Esteban de Manuel (Kronikgune) CareWell Project coordinator 30 September 2016, Bad Hofgastein, Austria
|
|
- Anastasia Williams
- 5 years ago
- Views:
Transcription
1
2 19 TH EUROPEAN HEALTH FORUM GASTEIN DEMOGRAPHICS AND DIVERSITY IN EUROPE NEW SOLUTIONS FOR HEALTH REALITY MEETS REALITY EIP-AHA INTEGRATED CARE AND SHARING EXPERIENCE FROM IMPLEMENTING INNOVATIVE SOLUTIONS: CAREWELL PROJECT - Esteban de Manuel (Kronikgune) CareWell Project coordinator 30 September 2016, Bad Hofgastein, Austria
3 6 Regions deploying healthcare services: Basque Country (Osakidetza) Wales (Powys Health Board) Puglia Region Lower Silesian Marshal s Office Veneto Region Croatia Zagreb-Ericsson Scientific organisations: Kronikgune HiM, S.A Empirica RSD Faculty of Electrical Engineering Zagreb IFIC (new partner) HDFEZ Farmakoekonomika IRH (only in Y1) 2
4 CareWell vision Objective Provision of integrated care for frail elderly patients through ICT enabled healthcare services coordination, patient monitoring, patients self-management and informal care givers involvement. Target population Elderly people with multiple chronic diseases who have complex health care needs, are at high risk of hospital or care home admission and require a range of high-level interventions
5 Carewell approach Health System Social worker Home Patient Healthcare professionals Carer Patient identification and target group management 1. Integrated care coordination pathway Social and health care coordination/communication and information sharing 2. Patient empowerment & home support pathways Follow-up, monitoring Patient and informal caregivers empowerment
6 STUDIED POPULATION users involved in CareWell which 860 will be evaluated Total Intervention Control Total data Basque Country Croatia Lower Silesia Puglia Veneto Powys
7 Patients characteristics Age, mean (sd) Total Female Male 77.6 (7.7) 78.4 (7.9) 76.9 (7.3) 6
8 Organisational models WHO is involved in caring for and supporting patients, WHAT functions these actors perform, and HOW different ICT tools facilitate the delivery of these activities. Phone Integrated EHR Phone Therapeutic plan Pharmacologic follow-up Tests Follow-up visits Clinical assessment Clinical consultation Therapeutic plan Pharmacologic follow-up Tests Adherence to recommended shared clinical pathways Phone Integrated frail assessment Patient training/education, sel-care empowerment, coaching Organization, coordination Coordination with social care Referral community/home care nursing Adherence to care pathways with care team Telecardiology Follows stable patients Uses ICTs to support delivering healthcare and out-patient clinic for chronicity Adherence to care/clinical pathways shared with Care team Increased, progressive improvement in self-managing his/her chronic condition, involvement in decisionmaking process, pro-active attitude Phone Support specialist in delivering and managing activities Follow stable patients Activates a process of intense disease and care management Promotes team work supported by ICTs Referral to hospital Telehealth/telecare Empowered as stable patient Can be activated using n-118 and telemedicine devices by GPs, specialists, nurses, patients, caregivers, family. Phone SMS Prepare hospital discharge report Therapeutic plan Post-hospital stay follow-up Prepare hospital discharge report Therapeutic plan Post-hospital stay follow-up Clinical consultation Therapeutic plan Pharmacologic follow-up Tests Adherence to recommended shared clinical pathways Phone SMS Hospital care and cure Safety and pharmacovigilance Information and training of patients, caregivers and family on the specialist s hospital discharge prescription. Phone SMS Empowered as stable patient Follows patient in hospital pathways Puglia
9 Basque Country Croatia Lower Silesia Veneto Puglia Powys
10 Self-assesment To define the degree of maturity of eight key factors of integrated care Detect weakest points & improvement areas
11 Improvement areas
12 CareWell pathways Stable patient out of hospital care Unstable patient out of hospital care In hospital care Hospital discharge preparation GP Primary Care Patient identification (at home or healthcare centre): Assessment Therapeutic plan Follow up Additional resources needed? * Social Care * * * Telecare Centre GP / Primary Care nurse Secondary Care Emergency Primary Care Clinical assessment Therapeutic plan Home care? ehealth Centre * Scheduled admission Reference internist * Assessment Clinincal interventions Therapeutic plan Emergency Secondary Care * Day hospital Integrated social assessment Hospital nurse Social resources Hospital Social worker Social Care Social assessment Yes No Yes No Cardiologist Other specialist Pulmonogist Specific empowerment programmes Social resources Ehealth centre Telemonitoring Home hospitalization Reference internist (interconsultation) ehealth Centre Stable patient? Stable patient, additional resources needed? Yes Secondary Care Reference internist Home hospitalization Sub-acute hospital admission Primary care nurse Primary Care Follow-up: Therapeutic plan Patient training Assessments Tests Unstable patient? Yes No Yes No * Reference internist Secondary Care Coordination with Primary Care Follow-up planning No Secondary Care Discharge report (electronic) Hospital nurse 11
