Tag Archives: Integrated Multi-Agency Care

Where Best Next Campaign: Reducing Length of Hospital Stay (NHS England)

Posted on August 19, 2019 by Dementia and Elderly Care News

Summary Approximately 350,000 patients spend more than three weeks in a hospital each year, often with poor outcomes: “Many older people, particularly those who are frail and may have dementia, actually deteriorate while in hospital – a stay of more … Continue reading →

Posted in Acute Hospitals, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Health Education England (HEE), Integrated Care, Local Interest, Management of Condition, National, NHS, NHS England, NHS Improvement, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Practical Advice, Quick Insights, UK, Universal Interest | Tagged ActNow: an e-Learning Tool (e-LfH), Acute Frailty Network (AFN), Acute Frailty Services, Better Care Support Programme, Care Closer to Home, Clinical Criteria for Discharge (CCD), Comprehensive Geriatric Assessment (CGA), Criteria Led Discharge, Deconditioning, Delayed Transfers of Care, Delayed Transfers of Care (DETOCs), Discharge, Discharge at a Reasonable Time, Discharge Coordination, Discharge Coordinators, Discharge From General Inpatient Hospital Settings, Discharge Into the Care Sector, Discharge Patient Tracking List, Discharge Planning, Discharge Support, Dr Taj Hassan: President of Royal College of Emergency Medicine, e-Learning for Health (e-LfH) Hub (HEE), Emergency Care Intensive Support Team, Emergency Care Intensive Support Team (ECIST), Emergency Medicine and Urgent Care, End PJ Paralysis, Expected Date of Discharge, Expected Date of Discharge (EDD), Foci for Maximum Impact in Reducing Length of Stay, Guide to Reducing Long Hospital Stays: NHS Improvement, Health and Social Care Integration, Healthcare Associated Infections, Healthcare Associated Infections: Patient Safety, HEE: Health Education England, Hilary Garratt: Deputy Chief Nursing Officer for England, Holistic Needs Assessment (HNA), Home First: Supporting Patient Choice, Hospital-Associated Functional Decline: Role of Hospitalisation Processes, Identifying and Managing Frailty at the Front Door, Improving Hospital Discharge Into Care Sector, Improving Patient Care, Integrated Multi-Agency Care, Kettering General Hospital NHS Foundation Trust, Length of Stay (LoS), Local Government Association, Long-Stay Patient Reviews, Long-Stay Patients, Multi-Agency Collaboration, Multi-Agency Integration, Multi-Agency Working, Multi-Disciplinary and Multi-Agency Working, Multiagency Teams, Patient Deconditioning Effect Related to Hospital Bed Rest (aka Pyjama Paralysis / PJ Paralysis), Patient Harms, Patient Harms and Harm Free Care, Patient Safety, PDSA (Plan-Do-Study-Act) Cycles, People First: Manage What Matters, Plan Do Study and Act (PDSA), Professor Stephen Powis: NHS England's National Medical Director, Pyjama Paralysis, Quality Improvement, Reducing Healthcare Associated Infections in Hospitals, Reducing Hospital Length of Stay, Reducing Length of Hospital Stay, Reducing Length of Stay (RLoS) Programme, Reducing Long Stays (Where Best Next Campaign - NHS England) Principle 1: Plan for Discharge From the Start, Reducing Long Stays (Where Best Next Campaign - NHS England) Principle 2: Involve Patients and Families in Discharge Decisions, Reducing Long Stays (Where Best Next Campaign - NHS England) Principle 3: Establish Systems and Processes for Frail People, Reducing Long Stays (Where Best Next Campaign - NHS England) Principle 4: Embed Multi-Disciplinary Team Reviews, Reducing Long Stays (Where Best Next Campaign - NHS England) Principle 5: Encourage a Supported Home First Approach, Reducing Unnecessary Admissions, Reducing Unscheduled Admissions, Reducing Waste in Dementia Care, Reducing Waste in the NHS, Rockwood Clinical Frailty Score, Royal College of Emergency Medicine (RCEM), SAFER Patient Flow Bundle, South Warwickshire NHS Foundation Trust, South Warwickshire NHS Foundation Trust (SWFT), Supported Home First Approaches, What Matters Most (Healthwatch), Where Best Next Campaign (NHS England August 2019), Where Best Next? Campaign (NHS England), Why Not Home: Why Not Today, Why Not Home? Why Not Today? Campaign | Leave a comment

