the NHS has changed little. While attendances have increased only slightly, emergency admissions have risen significantly, especially in older populations, and it is estimated that 20-30% of admissions of people over 75 could potentially be avoided with high-quality decision making and sufficient community services. Ongoing developments to address these challenges include implementing the urgent and emergency care review, establishing regional project management offices, allocating capital funding, developing new payment
Integrated health & social care: service transformation supported by technolo...flanderscare
The document provides an overview of integrated health and social care in North Kent, including:
1) It discusses the complexities of the current health and social care system in Kent and past pilots using telehealth and telecare that demonstrated benefits like reduced admissions and costs.
2) It outlines the current agenda around the Pioneer Programme and Better Care Fund aimed at integrating services.
3) North Kent's approach focuses on transforming services to promote independence, provide the right care in the right place, and deliver seamless integrated care for those with complex needs through measures like shared care plans and integrated primary care teams.
1200 colm henry voluntary hospital forum final draft may 2015investnethealthcare
This document discusses several challenges facing the healthcare system including health inequality, the changing role of hospitals in Ireland and internationally, and the push toward integrated care due to demographic factors. It notes that hospitals are increasingly expected to work more closely with primary care, social care, and community services to provide coordinated care across settings. Internationally, some healthcare systems like Kaiser Permanente in the US have reduced costs by emphasizing preventive care and shifting care delivery out of hospitals when possible. The growing elderly population is also increasing cost pressures on healthcare systems.
Jacquie White, Deputy Director of NHS England Long Term Conditions, Older People & End of Life Care and Dr Eileen Pepler, Academic, Researcher and Consultant in the Canadian Healthcare will discuss how NHS England work in chronic disease is being translated into a Canadian context.
Aaron Brizell - ECO 17: Transforming care through digital healthInnovation Agency
Presentation by Aaron Brizell, Population Health Programme Manager, Wirral University Teaching Hospital NHS Foundation Trust: The benefits of system-wide population health and analytics at ECO 17: Transforming care through digital health on Tuesday 4 December at Lancaster University, Lancaster
The document discusses implementing 7-day health services in the UK NHS to improve patient outcomes. It notes that mortality rates are currently 10% higher for patients admitted on weekends compared to weekdays. The NHS aims to establish minimum clinical standards for 7-day care and move routine services to be available all week. A self-assessment tool and support from an NHS team will help healthcare communities benchmark current performance and progress toward meeting all clinical standards.
LTC year of care commissioning early implementer sites workshop held on 1 December 2014. Featuring Dr Martin McShane, Rob Meaker and Renata Drinkwater.
Presentation given by Dr Rab McEwan Interim Chief Operating Officer Dorset County Hospital NHS Foundation Trust. At the Improving access to seven day services event, Southampton 25 March 2015
Aiming for a Higher Performing Health Care System: Learning from Cross-Nation...The Commonwealth Fund
Robin Osborn, Vice President and Director, International Program in Health Policy and Innovation at The Commonwealth Fund, discusses international health care systems. These slides were presented at the Queen’s Health Policy Change Conference, May 6, 2015 in Toronto, Canada.
For more information contact: Slideshare@marcusevans.com
Presentation delivered by Donna Medina, Regional Director,OSF Hospice and Homecare Foundation at the marcus evans Home Care Leadership Summit held on July 13 & 14 2015 in Palm Beach FL.
Five priorities for care of the dying personMarie Curie
Dr Bill Noble, Medical Director of Marie Curie Cancer Care, speaks at the end of life sesion with Dr Adam Firth (RCGP Clinical Support Fellow for End of Life Care).
This session was chaired by Dr Peter Nightingale, Marie Curie and RCGP End of life lead at the RCGP Annual Conference, ACC Liverpool, 2-4 October, 2014.
For more information visit: mariecurie.org.uk/rcgp
Risk profiling, multiple long term conditions & complex patients, integrated ...Dr Bruce Pollington
Dr Bruce Pollington web-ex presentation to LTC QIPP programme
Utilising risk profiling, and risk stratification to identify patients with multiple long term conditions requiring complex care through integrated care teams.
Dr Martin Bardsley: Use of Retrospective Matching Methods 30 June 2014Nuffield Trust
Martin Bardsley, Director of Research, Nuffield Trust explores the use of retrospective matching methods to study health services and other sectors.
Dr Martin Bardsley spoke at the Nuffield Trust event: The future of the hospital, in June 2014.
Similar to Martin Bardsley: analysis of virtual wards (20)
This document discusses the potential impacts of automation on healthcare employment and discusses alternative views beyond job loss. It notes that automation may lead to reconfiguring of healthcare work rather than outright job loss. Examples of existing technologies that have automated tasks in healthcare like pharmacy automation and emerging technologies like decision support systems and personal health tracking are provided. The document advocates that automation could lead to a virtuous cycle in healthcare if it allows workers to focus on tasks that require human skills and judgment.