13 ICT tools Lower Silesia
14 Differences with usual care Services Electronic prescription Basque Wales Puglia Croatia LSV Veneto Messaging clinician <--> Patients Electronic Health Record Interconsultation Call Center Virtual Conference Personal Health Folder Nurse Information System (record of nursing care) Educational Platform Collaborative Platform Telemonitoring Multichannel Centre (Management Telecare Programs)
15 What is now different? Integrated care pathway is enhanced: Identification of frail elderly patients. Baseline comprehensive multidimensional assessment. Patients planned follow-up Increased role of nurses and GPs as care managers Coordinated hospital discharge: Improved transition Better communication between professionals Data stored and available
16 What is now different? Patient empowerment and home support: Personal Health Folders Personalised programme of integrated care Mobile app to access EHR for the district and specialist nurses to use when they make visits to patients homes. Telemonitoring services. Single databases with information for community services. Education for patients, formal and informal care givers
17 Lessons learned FACILITATORS TECHNICAL FACILITATORS ORGANIZATIONAL FACILITATORS ADMINISTRATIVE FACILITATORS ECONOMIC FACILITATORS USE OF TECHNOLOGIES ALREADY IMPLEMENTED CO-DESIGN WITH END USERS APPEALING USER EXPERIENCE TECHNICAL LITERACY SYNERGIES AMONGST PROFESSIONALS /ORGANIZATIONS ALIGNMENT WITH EXISTING PROGRAMS OR STRATEGIES SUPPORT OF LEAD CLINICIANS IN DESIGN AND PLANNING PARTICIPATION OF TOP MANAGEMENT IN DESIGN OF INTERVENTION SUPPORT OF POLICY MAKERS COMPLIANCE WITH EXISTING POLICIES, LAWS AND PLANS CO-FUNDING BY THE EUROPEAN COMMISSION LONG TERM BUSINESS VIABILITY ANALISYS SERVICE FREE OF CHARGE FOR PATIENTS TECHNOLOGY MATURITY OF VERTICAL INTEGRATION FRANCESCO MARCHET AZIENDA ULSS N.2 FELTRE PROJECT ASSEMBLY, TREVISO, FEBRUARY 18 TH 2016
18 BARRIERS TECHNICAL BARRIERS ORGANIZATIONAL BARRIERS ADMINISTRATIVE BARRIERS ECONOMIC BARRIERS ADAPTATION TO NEW TECHNOLOGY MATURITY OF THE ICT SOLUTIONS INTEROPERABILITY COMPLEXITY OF HEALTH AHD SOCIAL CARE SYSTEMS RESISTANCE TO CHANGE REQUIREMENTS FOR TOOLS ADOPTION PUBLIC PROCUREMENT MANAGEMENT OF MULTIPLE CONTRACTORS LEGAL AND ETHICAL PROCEDURES ECONOMIC CRISIS AND TRENDS PLANNED BUDGET VS REAL BUDGET FINANCIAL PROCEDURES IN PUBLIC ORGANIZATIONS INTEGRATION OF DIFFERENT ORGANIZATIONS TELECARE, EHEALTH AND mhealth FUNDING POLICIES FRANCESCO MARCHET AZIENDA ULSS N.2 FELTRE PROJECT ASSEMBLY, TREVISO, FEBRUARY 18 TH 2016
19 Evaluation High cost Organizational models Difficult to deploy (Time) Need to be assessed in daily routine Impracticality to conduct clinical trials Adoption curve has an S shape Organizations are dynamic SYSTEMATIC evaluation to analyze trends Use of administrative databases Apply Budget Impact Analysis adapted to the local context to develop a tool within the Deming s plan-do-check-act (PDCA) cycle 18 3
20 Evaluation framework 19
21 Budget impact analysis 20
22 Discrete event simulation model 21
23 RCT SIMULATION MODEL Control Group Intervention Group A&E HR Interv/Control =0,69 (0,53-0,91) Bernabei R, Landi F, Gambassi G, et al. Randomised trial of impact of model of integrated care and case management for older people living in the community.bmj : British Medical Journal. 1998;316(7141): Deployment Organizationally set objective (Delphi study) Reduction in emergencies by 2% annually with the goal or reducing by 10% in 5 years horizon 22
24 BUDGET IMPACT ANALYSIS 23 11
25 EVALUATION 24
26 CONCLUSIONS All stakeholders needs accounted for when defining new organizational models. New care pathways have to be integrated into day to day practice: care as usual Professionals role changes; requires a reorganization of tasks and new skills Involvement of decision-makers to facilitate new organization and working procedures and encourage up taking new responsibilities. Learning curve: It takes time and resources, facilitate them! BIA and predictive modeling help evaluation and decision making.
