Search results for ‘Subject term:"integrated services"’ Sort:
Results 1 - 10 of 134
Everyone focused on the patient
- Author:
- SONOLA Lara
- Journal article citation:
- Health Service Journal, 124(6383), 24 January 2014, pp.22-23.
- Publisher:
- Emap Healthcare
Pilot programmes have been conducted across Canada to to evaluate the PRISMA approach to coordinating care for people with long term conditions. The approach, developed in 1994, uses an integrated service delivery network of health and social care providers along side case management delivered by multidisciplinary teams. The author compares some of the key findings from this evaluation with recent results from the recent King's Fund project on coordinated care. Factors highlighted are: developing care coordination models from the bottom up, allowing relationships to develop; the need to tailor programmes to individual populations; and the need to to allow sufficient time for pilots to develop before evaluating their outcomes. (Original abstract)
Evaluation of UK integrated care pilots: research protocol
- Authors:
- LING Tom, et al
- Journal article citation:
- International Journal of Integrated Care, 10(3), 2010, Online only
- Publisher:
- International Foundation for Integrated Care
In response to concerns that the needs of the aging population for well-integrated care were increasing, the English National Health Service (NHS) appointed 16 Integrated Care Pilots following a national competition. The pilots have a range of aims including development of new organisational structures to support integration, changes in staff roles, reducing unscheduled emergency hospital admissions, reduced length of hospital stay, increasing patient satisfaction, and reducing cost. This paper describes the evaluation of the initiative which has been commissioned. The evaluation aimed to answer the following questions: What approaches to integration have been employed by the pilots? What approaches to integration work well and in what contexts? Who benefits from integration, in what ways, and with what consequences for equity? What resources are required to make integration succeed and how can these be efficiently used? And in delivering integrated care in the English NHS, what policies and practices are: most likely to deliver the intended outcome, most capable of being implemented and most acceptable to patients, users, clinicians, managers and the wider public. A mixed methods approach was adopted including interviews with staff and patients, non-participant observation of meetings, structured written feedback from sites, questionnaires to service users and staff, and analysis of routinely collected hospital utilisation data for patients/users who had been recruited into the pilots.
Progress report: evaluation of the national integrated care pilots
- Authors:
- RAND Europe, ERNST AND YOUNG
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2010
- Pagination:
- 87p.
- Place of publication:
- London
This independent report provides an overview of the progress made on the evaluation of the Department of Health Integrated Care Pilots (ICPs). The programme of ICPs is a two-year DH initiative that aims to explore different ways of providing integrated care to help drive improvements in care and wellbeing. This report provides information about the evaluation activities conducted, the data collected, and the analyses completed thus far. It outlines the evaluation and reflects on the development of the ICP programme to date. It notes that each ICP is deeply influenced by the personal journeys of its leaders, the inter-institutional histories of the partners, local geographical, social and economic circumstances and the evolving national policy context. In every ICP there were examples of professionals collaborating well and the willingness to find integrated solutions was apparent.
Evaluating integrated treatment within assertive community treatment programs: a new measure
- Authors:
- MOSER Lorna L., MONROE-DeVITA Maria, TEAGUE Gregory B.
- Journal article citation:
- Journal of Dual Diagnosis, 9(2), 2013, pp.187-194.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Assertive community treatment (ACT) is an evidence-based practice that consists of a multidisciplinary team of professionals who provide intensive and comprehensive services to people with serious mental disorders living in the community. ACT has been shown to be effective in reducing hospital days and increasing housing stability for service recipients. However, more than half of the people in these programs typically have a co-occurring substance use disorder, and evidence for the model's effectiveness in treating dual disorders is less consistent. One reason cited for this shortcoming is the apparent failure to provide care consistent with the principles and practices of integrated dual disorders treatment, itself an evidence-based practice with demonstrated effectiveness. This is a problem of treatment fidelity, one that is addressed in a new ACT fidelity measure, the Tool for Measurement of Assertive Community Treatment (TMACT), which assesses not only the structural features of ACT but also the quality of clinical processes and services. With the TMACT, evaluators assess particular aspects of staff roles and team functioning as well as integration of critical elements of other evidence-based services, including integrated dual disorders treatment and recovery-oriented, person-centered practices. The measure is described, with particular detail provided for items that assess integrated dual disorders treatment, and a case example is presented to illustrate how the TMACT is used to guide consultation for ensuring effective integrated dual disorders treatment implementation within ACT. (Publisher abstract)
Barriers and facilitators to integrating care: experiences from the English Integrated Care Pilots
- Authors:
- LING Tom, et al
- Journal article citation:
- International Journal of Integrated Care, 12(3), 2012, Online only
- Publisher:
- International Foundation for Integrated Care
In response to the perceived need to provide better integrated care, in 2008 the Department of Health appointed 16 Integrated Care Pilots which used a range of approaches to provide better integrated care. The aim of this article is to report on part of the multi-method national evaluation of the 16 Integrated Care Pilots. Specifically, it describes a qualitative analyses aiming to identify barriers and facilitators to successful integration of care. Data were analysed from transcripts of 213 in-depth staff interviews, and from semi-structured questionnaires completed by staff at 6 points over a 2-year period. The findings show that many barriers and facilitators to integrating care are those of any large scale organisational change. These include issues relating to leadership, organisational culture, information technology, physician involvement, and availability of resources. However, activities which appear particularly important for delivering integrated care include personal relationships between leaders in different organisations, the scale of planned activities, governance and finance arrangements, support for staff in new roles, and organisational and staff stability. A 'routemap' is presented which identifies questions that providers may wish to consider when planning interventions to improve the integration of care.
