Community Services

Managing quality in community health care services – King’s Fund – 4 December 2014

Posted on December 18, 2014. Filed under: Clin Governance / Risk Mgmt / Quality, Community Services | Tags: |

Managing quality in community health care services – King’s Fund – 4 December 2014

“Community health care services provide vital care out of hospital for millions of people. From children’s services to care for older people and end-of-life support, the community sector plays a key part in meeting the challenges facing our health and care system. This report presents findings from a small-scale study into how quality is managed in community services. It explores how community care providers define and measure quality and recommends important next steps to support better measurement and management of quality.”

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Managing quality in community health care services – The King’s Fund – 4 December 2014

Posted on December 5, 2014. Filed under: Community Services | Tags: |

Managing quality in community health care services – The King’s Fund – 4 December 2014

“Community health care services provide vital care out of hospital for millions of people. From children’s services to care for older people and end-of-life support, the community sector plays a key part in meeting the challenges facing our health and care system. This report presents findings from a small-scale study into how quality is managed in community services. It explores how community care providers define and measure quality and recommends important next steps to support better measurement and management of quality.”

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Measuring the Outcomes of Case Managed Community Care. Towards a practical instrument for Australian home support – 2013

Posted on February 19, 2014. Filed under: Community Services, Health Systems Improvement | Tags: |

Measuring the Outcomes of Case Managed Community Care. Towards a practical instrument for Australian home support – 2013

Sarah Redshaw & Michael Fine

Centre for Research on Social Inclusion, Department of Sociology, Macquarie University, Sydney
ISBN: 978-1-74138-401-7

Extract from the executive summary:

“The research has been designed to test, document and apply standard measures for the determination of client outcomes in case managed community care for older people. Stage One, the first year of the research program, completed in 2012-2013, was a rigorous pilot study undertaken in the three well established and experienced case management services in New South Wales: KinCare, Community Care Northern Beaches, and the Benevolent Society. In Stage Two, to be conducted in years two and three, the successful approaches identified in the first stage will be further trialled through case managed and other suitable services for older people across the State and the larger data sets used to examine the outcomes of case managed care and assess the effectiveness of the tools developed. The project and continuation of funding was subject to quarterly reviews by the university and annual reviews by the research partners.”

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Community services: How they can transform care – The King’s Fund – 13 February 2014

Posted on February 14, 2014. Filed under: Community Services | Tags: |

Community services: How they can transform care – The King’s Fund – 13 February 2014

“This paper looks at the changes needed to realise the full potential of community services for transforming care. The Transforming Community Services policy, launched in 2008, was mainly concerned with structural changes. While the emphasis on moving care closer to home has resulted in some reductions in length of hospital stay, it is now time to focus on the bigger issue of how services need to change to fundamentally transform care.

The paper is based on contributions from a working group of community providers convened by The King’s Fund, which was tasked with exploring how community services can help deliver the transformation in care that was promised by the 2008 policy.”

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Identifying best practices for care-dependent elderly by benchmarking costs and outcomes of community care – iBenC – 10 January 2014

Posted on January 30, 2014. Filed under: Aged Care / Geriatrics, Community Services, Health Economics |

Identifying best practices for care-dependent elderly by benchmarking costs and outcomes of community care – iBenC – 10 January 2014

“Report D6.1: Review on the structure of community care of the six participating countries and their benchmarking practices Van Eenoo, L.; Declercq, A.; Van der Roest, H.; Van Hout, H. – on behalf of the IBenC consortium

The overall aim of IBenC project is to identify best practices in community care delivery for care dependent community dwelling elderly people by benchmarking the cost-effectiveness of community care delivery systems across Europe. To understand why some organisations and health care systems provide better quality of care than others, studying the micro (client), meso (organisation) and macro (policy) levels is equally important. This report focuses on the macro level of care delivery and reviews and compares the context, regulations and conditions for community care system delivery to care dependent elderly in countries that participate in IBenC (Belgium, Finland, Germany, Iceland, Italy and the Netherlands).”

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Assisted Living Innovation Platform – The Long Term Care Revolution [UK] – September 2013

Posted on September 16, 2013. Filed under: Aged Care / Geriatrics, Community Services | Tags: |

Assisted Living Innovation Platform – The Long Term Care Revolution [UK] – September 2013

Includes:

The Long Term Care Revolution (pdf – 877Kb)

This impressive report by Anthea Tinker, Leonie Kellaher, Jay Ginn and Eloi Ribe at the Institute of Gerontology, King’s College London, comprehensively outlines the case for a revolution in long term care and captures some of the supporting material that has aided the development of the TSB’s Assisted Living Innovation Platform’s, ‘Long Term Care Revolution’ programme. It sets out a vision for an alternative to institutional care, drawing on substantial evidence about the views of older people and their carers in the UK, lessons from abroad, the implications for industry/providers and makes recommendations to government and industry leaders on key factors for revolutionizing long term care for older people, including mainstream and specialist living environments.

Assisted Living Platform – The Long Term Care Revolution: A study of innovatory models to support older people with disabilities in the Netherlands (pdf – 526Kb)

This accompanying study for the TSB’s Assisted Living Innovation Platform was also carried out by researchers at the Institute of Gerontology King’s College London, to see what can be learned from the experience of the Netherlands about long term care in order to inform policy, research and opportunities for business in the UK. The comprehensive analysis of the two countries showcases examples of innovation and best practice in adult social care provision in a country similar to the UK in many ways. Of particular interest is that while the two countries are very similar in demographic profile and the experiences of the older generation, it is notable that according to official statistics older individuals remain disability-free for nearly half a decade longer in the Netherlands than in the UK.”

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Moving care to the community: an international perspective – Royal College of Nursing – 23 May 2013

Posted on June 13, 2013. Filed under: Community Services, Nursing | Tags: , |

Moving care to the community: an international perspective – Royal College of Nursing – 23 May 2013

Media release

“The Royal College of Nursing (RCN) today expressed concern that patients in the UK, who could be cared for at home, face longer stays in hospital due to under-resourced community services.”

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Investing in care: Recognising and valuing those who care – report – Australian Human Rights Commission – January 2013

Posted on January 31, 2013. Filed under: Community Services, Health Economics | Tags: |

Investing in care: Recognising and valuing those who care – report – Australian Human Rights Commission – January 2013

“The Investing in care: Recognising and valuing those who care report comes in two volumes:

Volume 1 outlines the main findings of the research;
Volume 2 contains technical papers on specific aspects of unpaid care.

There is also a Community Guide which summarises the issues and options for reform.

The Commission has also produced Supporting carers in the workplace: A toolkit. The Toolkit provides practical examples of mechanisms that workplaces can use to support unpaid carers and help them to meet their caring responsibilities.”