27 Thank you!
HOW THE ACG RISK STRATIFICATION TOOL IS BEING USED IN THE VENETO REGION FOR CASE FINDING PATIENTS WHO MEET THE PROJECT S ELIGIBILITY CRITERIA
CAREWELL HOW THE ACG RISK STRATIFICATION TOOL IS BEING USED IN THE VENETO REGION FOR CASE FINDING PATIENTS WHO MEET THE PROJECT S ELIGIBILITY CRITERIA FRANCESCO MARCHET, PROJECT MANAGER VENETO REGION -
More informationUSE OF SCIROCCO TOOL IN THE BASQUE COUNTRY, SPAIN
USE OF SCIROCCO TOOL IN THE BASQUE COUNTRY, SPAIN Jon Txarramendieta Kronikgune Research centre on Chronicity @ SCIROCCO_EU Basque Country s Health System Population: 2,17M Financed by tasks:.22m in 2016
More informationMATURITY MODEL FOR SCALING UP Self-assessment exercise from Puglia Region
MATURITY MODEL FOR SCALING UP Self-assessment exercise from Puglia Region Francesca Avolio Regional Healthcare Agency of Puglia WEBINAR ON B3 MATURITY MODEL 10 NOVEMEBER 2015 Integrated care in Puglia
More informationehealth in caring for people with multimorbidity in European countries
ehealth in caring for people with multimorbidity in European countries Francesco Barbabella (INRCA, Linnaeus University) on behalf of the ICARE4EU consortium Policy Issue New opportunities enabled by the
More informationREFLECTION PROCESS on CHRONIC DISEASES INTERIM REPORT
REFLECTION PROCESS on CHRONIC DISEASES INTERIM REPORT A. INTRODUCTION REFLECTION PROCESS In conclusions adopted in March 2010, the Council called upon the Commission and Member States to launch a reflection
More informationEUROPEAN INNOVATION PARTNERSHIP ON ACTIVE & HEALTHY AGEING - ERDF SYNERGY OPPORTUNITIES - Bruno DE OLIVEIRA ALVES 11 JULY 2016
EUROPEAN INNOVATION PARTNERSHIP ON ACTIVE & HEALTHY AGEING - ERDF SYNERGY OPPORTUNITIES - Bruno DE OLIVEIRA ALVES 11 JULY 2016 1. DEMOGRAPHIC CHANGE AND THE EU AGENDA 1.1. Demographic Change Societal Challenge
More informationChallenges and Innovations in Community Health Nursing
Challenges and Innovations in Community Health Nursing Diana Lee Chair Professor of Nursing and Director The Nethersole School of Nursing The Chinese University of Hong Kong An outline The changing context
More informationCorso di Informatica Medica
Università degli Studi di Trieste Corso di Laurea Magistrale in INGEGNERIA CLINICA CENNI DI TELEMEDICINA Corso di Informatica Medica Docente Sara Renata Francesca MARCEGLIA Dipartimento di Ingegneria e
More informationGalician innovation system, contribution for a healthy and active ageing
Galician innovation system, contribution for a healthy and active ageing European Innovation Partnership on Active & Healthy Ageing: Opportunity for Regions Manuel Varela Rey, 9 October 2012 Brussels Indice
More informationMalnutrition in the elderly and hospital stay
Basque Country: Malnutrition in the elderly and hospital stay Part 1: General Information Publication on EIP on AHA Portal Copyright Verification of the Good Practice Evaluation of the Good Practice Type
More informationDelivering 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 informationScotland: Living it Up
Scotland: Living it Up Part 1: General Information Publication on EIP on AHA Portal Copyright Verification of the Good Practice Evaluation of the Good Practice Type of the Good Practice No Notable practice
More informationOther EU and non EU cases of ICTenabled Integrated Care and Independent Living
SIMPHS3 Case Studies Integrated Care Other EU and non EU cases of ICTenabled Integrated Care and Independent Living Elena Villalba Mora, PhD Fundación para la Investigación Biomédica Hospital Universitario
More informationIntegrated Care. A European perspective. Loukianos Gatzoulis, Economic Analysis, DG Health and Food Safety, European Commission
Integrated Care A European perspective Loukianos Gatzoulis, Economic Analysis, DG Health and Food Safety, European Commission Integrated Services Seminar, Manchester, 5 th November 2015 Integrated Services
More informationUNIversal solutions in TElemedicine Deployment for European HEALTH care (Grant Agreement No ) D1.8 Final Report Version 1.2
ICT CIP Competitive and Innovation Programme UNIversal solutions in TElemedicine Deployment for European HEALTH care (Grant Agreement No 325215) Work Package: D1.8 Final Report Version 1.2 WP1 Version
More informationPhysician communication skills training and patient coaching by community health workers
Physician communication skills training and patient coaching by community health workers Category Title of intervention Objectives Physician communication skills training and patient coaching by community
More informationIntegrated care theory and practice. Leo Lewis Senior Fellow International Foundation for Integrated Care
Integrated care theory and practice Leo Lewis Senior Fellow International Foundation for Integrated Care Key questions What do we mean by integrated care? Why is integrated care now in fashion? Why is
More informationCumbria Rural Health Forum Alison Marshall 1, Tom Bell 2, J-Lyn Khoo 1
Cumbria Rural Health Forum Alison Marshall 1, Tom Bell 2, J-Lyn Khoo 1 1 University of Cumbria, 2 Cumbria Partnership NHS Foundation Trust International Digital Health and Care Congress, King s Fund, London,
