MEMORANDUM TO THE HEALTH WAIKATO ADVISORY COMMITTEE AGENDA ITEM 4.2

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "MEMORANDUM TO THE HEALTH WAIKATO ADVISORY COMMITTEE AGENDA ITEM 4.2"

Transcription

1 MEMORANDUM TO THE HEALTH WAIKATO ADVISORY COMMITTEE 10 JUNE 2015 AGENDA ITEM 4.2 Subject Unplanned Acute Readmission Presentation By Author Mark Spittal, Group Manager & Thames Purpose of the Presentation To update the Committee on how is performing in relation to readmissions rates. Key Points Ministry reporting on readmission rates has been suspended for all DHBs due to technical issues. Hospital benchmarks its rates against peer facilities. The Planned Discharge Project is the vehicle through which improvements are being targeted. Recommendation(s) That the report be received.

2 REDUCING UNPLANNED READMISSIONS Introduction Unplanned readmission rates are an important indication of service quality. The Ministry of Health routinely monitors DHB readmission rates as one of the Ownership Indicators. DHB performance has not met the Ministry s KPI for some time. However, reporting against this indictor has been suspended for all DHBs from this quarter due to technical issues in the way the KPI has been measured. It is anticipated that the methodology, which dates back to the early 1990s, will be significantly overhauled. Consequently there is uncertainty about how s true performance compares to other DHBs. Australian Comparisons Notwithstanding the issues with the Ministry s reporting at DHB level, within this DHB Hospital actively contributes to a benchmarking programme with a large number of hospitals in Australia and New Zealand. These Health Round Table comparisons indicate Hospital s readmission rate has improved after a deterioration in the first quarter of Hospital s unplanned 280-day readmission rate now sits below that of other tertiary hospitals. However, at just below the 75th percentile, further improvement is desirable. This is compounded by the fact s internal reporting uses a different methodology again, which tends to report a higher rate than the Ministry s KPI. Notwithstanding these technical issues, unplanned readmissions are an important issue and work is underway as part of the discharge project to achieve a reduction in those that are preventable. The data that we receive from the Health Roundtable is anonymised. The following tables show our trends, and comparisons with other like institutions. Page 1

3 There are several specific conditions for which the unplanned readmission rates indicate further enhancement to the system of care is desirable. For example, unplanned readmission rates following acute myocardial infarction are low relative to other New Zealand tertiary hospitals, but also show a highly seasonal pattern that peaks in winter when admissions also peak. This suggests the overall rate can be improved if risk factors that affect the rate in winter can be mitigated. Page 2

4 Page 3

5 Unplanned Readmissions Post-Acute MI (Trend) Unplanned readmission rates do not necessarily reflect overall service performance. For example, the unplanned readmission rate following hip replacements is low at (0.9%), but the unplanned readmission rate for knee replacements is high relative to peer hospitals, being just above the 75th percentile at 3.1%. The rate for knee replacements has been well below the 75th percentile since January 2013, but spiked in the final quarter of before returning to be below that percentile in the first quarter of Ongoing monitoring will confirm whether the hospital is back within the expected range. The HRT benchmarking has flagged readmission rates follow tonsillectomy and adenoidectomy as an area that requires focus. Unplanned Readmissions Post-Tonsillectomy & Adenoid Ectomy (Trend) Page 4

6 These rates spiked during the 2014 calendar year which has made rank poorly, relative to its peers (17th out of 19) Report Card Caution must be taken, however. This result relates to 5 patients out of 371 and the readmission rate has dropped significantly (although still high) in the last quarter. also had a high rate of readmissions within 28 days following post-natal discharge in the last half of 2014 but normally tracks close to the 50th percentile. Again, this aspect of performance is being monitored. Post-Natal Readmissions: HRT Comparison These benchmarks indicate that readmission rates are highly related to particular conditions and can fluctuate significantly. Trend analysis over time is therefore the best indicator of performance. Preventable Readmissions The international evidence is that the most effective tactics for reducing readmissions are designed to achieve two simple objectives: 1. Ensure patients (and whānau support) know how to care for themselves when they leave hospital. 2. Ensure patients receive the follow-up medical attention they need to keep their condition(s) under control. The tactics that best support these objectives are obvious. 1. Ensure timely and appropriate referral to post-acute care. 2. Improve discharge planning by empowering the patients to self-manage, improve medicine reconciliation, and facilitate timely physician follow-up. Page 5