Blueprint for Complex Care: Care for Individuals with Complex Health and Social Needs (National Center for Complex Health and Social Needs / IHI / Duke University / NIHR)

Posted on December 29, 2018 by Dementia and Elderly Care News

Summary The latest Institute for Healthcare Improvement (IHI) report covers multi-disciplinary and multi-agency approaches to better coordination in the provision of care for individuals with complex health and social needs, from a USA perspective. “The Blueprint for Complex Care is a joint … Continue reading →

Posted in Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Health Foundation, Integrated Care, International, Local Interest, Management of Condition, Non-Pharmacological Treatments, Person-Centred Care, Quick Insights, Royal Wolverhampton NHS Trust, Standards, Universal Interest, Wolverhampton | Tagged Accountable Care Organisations (ACOs), Accountable Care Organisations (in United States and England), Accountable Health Communities, Adult Social Care for People with Complex Needs, Advancing Integrated Care in England: Practical Path for Care Transformation, Ageing Population, Barriers to Integrated Care, Barriers to Integration, Barriers to Integration: Different Funding Models, Barriers to Integration: Different Workforce Cultures, Barriers to Integration: Difficulties in Effective Information Sharing, Barriers to Integration: Organisational Integration, Blueprint for Complex Care, Bridgespan Group: Strong Field Framework, Camden Coalition of Healthcare Providers (CCHP), Care of Frail Older People With Complex Needs, Center for Health Care Strategies, Center for Medicare and Medicaid Innovation (CMMI), Commonwealth Fund, Community Outreach, Complex Care, Complex Care and Multimorbidity, Complex Care Champions, Complex Care Ecosystem, Complex Chronic Conditions, Complex Comorbidities, Complex Conditions, Complex Needs, Complex Patients at Risk of Hospital Admission, Conceptual Model: Starter Taxonomy for High-Need Patients, Cross-Sector Partnerships, Data Sharing, Data Sharing for Better Health, Dr Robin Miller: Deputy Director of Health Services Management Centre at University of Birmingham, Duke University, Duke-Margolis Center for Health Policy, Effective Care for High Need Patients: National Academy of Medicine (NAM) Report, Global Health Innovation Center: Duke University, Health Care Innovation Awards, Health Services Management Centre (HSMC): University of Birmingham, Health Services Management Centre: University of Birmingham, HSMC: University of Birmingham, IHI: Institute for Healthcare Improvement, Innovation Accelerator Program, Institute for Healthcare Improvement, Institute for Healthcare Improvement (IHI), Integrated Care Partnerships and Accountable Care Organisations, Integrated Multi-Agency Care, Lived Experience, Medication Management, Multi-Agency Collaboration, Multi-Agency Integration, Multi-Agency Working, Multi-Disciplinary and Multi-Agency Working, National Center for Complex Health and Social Needs, National Institute for Health Research (NIHR), National Institute for Health Research Health Services and Delivery Research Programme, National Institute for Health Research Signal, NIHR Signal, Organisational Competencies to Accelerate Care Improvements, Outreach Services, Quality Improvement, Quality Measures, Robert and Lisa Margolis Family Foundation, Robert Wood Johnson Foundation, Robert Wood Johnson Foundation (RWJF), SCAN Foundation, School of Health and Related Research (ScHARR): University of Sheffield, Strong Field Framework, United States, University of Sheffield, USA, Value-Based Payments (VBP), Variability in Implementation (of Integrated Care), Vertical Integration, Vertical Integration (of Primary and Secondary Care) | Leave a comment

Improving Patient Care by Reducing Length of Hospital Stay (NHS Improvement / NHS England)