More informationChapter 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 information04c. Clinical Standards included in the Strategic Outline Care part 1, published in December 216
0c Clinical s included in the Strategic Outline Care part, published in December 6 Clinical standards The following clinical standards were included in the Strategic Outline Case part (SOC), published
More informationCatalonia: Telemedicine services in routine care
Catalonia: Telemedicine services in routine care Fundació TICSALUT BRU 6 th December 2012] Overview of reported services: typology Two services over social media (ECOPHI, ENDOBLOC) ECOPHI : Interconsultation
More informationNation-wide Health Information System Estonian experience since 2007
Nation-wide Health Information System Estonian experience since 2007 Prof. Peeter Ross, MD, PhD Tallinn University of Technology, Estonia East Tallinn Central Hospital 08.09.2016 ehealth INNOVATION DAYS
More informationThe Whole System Demonstrator Trial: delivery, initial results and plans for the future
MATCH Colloquium 26 th June 2012 Glasgow The Whole System Demonstrator Trial: delivery, initial results and plans for the future Sharon O Callaghan WSD Newham Research and Systems Manager (nb thanks to
More informationMid and South Essex Success Regime Overview and next steps. Andy Vowles, Programme Director. 18 April 2016
Mid and South Essex Success Regime Overview and next steps Andy Vowles, Programme Director 18 April 2016 What s in this briefing Part 1 overview Background to the Success Regime Action to date The challenge
More informationPharmacovigilance: The patient s Perspective. Souzi Makri Chairperson AGORA EUPATI Fellow Executive Secretary CYPLAR President ENFA
Pharmacovigilance: The patient s Perspective Souzi Makri Chairperson AGORA EUPATI Fellow Executive Secretary CYPLAR President ENFA Scope of presentation Why is Pharmacovigilance important for patients?
More informationHuman Resource Management in Healthcare Organizations. Future use cases of ehealth and Brain Healthcare for HR management problems
Human Resource Management in Healthcare Organizations Future use cases of ehealth and Brain Healthcare for HR management problems Drivers of change Economic issue 2 Economic crisis (in Europe) 3 The sustainability
More informationTELEMEDICINE IN INTEGRATED CARE A MULTI-STAKEHOLDER PERSPECTIVE PROF. DR. KARL STROETMANN
TELEMEDICINE IN INTEGRATED CARE A MULTI-STAKEHOLDER PERSPECTIVE PROF. DR. KARL STROETMANN TELEMEDICINE IN INTEGRATED CARE A MULTI-STAKEHOLDER PERSPECTIVE PROF. KARL A. STROETMANN PHD MBA FRSM EMPIRICA
More informationPotential of the use of electronic patient information for clinical research in the pharmaceutical industry
Potential of the use of electronic patient information for clinical research in the pharmaceutical industry The case of the EHR4CR project Mats Sundgren, AstraZeneca Coordinator 1 Outline Problem statement
More informationIntegrated commissioning
Integrated commissioning NHS Norfolk and Norfolk County Council A blueprint for achieving integrated commissioning which involves comprehensive planning and attention to detail. Background Following the
More informationIntegration learning to support responding to the Parliamentary Review of Health and Social Care in Wales and the delivery of new models of care
Integration learning to support responding to the Parliamentary Review of Health and Social Care in Wales and the delivery of new models of care WelshConfed18 Integration learning to support responding
More informationThe next step in integrated care: international examples moving beyond health care
The next step in integrated care: international examples moving beyond health care Dr Viktoria Stein Head of the Integrated Care Academy International Foundation for Integrated Care www.integratedcarefoundation.org
More informationThe impact of technology: innovation to help patients Patient experience as innovation driver in healthcare technologies
The impact of technology: innovation to help patients Patient experience as innovation driver in healthcare technologies Felip MIRALLES Manager Unit ehealth 21/09/2016 innovation for the industry 2 Eurecat
More informationEUPATI PROJECT: EXECUTIVE SUMMARY
EUPATI PROJECT: EXECUTIVE SUMMARY Table of Contents 1 Overall objectives of EUPATI... 1 2 Results and successes of the EUPATI Project... 1 3 EUPATI s Future... 4 4 About this document... 5 1 Overall objectives
More informationThe Role of the Pharmacist in Value Based Health Care Systems. Len Fromer, M.D., FAAFP Assistant Clinical Professor UCLA School of Medicine
The Role of the Pharmacist in Value Based Health Care Systems Len Fromer, M.D., FAAFP Assistant Clinical Professor UCLA School of Medicine It is not the strongest of the species that survives, nor the
More informationCatalan Health Model Health Plan of Catalonia
Catalan Health Model Health Plan of Catalonia Dr. Izaro Lopez Garcia Project Coordinator at TICSalut Foundation ilopez@ticsalut.cat 3rd December 2013 1 Decentralized System Current System The Catalan healthcare