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Six principles for delivering integrated out-of-hospital care – NHS Confederation – 19 December 2012

Posted on January 4, 2013. Filed under: Community Services, General Practice | Tags: , |

Six principles for delivering integrated out-of-hospital care – NHS Confederation – 19 December 2012

“Adopting six key principles will help the delivery of effective integrated out-of-hospital care, says a new report by the NHS Confederation and Royal College of General Practitioners.”

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Development of Quality Indicators for the Home and Community-Based Services Population: Technical Report – AHRQ Quality Indicators – June 2012

Posted on January 2, 2013. Filed under: Clin Governance / Risk Mgmt / Quality, Community Services | Tags: , , |

Development of Quality Indicators for the Home and Community-Based Services Population: Technical Report – AHRQ Quality Indicators – June 2012

Prepared by: Ellen Schultz, Sheryl M. Davies, Kathryn M. McDonald, Center for Primary Care and Outcomes Research, Stanford University.  This project was funded by a contract from the Agency for Healthcare Research and Quality

“Purpose

These quality indicators (QIs) are intended to reflect the health and well-being of beneficiaries receiving home and community-based services (HCBS) through state Medicaid programs. The indicators focus on the well being of HCBS beneficiaries as reflected by potentially preventable hospitalizations. These include hospitalizations for specific conditions associated with chronic disease exacerbation and progression as well as poor access to care and support services.”

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An Integrated Framework for Assessing the Value of Community-Based Prevention – Institute of Medicine – 2 November 2012

Posted on November 5, 2012. Filed under: Community Services, Preventive Healthcare | Tags: , |

An Integrated Framework for Assessing the Value of Community-Based Prevention – Institute of Medicine – 2 November 2012

Full text

“Over the last century, the major causes of disease and death among Americans have changed, shifting from predominantly communicable diseases spread by germs to chronic ailments. This shift has been accompanied by a deeper understanding about what keeps people healthy or leaves them vulnerable to becoming ill. To get at the heart of the challenges to living a healthy life, we must increasingly emphasize factors that affect today’s causes of morbidity and mortality.

Despite their importance to preventing illness, determining the value of community-based interventions has proven difficult. Preventing illness requires immediate investments with benefits that might not be realized for many years.

This report proposes a framework to assess the value of community-based, non-clinical prevention policies and wellness strategies. The framework represents a valuable step toward realizing the elusive goal of appropriately and comprehensively valuing community-based prevention.”

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Community health champions: creating new relationships with patients and communities – NHS Confederation – 21 June 2012

Posted on June 25, 2012. Filed under: Community Services, Patient Participation | Tags: |

Community health champions: creating new relationships with patients and communities – NHS Confederation – 21 June 2012

“This factsheet introduces the community health champion approach to engaging communities. Altogether Better has been working to share learning about the community health champion model and increase the voice of patients and communities in shaping health and social care services.

Working in partnership with the NHS Confederation, Altogether Better aims to develop a network of community health champions across England, support localities to replicate the values and principles of the community health champion model, and respond positively to some of the important questions and challenges which need to be addressed by health leaders, decision-makers and commissioners.

Imagine two identical health programmes serving deprived areas. Both are hitting their outcome targets, but one is doing a lot more. Somehow, its service users are not just in better health, they are also happier and more confident. A small but significant number who were unemployed have found jobs, in some cases taking whole families off benefits. These families are eating better and taking more exercise. Their children’s attendance at school is better and their results are improving.

It is obvious which approach is more satisfying for healthcare professionals and more attractive to cash strapped funders. Altogether Better’s evidence-based community health champion approach is delivering this social value.”

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Home and Community Care in Canada: An Economic Footprint – Conference Board of Canada – May 2012

Posted on May 28, 2012. Filed under: Aged Care / Geriatrics, Community Services, Health Economics | Tags: , |

Home and Community Care in Canada: An Economic Footprint – Conference Board of Canada – May 2012

Report by Gregory Hermus, Carole Stonebridge, Louis Theriault, Fares Bounajm

“This report estimates the economic footprint of home and community care in Canada, highlighting the implications of caregiving employees for businesses, and shedding light on the potential spending implications of shifting some care from institutions to homes.

Document Highlights

Demand for home and community care is expected to grow dramatically as the population ages. Planning for the future of the sector requires that its current economic footprint be understood.

Total estimated spending on home and community care in 2010 ranged from $8.9 billion to $10.5 billion, accounting for between 4.6 and 5.5 per cent of total health spending in Canada. Between 22 and 27 per cent was paid by private sources.

There are opportunities to address key health system challenges by substituting home and community care services for acute or long-term services.

The home and community care sector relies heavily on volunteer efforts and unpaid care, something that raises concerns about the sustainability of the sector going forward. The estimated cost to Canadian businesses was over $1.28 billion in 2007 in lost productivity as a result of caregivers missing full days of work, missing hours of work, or even quitting or losing their jobs.”

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Connecting Those at Risk to Care: The Quick Start Guide to Developing Community Care Coordination Pathways – AHRQ – 29 February 2012

Posted on March 29, 2012. Filed under: Community Services, Preventive Healthcare, Primary Hlth Care | Tags: , , |

Connecting Those at Risk to Care: The Quick Start Guide to Developing Community Care Coordination Pathways – AHRQ – 29 February 2012

AHRQ = Agency for Healthcare Research and Quality

“Developed by: Community Care Coordination Learning Network

This quick start guide is a reference and resource for public and private stakeholders engaged in improving the system for identifying and connecting at-risk individuals within a community to appropriate health and social services. The target audience includes all those involved in the design, implementation, and financing of care coordination services. This Quick Start guide complements Connecting Those at Risk to Care: A Guide to Building a Community “HUB” To Promote a System of Collaboration, Accountability, and Improved Outcomes.

Contents:

Overview

Why Create a Community HUB and Pathways?
Reason #1: To Promote the Goals of Health Care Reform
Reason #2: To Close the Nation’s Cost and Quality Gap by Paying for Value, Not Volume

A Quick Guide to Creating and Using a Community HUB and Pathways
Key Elements of an Effective Community HUB
A Step-by-Step Process for Using a Pathway

Examples of Six Core Pathways
Core Pathway 1: Medical Home
Core Pathway 2: Medical Referral
Core Pathway 3: Social Service Referral
Core Pathway 4: Health Insurance
Core Pathway 5: Medication Assessment
Core Pathway 6: Pregnancy

Other Resources

Appendix A: Pathways Compendium

Exhibits
Exhibit A-1: Sample Demographic and Referral Form
Exhibit A-2: Sample Care Planning Checklists
Exhibit A-3: Followup Adult Checklist
Exhibit A-4: Examples of Reports for the Community HUB and Participating Agencies”

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Building Medical Homes: Lessons From Eight States with Emerging Programs – The Commonwealth Fund – 2 December 2011

Posted on December 6, 2011. Filed under: Community Services | Tags: , |

Building Medical Homes: Lessons From Eight States with Emerging Programs – The Commonwealth Fund – 2 December 2011

“Overview
Many states are strategically engaging public and private payers in the design of medical home programs as a means of achieving better health outcomes, increasing patient satisfaction, and lowering per capita health care costs. The eight states profiled in this report—Alabama, Iowa, Kansas, Maryland, Montana, Nebraska, Texas, and Virginia—are at different stages in the development and implementation of a medical home program and have relied on different strategies to encourage primary care providers to adopt the model, including developing state medical home qualification standards instead of adopting national standards. As a whole, their experiences demonstrate that states can play a critical role in convening stakeholders, helping practices improve performance, and addressing antitrust concerns that arise when multiple payers come together to create a medical home program.”