7 These tactics reinforce the basic imperative for seamless cross-continuum care. Some effective interventions have included incentivising timely follow-up in the primary care setting, and a focus on medicine reconciliation has shown repeated success. Local Content The Patient Flow Workstream of the Sustainability Programme has already identified the need to overhaul discharge planning, discharge documentation (content and timeliness), and communication between hospital-based carers and those in residential and primary care settings. That work will be a specific focus for the planned discharge project in the first two quarters of the 2015/16 year. Alongside that it is imperative the quality of discharge documentation is improved. Enhancements to the electronic discharge summary, to make it easier to complete and reduce the need for duplicated transcription, are also planned for the 2015/16 financial year as part of the Information Technology workstream of the Sustainability Programme. It is imperative that the timeliness of communication with primary care is enhanced. The most obvious tactic to achieve that is to replace postal systems with electronic transmission of patient event and discharge information to GPs. Some innovative Canadian hospitals have now moved beyond those basic steps to create Virtual Wards in which primary care providers collaborate with secondary specialists to manage patients who are at high risk of readmission. These more innovative opportunities are equally applicable at, but the initial focus for improvement is getting back to the basics - communicating with patients, whānau and the professionals who contribute to their post-discharge care much more effectively. The plan to achieve these improvements, and report progress against them, will be reported to the SAC Committee of the Board as part of the Patient Flow Workstream over the next nine months. Conclusion Rates of unplanned readmission are an important quality indicator. s rate of readmission can and should be improved. Recent benchmarking indicates that has recovered from a negative spike in performance at the end of the year, however, further improvement is eminently achievable. The key to reducing readmission rates is the same as those for improving discharge. The local evidence is that there is considerable room to further improve how patients and their whānau are prepared for discharge, how post-discharge care is arranged and how primary care practitioners (nursing and medical) are communicated with so they can more effectively collaborate in post-discharge care. These issues will be progressively addressed through the Patient Flow Workstream of the Sustainability Plan over the course of the next nine months. Mark Spittal Group Manager & Thames Hospitals Page 6

Delivering Local Health Care

Delivering Local Health Care Delivering Local Health Care Accelerating the pace of change Contents Joint foreword by the Minister for Health and Social Services and the Deputy Minister for Children and Social Services Foreword by

More information

South Warwickshire s Whole System Approach Transforms Emergency Care. South Warwickshire NHS Foundation Trust

South Warwickshire s Whole System Approach Transforms Emergency Care. South Warwickshire NHS Foundation Trust South Warwickshire s Whole System Approach Transforms Emergency Care South Warwickshire NHS Foundation Trust South Warwickshire s Whole System Approach Transforms Emergency Care South Warwickshire NHS

More information

Admission Avoidance (Rapid Response Team) Presenter: Karen Derrick Commissioning Manager Integrated Care team Camden Clinical Commissioning Group

Admission Avoidance (Rapid Response Team) Presenter: Karen Derrick Commissioning Manager Integrated Care team Camden Clinical Commissioning Group Admission Avoidance (Rapid Response Team) Presenter: Karen Derrick Commissioning Manager Integrated Care team Camden Clinical Commissioning Group Admission Avoidance (Rapid Response Team) Background The

More information

Business Plan Summary

Business Plan Summary Owner: 2012-2016 Business Plan Summary Program Social & Health Services Service grouping Primary Health Care Services Service Type Public Service Neal Roberts, Director, Emergency Services Department,

More information

Overview. Dr Stephen Gulliford & AKI Specialist Nurse Suzanne Wilson Page 1

Overview. Dr Stephen Gulliford & AKI Specialist Nurse Suzanne Wilson Page 1 Improving Patient Safety and Reducing Harm through the Development of an Acute Kidney Injury Specialist Service at Wrightington, Wigan and Leigh NHS Foundation Trust Overview Acute Kidney Injury (AKI)

More information

Performance audit report. Effectiveness of arrangements to check the standard of rest home services: Follow-up report

Performance audit report. Effectiveness of arrangements to check the standard of rest home services: Follow-up report Performance audit report Effectiveness of arrangements to check the standard of rest home services: Follow-up report Office of the Auditor-General PO Box 3928, Wellington 6140 Telephone: (04) 917 1500

More information

Online library of Quality, Service Improvement and Redesign tools. Discharge planning. collaboration trust respect innovation courage compassion

Online library of Quality, Service Improvement and Redesign tools. Discharge planning. collaboration trust respect innovation courage compassion Online library of Quality, Service Improvement and Redesign tools Discharge planning collaboration trust respect innovation courage compassion Discharge planning What is it? A specific targeted discharge

More information

etcp/tcam electronic Transfer of Care to Pharmacy A Transfer of Care Around Medicine

etcp/tcam electronic Transfer of Care to Pharmacy A Transfer of Care Around Medicine etcp/tcam electronic Transfer of Care to Pharmacy A Transfer of Care Around Medicine Frequently asked A help guide to support community pharmacists in dealing with electronic discharges via etcp. October

More information

Benchmarking variation in coding across hospitals in Canada: A data surveillance approach

Benchmarking variation in coding across hospitals in Canada: A data surveillance approach Benchmarking variation in coding across hospitals in Canada: A data surveillance approach Lori Kirby Canadian Institute for Health Information October 11, 2017 lkirby@cihi.ca cihi.ca @cihi_icis Outline

More information

Benefits of delegated commissioning: a case study

Benefits of delegated commissioning: a case study Benefits of delegated commissioning: a case study NHS Bolton CCG January 2017 www.england.nhs.uk 1 NHS Bolton CCG This case study will be of interest if you want to know how delegated commissioning can:

More information

Streamlined Consumer Assessment for Aged Care

Streamlined Consumer Assessment for Aged Care Streamlined Consumer Assessment for Aged Care cohealth 1) Design Principles (see chapter 3 of the discussion paper) Are the proposed design principles appropriate for a streamlined assessment model? Are

More information

South East LHIN 2016/2017 QIP Snapshot Report. Health Quality Ontario The provincial advisor on the quality of health care in Ontario