Posted on June 14, 2018 by Dementia and Elderly Care News

Summary The NHS, with the cooperation of local authorities, plans to reduce unnecessarily long stays in hospital for patients by a quarter. The aim is to free-up over 4,000 beds in readiness for anticipated Winter pressures on hospitals. Currently, around … Continue reading →

Posted in Acute Hospitals, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, Models of Dementia Care, National, NHS, NHS England, NHS Improvement, Non-Pharmacological Treatments, Person-Centred Care, Practical Advice, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged 6As for Managing Emergency Admissions, Ambulatory Emergency Care, Ambulatory Emergency Care (AEC), Ambulatory Emergency Care (Improving Patient Flow in Urgent and Emergency Care), Better Use of Care at Home, Breaking the Cycle SAFER Patient Flow Bundle, Care Closer to Home, Clinical Criteria for Discharge, Clinical Criteria for Discharge (CCD), Criteria Led Discharge, Daily Transfers of Care (DTOC), Deconditioning, Delayed Transfers of Care, Delayed Transfers of Care (DETOCs), Discharge, Discharge at a Reasonable Time, Discharge Coordination, Discharge Coordinators, Discharge From General Inpatient Hospital Settings, Discharge Into the Care Sector, Discharge Planning, Discharge Support, Discharge to Assess (D2A) Model, Emergency Day Care, Emergency Medicine and Urgent Care, Expected Date of Discharge, Expected Date of Discharge (EDD), Foci for Maximum Impact in Reducing Length of Stay, Guide to Reducing Long Hospital Stays: NHS Improvement, Health and Social Care Integration, Health and Social Care Multiagency Peer Reviews, Hospital-Associated Functional Decline: Role of Hospitalisation Processes, Ian Dalton: Chief Executive of NHS Improvement, Improving Hospital Discharge Into Care Sector, Improving Patient Care, Integrated Care Pathway for Frailty, Integrated Multi-Agency Care, Length of Stay (LoS), Local Multiagency Dementia Partnerships, Long-Stay Patient Reviews, Long-Stay Patients, Multi-Agency Collaboration, Multi-Agency Integration, Multi-Agency Working, Multi-Disciplinary and Multi-Agency Working, Multiagency Discharge Event (MADE), Multiagency Teams, New Front Door to Urgent and Emergency Care Services, NHS Confederation Conference (2018), Patient Administration System (PAS), Patient Deconditioning Effect Related to Hospital Bed Rest (aka Pyjama Paralysis / PJ Paralysis), Patient Harms, Patient Harms and Harm Free Care, Patient Safety, PDSA (Plan-Do-Study-Act) Cycles, Plan Do Study and Act (PDSA), Pyjama Paralysis, Quality Improvement, Rachel Power: Chief Executive of Patients Association, Red2Green Days, Reducing Hospital Length of Stay, Reducing Inappropriate Accident and Emergency Department Attendances, Reducing Length of Hospital Stay, Reducing Unnecessary Admissions, Reducing Unscheduled Admissions, Reducing Waste in Dementia Care, Reducing Waste in the NHS, SAFER Patient Flow Bundle, SAFER Patient Flow Bundle and Red2Green Days (Improving Patient Flow in Urgent and Emergency Care), Sally Copley: Director of Policy and Campaigns at Alzheimer’s Society, Supporting Patients’ Choices To Avoid Long Hospital Stays, Why Not Home: Why Not Today (reducingdtoc.com) | Leave a comment

New Models of Care in Community Neurology (Neurological Alliance / Thames Valley Strategic Clinical Network)

Posted on June 26, 2016 by Dementia and Elderly Care News

Summary Thames Valley Strategic Clinical Network has published an extensive “Transforming Community Neurology: What Commissioners Need to Know” briefing, on improving community services for people with long-term neurological conditions. This report comprises three parts: Part A: Transformation Guide. Part B: … Continue reading →