Evaluation of the Integrated Care and Support Pioneers ProgrammeNuffield Trust
This document summarizes the findings of evaluations of the Integrated Care and Support Pioneers Programme in the UK. The evaluations found that while Pioneers aspired to comprehensive system change, their activities focused more narrowly on initiatives like risk stratification and care coordination teams. Progress was difficult to measure against indicators and Pioneers faced challenges from financial pressures and competing priorities. The evaluations concluded that further integration will be challenging under increasing demands on the health system.
The document discusses lessons learned from the Southwark and Lambeth Integrated Care (SLIC) program in London. Key points:
- SLIC aimed to reduce hospital admissions and care home placements for older adults through risk stratification, holistic assessments, and care management.
- Success required agreement on the problem, dedicated teams, funding shifts to support community care, and leadership development.
- Future programs need a strong business case, co-design with citizens, and a dedicated "engine room" team to drive local transformation.
Effectiveness of the current dominant approach to integrated care in the NHSNuffield Trust
Jonathan Stokes of the Greater Manchester Primary Care Patient Safety Translational Research Centre presents a systematic review of case management in integrated care.
Providing actionable healthcare analytics at scale: Understanding improvement...Nuffield Trust
This document discusses measurement for quality improvement. It explains that measurement in improvement aims to provide a basis for action to improve processes and outcomes, rather than just estimating parameters. Improvement measures should be simple, specific, and available in real-time. Statistical process control methods are important to separate normal variation from changes resulting from interventions. Examples are provided of run charts measuring improvements in recording BMI for mental health patients and compliance with care bundles. The document advocates making the theories behind improvement efforts more explicit.
Ramani Moonesinghe, Associate National Clinical Director for Elective Care at NHS England, discusses the use of data for monitoring care quality at various levels within the system.
This document discusses using statistical process control (CUSUM) charts to monitor mortality rates at the level of individual general practitioners and health authorities. It describes how CUSUM charts could potentially have detected Harold Shipman, a GP who murdered over 200 patients, by spotting outliers in the routine mortality data. The document also discusses challenges in risk adjusting outcomes to account for differences in patient characteristics and casemix between providers. Accurately adjusting for factors like age, comorbidities, and emergency status is important for fair comparisons but difficult using only administrative data.
Martin Utley, Director of the Clinical Operational Research Unit at University College London, reflects upon his involvement in the launch of specific tools to monitor care quality for paediatric cardiac surgery.
Evaluating new models of care: Improvement Analytics UnitNuffield Trust
Martin Caunt, Improvement Analytics Unit Project Director and NHS England and Adam Steventon, Director of Data Analytics at The Health Foundation share insights into how they have approached evaluating new models of care.
Lisa Annaly, Head of Provider Analytics at the Care Quality Commission, discusses lessons learned from the CQC as they have worked to monitor care quality over time.
- Real-time monitoring of healthcare services requires defining both a reporting window and data window to accurately capture demand, activity, and wait times.
- Using only a reporting window (e.g. a single month) to request data can result in invalid or misleading performance metrics, as it does not account for patients with long wait times.
- Defining a larger data window that includes all patients requested before the end of the reporting window and reported after the start avoids this problem, but requires a counterintuitive data request.
- Without properly defining both windows, real-time monitoring can provide an inaccurate picture of service performance and falsely suggest the need for more resources.
Monitoring quality of care: making the most of dataNuffield Trust
Chris Sherlaw-Johnson, Senior Research Analyst at the Nuffield Trust, introduced the Monitoring quality of care conference and gives an overview of some of the approaches that we've been using at the Trust to identify where care quality has been improving, especially for frail and older people.
Providing actionable healthcare analytics at scale: Insights from the Nationa...Nuffield Trust
Christopher Boulton, Falls and Fragility Fracture Audit Programme Manager at the Royal College of Physicians and Rob Wakeman, Clinical Lead for Orthopaedic Surgery at the National Hip Fracture Database talk about what they have learned by analysing the national hip fracture database.
Providing actionable healthcare analytics at scale: A perspective from stroke...Nuffield Trust
Benjamin Bray, Research Director and the Sentinel Stroke National Audit Programme, presents at the Monitoring quality of care conference about stroke care analytics.
New Models of General Practice: Practical and policy lessonsNuffield Trust
Nuffield Trust policy researchers Rebecca Rosen and Stephanie Kumpunen present findings from our upcoming report on large scale general practice models.
Osvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdfOsvaldo Bernardo Muchanga
GASTROINTESTINAL INFECTIONS AND GASTRITIS
Osvaldo Bernardo Muchanga
Gastrointestinal Infections
GASTROINTESTINAL INFECTIONS result from the ingestion of pathogens that cause infections at the level of this tract, generally being transmitted by food, water and hands contaminated by microorganisms such as E. coli, Salmonella, Shigella, Vibrio cholerae, Campylobacter, Staphylococcus, Rotavirus among others that are generally contained in feces, thus configuring a FECAL-ORAL type of transmission.
Among the factors that lead to the occurrence of gastrointestinal infections are the hygienic and sanitary deficiencies that characterize our markets and other places where raw or cooked food is sold, poor environmental sanitation in communities, deficiencies in water treatment (or in the process of its plumbing), risky hygienic-sanitary habits (not washing hands after major and/or minor needs), among others.