South East LHIN 2016/2017 QIP Snapshot Report. Health Quality Ontario The provincial advisor on the quality of health care in Ontario South East LHIN 2016/2017 QIP Snapshot Report Health Quality Ontario The provincial advisor on the quality of health care in Ontario INTRODUCTION Purpose To give each Local Health Integration Network (LHIN)

More information

Health Care Home Model of Care Requirements

Health Care Home Model of Care Requirements Health Care Home Model of Care Requirements Contents Introduction Health Care Home Model of Care Requirements 2 1. Domain: Urgent and Unplanned Care 4 2. Domain: Proactive Care for those with more complex

More information

Integrated Care in Tower Hamlets. Workshop Tuesday April 30 th :00 to 18:00 Mile End Education Centre

Integrated Care in Tower Hamlets. Workshop Tuesday April 30 th :00 to 18:00 Mile End Education Centre Integrated Care in Tower Hamlets Workshop Tuesday April 30 th 2013 16:00 to 18:00 Mile End Education Centre Integrated Care-CHS Workshop April 30 th 2013 4.00 p.m. to 6.00 p.m. Room 5a and 5b, Mile End

More information

MENTAL HEALTH AHHA PRIMARY HEALTH NETWORK DISCUSSION PAPER SERIES: PAPER TWO

MENTAL HEALTH AHHA PRIMARY HEALTH NETWORK DISCUSSION PAPER SERIES: PAPER TWO MENTAL HEALTH AHHA PRIMARY HEALTH NETWORK DISCUSSION PAPER SERIES: PAPER TWO INTRODUCTION In April 2015 the Commonwealth Health Minister, the Honourable Sussan Ley, announced the establishment of 31 new

More information

Auckland DHB Strategy to 2020

Auckland DHB Strategy to 2020 Our Vision Healthy communities World-class healthcare Achieved together Kia kotahi te oranga mo te iti me te rahi o te hāpori Our Strategic Themes Community, family/whānau and patientcentric model of healthcare

More information

NATIONAL PATIENT EXPERIENCE SURVEY IN NEW ZEALAND. Benefits that come from running a national programme

NATIONAL PATIENT EXPERIENCE SURVEY IN NEW ZEALAND. Benefits that come from running a national programme NATIONAL PATIENT EXPERIENCE SURVEY IN NEW ZEALAND Benefits that come from running a national programme BACKGROUND In 2014 New Zealand s Health Quality and Safety Commission (The Commission) embarked on

More information

CCDM Programme Standards

CCDM Programme Standards CCDM Programme Standards Standard 1.0 CCDM Governance Standard 1.0 The CCDM governance councils (organisation and ward/unit) ensure that care capacity demand management is planned, coordinated and appropriate

More information

Utilisation Management

Utilisation Management Utilisation Management The Utilisation Management team has developed a reputation over a number of years as an authentic and clinically credible support team assisting providers and commissioners in generating

More information

2015 JSNA. Outcomes Frameworks April 2016

2015 JSNA. Outcomes Frameworks April 2016 2015 JSNA Outcomes Frameworks April 2016 1 2 3 7 10 15 Summary CCG Outcomes Framework NHS Outcomes Framework Local Authority Public Health Outcomes Framework Adult Social Care Outcomes Framework Summary

More information

NLG(18)341. DATE OF MEETING September Trust Board of Directors Public REPORT FOR. Dr Kate Wood, Acting Medical Director REPORT FROM

NLG(18)341. DATE OF MEETING September Trust Board of Directors Public REPORT FOR. Dr Kate Wood, Acting Medical Director REPORT FROM NLG(18)341 DATE OF MEETING September 2018 REPORT FOR Trust Board of Directors Public REPORT FROM Dr Kate Wood, Acting Medical Director CONTACT OFFICER Dr Kate Wood, Acting Medical Director SUBJECT Mortality

More information

NHS ENGLAND BOARD PAPER

NHS ENGLAND BOARD PAPER Paper: PB.24.05.2018/05 Title: NHS ENGLAND BOARD PAPER Mental Health Programme Update Lead Director: Claire Murdoch, Senior Responsible Officer Mental Health Purpose of Paper: To provide an update on the

More information

Canterbury District Health Board

Canterbury District Health Board Canterbury District Health Board Current Status: 2 September 2014 The following summary has been accepted by the Ministry of Health as being an accurate reflection of the Surveillance Audit conducted against

More information

Kingston Hospital NHS Foundation Trust Length of stay case study. October 2014

Kingston Hospital NHS Foundation Trust Length of stay case study. October 2014 Kingston Hospital NHS Foundation Trust Length of stay case study October 2014 The hospital has around 520 beds and provides acute medical services for a population of around 320,000 in Kingston, Richmond,

More information

Economic and Social Council

Economic and Social Council United Nations Economic and Social Council Distr.: General 20 December 2002 Original: English Statistical Commission Thirty-fourth session 4-7 March 2003 Item 3 (b) of the provisional agenda* Demographic

More information

Preventing and Minimising Gambling Harm. Three-year service plan 2010/ /13

Preventing and Minimising Gambling Harm. Three-year service plan 2010/ /13 Preventing and Minimising Gambling Harm Three-year service plan 2010/11 2012/13 i Citation: Ministry of Health. 2010. Preventing and Minimising Gambling Harm: Three-year service plan 2010/11 2012/13. Wellington:

More information

WAITING TIMES 1. PURPOSE

WAITING TIMES 1. PURPOSE Agenda Item Meeting of Lanarkshire NHS Board 28 April 2010 Lanarkshire NHS board 14 Beckford Street Hamilton ML3 0TA Telephone 01698 281313 Fax 01698 423134 www.nhslanarkshire.org.uk WAITING TIMES 1. PURPOSE

More information

ADULT ACUTE INPATIENT SERVICES TIER LEVEL THREE SERVICE SPECIFICATION

ADULT ACUTE INPATIENT SERVICES TIER LEVEL THREE SERVICE SPECIFICATION on behalf of all DHBs ADULT ACUTE INPATIENT SERVICES TIER LEVEL THREE SERVICE SPECIFICATION STATUS: Approved for recommended use for nationwide non-mandatory description of services to be provided. RECOMMENDED

More information

Co-design Partners in Care case study

Co-design Partners in Care case study Co-design Partners in Care case study Understanding experience from multiple perspectives choice and decision making in acute care (Hutt Valley District Health Board) Context Demand for acute services

More information

Learning from Adverse Events Adverse Events Reported to the Health Quality & Safety Commission 1 July 2015 to 30 June 2016

Learning from Adverse Events Adverse Events Reported to the Health Quality & Safety Commission 1 July 2015 to 30 June 2016 Learning from Adverse Events Adverse Events Reported to the Health Quality & Safety Commission 1 July 2015 to 30 June 2016 What is an adverse event? Embargoed to 12 noon, Thursday 10 November 2016 An adverse

More information

Mental Health Crisis Pathway Analysis

Mental Health Crisis Pathway Analysis Mental Health Crisis Pathway Analysis Contents Data sources Executive summary Mental health benchmarking project (Provider) Access Referrals Caseload Activity Workforce Finance Quality Urgent care benchmarking

More information

PHARMAC has withheld some material from this Minute in accordance with section 6a of the Official Information Act 1982

PHARMAC has withheld some material from this Minute in accordance with section 6a of the Official Information Act 1982 PHARMAC has withheld some material from this Minute in accordance with section 6a of the Official Information Act 1982 Minutes of the PHARMAC Consumer Advisory Committee (CAC) meeting Friday 6 March 2009

More information

2020 Objectives July 2016

2020 Objectives July 2016 ... 2020 Objectives July 2016 1 About NHS Improvement NHS Improvement is responsible for overseeing NHS foundation trusts, NHS trusts and independent providers. We offer the support these providers need

More information

2018 Optional Special Interest Groups

2018 Optional Special Interest Groups 2018 Optional Special Interest Groups Why Participate in Optional Roundtable Meetings? Focus on key improvement opportunities Identify exemplars across Australia and New Zealand Work with peers to improve

More information

Dr Karen Franks, Consultant in Old Age Psychiatry Gateshead Health Foundation Trust Dr Kate Andrews, Counselling Psychologist Northumberland, Tyne

Dr Karen Franks, Consultant in Old Age Psychiatry Gateshead Health Foundation Trust Dr Kate Andrews, Counselling Psychologist Northumberland, Tyne Dr Karen Franks, Consultant in Old Age Psychiatry Gateshead Health Foundation Trust Dr Kate Andrews, Counselling Psychologist Northumberland, Tyne and Wear Foundation Mental Health Trust Our involvement

More information

Value based Purchasing Legislation, Methodology, and Challenges

Value based Purchasing Legislation, Methodology, and Challenges Value based Purchasing Legislation, Methodology, and Challenges Maryland Association for Healthcare Quality Fall Education Conference 29 October 2009 Nikolas Matthes, MD, PhD, MPH, MSc Vice President for

More information

13. Community-Driven Projects Project 1: Care Transitions a. CI: Care Transition Teams

13. Community-Driven Projects Project 1: Care Transitions a. CI: Care Transition Teams 13. Community-Driven Projects Project 1: Care Transitions a. CI: Care Transition Teams b. Project Selection Rationale and Expected Outcomes Region 7 selected Care Transition Teams as a community-driven

More information

Reducing emergency admissions

Reducing emergency admissions A picture of the National Audit Office logo Report by the Comptroller and Auditor General Department of Health & Social Care NHS England Reducing emergency admissions HC 833 SESSION 2017 2019 2 MARCH 2018

More information

National GP Patient Survey Results July National % Falmouth Road % Question CCG % 60% 65% 69% 66% 81% 87% 77% 86% 89% 70% 83% 87% 81% 91% 93%

National GP Patient Survey Results July National % Falmouth Road % Question CCG % 60% 65% 69% 66% 81% 87% 77% 86% 89% 70% 83% 87% 81% 91% 93% National GP Patient Survey Results July 2018 Question Falmouth Road % CCG % National % % of patients who find it easy to get through to this GP practice by phone 56% 73% 70% % of patients who find the

More information

NHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING DORSET BETTER CARE FUND UPDATE. C Ryan - West Better Care Fund Project Manager

NHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING DORSET BETTER CARE FUND UPDATE. C Ryan - West Better Care Fund Project Manager NHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING DORSET BETTER CARE FUND UPDATE Date of the meeting 14/11/2018 Author Sponsoring Board member Purpose of Report Recommendation Stakeholder