More informationTransforming Care in the NHS through Digital Technology
Transforming Care in the NHS through Digital Technology Paul Rice PhD Head of Technology Strategy NHS England 13 th April, 2015 DISCLAIMER: The views and opinions expressed in this presentation are those
More informationUsing information and technology to transform health and care
Using information and technology to transform health and care Welcome to NHS Digital We are the national information and technology partner to the health and social care system. We re at the forefront
More informationChanging Structure of Scottish Economy More Drivers for Change Economic Growth Disjoint Services Legislation Big Data Analytics Digital Policy Life Science Advances Technology Advances Cultural Public
More informatione-health LEGAL CHALLENGES
e-health LEGAL CHALLENGES European Integration and Healthcare Systems Brussels, 28 September 2007 Luba Hromkova Legal Officer Unit ICT for Health DG Information Society and Media (DG INFSO) EUROPEAN COMMISSION
More informationReducing costs through integrating health and care services
Reducing costs through integrating health and care services Similar challenges A growing, ageing population Significant increases in obesity, dementia and diabetes 2 Our accountable care system What it
More informationNURSING (MN) Nursing (MN) 1
Nursing (MN) 1 NURSING (MN) MN501: Advanced Nursing Roles This course explores skills and strategies essential to successful advanced nursing role implementation. Analysis of existing and emerging roles
More informationPatient Empowerment. Kostas Aligiannis, Policy Officer, European Patients Forum eupatientsforum
Patient Empowerment Kostas Aligiannis, Policy Officer, European Patients Forum (EPF) @ k_aligiannis @ eupatientsforum ABOUT EPF European Patients Forum Umbrella organisation Active since 2003 Independent
More informationIntegrated Care in Ireland Part of an International Family
Integrated Care in Ireland Part of an International Family Dr Nick Goodwin, CEO International Foundation for Integrated Care Forum for National Clinical & Integrated Care Programmes, Royal Hospital Kilmainham,
More informationDOCUMENT E FOR COMMENT
DOCUMENT E FOR COMMENT TABLE 4. Alignment of Competencies, s and Curricular Recommendations Definitions Patient Represents patient, family, health care surrogate, community, and population. Direct Care
More informationIntroduction Patient-Centered Outcomes Research Institute (PCORI)
2 Introduction The Patient-Centered Outcomes Research Institute (PCORI) is an independent, nonprofit health research organization authorized by the Patient Protection and Affordable Care Act of 2010. Its
More informationBuilding Partnerships and Reducing Demand through Telemedicine
Building Partnerships and Reducing Demand through Telemedicine Alex Blake TANP Digital Care Airedale NHS Foundation Trust Telemedicine Right care, right place, right time What is telemedicine? How does
More informationShakeel Sabir Head of MERIT Vanguard
MERIT Excellence, Resilience Innovation & Training Jointly developing Mental Health Service in the West Midlands Shakeel Sabir Head of MERIT Vanguard Background - New care models Multispecialty community
More informationDRAFT. Rehabilitation and Enablement Services Redesign
DRAFT Rehabilitation and Enablement Services Redesign Services Vision Statement Inverclyde CHP is committed to deliver Adult rehabilitation services that are easily accessible, individually tailored to
More informationUSAID s Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program ( )
USAID s Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program (2011-2016) IR* 1: Pharmaceutical sector governance strengthened 1.1 Good governance principles embodied across all health
More informationSocietal Challenge 1: Health, demographic change & wellbeing Bucharest - Romania Dr Cristina Pascual National Documentation Centre - EKT
Societal Challenge 1: Health, demographic change & wellbeing 20.05.2015 Bucharest - Romania Dr Cristina Pascual National Documentation Centre - EKT Horizon 2020: Societal Challenges Societal Challenge
More informationAlberta Breathes: Proposed Standards for Respiratory Health of Albertans
Alberta Breathes: Proposed Standards for Respiratory Health of Albertans The concept of Alberta Breathes and these standards was developed in consultation with over 150 health professionals and stakeholders
More informationHigh Level Pharmaceutical Forum
High Level Pharmaceutical Forum 2005-2008 Final Conclusions and Recommendations of the High Level Pharmaceutical Forum On 2 nd October 2008, the High Level Pharmaceutical Forum agreed on the following
More informationMedicines New Zealand
Implementing Medicines New Zealand 2015 to 2020 Medicines New Zealand Access Quality Optimal use Released 2015 health.govt.nz Citation: Ministry of Health. 2015. Implementing Medicines New Zealand 2015
More informationJob Description. Job title: Uro-Oncology Clinical Nurse Specialist Band: 7
Job Description Job title: Uro-Oncology Clinical Nurse Specialist Band: 7 Department: Cancer Services Hours: 37.5 (min 22.5 hrs) Reports to: Lead Nurse for Cancer We are a pioneering research active organisation