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Community Nursing: Transforming Health Care – Royal College of Nursing – 18 November 2011

Posted on November 23, 2011. Filed under: Community Services, Nursing |

Community Nursing: Transforming Health Care – Royal College of Nursing – 18 November 2011

ISBN: 978-1-906633-89-9

“Abstract:

Nurses who work in the community are facing significant challenges during this time of health reform and demands to make financial savings. While this is so for all nurses, regardless of their workplace, media and political attention is often focussed on hospital care, and community services remain less visible. As a result there is little understanding of what constitutes community nursing, the range of roles covered, and the principles that underpin the development of nursing services that are suitable to serve their communities well. Within this publication, the RCN highlights the excellent work carried out by community nurses 52 weeks a year and seven days a week so that they have a chance of acquiring a similar profile to those nurses who do equally important, but different work in hospitals. The RCN wants these case studies of excellent community nursing to inform, inspire and persuade people to scrutinise their current community nursing services and identify how they can be both expanded and enhanced – for the benefit of their local population.”

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Good Governance – A code for the voluntary and community sector: smaller organisation version – ACEVO – Association of Chief Executives of Voluntary Organisations – 1 November 2011

Posted on November 2, 2011. Filed under: Clin Governance / Risk Mgmt / Quality, Community Services |

Good Governance – A code for the voluntary and community sector: smaller organisation version – ACEVO – Association of Chief Executives of Voluntary Organisations – 1 November 2011

“Smaller charitable organisations will welcome the publication of a new governance code today during Trustees’ Week.

‘Good Governance – A code for the voluntary and community sector: smaller organisation version’ is designed to complement Good Governance: a Code for the Voluntary and Community sector and provides a framework for smaller organisations to govern in a way that is appropriate to their size.

This version of the code has been written to meet the needs of smaller organisations without staff. As organisations grow and take on staff or premises, additional considerations and rules come into play. Growth may also mean that more formal structures and practices become necessary. It builds on the success of the second edition of Good Governance: A code for the voluntary and community sector and is designed to be clearer and easier to use for those organisations with limited resources, while mirroring the principles of the main code. Supporting the smaller organisation code is a glossary to explain some of the more legalistic and technical jargon.

The initial work on this new version was carried out by a working group made up of representatives from the Small Charities Coalition, Richmond upon Thames Council for Voluntary Service, Community Sector Coalition, Community Matters and the Faith Based Regeneration Network.”

… continues on the site

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Communities connected: inclusion, participation and common purpose – RSA – October 2011

Posted on October 31, 2011. Filed under: Community Services, Health Mgmt Policy Planning |

Communities connected: inclusion, participation and common purpose – RSA – October 2011

“The government’s planned reform of the health care system does nothing to combat loneliness and isolation amongst people who are most in need of support.

Communities connected: inclusion, participation and common purpose report concludes that by creating a more ‘transactional’ or impersonal relationship between the users and providers of public services, government reforms will not build or sustain the social networks that are vital for both people’s physical and mental health.”

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Core value, community connections: care coordination in the medical home – Patient-Centered Primary Care Collaborative (PCPCC) – 2011

Posted on October 27, 2011. Filed under: Chronic Disease Mgmt, Community Services |

Core value, community connections: care coordination in the medical home – Patient-Centered Primary Care Collaborative (PCPCC) – 2011

“This paper focuses on care coordination in the patient-centered medical home; however, to cultivate a coordinated patient-centered health care delivery system, the PCMH model must be connected to the medical neighborhood. Coordinating care across providers means connecting with specialty and subspecialty providers, many of whom are essential to the successful treatment of chronic illnesses.”

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A Vision for Canada: Family Practice – The Patient’s Medical Home. Position Paper – College of Family Physicians of Canada – September 2011

Posted on September 23, 2011. Filed under: Community Services, Primary Hlth Care | Tags: |

A Vision for Canada: Family Practice – The Patient’s Medical Home. Position Paper – College of Family Physicians of Canada – September 2011

“In October 2009, the College of Family Physicians of Canada (CFPC) presented its discussion paper Patient-Centred Primary Care in Canada: Bring it on Home. It described the pillars of a model of family practice focused on meeting patient needs.

Feedback from a broad cross-section of stakeholders including family physicians, other health professionals and their associations, governments, and the public provided important perspectives that are now incorporated into this vision paper describing family practices throughout Canada serving as Patients’ Medical Homes.”

Full text pdf of the paper

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Economic Analysis of Hospital in the Home – Deloitte Access Economics for HITH Society Australasia Ltd – 15 September 2011

Posted on September 15, 2011. Filed under: Community Services, Health Economics |

Economic Analysis of Hospital in the Home – Deloitte Access Economics for HITH Society Australasia Ltd – 15 September 2011

“The document is available to the public from 15 September 2011 to 15 October 2011.  The document will only be accessible to members after the date specified.”

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The Patient-Centered Medical Home: Strategies to Put Patients at the Center of Primary Care – AHRQ – July 2011

Posted on July 20, 2011. Filed under: Chronic Disease Mgmt, Community Services, Primary Hlth Care | Tags: |

The Patient-Centered Medical Home: Strategies to Put Patients at the Center of Primary Care – AHRQ – July 2011

Highlights opportunities to improve patient engagement in primary care.  The brief focuses on involvement at three levels: the engagement of patients and families in their own care, in quality improvement activities in the primary care practice, and in the development and implementation of policy and research related to the patient-centered medical home (PCMH).

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Health Care Comes Home: The Human Factors – National Research Council [US] – 2011

Posted on July 20, 2011. Filed under: Aged Care / Geriatrics, Chronic Disease Mgmt, Community Services, Health Informatics, Telehealth | Tags: |

Health Care Comes Home: The Human Factors – National Research Council [US] – 2011

“Description

In the United States, health care devices, technologies, and practices are rapidly moving into the home. The factors driving this migration include the costs of health care, the growing numbers of older adults, the increasing prevalence of chronic conditions and diseases and improved survival rates for people with those conditions and diseases, and a wide range of technological innovations. The health care that results varies considerably in its safety, effectiveness, and efficiency, as well as in its quality and cost.