More information

AIM MEASURE CHANGE Quality Dimension Objective 2018 / 2019 Measure/ Indicator Current Performance Target Initiative Number

AIM MEASURE CHANGE Quality Dimension Objective 2018 / 2019 Measure/ Indicator Current Performance Target Initiative Number s Process Measures Goal for change ideas Timely Reduce Wait Times in the Emergency Department (ED) -Complex patients ED LOS - CTAS 1-3 pts admitted and discharged 13.1

More information

Our vision. Ambition for Health Transforming health and social care services in Scarborough, Ryedale, Bridlington and Filey

Our vision. Ambition for Health Transforming health and social care services in Scarborough, Ryedale, Bridlington and Filey Ambition for Health Transforming health and social care services in Scarborough, Ryedale, Bridlington and Filey Our vision www.ambitionforhealth.co.uk Contents 1.0 Introduction: A shared ambition for health

More information

Proposal for the Development of ENT Services Royal Victoria Eye and Ear Hospital

Proposal for the Development of ENT Services Royal Victoria Eye and Ear Hospital EXECUTIVE SUMMARY Proposal for the Development of ENT Services Royal Victoria Eye and Ear Hospital The Royal Victoria Eye and Ear Hospital (RVEEH) is a world class specialist hospital in ophthalmology

More information

Engineering Vacancies Report

Engineering Vacancies Report Engineering Vacancies Report April 2017 Author: Mark Stewart Engineers Australia 11 National Circuit, Barton ACT 2600 Tel: 02 6270 6555 Email: publicaffairs@engineersaustralia.org.au www.engineersaustralia.org.au

More information

Media Kit. August 2016

Media Kit. August 2016 Media Kit August 2016 Please contact External Communications and Media Advisor, Ali Jones on 027 247 3112 / ali@alijonespr.co.nz Or Maria Scott, The College Communications Advisor on 03 372 9744 / 021

More information

Islington Practice Based Mental Health Care: Roll-out plans and progress

Islington Practice Based Mental Health Care: Roll-out plans and progress Report to: Board of Directors (Public) Paper number: 3.2 Report for: Information Date: 26 th October 2017 Report author/s: Emily van de Pol, Divisional Director, Community Mental Health and Primary Care

More information

Sussex and East Surrey STP narrative

Sussex and East Surrey STP narrative Sussex and East Surrey STP narrative What is the STP? The Sussex and East Surrey Sustainability and Transformation Partnership (STP) outlines how the NHS and social care will work together to improve and

More information

Key Highlights

Key Highlights Working as a team with our many partners across Ontario s health care system, the Ontario Association of Community Care Access Centres (OACCAC) and Community Care Access Centres (CCACs) are helping transform

More information

The PCT Guide to Applying the 10 High Impact Changes

The PCT Guide to Applying the 10 High Impact Changes The PCT Guide to Applying the 10 High Impact Changes This Guide has been produced by the NHS Modernisation Agency. For further information on the Agency or the 10 High Impact Changes please visit www.modern.nhs.uk

More information

Meeting people s needs A Wales Cancer Alliance Policy Paper Summer 2017

Meeting people s needs A Wales Cancer Alliance Policy Paper Summer 2017 Meeting people s needs A Wales Cancer Alliance Policy Paper Summer 2017 Meeting people s needs: overview More work needs to be done to meet the needs of patients, both as they undergo treatment for cancer

More information

Marginal Rate Emergency Threshold. Executive Summary

Marginal Rate Emergency Threshold. Executive Summary Part 1 meeting of the Castle Point and Rochford CCG Governing Body held on 29 th September 2016 Agenda item 16 Marginal Rate Emergency Threshold Submitted by: Prepared by: Status: Robert Shaw, Joint Director

More information

Healthwatch Kent Enter & View Programme 2016 Winter Pressures Feb 2016

Healthwatch Kent Enter & View Programme 2016 Winter Pressures Feb 2016 Healthwatch Kent Enter & View Programme 2016 Winter Pressures Feb 2016 Healthwatch Kent undertook a series of visits to Accident & Emergency Departments in Kent to talk to staff and patients about their

More information

NHS TRAFFORD CLINICAL COMMISSIONING GROUP GOVERNING BODY Date

NHS TRAFFORD CLINICAL COMMISSIONING GROUP GOVERNING BODY Date Agenda Item No. Part 1 X Part 2 NHS TRAFFORD CLINICAL COMMISSIONING GROUP GOVERNING BODY Date Title of Report Purpose of the Report CCG strategic objectives, priorities, and commissioning intentions The

More information

Submission to the Senate Select Committee on Health

Submission to the Senate Select Committee on Health Committee Secretary Senate Select Committee on Health PO Box 6100 Parliament House Canberra ACT 2600 19 September 2014 Submission to the Senate Select Committee on Health Dear Sir/Madam, Thank you for

More information

NHS South Gloucestershire CCG and North Bristol NHS Trust Performance Update

NHS South Gloucestershire CCG and North Bristol NHS Trust Performance Update Appendix 2 NHS South Gloucestershire CCG and North Bristol NHS Trust Performance Update 1. Introduction The purpose of the report is to provide a summary overview of current performance concerns at North