Posted in Commissioning, Community Care, Depression, End of Life Care, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Integrated Care, Local Interest, Management of Condition, Mental Health, National, NHS, Non-Pharmacological Treatments, Parkinson's Disease, Patient Care Pathway, Person-Centred Care, Physiotherapy, Quick Insights, Standards, Telecare, Telehealth, UK, Universal Interest | Tagged 3-Tier Framework of Care Stratification, 5YFV: NHS Five Year Forward View, Access to Care, Access to Community Rehabilitation and Support Services, Admission Avoidance, Aggregated Data, Arlene Wilkie: Chief Executive of Neurological Alliance, Barnet Community Neuro Conditions Management Team, Benchmarking, Benchmarking Tools, Benefits of Community Models of Care, Block Contracts and Payments-by-Results (PbR), Capacity Payments, Capitated Payments, Capitation Models, Care Closer to Home, Care Co-ordination, Care Planning, Care Planning (Community), care.data, Carer Support Services, Carer’s Surveys, Carers Alert Thermometer, Carers and Families, Case Study Report on Sandwell, Changing Lives Reintegration Service (Tyneside), Changing Lives: Community Integration Service, Charity and Patient Organisation User Groups, Child and Adolescent Mental Health Services Payment Project, Clinical Commissioning Groups (CCGs), CNCMT: Community Neuro Conditions Management Team, Colchester Community Neuro-Rehabilitation Team, Colchester Neuro Rehab Team, Colchester Neuro-Rehabilitation Team, Commissioning for Parity of Esteem, Community Care Models, Community Comorbidity Management, Community Information Data Set (CIDS), Community Neuro Conditions Management Team, Community Neurology Conference (June 2016), Community Neurology Project, Community Neurology Services, Community Neurology Services: What Commissioners Need to Know, Community Outreach, Community Outreach Rehabilitation, Community Patient Currencies, Community Rehabilitation and Support, Community Service Funding Arrangements, Community-Based Care, Community-Based Services, Community-Based Support, Core Team Competencies, Cost(s) of Neurological Conditions, Cumbria Headache Forum, Cumbria Partnership NHS Foundation Trust, Currencies for Healthcare Services, Data Aggregation, Data Linked by NHS Number, Data Linking, Dawn Langdon: Royal Holloway University of London, Dementia Long-Term Services, Dr Rishi Mannan: NHS Windsor Ascot and Maidenhead CCG, Dudley Joint Commissioning Strategy for Long Term Neurological Conditions, E-Health, Epilepsy Action’s Commissioning Toolkit, Equipment and Accommodation, Factors Affecting Costs of Neurological Care, Failure to Meet Patients’ Needs, Features of New Care Models, Feedback Mechanisms, Five Year Forward View (NHS England), Funding Flows, Gold Standards Framework, Gold Standards Framework (GSF), GP Clinical Systems, GP Patient Survey, Health Inequalities, Hospice-Based Educational Support (To Patients), Identifying Patients’ Needs and Priorities, Ignoring Mental Health, Improving Access to Psychological Therapies (IAPT), Inappropriate Hospital Admissions, Independence, Integrated Community Neurology Care Pathways, Integrated Multi-Agency Care, Integrating Care Pathways, Integration of Physical and Mental Health, Interaction between Physical and Mental Health, Interface Between Primary and Secondary Care, International Consortium for Health Outcomes Measurement (ICHOM), Jill Kings: Clinical Director of Neural Pathways, Joanne Ross: Assistant Director of Neurological Services at Sue Ryder, Levels of Intervention, Living With Neurological Conditions, Local Variations, LOHO Project, Long Term Neurological Conditions, Long-Term Care (LTC), Long-Term Care and Support, Long-Term Conditions, Long-Term Conditions and Dementia, Longitudinal Care-Cycle Evaluation (UK-ROC), Lorn and Oban Healthy Options (LOHO) Project, Maintaining Independence, Managing Cognitive Difficulties in Community Neurology, Managing Emotional Distress in Community Neurology, Mark Stone: NHS Patient Partner, Mental Health