Health Care Comes Home reviews the state of current knowledge and practice about many aspects of health care in residential settings and explores the short- and long-term effects of emerging trends and technologies. By evaluating existing systems, the book identifies design problems and imbalances between technological system demands and the capabilities of users. Health Care Comes Home recommends critical steps to improve health care in the home. The book’s recommendations cover the regulation of health care technologies, proper training and preparation for people who provide in-home care, and how existing housing can be modified and new accessible housing can be better designed for residential health care. The book also identifies knowledge gaps in the field and how these can be addressed through research and development initiatives.

Health Care Comes Home lays the foundation for the integration of human health factors with the design and implementation of home health care devices, technologies, and practices. The book describes ways in which the Agency for Healthcare Research and Quality (AHRQ), the U.S. Food and Drug Administration (FDA), and federal housing agencies can collaborate to improve the quality of health care at home. It is also a valuable resource for residential health care providers and caregivers.”

ISBN-10: 0-309-21236-7
ISBN-13: 978-0-309-21236-6

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Home care in London – Institute for Public Policy Research – July 2011

Posted on July 7, 2011. Filed under: Aged Care / Geriatrics, Community Services | Tags: |

Home care in London – Institute for Public Policy Research – July 2011

“Over the next two decades, the number of people aged over 80 is set to double in Britain. Public services must adapt to the challenge that this poses, central to which is the need to deliver social care to older people.

Systematic failures in the care system mean that many older people end up in hospital because of a lack of care before they reach ‘crisis point’. Age UK has estimated that 165,000 older people in London alone are unable to access the care support they need (Age UK 2009a) and this is set to worsen with increasingly restrictive care criteria used by local authorities. This has fuelled fear of a costly ‘bed blocking’ crisis in the NHS.

Home-based care has the potential to reduce the pressure on more costly public services such as hospital beds and care home places. It can also enable older people to enjoy the benefits gained from remaining in their homes and communities for longer, significantly improving their quality of life.”

… continues

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The RCN’s UK position on health visiting in the early years – Royal College of Nursing – 5 July 2011

Posted on July 7, 2011. Filed under: Community Services, Nursing | Tags: , |

The RCN’s UK position on health visiting in the early years – Royal College of Nursing – 5 July 2011

Media release

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Better, Sooner, More Convenient Health Care in the Community – NZ Ministry of Health – June 2011

Posted on June 29, 2011. Filed under: Community Services |

Better, Sooner, More Convenient Health Care in the Community – NZ Ministry of Health – June 2011

ISBN number: 978-0-478-37469-8 (online)
HP number: 5341

Summary of publication
This booklet looks at a new policy direction for health, introduced two years ago, which creates an environment where health professionals in the community are actively encouraged to work with one another, and with hospital-based clinicians to deliver health care in a co-ordinated and co-operative manner so that more services are delivered in the community, people wait less for services and are kept healthier in the community.

Treatments which were once hospital-only are increasingly being performed in the community by GPs and practice nurses who have received additional training from hospital specialists. Examples you’ll see in this booklet include intravenous antibiotics to treat the serious skin disease cellulitis, surgery to remove skin lesions and giving GPs direct access to diagnostic imaging (instead of having to refer patients to hospital for that imaging).

Professional boundaries are also changing, enabling tasks to be done in a way which frees up the time of our most highly trained professionals and our hospital services to focus on patients with the most complex needs.

The booklet includes examples of the innovation and ingenuity which community-based health professionals have already brought to this new approach to health – things they are now able to do to provide better, sooner and more convenient health services to the people of this country.

‘Better, Sooner, More Convenient Health Care in the Community’ is dedicated to New Zealand’s primary health care workforce – the GPs, nurses, pharmacists, physiotherapists and other health professionals in our communities who are making a real difference in creating better health services in your community.

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The voluntary and community sector in health – implications of the proposed NHS reforms – The King’s Fund – 2011

Posted on June 29, 2011. Filed under: Community Services, Health Mgmt Policy Planning | Tags: , |

The voluntary and community sector in health – implications of the proposed NHS reforms – The King’s Fund – 2011
ISBN: 978 1 85717 621 6

Extract from the executive summary:
“The government’s health and social care White Paper and subsequent Health and Social Care Bill (House of Commons Bill 2010–11) set out clear aspirations for the voluntary and community sector as a provider of health services, a source of support for commissioning, and a partner in tackling health inequalities. However, the proposed reforms present a number of challenges and risks.”  … continues

Introduction 1
Context 2
The sector’s current involvement in health 2
The financial and demographic context 4
The Health and Social Care Bill 5
The sector’s future involvement in health 8
Can the aspirations for the sector be realised? 11
How will the sector be able to operate in a competitive market? 12
How will the sector be able to engage with the right partners? 16
Will the sector be able to support the health inequalities agenda? 18
What can the sector do to succeed in the new system? 20
Conclusion 23
The best-case scenario 23
The worst-case scenario 24
What next? 25
Recommendations

 

 

 

 

 

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Better, Sooner, More Convenient Health Care in the Community – NZ Ministry of Health – June 2011

Posted on June 14, 2011. Filed under: Community Services, Primary Hlth Care |

Better, Sooner, More Convenient Health Care in the Community – NZ Ministry of Health – June 2011

ISBN number: 978-0-478-37469-8 (online)

Summary of publication

“This booklet looks at a new policy direction for health, introduced two years ago, which creates an environment where health professionals in the community are actively encouraged to work with one another, and with hospital-based clinicians to deliver health care in a co-ordinated and co-operative manner so that more services are delivered in the community, people wait less for services and are kept healthier in the community.

Treatments which were once hospital-only are increasingly being performed in the community by GPs and practice nurses who have received additional training from hospital specialists. Examples you’ll see in this booklet include intravenous antibiotics to treat the serious skin disease cellulitis, surgery to remove skin lesions and giving GPs direct access to diagnostic imaging (instead of having to refer patients to hospital for that imaging).

Professional boundaries are also changing, enabling tasks to be done in a way which frees up the time of our most highly trained professionals and our hospital services to focus on patients with the most complex needs.

The booklet includes examples of the innovation and ingenuity which community-based health professionals have already brought to this new approach to health – things they are now able to do to provide better, sooner and more convenient health services to the people of this country.

‘Better, Sooner, More Convenient Health Care in the Community’ is dedicated to New Zealand’s primary health care workforce – the GPs, nurses, pharmacists, physiotherapists and other health professionals in our communities who are making a real difference in creating better health services in your community.”

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Home Health Patient Assessment Tools: Preparing for Emergency Triage – AHRQ – June 2011

Posted on June 13, 2011. Filed under: Chronic Disease Mgmt, Community Services, Disaster Management | Tags: |

Home Health Patient Assessment Tools:  Preparing for Emergency Triage – AHRQ – June 2011
AHRQ = Agency for Healthcare Research and Quality [US]

“Approximately 7.6 million individuals receive care in their home from 17,000 home care providers because of acute illness, long-term care conditions, permanent disability, or terminal illness. During a mass casualty event, these community-dwelling patients could experience disruption of needed support services. Depending on the level of their needs, a disruption of care/services could lead to patient decompensation and increased reliance on acute care services, including emergency medical systems and hospital emergency departments already stretched thin by the disaster situation.