More information

Capital & Coast DHB System Level Measures Improvement Plan 2016/17

Capital & Coast DHB System Level Measures Improvement Plan 2016/17 Capital & Coast DHB System Level Measures Improvement Plan 2016/17 Written by: Astuti Balram, ICC Programme Manager, on behalf of the CCDHB Integrated Care Collaborative (ICC) Alliance Version 4 Released

More information

School based initiatives

School based initiatives Prime Minister s Youth Mental Health Project Improving youth mental health FACT SHEET School based initiatives Schools provide an effective way to reach young people who may experience mental health problems

More information

Nottingham University Hospitals Emergency Department Quality Issues Related to Performance

Nottingham University Hospitals Emergency Department Quality Issues Related to Performance RCCG/GB/14/123 Nottingham University Hospitals Emergency Department Quality Issues Related to Performance Introduction NUH have failed to meet the 95% 4 hour wait standard for a number of consecutive months.

More information

Productivity Commission s Report on Government Services 2018

Productivity Commission s Report on Government Services 2018 Productivity Commission s Report on Government Services 2018 How South Australia compares with other states and territories for selected health performance indicators March 2018 Health Performance Council

More information

What do the numbers say about emergency readmissions to hospital? October 2017

What do the numbers say about emergency readmissions to hospital? October 2017 What do the numbers say about emergency readmissions to hospital? October 2017 Admissions to hospital and delayed transfers of care (DTOCs) are wellmonitored and understood, but information about the number

More information

SOUTHAMPTON UNIVERSITY HOSPITALS NHS TRUST Trust Key Performance Indicators April Regular report to Trust Board

SOUTHAMPTON UNIVERSITY HOSPITALS NHS TRUST Trust Key Performance Indicators April Regular report to Trust Board SOUTHAMPTON UNIVERSITY HOSPITALS NHS TRUST Trust Key Indicators April 2011 Report to: Trust Board 24 May 2011 Report from: Sponsoring Executive: Aim of Report / Principle Topic: Review History to date:

More information

FHA HIIN Readmissions Peer Sharing Webinar: Improving Care Transitions through a Discharge Lounge. July 24, 2018

FHA HIIN Readmissions Peer Sharing Webinar: Improving Care Transitions through a Discharge Lounge. July 24, 2018 FHA HIIN Readmissions Peer Sharing Webinar: Improving Care Transitions through a Discharge Lounge July 24, 2018 Welcome & Overview How are we doing on Reducing Readmissions? Peer Sharing Presentation:

More information

Discharge to Assess Standards for Greater Manchester

Discharge to Assess Standards for Greater Manchester Discharge to Assess Standards for Greater Manchester 1 Contents 1. Introduction... 3 2. Definition of Discharge to Assess... 3 3. Discharge to Assess Pathways... 4 4. Greater Manchester Standards for Discharge

More information

A new integrated model for Care Homes from Walsall CCG/Healthcare NHS Trust

A new integrated model for Care Homes from Walsall CCG/Healthcare NHS Trust A new integrated model for Care Homes from Walsall CCG/Healthcare NHS Trust Sally Roberts - Director of Governance, Quality & Safety. Walsall CCG Katie Welborn Advanced Nurse Practitioner- Walsall Healthcare

More information

Integrated Pharmacist Services in the Community

Integrated Pharmacist Services in the Community Integrated Pharmacist Services in the Community A summary of what we have heard Feedback from: the National Stakeholder Forum, November 2015 the local fora held by District Health Boards, February 2016

More information

Lets talk: Our Communities, Our Health Co-design are you there yet? Dr. Lynne Maher, Director for Innovation, Ko Awatea, Counties Manukau Health

Lets talk: Our Communities, Our Health Co-design are you there yet? Dr. Lynne Maher, Director for Innovation, Ko Awatea, Counties Manukau Health Lets talk: Our Communities, Our Health Co-design are you there yet? Dr. Lynne Maher, Director for Innovation, Ko Awatea, Counties Manukau Health Lets start with some questions. How many of you have ever

More information

Performance Improvement Bulletin

Performance Improvement Bulletin SPECIAL DELIVERY UNIT/ NATIONAL TREATMENT PURCHASE FUND Issue No.1 08/12 Performance Improvement Bulletin Featured Work underway - Maximum Waiting Time Targets 2 Case Study No. 1 Galway & Roscommon University

More information

Commissioning Strategy Governing Body 4 th July 2013

Commissioning Strategy Governing Body 4 th July 2013 Commissioning Strategy 2013-2018 Governing Body 4 th July 2013 1 The Case for Change Context & Challenges The Vision A Case Study for Long-Term Conditions The Vision & Strategic Outcomes Transforming Local

More information

Trust Board 26 th July Integrated Performance Dashboard: June Purpose of the report. Analysis of the issue. Proposal.

Trust Board 26 th July Integrated Performance Dashboard: June Purpose of the report. Analysis of the issue. Proposal. Trust Board 26 th July 2018 Integrated Performance Dashboard: June 2018 R Purpose of the report This report provides the integrated performance dashboard for month three of the 2018/19 financial year.