These are generally consequences (signs and symptoms) resulting from gastrointestinal infections: diarrhea, vomiting, fever and malaise, among others.
The treatment consists of replacing lost liquids and electrolytes (drinking drinking water and other recommended liquids, including consumption of juicy fruits such as papayas, apples, pears, among others that contain water in their composition).
To prevent this, it is necessary to promote health education, improve the hygienic-sanitary conditions of markets and communities in general as a way of promoting, preserving and prolonging PUBLIC HEALTH.
Gastritis and Gastric Health
Gastric Health is one of the most relevant concerns in human health, with gastrointestinal infections being among the main illnesses that affect humans.
Among gastric problems, we have GASTRITIS AND GASTRIC ULCERS as the main public health problems. Gastritis and gastric ulcers normally result from inflammation and corrosion of the walls of the stomach (gastric mucosa) and are generally associated (caused) by the bacterium Helicobacter pylor, which, according to the literature, this bacterium settles on these walls (of the stomach) and starts to release urease that ends up altering the normal pH of the stomach (acid), which leads to inflammation and corrosion of the mucous membranes and consequent gastritis or ulcers, respectively.
In addition to bacterial infections, gastritis and gastric ulcers are associated with several factors, with emphasis on prolonged fasting, chemical substances including drugs, alcohol, foods with strong seasonings including chilli, which ends up causing inflammation of the stomach walls and/or corrosion. of the same, resulting in the appearance of wounds and consequent gastritis or ulcers, respectively.
Among patients with gastritis and/or ulcers, one of the dilemmas is associated with the foods to consume in order to minimize the sensation of pain and discomfort.
Are you looking for a long-lasting solution to your missing tooth?
Dental implants are the most common type of method for replacing the missing tooth. Unlike dentures or bridges, implants are surgically placed in the jawbone. In layman’s terms, a dental implant is similar to the natural root of the tooth. It offers a stable foundation for the artificial tooth giving it the look, feel, and function similar to the natural tooth.
Nano-gold for Cancer Therapy chemistry investigatory projectSIVAVINAYAKPK
chemistry investigatory project
The development of nanogold-based cancer therapy could revolutionize oncology by providing a more targeted, less invasive treatment option. This project contributes to the growing body of research aimed at harnessing nanotechnology for medical applications, paving the way for future clinical trials and potential commercial applications.
Cancer remains one of the leading causes of death worldwide, prompting the need for innovative treatment methods. Nanotechnology offers promising new approaches, including the use of gold nanoparticles (nanogold) for targeted cancer therapy. Nanogold particles possess unique physical and chemical properties that make them suitable for drug delivery, imaging, and photothermal therapy.
Nutritional deficiency Disorder are problems in india.
It is very important to learn about Indian child's nutritional parameters as well the Disease related to alteration in their Nutrition.
- Video recording of this lecture in English language: https://youtu.be/Pt1nA32sdHQ
- Video recording of this lecture in Arabic language: https://youtu.be/uFdc9F0rlP0
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...Université de Montréal
“Psychiatry and the Humanities”: An Innovative Course at the University of Montreal Expanding the medical model to embrace the humanities. Link: https://www.psychiatrictimes.com/view/-psychiatry-and-the-humanities-an-innovative-course-at-the-university-of-montreal
Know the difference between Endodontics and Orthodontics.Gokuldas Hospital
Your smile is beautiful.
Let’s be honest. Maintaining that beautiful smile is not an easy task. It is more than brushing and flossing. Sometimes, you might encounter dental issues that need special dental care. These issues can range anywhere from misalignment of the jaw to pain in the root of teeth.
6. Rationale for the virtual ward
Need to respond to growing needs of people with chronic health problems.
Emergency admissions have been rising for some time – undesirable for
patients and costly in terms of acute hospital care. No one explanation for
rise in emergency admissions – part patients factors, part health
systems.
Aim to develop approaches that are preventive before crises emerge.
Needed to identify patients at risk of future admissions.
Needed a linked process for managing high risk patients in community
settings.
Not clear what works see Purdy et al (2012) Interventions to Reduce Unplanned Hospital Admission:
A series of systematic reviews. Bristol University Final Report)
12. Virtual Ward B
Community Matron
Nursing complement
Health Visitor
Ward Clerk
Pharmacist
Social Worker
Physiotherapist
Occupational Therapist
Mental Health Link
Voluntary Sector Link
Virtual Ward A
Community Matron
Nursing complement
Health Visitor
Ward Clerk
Pharmacist
Social Worker
Physiotherapist
Occupational Therapist
Mental Health Link
Voluntary Sector Link
Specialist Staff
•Specialist nurses
•Asthma
•Continence
•Heart Failure
•Palliative care team
•Alcohol service
•Dietician
GP Practice 1
GP Practice 2
GP Practice 3
GP Practice 5
GP Practice 4
GP Practice 6
GP Practice 7
GP Practice 8
Original Croydon
Model for Virtual
Wards