Constructive comfort: accelerating change in the NHS – The Health Foundation – February 2015

Posted on February 27, 2015. Filed under: Health Mgmt Policy Planning | Tags: , , |

Constructive comfort: accelerating change in the NHS – The Health Foundation – February 2015

How can the NHS become better at change? – news release – The Health Foundation – February 2015

Advertisements
Read Full Post | Make a Comment ( Comments Off on Constructive comfort: accelerating change in the NHS – The Health Foundation – February 2015 )

Creating change: IHW one year on [NHS Innovation Health & Wealth) – 10 December 2012

Posted on January 15, 2013. Filed under: Health Mgmt Policy Planning | Tags: , |

Creating change: IHW one year on [NHS Innovation Health & Wealth) – 10 December 2012

Creating change: Innovation health and wealth one year on – News – 10 December, 2012

“The report, “Creating change: Innovation health and wealth one year on” provides an update on the implementation of the NHS Chief Executive’s report “Innovation health and wealth, accelerating adoption and diffusion in the NHS” published in December 2011.

The first report  set out delivery for spreading innovation quickly and at a scale throughout the NHS. ‘Creating change’ demonstrates the progress that is being made at a time of great change in the NHS. It highlights what more should be done to deliver the improvements needed to fully embrace and embed innovation in the NHS and improve outcomes and quality for patients and the NHS and drive growth for the UK.”

Read Full Post | Make a Comment ( Comments Off on Creating change: IHW one year on [NHS Innovation Health & Wealth) – 10 December 2012 )

Creating change: Innovation health and wealth one year on – NHS – 10 December 2012

Posted on January 4, 2013. Filed under: Health Mgmt Policy Planning | Tags: , |

Creating change: Innovation health and wealth one year on – NHS – 10 December 2012

“The report, “Creating change: Innovation health and wealth one year on” provides an update on the implementation of the NHS Chief Executive’s report “Innovation health and wealth, accelerating adoption and diffusion in the NHS” published in December 2011.

The first report  set out delivery for spreading innovation quickly and at a scale throughout the NHS. ‘Creating change’ demonstrates the progress that is being made at a time of great change in the NHS. It highlights what more should be done to deliver the improvements needed to fully embrace and embed innovation in the NHS and improve outcomes and quality for patients and the NHS and drive growth for the UK.”

Read Full Post | Make a Comment ( Comments Off on Creating change: Innovation health and wealth one year on – NHS – 10 December 2012 )

Large-System Transformation in Health Care: A Realist Review – Milbank Quarterly 2012

Posted on September 27, 2012. Filed under: Health Mgmt Policy Planning, Health Systems Improvement | Tags: , , |

Large-System Transformation in Health Care: A Realist Review – Milbank Quarterly 2012
Allan Best et al

“Context: An evidence base that addresses issues of complexity and context is urgently needed for large-system transformation (LST) and health care reform. Fundamental conceptual and methodological challenges also must be addressed. The Saskatchewan Ministry of Health in Canada requested a six-month synthesis project to guide four major policy development and strategy initiatives focused on patient- and family-centered care, primary health care renewal, quality improvement, and surgical wait lists. The aims of the review were to analyze examples of successful and less successful transformation initiatives, to synthesize knowledge of the underlying  mechanisms, to clarify the role of government, and to outline options for evaluation.

Methods: We used realist review, whose working assumption is that a particular intervention triggers particular mechanisms of change. Mechanisms may be more or less effective in producing their intended outcomes, depending on their interaction with various contextual factors. We explain the variations in outcome as the interplay between context and mechanisms. We nested this analytic approach in a macro framing of complex adaptive systems (CAS).

Findings: Our rapid realist review identified five “simple rules” of LST that were likely to enhance the success of the target initiatives: (1) blend designated leadership with distributed leadership; (2) establish feedback loops; (3) attend to history; (4) engage physicians; and (5) include patients and families. These principles play out differently in different contexts affecting human behavior (and thereby contributing to change) through a wide range of different mechanisms.

Conclusions: Realist review methodology can be applied in combination with a complex system lens on published literature to produce a knowledge synthesis that informs a prospective change effort in large-system transformation. A collaborative process engaging both research producers and research users contributes to local applications of universal principles and mid-range theories, as well as to a more robust knowledge base for applied research. We conclude with suggestions for the future development of synthesis and evaluation methods.”

Read Full Post | Make a Comment ( Comments Off on Large-System Transformation in Health Care: A Realist Review – Milbank Quarterly 2012 )

Adult emergency services: Acute medicine and emergency general surgery – LondonHealth Programmes – September 2011 reports

Posted on September 22, 2011. Filed under: Emergency Medicine, Health Mgmt Policy Planning, Surgery | Tags: |

Adult emergency services: Acute medicine and emergency general surgery – LondonHealth Programmes – September 2011 reports
 
Adult emergency services: Case for change 
 
Adult emergency services: Case for change summary 
 
Adult emergency services: Commissioning standards 
 
Adult emergency services: Survey of current arrangements 
 
Media commentary:
 
BBC London hospitals: Hundreds die ‘due to weekend staffing’  – 21 Sept 2011
“Stark” differences in consultant hours at weekends were identified Hundreds of people die every year in London due to a lack of hospital consultants available at weekends, according to NHS London.

Guardian
Don’t go to A&E this weekend; you may die. The Patient from hell reads a report, which claims that 520 emergency patients die in London every year due to understaffed out-of-hours care

Read Full Post | Make a Comment ( None so far )

Warning signs for organisations in transition – Healthcare Financial Management Association [UK] – 25 August 2011

Posted on September 6, 2011. Filed under: Health Mgmt Policy Planning | Tags: , , |

Warning signs for organisations in transition – Healthcare Financial Management Association [UK] – 25 August 2011

“The HFMA Governance & Audit Committee have developed a checklist of ‘red-light’ issues that Audit Committees need to be on the lookout for during transition.”

Read Full Post | Make a Comment ( None so far )

Liked it here?
Why not try sites on the blogroll...