More informationSuffolk Health and Care Review
Suffolk Health and Care Review Update on Health and Social Care System Redesign and Re-commissioning of GP Out of Hours, 111 and Community Healthcare services An Insight into the Health and Social Care
More informationEquality & Rights Action Plan
Equality & Action Plan 2013-17 This document outlines the actions we will take to work towards our Equality & Outcomes. Outcomes not processes An outcome is an end result, for example having staff who
More informationDraft Commissioning Intentions
The future for Luton s primary care services Draft Commissioning Intentions 2013-14 The NHS will have less money to spend over the next three years. Overall, it has to make 20 billion of efficiency savings
More informationPersonalised Health and Care 2020: Next steps
Personalised Health and Care 2020: Next steps Paul Rice PhD Head of Technology Strategy NHS England www.england.nhs.uk Better use of data and technology has the power to improve health, transforming
More informationThree Year Business Plan
Three Year Business Plan 2017 2020 Table of contents Board Chair Message 4 Overview 6 Mandate 8 Vision, mission and values 10 Lines of business 12 Stakeholders 16 Strategic issues and priorities 18 On
More informationMetrics for integrated care: What should we measure to know that care is improving?
Metrics for integrated care: What should we measure to know that care is improving? Better Care Support Team Webinar Deborah Rozansky, SCIE Associate 27 June 2018 Webinar learning objectives To understand
More informationBetter care, better health - towards a framework for better continence solutions
Better care, better health - towards a framework for better continence solutions Introduction A Summary of Stakeholder Perspectives on the Optimum Continence Service Specification The 5th Global Forum
More informationIntegration of health services in Europe: Future Challenges. Integracio de serveis de salut a Europa: Reptes de futur. Juan Tello
Integration of health services in Europe: Future Challenges Integracio de serveis de salut a Europa: Reptes de futur Juan Tello WHO European Centre on Primary Health Care Health Services Delivery Programme
More informationActing Together: How to continue to provide high quality and universally accessible health services in a financially sustainable way in Europe.
Acting Together: A Roadmap for Sustainable Healthcare How to continue to provide high quality and universally accessible health services in a financially sustainable way in Europe. Recommendations and
More informationCapturing the value of SCOPE to the EU Flagship Event London, 23 November 2016
Capturing the value of SCOPE to the EU Flagship Event London, 23 November 2016 Helen Lee European Commission, Health and Food Safety Directorate General Outline of the presentation Characterisitics of
More informationDigitalisation enhancing voice of elderly
Digitalisation enhancing voice of elderly PIRKKO KOURI PhD, PHN, RN Principal Lecturer in Healthcare Technology Coordinator for the Master programme development group in Savonia UAS China collaboration
More informationEMPOWER Support of patient empowerment by an intelligent self-management pathway for patients
EMPOWER Support of patient empowerment by an intelligent self-management pathway for patients Workshop 7th Framework Program funded ehealth systems for diabetes" ATTD 2014, Vienna, February 5, 2014 Manuela
More informationUNIversal solutions in TELemedicine Deployment for European HEALTH care
UNIversal solutions in TELemedicine Deployment for European HEALTH care Deploying Telehealth in Routine Care: Regulatory Perspectives Industry Report on Telemedicine Legal and Regulatory Framework EHTEL
More informationSystems not Structures: shaping the future of health and social care in NI
Systems not Structures: shaping the future of health and social care in NI Professor Deirdre Heenan Professor Rafael Bengoa Date 9 May 2017 ulster.ac.uk Systems not Structures This paper will cover: Context
More informationHorizon 2020 calls on. Health, Demographic change and Well-being
Horizon 2020 calls on Health, Demographic change and Well-being Health Working group @ ERRIN, 23-02-2017 Frédéric Suche, National Contact Point for Health - fsu@impulse.brussels @NCP_brussels Supported
More informationJob Description. Job title: Gynae-Oncology Clinical Nurse Specialist Band: 7. Department: Cancer Services Hours: 30
Job Description Job title: Gynae-Oncology Clinical Nurse Specialist Band: 7 Department: Cancer Services Hours: 30 Reports to: Lead Nurse for Cancer We are a pioneering research active organisation and
More informationTelehealth and Telemedicine
Telehealth and Telemedicine Foundational Curriculum: Cluster 6: System Connectivity Module 11: Telehealth, Telemedicine and mhealth Unit 1: Telehealth and Telemedicine 34/60 Curriculum Developers: Angelique
More informationThe Health Literacy Framework will focus on people with chronic conditions and complex care needs, including people with mental illness.