National evaluation of the Department of Health's integrated care pilots: final report: full version
- Authors:
- RAND Europe, ERNST AND YOUNG
- Publisher:
- Rand Europe
- Publication year:
- 2012
- Pagination:
- 129p.
- Place of publication:
- Cambridge
Demands on health and social care are changing in scope and scale as the population ages, new treatments become available, and public expectations change. Improving interventions through integrated care has been identified as one way of effectively addressing these changing needs. The Department of Health established a 2-year programme of Integrated Care Pilots (ICP) that aimed to explore different ways of providing health and social care services to drive improvements in care and wellbeing. A total of 16 initiatives across England were selected to participate in the DH ICP programme. This document is the final output of an evaluation of the 16 ICPs. It provides an account of the evaluation activities conducted, the data collected and the analyses completed. It has been prepared in collaboration with the University of Cambridge. The key messages resulting from the evaluation are: integrated care comes in many shapes and sizes; staff reported improvements in care, most of which were process-related; patients did not appear to share the sense of improvement; and that it is possible to reduce utilisation and associated costs of hospital care, but it seems to be very hard to reduce emergency admissions. Overall, the report concludes that, if tailored to local circumstances, well-led and well-managed integration can improve the quality of care for patients.
National evaluation of the Department of Health's integrated care pilots: appendices
- Author:
- RAND Europe
- Publisher:
- Rand Europe
- Publication year:
- 2012
- Pagination:
- 250p.
- Place of publication:
- Cambridge
Demands on health and social care are changing in scope and scale as the population ages, new treatments become available, and public expectations change. Improving interventions through integrated care has been identified as one way of effectively addressing these changing needs. The Department of Health established a 2-year programme of Integrated Care Pilots (ICP) that aimed to explore different ways of providing health and social care services to drive improvements in care and wellbeing. A total of 16 initiatives across England were selected to participate in the DH ICP programme. This document provides the appendices for the final report of the evaluation of the 16 ICPs, which is published as a separate document. It includes the following appendices: A Study protocol; B Quantitative methods; C Patient-service user questionnaire; D Staff questionnaire; E Template for collecting cost data from sites; F Summary of local metrics; G Overview of Integrated care pilot sites; H Detailed results of patient and staff surveys; and I Site costs.
National evaluation of the Department of Health's integrated care pilots: final report: summary version
- Author:
- RAND Europe
- Publisher:
- Rand Europe
- Publication year:
- 2012
- Pagination:
- 20p.
- Place of publication:
- Cambridge
Demands on health and social care are changing in scope and scale as the population ages, new treatments become available, and public expectations change. Improving interventions through integrated care has been identified as one way of effectively addressing these changing needs. The Department of Health established a 2-year programme of Integrated Care Pilots (ICP) that aimed to explore different ways of providing health and social care services to drive improvements in care and wellbeing. A total of 16 initiatives across England were selected to participate in the DH ICP programme. This document is the abbreviated version of a longer final output of an evaluation of the 16 ICPs. It provides a summary of the evaluation activities conducted, the data collected and the analyses completed. The key messages resulting from the evaluation are: integrated care comes in many shapes and sizes; staff reported improvements in care, most of which were process-related; patients did not appear to share the sense of improvement; and that it is possible to reduce utilisation and associated costs of hospital care, but it seems to be very hard to reduce emergency admissions. Overall, the report concludes that, if tailored to local circumstances, well-led and well-managed integration can improve the quality of care for patients.
Assessing patterns of home and community care service use and client profiles in Australia: a cluster analysis approach using linked data
- Authors:
- KENDIG Hal, et al
- Journal article citation:
- Health and Social Care in the Community, 20(4), July 2012, pp.375-387.
- Publisher:
- Wiley
The delivery of care requires knowledge on the ways in which individuals access available services. This study identified groups of Home and Community Care (HACC) clients in New South Wales, Australia, based on patterns of actual service use, and explored the health and social needs and resources of client groups that accessed different services. Multiple data sets linked at the individual level provide a basis to investigate the complexity of access to service use. Analyses based on clients’ type and volume of community service use was conducted between 2006 and 2008 on the 4890 HACC clients in the linked dataset and nine distinct clusters of clients were identified. Three of these clusters were considered complex in terms of the range of community and hospital assistance received, while the others comprised mainly of one or two dominant service types. The findings provide a client-centred approach to evaluate access to local services that are being reformed to better integrate the delivery services currently funded and managed separately by national and state governments.
Summary: progress report: evaluation of the national integrated care pilots
- Authors:
- RAND Europe, ERNST AND YOUNG
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2010
- Pagination:
- 9p.
- Place of publication:
- London
This summary provides an overview of the progress made on the evaluation of the Department of Health Integrated Care Pilots (ICPs). The programme of ICPs is a two-year DH initiative that aims to explore different ways of providing integrated care to help drive improvements in care and wellbeing. This report provides information about the evaluation activities conducted, the data collected, and the analyses completed thus far. It summarises the evaluation and reflects on the development of the ICP programme to date. It notes that each ICP is deeply influenced by the personal journeys of its leaders, the inter-institutional histories of the partners, local geographical, social and economic circumstances and the evolving national policy context. In every ICP there were examples of professionals collaborating well and the willingness to find integrated solutions was apparent.