The model Community-Living Patient Assessment Tool for Disaster Planning included in this report rates the risk status of community-based patients in the event of a disaster. The goal for the tool is for home health agencies and others to be able to identify and estimate the number of individuals/patients who would be most at risk for hospitalization if their home supports and services were disrupted during an emergency. With this information, emergency planners could begin to anticipate and prepare for this additional surge demand.”

Data Sources for the At-Risk Community-Dwelling Patient Population – AHRQ – June 2011

“Many patients who live in the community and need some degree of medical assistance may be unable to manage if their resources or services are depleted during a mass casualty event (MCE). Patients who are not directly affected by an MCE but who have daily medical needs, those who cannot manage their medical needs in a shelter, and those who do not have family caregivers are likely to seek care at hospitals that will already be burdened by caring for people directly affected by the MCE. This study investigates data sources to enumerate and estimate the number of people who, though not directly affected by an MCE, might seek hospital care during an MCE. The report summarizes findings about the availability of data to quantify the at-risk community population.”

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Community Cancer Support Services Pilot Project Evaluation – NZ – 31 May 2011

Posted on May 31, 2011. Filed under: Community Services, Oncology |

Community Cancer Support Services Pilot Project Evaluation – NZ – 31 May 2011

“Summary of publication

In 2008, the Ministry of Health commissioned Health Outcomes International to evaluate three community cancer support pilots. The pilot projects aimed at reducing inequalities in cancer access and outcomes for Māori and people living in rural areas …
The services were based on international evidence suggesting that community-level cancer services may be effective in supporting more vulnerable populations to better understand, access and navigate the health system. They were built on a ‘patient navigator’ model of healthcare and aim to reduce barriers to cancer service access and care. They also aim to educate local communities about available health and social support services.” … continues on the site

ISBN number: 978-0-478-37475-9 (online)
Health Outcomes International. 2011. Community Cancer Support Services Pilot Project Evaluation. Wellington: Ministry of Health.

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Improving housing outcomes for young people: practical ideas – Joseph Rowntree Foundation – 21 April 2011

Posted on April 21, 2011. Filed under: Community Services | Tags: , |

Improving housing outcomes for young people: practical ideas – Joseph Rowntree Foundation – 21 April 2011
 
by Rachel Terry   ISBN: 978 1 85935 828 3

“Practical initiatives to improve housing outcomes for young people.

Young people are increasingly squeezed out of the housing market and face a more drawn-out process of moving towards independent living. Affordable housing in the private and social rented sectors is in short supply and buying a home is out of the reach of many young people. A number of initiatives aim to improve this situation.”

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Transforming Community Services: Demonstrating and Measuring Achievement: Community Indicators for Quality Improvement – UK – 14 April 2011

Posted on April 21, 2011. Filed under: Clin Governance / Risk Mgmt / Quality, Community Services | Tags: |

Transforming Community Services: Demonstrating and Measuring Achievement: Community Indicators for Quality Improvement – UK – 14 April 2011

Author: Department of Health

“This document introduces 43 indicators for quality improvement for voluntary, local use in a community setting. These carefully chosen quality indicators will assist local service improvement and help to raise the standard of care delivered to patients and communities.”

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Still Waiting: An Assessment of Ontario’s Home Care System After Two Decades of Restructuring – Ontario Health Coalition – 4 April 2011

Posted on April 8, 2011. Filed under: Community Services, Health Mgmt Policy Planning |

Still Waiting: An Assessment of Ontario’s Home Care System After Two Decades of Restructuring – Ontario Health Coalition – 4 April 2011

Extract:
“In December 2010, the Annual Report of Ontario’s Auditor General included an audit of Ontario’s home care system.1 In it, the Auditor General found that home care in Ontario is inequitable, insufficient and ineffectively measured and managed. Among the issues uncovered in the 2010 audit are unresolved problems previously identified in the 2004 audit and even as far back as the 1998 audit. These are not insignificant issues. Problems unresolved for more than a decade include huge wait lists, unequal access to care, poorly tracked patient services, uncertain quality of care and high administrative costs.”

Press release

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Guidelines for Patient-Centered Medical Home (PCMH) Recognition and Accreditation Programs – February 2011

Posted on March 15, 2011. Filed under: Community Services, Medicine |

Guidelines for Patient-Centered Medical Home (PCMH) Recognition and Accreditation Programs – February 2011

American Academy of Family Physicians (AAFP)
American Academy of Pediatrics (AAP)
American College of Physicians (ACP)
American Osteopathic Association (AOA)

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The Role of Human Factors in Home Health Care: Workshop Summary – National Academies Press – 2010

Posted on February 11, 2011. Filed under: Community Services, Telehealth | Tags: |

The Role of Human Factors in Home Health Care: Workshop Summary – National Academies Press – 2010
ISBN-10: 0-309-15629-7
ISBN-13: 978-0-309-15629-5

The rapid growth of home health care has raised many unsolved issues and will have consequences that are far too broad for any one group to analyze in their entirety. Yet a major influence on the safety, quality, and effectiveness of home health care will be the set of issues encompassed by the field of human factors research–the discipline of applying what is known about human capabilities and limitations to the design of products, processes, systems, and work environments.

To address these challenges, the National Research Council began a multidisciplinary study to examine a diverse range of behavioral and human factors issues resulting from the increasing migration of medical devices, technologies, and care practices into the home. Its goal is to lay the groundwork for a thorough integration of human factors research with the design and implementation of home health care devices, technologies, and practices.

On October 1 and 2, 2009, a group of human factors and other experts met to consider a diverse range of behavioral and human factors issues associated with the increasing migration of medical devices, technologies, and care practices into the home. This book is a summary of that workshop, representing the culmination of the first phase of the study.

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Transforming community services transformational guides – Department of Health [UK] – 8 February 2011

Posted on February 9, 2011. Filed under: Community Services, Health Systems Improvement | Tags: , |

Transforming community services transformational guides – Department of Health [UK] – 8 February 2011

“The six transforming community service reference guides were co-produced with clinicians. They utilise up to date evidence-based research from the Health Services Management Centre (HSMC), and experiential knowledge from clinical innovation in practice. The guides relate to 6 key specific areas of practice, namely: health and well being; children, young people and families; acute care closer to home; long term conditions; rehabilitation and end of life care.

These guides are for use by frontline clinicians, commissioners and providers and are based around a framework of ambition, action and achievement:

Clearly setting out your ambition Taking action to deliver the ambition using the best available evidence (high impact changes) Demonstrating and measuring achievement (using quality indicators)The guidance also includes six transformational attributes which practitioners and teams need to demonstrate in order to meet the requirements of the high performing practitioner-partner-leader roles.”

