Making integrated care happen at scale and pace: Lessons from experience – King’s Fund – 21 March 2013

Posted on March 22, 2013. Filed under: Aged Care / Geriatrics, Chronic Disease Mgmt | Tags: , , |

Making integrated care happen at scale and pace: Lessons from experience – King’s Fund – 21 March 2013

“The current fragmented services in health and social care fail to meet the needs of the population. A shift to an approach that develops integrated models of care for patients, especially older people and those with long-term conditions, can improve the patient experience and the outcomes and efficiency of care.

Making integrated care happen at scale and pace: Lessons from experience is intended to support the process of converting policy intentions into meaningful and widespread change on the ground. The authors summarise 16 steps that need to be taken to make integrated care a reality and draw on work by The King’s Fund and others to provide examples of good practice.

There are no universal solutions or approaches to integrated care that will work everywhere and there is also no ‘best way’ of integrating care, and the authors emphasise the importance of discovery rather than design and of sharing examples of good practice when developing policy and practice.

Finally, the paper acknowledges that changes are needed to national policy and to the regulatory and financial frameworks for local leaders to fully realise a vision of integration.”

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Order from Chaos: Accelerating Care Integration – National Patient Safety Foundation [US] – October 2012

Posted on October 31, 2012. Filed under: Patient Safety | Tags: , , |

Order from Chaos: Accelerating Care Integration – National Patient Safety Foundation [US] – October 2012

Report of the Lucian Leape Institute Roundtable On Care Integration

“Health care today presents a difficult challenge: as our ability to recognize and treat disease continues to grow, so too does the complexity of delivering those solutions to each patient and to populations. Too often, care integration–the planned, thoughtful design of the care process for the benefit and protection of the patient—is lacking. This report addresses the issue of care integration with the aim of outlining the major barriers to effective integration and providing a framework for further consideration and action among stakeholders.”

Report

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Understanding and improving transitions of older people: a user and carer centred approach – NHS National Institute for Health Research – September 2012

Posted on October 5, 2012. Filed under: Aged Care / Geriatrics | Tags: , |

Understanding and improving transitions of older people: a user and carer centred approach – NHS National Institute for Health Research –  September 2012

Ellins J, Glasby J, Tanner D, McIver S, Davidson D, Littlechild R, Snelling I, Miller R, Hall K, Spence K and the Care Transitions Project co-researchers. Understanding and improving transitions of older people: a user and carer centred approach. Final report. NIHR Service Delivery and Organisation programme; 2012.

Extract from the executive summary

“Older people – especially those with complex and ongoing needs – often move across service boundaries. Poorly planned and coordinated transitions can be detrimental to older people’s health and well-being, and are a source of major disagreement between service commissioners and providers. Despite positive changes following the 2001 National Service Framework for Older People, transition between services is still one of the most problematic areas of policy and practice.”

… continues

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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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Intersectoral Governance for Health in All Policies: Structures, actions and experiences – European Observatory on Health Systems and Policies – 2012

Posted on September 12, 2012. Filed under: Health Mgmt Policy Planning, Health Policy, Public Hlth & Hlth Promotion | Tags: , , |

Intersectoral Governance for Health in All Policies: Structures, actions and experiences – European Observatory on Health Systems and Policies – 2012

Edited by David V. McQueen, Matthias Wismar, Vivian Lin, Catherine M. Jones, Maggie Davies
ISBN 978 92 890 0281 3

Extract from the foreword

“Since the arrival of the new millennium, the field of health promotion has added many emerging areas related to health to its field of interest and action.

Many of these areas were, of course, anticipated in the Ottawa Charter on Health Promotion; nonetheless there has been an explosion of interest in three critical areas in recent years, namely on the social determinants of health, governance, and Health in All Policies, and more specifically “the translation of Health in All Policies from a policy principle into a policy practice”. Now we have a new and significant book that addresses these three areas in a most exciting way.

The International Union for Health Promotion and Education (IUHPE) acknowledges that many of the solutions to the most pressing health issues reside outside the health sector. It is therefore imperative to facilitate governance practices that enable improved work across sectors in government, the nongovernment sector, academic institutions and the private sector, at all territorial levels.”

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Factors that promote and hinder joint and integrated working between health and social care services – SCIE Research briefing 41 – May 2012

Posted on May 8, 2012. Filed under: Aged Care / Geriatrics, Health Mgmt Policy Planning, Mental Health Psychi Psychol | Tags: , , |

Factors that promote and hinder joint and integrated working between health and social care services – SCIE Research briefing 41 – May 2012

“The aim of this research briefing is to give people who provide and use social care services an overview of the research evidence for joint and integrated working by identifying and systematically describing:

different models of working between health and social care services at the strategic, commissioning and operational levels
evidence of effectiveness and cost-effectiveness
factors promoting and obstacles hindering the success of these models
the perspectives of people who use services and their carers.

This briefing updates a previous systematic review by Cameron and Lart1 that reported on the factors that promote and hinder joint working between health and social care services. Given their prominence in terms of policy debates about joint and integrated working, the briefing focuses on jointly-organised services for older people and people with mental health problems in the UK only. In line with the original review, papers have only been included in this briefing if:

they refer to an actual, rather than proposed, model of joint working
they include primary data
an evaluation of the model has been carried out.”

… continues

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