More information

POSITION DESCRIPTION

POSITION DESCRIPTION POSITION DESCRIPTION Position details: Title: Reports to: Reports professionally to: Date: Charge Nurse Te Whetu Tawera Nurse Manager Nurse Director Mental Health and Addiction Healthcare Service Group

More information

SERVICES & MEMBER SUBSCRIPTION

SERVICES & MEMBER SUBSCRIPTION 2019 SERVICES & MEMBER SUBSCRIPTION Improving outcomes: new and enhanced services for 2019 In response to feedback from many members, as well as health sector developments, we have extended our services

More information

Emergency admissions to hospital: managing the demand

Emergency admissions to hospital: managing the demand Report by the Comptroller and Auditor General Department of Health Emergency admissions to hospital: managing the demand HC 739 SESSION 2013-14 31 OCTOBER 2013 4 Key facts Emergency admissions to hospital:

More information

Ayrshire and Arran NHS Board

Ayrshire and Arran NHS Board Paper 12 Ayrshire and Arran NHS Board Monday 29 August 2016 Unscheduled Care Author: Kirstin Dickson, Head of Service - Planning and Performance Cameron Sharkey, Programme Manager - Building for Better

More information

General Practice/Hospitals Transfer of Care Arrangements 2013

General Practice/Hospitals Transfer of Care Arrangements 2013 General Practice/Hospitals Transfer of Care Arrangements 2013 1. Introduction As the population ages and the incidence of chronic disease increases more patients are suffering from multiple chronic conditions

More information

Frequently Asked Questions (FAQ) Updated September 2007

Frequently Asked Questions (FAQ) Updated September 2007 Frequently Asked Questions (FAQ) Updated September 2007 This document answers the most frequently asked questions posed by participating organizations since the first HSMR reports were sent. The questions

More information

13 July Approve x Ratify For Discussion For Information

13 July Approve x Ratify For Discussion For Information NHS North Cumbria CCG Primary Care Commissioning Committee Agenda Item 13 July 2017 8 Gain share 16/17 approval of GP practice funding Purpose of the Report The CCG agreed a gain-share arrangement in 2016/17

More information

COMPLAINTS /PALS MERTON CLINICAL COMMISSIONGING GROUP

COMPLAINTS /PALS MERTON CLINICAL COMMISSIONGING GROUP COMPLAINTS /PALS MERTON CLINICAL COMMISSIONGING GROUP Annual Report 2016/17 1 Date Version Author Notes August 2017 One Chris Baker COMPLAINTS REPORT... 3 DEFINITION OF SERVICES... 3 COMPLAINTS AND PALS

More information

Heart to Heart: Partnership to improve outcomes for Chronic Heart Failure Patients in western Sydney

Heart to Heart: Partnership to improve outcomes for Chronic Heart Failure Patients in western Sydney Innovation Awards November 2014 Melbourne Heart to Heart: Partnership to improve outcomes for Chronic Heart Failure Patients in western Sydney Western Sydney Local Health District: Naomi Van Steel Hospital

More information

EXECUTIVE SUMMARY: briefopinion: Hospital Readmissions Survey. Purpose & Methods. Results

EXECUTIVE SUMMARY: briefopinion: Hospital Readmissions Survey. Purpose & Methods. Results briefopinion: Hospital Readmissions Survey EXECUTIVE SUMMARY: Purpose & Methods The purpose of this survey was to collect information about hospital readmission rates and practices. The survey was available

More information

Health System Outcomes and Measurement Framework

Health System Outcomes and Measurement Framework Health System Outcomes and Measurement Framework December 2013 (Amended August 2014) Table of Contents Introduction... 2 Purpose of the Framework... 2 Overview of the Framework... 3 Logic Model Approach...

More information

Joint Board Meeting Unscheduled Care

Joint Board Meeting Unscheduled Care Joint Board Meeting 12.10.12 Unscheduled Care Report originally prepared for Quality & Safety Committee in September 2012 1 This report provides a broad summary for the Quality & Safety Committee on the

More information

September 6, RE: CY 2017 Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems Proposed Rule

September 6, RE: CY 2017 Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems Proposed Rule September 6, 2016 VIA E-MAIL FILING Centers for Medicare & Medicaid Services Department of Health and Human Services Attention: CMS-1656-P P.O. Box 8013 Baltimore, MD 21244-1850 RE: CY 2017 Hospital Outpatient

More information

Imagine Inspire Innovate...and Integrate

Imagine Inspire Innovate...and Integrate Imagine Inspire Innovate...and Integrate Dr Anne Hendry National Clinical Lead for Integrated Care JIT is a strategic improvement partnership between the Scottish Government, NHSScotland, COSLA and the

More information

Digital ehealth. Empowering Transformation

Digital ehealth. Empowering Transformation Digital ehealth Empowering Transformation ehealth Digital: Supporting Patients and Services What have we done locally? The case of Mr Crosbie Looking forward Scotland s strategy and our plans Where will

More information

Operations Director, Specialist Community & Regional Services Clinical Director, Mental Health Director of Nursing

Operations Director, Specialist Community & Regional Services Clinical Director, Mental Health Director of Nursing TO Hospital Advisory Committee FROM Operations Director, Specialist Community & Regional Services Clinical Director, Mental Health Director of Nursing DATE 26 August 2014 SUBJECT Mental Health Review MEMORANDUM