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Transfer and transform – NHS Confederation – 9 November 2010

Posted on January 20, 2011. Filed under: Community Services | Tags: |

Transfer and transform – NHS Confederation – 9 November 2010

“The challenges for community health services

Community health services cover ‘cradle to grave’ services that many of us take for granted. They provide a wide range of care, from supporting patients to manage long-term conditions like respiratory disease and diabetes, to treating those who are seriously ill with complex conditions.

In addition to treating patients in their own homes, they also provide a range of preventative and health improvement services, often with a range of partners from local government and the third sector. At some point in their lives most people will have contact with these services.

Plans are underway to transfer community service provision from primary care trusts (PCTs) by April 2011. The presence of these services in the community and their close day-to-day working relationships with GPs means they are well placed to deliver the improvements that strike at the heart of the Government’s planned NHS reforms.

This Briefing sets out the key points from our discussions with members who have experience of transferring services, including their learning about how best to transfer services, what exactly should be transferred, the cultural issues to consider and the necessary governance arrangements.”

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Money Well Spent: How positive social investments will reduce incarceration rates, improve public safety, and promote the well-being of communities – Justice Policy Institute – 16 September 2010

Posted on October 5, 2010. Filed under: Community Services | Tags: , |

Money Well Spent: How positive social investments will reduce incarceration rates, improve public safety, and promote the well-being of communities – Justice Policy Institute – 16 September 2010

“More people in the United States are being arrested and incarcerated even though crime has dropped, with the consequences of these policies being felt most by low-income communities, according to a new report by the Justice Policy Institute (JPI). 
 
“With the focus this fall on effective leadership, it’s time for our elected officials to realize that creating safe, healthy communities is a better investment in our country’s future than more prison beds,” stated Tracy Velázquez, executive director of JPI. “Low-income communities and people of color are bearing the brunt of this recession, as well as of our policies that have led to mass incarceration. By shifting our priorities, we can reduce these disproportionate impacts and make a real difference, especially for our country’s children and families.” ” …continues on the site

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People in Public Health – a study of approaches to develop and support people in public health roles – July 2010

Posted on September 29, 2010. Filed under: Community Services, Patient Participation, Public Hlth & Hlth Promotion | Tags: |

 

People in Public Health – a study of approaches to develop and support people in public health roles – July 2010

Report for the National Institute for Health Research Service Delivery and Organisation programme

Extract from the introduction:

‘People in Public Health’ is a study about approaches to develop and support lay people in public health roles. The use of participatory approaches in public health programmes, both in national and international contexts, is well established and seen as necessary to deliver sustainable improvements in public health (Bracht and Tsouros, 1990; Rifkin et al., 2000; World Health Organization, 2002). Indeed a central argument in the Wanless reviews was that a ‘fully engaged scenario’ with high levels of public engagement in health would result in lower levels of public expenditure and better health outcomes (Wanless, 2002; Wanless, 2004). Government policy supports greater community engagement in health as a means of addressing public health priorities and tackling health inequalities (Department of Health, 2003). The health agenda on community involvement resonates with arguments for citizen empowerment and greater democratisation of services, not only in the NHS but across the public sector, in national agencies and local authorities (Campbell et al., 2008).”

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Community engagement – A report for the Health Foundation Date – August 2011

Posted on September 7, 2010. Filed under: Community Services, Obstetrics, Public Hlth & Hlth Promotion | Tags: |

Community engagement – A report for the Health Foundation  – August 2011

Download publication [347kb PDF]

“What is meant by ‘community engagement’? This report looks at how we define communities and addresses barriers that some communities face when accessing health services.

There is a key focus on maternity, which seems to have specific obstacles around engagement.

Recommendations
The report contains a number of recommendations including:

Understand and define ‘community engagement’. Being clear about the group you are working with and the aspects of engagement you wish to use is essential for success.
Make sure you have an authentic community: those who belong to it should identify with each other and recognise themselves as a community or group with shared activities and aspirations.
Find and work with leaders, or those with leadership potential, in that community.

Maternity care

The report notes that pregnant women often become part of a community of pregnant women and new mothers. This community is separate from their usual community which might be based on family, friends, locality, faith or ethnicity.

This means that when engaging pregnant women and new mothers with healthcare services, you must consider the other communites that they might be part of.”

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Engaging communities for health improvement: A scoping study for the Health Foundation – August 2010

Posted on September 7, 2010. Filed under: Community Services, Health Systems Improvement, Public Hlth & Hlth Promotion | Tags: |

Engaging communities for health improvement: A scoping study for the Health Foundation – August 2010

Download publication [316kb PDF]

“A community engagement project involves talking to people in different communities about what they want and need from their healthcare services.

This kind of project can help healthcare professionals to:

determine local needs and aspirations
promote health and reduce health inequalities
improve service design and quality of care
strengthen local accountability.

This report looks at community engagement projects and provides some ideas about what can make them work well.

Recommendations
The report stresses that, in order for a community engagement project to be effective, it is important to consider the community it is aimed at by:

finding out exactly how people want to get involved
providing as much support as possible for people to get involved in the project easily
making sure community members know that their views will be taken into account when any decisions about healthcare are made once the project is complete.

For a community engagement project to work, the following factors are essential:

Engagement plan: Put together a plan which looks at how many community members will be approached and what will be done to make sure everyone is consulted and informed appropriately about what is happening with the project.
Participation methods: Research the best techniques for promoting participation in order to make sure people want to get involved.
Cultural awareness: If the target group for the project includes people from minority groups, be aware of cultural differences, and where necessary, seek guidance on meeting the needs of this group with local leaders”

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Pillars of the community: the RCN’s UK position on the development of the registered nursing workforce in the community – August 2010

Posted on August 28, 2010. Filed under: Community Services, Nursing | Tags: |

Pillars of the community: the RCN’s UK position on the development of the registered nursing workforce in the community – August 2010

This policy statement highlights 27 core conditions that the Royal College of Nursing believes should be satisfied for community services to survive and develop as more care is delivered closer to home, while helping health services throughout the UK to become more efficient.

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New Patient Centered Medical Home Web Site Launched – US – AHRQ – 2010

Posted on August 3, 2010. Filed under: Community Services, Health Mgmt Policy Planning | Tags: |

New Patient Centered Medical Home Web Site Launched – US – AHRQ – 2010                                          
 
AHRQ = Agency for Healthcare Research and Quality

“AHRQ announces the launch of a new Web site devoted to providing objective information to policymakers and researchers on the patient centered medical home.  The Patient Centered Medical Home Web site provides users with searchable access to a rich database of publications and other resources on the medical home and exclusive access to the AHRQ-funded white papers focused on critical medical home issues including: Necessary But Not Sufficient: The HITECH Act and Health Information Technology’s Potential to Build Medical Homes, Engaging Patients and Families in the Medical Home, Integrating Mental Health Treatment Into the Patient Centered Medical Home.”