Northern NSW Health Literacy Framework June 2016 Background The Northern NSW Local Health District (NNSW LHD) and North Coast Primary Health Network (NCPHN) have a shared commitment to creating an integrated
More informationIntegrated heart failure service working across the hospital and the community
Integrated heart failure service working across the hospital and the community Lynne Ruddick Professional Lead (South) British Heart Foundation 31st October 2017 Heart Failure is an epidemic. NICE has
More informationImproving General Practice for the People of West Cheshire
Improving General Practice for the People of West Cheshire Huw Charles-Jones (GP Chair, West Cheshire Clinical Commissioning Group) INTRODUCTION There is a growing consensus that the current model of general
More informationThe Prevention and Health Promotion Strategy of the Spanish NHS: Framework for Addressing Chronic Disease in the Spanish NHS Spain
The Prevention and Health Promotion Strategy of the Spanish NHS: Framework for Addressing Chronic Disease in the Spanish NHS Spain Title in original language: Estrategia de Promoción de la Salud y Prevención
More informationIntegrated Care theme / Long Term Conditions priority
Integrated Care theme / Long Term Conditions priority Professor Ruth Chambers OBE Clinical lead for LTC priority/clinical lead for Flo telehealth exemplar of Integrated Care WMAHSN Integrated Care & other
More informationBig data in Healthcare what role for the EU? Learnings and recommendations from the European Health Parliament
Big data in Healthcare what role for the EU? Learnings and recommendations from the European Health Parliament Today the European Union (EU) is faced with several changes that may affect the sustainability
More informationNorthern Melbourne Medicare Local COMMISSIONING FRAMEWORK
Northern Melbourne Medicare Local INTRODUCTION The Northern Melbourne Medicare Local serves a population of 679,067 (based on 2012 figures) residing within the municipalities of Banyule, Darebin, Hume*,
More informationehealth and patient empowerment: A patient perspective
ehealth and patient empowerment: A patient perspective Walter Atzori EPF Senior Programme Officer PALANTE Conference Addressing ehealth innovation challenges Empowering patients Brussels, 6 November 2013
More informationAn overview of evaluations of initiatives to reduce emergency admissions. Sarah Purdy December 1st 2014
An overview of evaluations of initiatives to reduce emergency admissions Sarah Purdy December 1st 2014 Which emergency admissions are avoidable? Ambulatory care sensitive conditions (ACSC) are conditions
More information6 TH CALL FOR PROPOSALS: FREQUENTLY ASKED QUESTIONS
6 TH CALL FOR PROPOSALS: FREQUENTLY ASKED QUESTIONS MARCH 2018 Below are some of the most common questions asked concerning the R2HC Calls for Proposals. Please check this list of questions before contacting
More informationBackground paper. Cross-border healthcare in the EU
Background paper Cross-border healthcare in the EU May 2018 1 Healthcare systems in Europe are under pressure because of an ageing population and budgetary constraints. Sometimes, the healthcare that citizens
More informationREPORT 1 FRAIL OLDER PEOPLE
REPORT 1 FRAIL OLDER PEOPLE Contents Vision f-3 Principles / Parameters f-4 Objectives f-6 Current Frail Older People Model f-8 ABMU Model for Frail and Older People f-11 Universal / Enabling f-12 Specialist
More informationDelivering the Five Year Forward View Personalised Health and Care 2020
Paper Ref: NIB 0607-006 Delivering the Five Year Forward View Personalised Health and Care 2020 INTRODUCTION The Five Year Forward View set out a clear direction for the NHS showing why change is needed
More informationAgenda Item 3.3 IMPLEMENTATION OF SETTING THE DIRECTION - WHOLE SYSTEMS CHANGE PROGRESS UPDATE
FOR INFORMATION UHB Board Meeting: 17 January 2012 IMPLEMENTATION OF SETTING THE DIRECTION - WHOLE SYSTEMS CHANGE PROGRESS UPDATE Report of Paper prepared by Executive Summary Director of Public Health
More informationPrimary Health Care in the European Region of WHO. Pim de Graaf, MD, MPH Advisor for Primary Health Care WHO/EURO