More information

SCOTTISH BORDERS HEALTH & SOCIAL CARE INTEGRATED JOINT BOARD UPDATE ON THE DRAFT COMMISSIONING & IMPLEMENTATION PLAN

SCOTTISH BORDERS HEALTH & SOCIAL CARE INTEGRATED JOINT BOARD UPDATE ON THE DRAFT COMMISSIONING & IMPLEMENTATION PLAN Appendix-2016-59 Borders NHS Board SCOTTISH BORDERS HEALTH & SOCIAL CARE INTEGRATED JOINT BOARD UPDATE ON THE DRAFT COMMISSIONING & IMPLEMENTATION PLAN Aim To bring to the Board s attention the Scottish

More information

New Regional Hospital Questions & Answers

New Regional Hospital Questions & Answers New Regional Hospital Questions & Answers 1. There have been so many numbers tossed around, comparing beds and rooms in the current facility, to what is proposed in the new. Can you please explain the

More information

Guideline scope Intermediate care - including reablement

Guideline scope Intermediate care - including reablement NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Guideline scope Intermediate care - including reablement Topic The Department of Health in England has asked NICE to produce a guideline on intermediate

More information

Engineering Vacancies Report

Engineering Vacancies Report Engineering Vacancies Report 2017 Update February 2018 Author: Mark Stewart Engineers Australia 11 National Circuit, Barton ACT 2600 Tel: 02 6270 6555 Email: publicaffairs@engineersaustralia.org.au www.engineersaustralia.org.au

More information

SOUTHAMPTON UNIVERSITY HOSPITALS NHS TRUST National Inpatient Survey Report July 2011

SOUTHAMPTON UNIVERSITY HOSPITALS NHS TRUST National Inpatient Survey Report July 2011 SOUTHAMPTON UNIVERSITY HOSPITALS NHS TRUST 2010 National Inpatient Survey Report July 2011 Report to: Trust Board - 2 nd August 2011 Report from: Sponsoring Executive: Aim of Report: Joanne Dimmock, Head

More information

Lorne Community Hospital. Service Plan. Discussion Paper March 2011

Lorne Community Hospital. Service Plan. Discussion Paper March 2011 Lorne Community Hospital Service Plan Discussion Paper March 2011 Lorne Community Hospital is seeking the development of a service plan to guide the development of its services over the next five to ten

More information

Nesta Lloyd Jones, Policy and Public Affairs Manager, the Welsh NHS Confederation. Tel:

Nesta Lloyd Jones, Policy and Public Affairs Manager, the Welsh NHS Confederation. Tel: Briefing for Assembly Members for the Welsh Conservatives debate on Wednesday 11 January 2017 on winter preparedness 2016/17. Contact Nesta Lloyd Jones, Policy and Public Affairs Manager, the Welsh NHS

More information

Integrated Services. Dr Steve Cartwright Clinical Executive for Integration and Partnerships Andrew Hindle - Commissioning Manager for Integration

Integrated Services. Dr Steve Cartwright Clinical Executive for Integration and Partnerships Andrew Hindle - Commissioning Manager for Integration Integrated Services Dr Steve Cartwright Clinical Executive for Integration and Partnerships Andrew Hindle - Commissioning Manager for Integration Dudley CCG: context CCG registered population = 312,000

More information

Chapter 2. At a glance. What is health coaching? How is health coaching defined?

Chapter 2. At a glance. What is health coaching? How is health coaching defined? Chapter 2 What is health coaching? This chapter describes: What health coaching is and it s applications How health coaching relates to wider systems and programmes of care How health coaching relates

More information

Translating Research into Practice. Prof Stephen Lord and Dr Ros Poulos

Translating Research into Practice. Prof Stephen Lord and Dr Ros Poulos Translating Research into Practice Prof Stephen Lord and Dr Ros Poulos Translating research into practice workshop NHMRC Capacity Building Grant (2005-2009) 2 national meetings (2006,2007) discussed ways

More information

Chatham-Kent Health Alliance 2017/18 Recovery Plan

Chatham-Kent Health Alliance 2017/18 Recovery Plan Chatham-Kent Health Alliance 2017/18 Recovery Plan 1 P a g e Executive Summary Background: The Chatham-Kent Health Alliance (CKHA) has operated at a deficit for many years, leading to a precarious financial

More information

Cabinet. Prevention at Scale update. Date of Meeting 7 June 2017

Cabinet. Prevention at Scale update. Date of Meeting 7 June 2017 Cabinet Date of Meeting 7 June 2017 Cabinet Member(s) Cllr Rebecca Knox Leader of the Council Cllr Tony Ferrari Cabinet Member for Community and Resources Lead Director(s) Sam Crowe, Deputy Director of

More information

Quality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario

Quality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario Quality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario 2015-2016 3/31/2015 This document is intended to provide health care organizations in Ontario with guidance as to how they

More information

CMS Proposed Payment Rule FY Cheryl Phillips, MD Evvie Munley

CMS Proposed Payment Rule FY Cheryl Phillips, MD Evvie Munley CMS Proposed Payment Rule FY 2017 Cheryl Phillips, MD Evvie Munley Key Points The link for the full rule: https://www.gpo.gov/fdsys/pkg/fr-2016-04- 25/pdf/2016-09399.pdf Comments due CoB 6/20/16 You do

More information