and Well-Being in Community Neurology Services, Mental Health Currencies, Mental Well-Being, Mental Wellbeing, Merging the Interfaces of Primary and Secondary Care, Multi-Agency Collaboration, Multi-Agency Integration, Multi-Agency Working, Multispeciality Community Providers (MCPs), Multispecialty Community Providers (MCPs), National Service Framework for Long Term ConditionsNational Service Framework for Long Term Conditions, Needs of Carers, Needs-Based Services, Neural Pathways (UK), Neuro Case Management Service (CMS), Neurological Alliance, Neurological Alliance Regional Groups, Neurological Conditions, Neurological Datasets, Neurological Disease, Neurological Disorders, Neurological Problems, Neurology Care Pathways, Neurology Datasets and Benchmarking, Neurology Intelligence Network (NIN) Data, Neurology-Specific Measures, New Models of Care, New Models of Care in Community Neurology, NHS East Midlands Strategic Clinical Network, NHS England’s Five Year Forward View, NHS Five Year Forward View (5YFV), NHS Homerton City and Hackney CCG, NHS Homerton City and Hackney CCG: Parkinson’s Pathway, NHS Nottingham City CCG, NHS Outcomes Framework, NHS RightCare, NHS RightCare Commissioning for Value Packs for CCGs, NHS Windsor Ascot and Maidenhead CCG, NIHR CLAHRC Wessex, NIHR Collaboration for Leadership in Applied Health Research and Care (CLAHRC) Wessex, Northumberland Tyne and Wear NHS Foundation Trust, Nottingham CityCare, Nottingham CityCare Community Neurology Team, Optimising Mental Well Being, Overarching Measures, Oxfordshire Neurological Alliance, Palliative Care, Parity of Esteem, Parkinson’s Pathway, Patient Experience Surveys, Patient Groups and Forums, Patient Reported Outcome Measures (PROMs), Patients Technology and Data at the Heart of Transformation, Payment Mechanisms, Permanent Feedback Channels, Personal Health Budgets (PHBs), Place-Based Planning, Poor Coordination, Practical and Emotional Support, Public Accounts Committee (PAC), Redesigning Services, Reducing Hospital Length of Stay, Reducing Unplanned Hospital Admissions, Reference Reports, Risk Stratification, Royal Free Hospital: Neuro Rehabilitation Centre, Sarah Marsh: LTC Clinical Policy and Strategy Unit at NHS England, Secondary Uses Service (SUS) Data, Self-Care, Self-Management, Sentinel Stroke National Audit Programme (SSNAP), Service Redesign, Services Reducing Use of Hospitals, Sheffield Health and Social Care Foundation Trust, Sheffield Neuro Case Management Service, Short and Long-Term Neuro-Rehabilitation Services, Socio-Economic Burden of Long-Term Neurological Conditions, Southampton and Royal Holloway London Universities, St Clare Hospice in West Essex, Staying Independent, Stephen Williams: Community Neurology Project, Stratification of Care (Levels 1-3), Sue Ryder, Sunderland and Gateshead CABIS, Sunderland and Gateshead Community Acquired Brain Injury Service (CABIS), Supporting Family and Carers, Supporting Self-Care, Sustainability, Sustainability and Transformation Plan (STP), Tees Valley Durham and North Yorkshire (TVDNY) Neurological Alliance, Thames Valley SCN, Thames Valley Strategic Clinical Network, Thames Valley Strategic Clinical Network (SCN), Third Sector Organisations, Three-Tier Framework of Care Stratification, Tier 1: Care Coordination, Tier 2: Needs Led Intervention, Tier 3: Self Care, Transforming Community Neurology, TVDNY Neurological Alliance, UK Rehabilitation Outcomes Collaborative, Unacceptable Variations, Unpaid Carers, Vanguard Sites, Variations in Quality of Care, Variations in Service, Variety of Neurological Conditions, Vertical Integration (of Primary and Secondary Care), Vocational Rehabilitation, West Essex Neuro Community Team, West Essex Neurological Community Team, Windsor Ascot and Maidenhead Clinical Commissioning Group, Year of Care Model, Zameel Cader: Clinical Director for Mental Health Neurology and Dementia at Thames Valley Strategic Clinical Network | Leave a comment

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