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Community mental health and primary mental health care – Background Paper – Mental Health Council of Australia – July 2010

Posted on July 28, 2010. Filed under: Community Services, Mental Health Psychi Psychol, Primary Hlth Care |

Community mental health and primary mental health care – Background Paper – Mental Health Council of Australia – July 2010

This background paper arose from the National Health and Hospitals Reform Commission (NHHRC) 2009 Final Report and its recommendations about future directions for primary health care. The recommendations for primary health care included ‘community mental health’, which led to concern that the scope and complexity of community mental health care had been overlooked or misunderstood.

This paper seeks to clarify points of overlap and difference between primary health care and community mental health. It also identifies how their linkages could be strengthened whilst ensuring maintenance of the capacity and integrity of specialist mental health services delivered in the community.

Associated with this background paper are new Community Mental Health Guiding Principles developed to clarify the nature and scope of community mental health care, and to provide principles to guide its further development across Australia.

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A Summary of the December 2009 Forum on the Future of Nursing: Care in the Community – 3 June 2010

Posted on June 4, 2010. Filed under: Community Services, Nursing | Tags: , |

A Summary of the December 2009 Forum on the Future of Nursing: Care in the Community – 3 June 2010

http://www.iom.edu/Reports/2010/A-Summary-of-the-December-2009-Forum-on-the-Future-of-Nursing-Care-in-the-Community.aspx

“Note: Workshop Summaries contain the opinion of the presenters, but do NOT reflect the conclusions of the IOM. Learn more about the differences between Workshop Summaries and Consensus Reports.

The American health care system is evolving; care is becoming more focused on wellness, disease prevention, health promotion, and chronic illness management. In addition, health care reform will provide many people with access to health care that they did not have previously. As a result, there will be a continuing increase in the demand for everyday care through community health centers; professional home health care services; long-term care facilities; primary care providers’ offices; and non-emergency settings that are close to home. In these settings, nurses are essential to ensuring access to needed care, and their knowledge and skills directly affect the quality of care that patients receive.  

The Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the IOM, seeks to build a blueprint for the future of nursing as part of larger efforts to reform the health care system. The Initiative held three public forums to explore challenges and opportunities in nursing. The second forum, which took place December 3, 2009, examined care in the community, focusing on community health, public health, primary care, and long-term care. Presenters described examples of best practices in the community that shed light on what is needed to meet the country’s changing health needs. The perspectives and ideas presented at this forum will inform a final report on the future of nursing, expected to release in fall 2010.”

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Total Place: A whole area approach to public services – HM Treasury – 25 March 2010

Posted on May 3, 2010. Filed under: Community Services, Public Sector | Tags: , |

Total Place: A whole area approach to public services
25 March 2010

“Total Place: A whole area approach to public services sets out a new direction for local public services and significant new freedoms from central control. It is based on extensive work over the last year by 63 local authorities, 34 primary care trusts, 13 police authorities and other partners, with more than 70 other local areas engaged in similar work. Together the pilots have a population of more than 11 million people. The pilots have mapped more than £82 billion of public spending in their areas.

Total Place was launched at Budget 2009 as a key recommendation of the Operational Efficiency Programme. It shows how all places will benefit from our Smarter Government commitments on de-ringfencing, streamlining funding and reducing burdens.”

…continues

Total Place: Better for less
 
“Total Place is a new initiative that looks at how a ‘whole area’ approach to public services can lead to better services at less cost. It seeks to identify and avoid overlap and duplication between organisations – delivering a step change in both service improvement and efficiency at the local level, as well as across Whitehall.

There are 13 pilot areas participating in the scheme, each area ensuring a diverse mix of economic, geographical and demographic profiles. These pilots have a real opportunity to rip up the text book and redesign the way public services are planned and delivered.

The impact of the economic downturn means all of the public sector needs to find radical new solutions to not only deliver better value for money, but also better local services more tailored to local needs.

Total Place is the next big step to redesign how we do things and by doing so, improve the quality of life for all communities across England.”

…continues on the site

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Maximizing Community Health Nursing Capacity in Canada: A Research Summary for Decision Makers

Posted on March 16, 2010. Filed under: Community Services, Nursing |

Maximizing Community Health Nursing Capacity in Canada: A Research Summary for Decision Makers
Principal Investigator: Jane Underwood, RN, MBA
Associate Clinical Professor, Nursing Health Services Research Unit , McMaster University, February 2010
Full Report (PDF, 299 KB)

“Overview
Nursing has always been an integral part of community healthcare, and that role will grow in the future. Rising hospital and long-term care costs, medical breakthroughs and new attitudes toward care are all driving demand for improved home care, public health, primary healthcare and other community care services. This move to community health requires careful human resources planning to ensure adequate skilled staff are available to deliver services and are used to their full potential.

We did this three-part study as a first step toward meeting the information needs of health system administrators, planners and policy makers as they develop human resources policies for community health. We set out to answer three broad questions about community health nursing:”

…continues

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From the ground up: a report on integrated care design and delivery – Integrated Care Network and the Institute of Public Care [UK] – January 2010

Posted on February 19, 2010. Filed under: Community Services, Health Mgmt Policy Planning | Tags: , , |

From the ground up: a report on integrated care design and delivery – Integrated Care Network and the Institute of Public Care [UK] – January 2010

“The report:
• Offers an overview of the policy framework for integration.
• Presents an outline of the approach to integration taken by four examples of different types of integrated care service.
• Analyses the elements of success in integrating care, and presents a model of design and delivery for managers to consider in relation to their own services and planning new facilities.
• Concludes with a range of hints and tips based on the research undertaken to develop this document.”

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Intermediate Care – Halfway Home – Updated Guidance for the NHS and Local Authorities – 23 July 2009

Posted on December 4, 2009. Filed under: Chronic Disease Mgmt, Community Services | Tags: |

Intermediate Care – Halfway Home – Updated Guidance for the NHS and Local Authorities – 23 July 2009

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Personal care at home: a consultation on proposals for regulations and guidance (UK) – 23 November 2009

Posted on December 4, 2009. Filed under: Community Services |

Personal care at home: a consultation on proposals for regulations and guidance (UK) – 23 November 2009

“This consultation document seeks views on the proposals in the Personal Care At Home Bill to provide free personal care for people living in their homes with the highest care needs. It sets out how the scheme is likely to work and what will be contained in regulations and in guidance.  An impact assessment has also been published. The consultation closes on 23 February 2010.”

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Quality framework for community services: directory of indicators (UK) – draft version – 20 October 2009

Posted on December 4, 2009. Filed under: Clin Governance / Risk Mgmt / Quality, Community Services |

Quality framework for community services: directory of indicators (UK) – draft version – 20 October 2009

“This directory sets out a list of quality indicators that are currently being developed for publication. The Department of Health is piloting these indicators at 23 sites and is looking to publish amendments or changes to these at the end of the year.”

