The Accountable Lead Provider. Developing a powerful disruptive innovator to create integrated and accountable programmes of care – RightCare Casebook [NHS] – July 2012

Posted on October 2, 2012. Filed under: Chronic Disease Mgmt, Health Mgmt Policy Planning | Tags: , |

The Accountable Lead Provider. Developing a powerful disruptive innovator to create integrated and accountable programmes of care – RightCare Casebook [NHS] – July 2012

Professor Paul Corrigan and Dr Steven Laitner

Extract from the executive summary:

“Public experience of NHS services is marked by praise for the specific experiences of treatment but problems with the overall experience of service. Whilst most staff and leaders in the NHS recognise the severe problems caused by the organisation of care into episodes of care, there are few models of integrated care that have emerged which have sufficient integrative power to challenge the organisational distinction of episodic care. This is partly because those arguing for integration do so usually within the episodic paradigm but also because they want to develop a new model of integration without disrupting the old model of episodic care.

Here we argue for a strong integrator who is given the power through the contract to both deliver care and also to bring together the previously episodic providers of care into a single pathway. The lead provider in this model is given the responsibility through the contract for subcontracting for the various aspects of care. The contract demands of the lead provider that he carry out that role in such a way as to ensure all of the different aspects of care are fully integrated.”

… continues

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