Primary Health Care in the European Region of WHO Pim de Graaf, MD, MPH Advisor for Primary Health Care WHO/EURO Bojnice, Slovakia, October 17, 2008 WHO European Region: 53 Member States The future of
More informationJan Taco te Gussinklo. On behalf of the Dutch Association for ehealth (NVEH), The Netherlands
Jan Taco te Gussinklo On behalf of the Dutch Association for ehealth (NVEH), The Netherlands Trends in ehealth: The e-patient More patients want to take more control of their own health. (Mobile) internet
More informationHorizon Health
Horizon 2020- Health 2018-2020 Ms Sasha Hugentobler, PhD., National Contact Point Health, Demographic change and well being Ms Agnes Szeberenyi, Scientific Collaborator Health Euresearch Head Office health@euresearch.ch
More informationContinuity of Care Maturity Model Going Beyond EMRAM
Continuity of Care Maturity Model Going Beyond EMRAM H. Stephen Lieber President and CEO HIMSS Model supported by Presentation version 6-11-2015 Model Information http://himssanalytics.org/ccmm THE EUROPEAN
More informationSCOTTISH 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 informationMilton Keynes CCG Strategic Plan
Milton Keynes CCG Strategic Plan 2012-2015 Introduction Milton Keynes CCG is responsible for planning the delivery of health care for its population and this document sets out our goals over the next three
More informationCOUNCIL OF THE EUROPEAN UNION. Brussels, 23 September /13 LIMITE SAN 304
COUNCIL OF THE EUROPEAN UNION Brussels, 23 September 2013 12983/13 LIMITE SAN 304 NOTE from: to: Subject: General Secretariat of the Council Working Party on Public Health at Senior Level Reflection process:
More informationJoining up ICT and service processes for quality integrated care in Europe
Joining up ICT and service processes for quality integrated care in Europe Background National welfare & health systems and regional/local support practices are developing more and more specialisation
More informationMental Health Engagement Network (MHEN): Facilitating Mobile Patient Centric Care
Mental Health Engagement Network (MHEN): Facilitating Mobile Patient Centric Care Presentation Outline MHEN Project Context MHEN Project Results and Findings Lessons Learned and Implications Sandbox Mental
More informationSYMPHONY. The Extensivist. A new role for GPs and Physicians. Dr Ian Wyer and Dr Jo Cummings South Somerset Symphony Vanguard
SYMPHONY PERSON-CENTRED, CO-ORDINATED CARE The Extensivist A new role for GPs and Physicians Dr Ian Wyer and Dr Jo Cummings South Somerset Symphony Vanguard The Need A need for preventative care to avoid
More informationDate: 17 th January 2014 Author: Sylvia Morrsion, Head of Primary Care and Community Services
(Paper No 13/171) Renfrewshire Community Health Partnership Committee Date: 17 th January 201 Author: Sylvia Morrsion, Head of Primary Care and Community Services Agenda Item: Change Fund Mid-ear Review
More informationWhat Canadians Think Do we really know?
What Canadians Think Do we really know? 2015 Shelagh Maloney, Vice President, Communications June 2, 2015 Introduction Since 2010, has been tracking Canadians attitudes and perceptions about digital health,
More informationWork Package 6 SKILLS AND COMPETENCIES NEEDED FOR THE CASE MANAGEMENT TRANING PROGRAMME. THE CURRICULA OF CASE MANAGER.
Work Package 6 SKILLS AND COMPETENCIES NEEDED FOR THE CASE MANAGEMENT TRANING PROGRAMME. THE CURRICULA OF CASE MANAGER. Graziano Onder Federica Mammarella AIFA Background II JA CHRODIS WP6 already achieved
More informationPartnering with Patients to Drive Safety and Quality
Partnering with Patients to Drive Safety and Quality CLINICAL EXCELLENCE COMMISSION Virginia Armour Program Manager, Patient Based Care 2 November 2015 AHHA Patient engagement and the patient experience
More informationPrevention and control of healthcare-associated infections
Prevention and control of healthcare-associated infections Quality improvement guide Issued: November 2011 NICE public health guidance 36 guidance.nice.org.uk/ph36 NHS Evidence has accredited the process
More information