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South Australian Community Health Research Unit – Policy and Practice Briefs – July 2009

Posted on August 11, 2009. Filed under: Community Services, Public Hlth & Hlth Promotion | Tags: |

South Australian Community Health Research Unit – Policy and Practice Briefs

“The aim of SACHRU’s Policy and Practice Briefs is to explore areas of particular interest to both primary health care and community development professionals. Each Brief, based on current research evidence and practice knowledge is reviewed by an Advisory Committee comprising of senior managers and practitioners working within primary health care and community development sectors, ensuring that they provide both relevant and useful information. In particular:

Practice Briefs are designed to provide practical hands on information applicable to community development and primary health care professionals working at the coal face of service delivery.

Policy Briefs are short papers which discuss current issues and/or analyse competing ideas relevant to managers within both the primary health care and community development sectors.”

Practice Brief – Issue 1: 10-07-2009 – Evaluating Your Project

Resources and References for issue 1

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Reaching out – community engagement and health – UK – July 2009

Posted on July 28, 2009. Filed under: Community Services, Patient Participation, Public Hlth & Hlth Promotion | Tags: |

Reaching out – community engagement and health – the report

Information that follows copied fromNHS Networks News

“Building on NICE guidance on community engagement and health

This is the third in a series of publications from the IDeA’s Healthy Communities programme, this time written in conjunction with NICE (National Institute for Health and Clinical Excellence). The document explores the importance of engaging communities in health promotion and health services, and the health benefits that this can bring.

It builds on the NICE guidance on community engagement and health published earlier this year. It reflects recent government commitments to engaging the public further in democratic and decision-making processes. These are outlined in the Community Empowerment White Paper, ‘Communities in Control’.

The publication is designed to stimulate thinking about community engagement in any council. It is particular relevant to those working in patient and public involvement. It should also interest community development officers, lead members for health and public health workers.”

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AHRQ Evidece Report on Community Health Worker Effectiveness

Posted on July 27, 2009. Filed under: Community Services, Public Hlth & Hlth Promotion |

AHRQ Evidece Report on Community Health Worker Effectiveness
AHRQ = US Agency for Healthcare Research & Quality

“A new AHRQ evidence report says that community health workers can improve appropriate use of some cancer screening services among minority and low-income patients and may improve their health knowledge.  However, the report could not determine other ways these workers impact health behaviors, health outcomes, or utilization of other health services because of conflicting or absent study findings.  Researchers led by Meera Viswanathan, Ph.D., of the AHRQ-supported Research Triangle Institute International-University of North Carolina Evidence-based Practice Center, reviewed studies on the effectiveness of community workers compared to other health education methods, such as health care interventions such as nurse-led education, mass-marketing of health information, and usual care.  Specifically, the researchers found evidence that community health workers can be effective for improving people’s knowledge on preventive health measures.  Community health workers also seem to increase use of cervical cancer screening, mammography screening, and asthma self-management.  However, the researchers did not find evidence that community health workers were more effective than other health care interventions when it comes to getting people into the clinic for clinical breast examination, colorectal cancer screening, management of their chronic diseases, and for most maternal and child health indicators. ”
Viswanathan M, Kraschnewski J, Nishikawa B, Morgan LC, Thieda P, Honeycutt A, Lohr KN, Jonas D. Outcomes of Community Health Worker Interventions. Evidence Report/Technology Assessment No. 181 (Prepared by the RTI International–University of North Carolina Evidence-based Practice Center under Contract No. 290 2007 10056 I.) AHRQ Publication No. 09-E014. Rockville, MD: Agency for Healthcare Research and Quality. June 2009.

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HSMC provides evidence base for UK Department of Health Transforming Community Service Clinical Guides – 6 July 2009

Posted on July 8, 2009. Filed under: Community Services | Tags: , , |

HSMC provides evidence base for Department of Health Transforming Community Service Clinical Guides

Health Services Management Centre, School of Social Policy, University of Birmingham (HSMC)

“HSMC was commissioned by the Department of Health to undertake rapid reviews of the literature in six clinical areas to provide the evidence base for the Department’s recently published Transforming Community Service Clinical Guides. We reviewed more than 18,000 studies around the world in acute services, children’s services, end of life care, long term conditions, rehabilitation services and wellbeing and inequalities. The aim of the reviews was to identify good practice in these areas which is not already widely implemented in the NHS and to assess the nature of the available research. For more information contact Helen Parker

*      Overview (pdf, opens in new window, 360KB)
*      Acute Services Review (pdf, opens in new window, 984KB)
*      Children’s Services Review (pdf, opens in new window, 952KB)
*      Long Term Conditions Review (pdf, opens in new window, 1.14MB)
*      End of Life Care Review (pdf, opens in new window, 683KB)
*      Rehabilitation Services Review (pdf, opens in new window, 888KB)
*      Wellbeing and Health Inequalities Review (pdf, opens in new window, 884KB)”

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Social Enterprise magazine launches new website today – UK – 7 July 2009

Posted on July 8, 2009. Filed under: Community Services | Tags: |

Social Enterprise magazine launches new website today 7 July 2009

“A major new web resource for social entrepreneurs goes live today ….

Social Enterprise aims to be the most engaging, informative and useful resource for people who are passionate about changing lives, building communities and nurturing the environment through business and entrepreneurship.”

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Transforming community services: ambition, action, achievement – UK – 24 June 2009

Posted on June 26, 2009. Filed under: Chronic Disease Mgmt, Clin Governance / Risk Mgmt / Quality, Community Services, Health Systems Improvement |

Transforming community services: ambition, action, achievement

Document type:      Guidance
Author:  UK Department of Health
Published date:      24 June 2009

“These best practice guides have a vital role to play in the delivery of the intentions for High Quality Care for All: the Next Stage Review. They set out ambitions, taking action and measurement of the achievement and link with, should be read in conjunction with the quality framework/quality indicators.”

Transforming services for health, wellbeing and reducing inequalities (PDF, 1862K)

Transforming services for children, young people and families (PDF, 492K)

Transforming services for acute care closer to home (PDF, 1878K)

Transforming services for people with long term conditions (PDF, 1833K)

Transforming rehabilitation services (PDF, 1962K)

Transforming end of life care (PDF, 1815K)

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Transforming Community Services Quality Framework: guidance for community services – UK – 24 June 2009

Posted on June 26, 2009. Filed under: Chronic Disease Mgmt, Clin Governance / Risk Mgmt / Quality, Community Services, Health Systems Improvement |

Transforming Community Services Quality Framework: guidance for community services

Document type:     Publication
Author:   UK Department of Health
Published date:      24 June 2009

“This guidance sets out how the seven elements of the Quality Framework apply in community services. It includes a set of proposed indicators of quality that will be developed and assured for publication. The Department will be seeking views from interested stakeholders on these indicators.”

DoH Publications

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