Innovation in Integrated Care
Transcription
Innovation in Integrated Care
Poster Session HRT11420 –Innovation Awards November 2014 Melbourne Innovation in Integrated Care Hospital Code Name: The Health Roundtable AIM: Innovation in Integrated Care (IIC) To encourage services to identify creative solutions to address current and future demand, with a particular focus on strengthening integration with other parts of the health care system. The Health Roundtable Opportunity within the LHD The LHD Board endorsed $2.5M annually for two years for local innovative and integrated projects. The LHD recognised & wanted to support locally driven innovation ideas to: Strengthen innovation and integration across the LHD Build capacity at a local level Enable support for innovation ideas to flourish from ideas to action The Health Roundtable The IIC Process – Governance A Project Selection Panel was convened to review applications. Members for this panel included: • Executive Lead (Convenor) • Deputy Director Primary & Ambulatory Care • Director Operations, Royal Hospital for Women • Director Mental Health • Stream Director - Aged and Rehabilitation • Stream Director – Medicine • Director Population Health and Planning • CEO, UNSW Centre for Primary Health Care and Equity • Medical Locals Chief Executives • NSW Ministry of Health Integrated Primary Care Branch • Clinical Efficiency & Evaluation Manager The Health Roundtable The IIC Process – staged culling A total of 44 project submissions were received from across the LHD. Round 1 Projects were evaluated according to 6 criteria: Innovation Integration Equity Measurable impact & data Sustainability Cost effectiveness The Health Roundtable Round 2 Projects were evaluated according to 5 criteria: Vertical/horizontal integration Improved integration Measurable impact & data Sustainability Value The Fulop Model The diagram below represents the Fulop model, with the central aim of integrated care to patients and/or services to communities. Systemic integration (consistent privacy policies, pooled funding arrangements) Organisational integration Functional integration (shared records, service directories, single point of contact for referrals) (e.g. joint ventures, liaison officers, service networks) Integrated care to the patient/ services to the community Clinical integration (shared care programs, use of clinical pathways) Normative integration (multi-disciplinary training and education) The Health Roundtable Service integration (multi-disciplinary teams, ‘one stop shops’) The approximate proportions of submissions addressing the different levels of integration Levels of integration addressed 25 20 15 10 5 0 Systemic Organisational Integration Integration The Health Roundtable Functional Integration Service Integration Clinical Integration Normative Integration Innovation in Integrated Care Ten Innovation in Integrated Care (IIC) projects are currently in the implementation phase, funded through SESLHD until 30th June 2015. The project teams submit quarterly progress reports to the IIC Steering Committee throughout the project phases. Site Project Name SESLHD South Eastern Sydney Recovery College TSH Southcare Outreach Service (SOS) SGH/ SESML SGH Brake the Break Osteoporosis Refracture Prevention Service Mental Health Older Persons Care Community Assessment and Liver Liaison (CALL) SESLHD Optimising health and learning: targeted screening of newly arrived refugee and vulnerable migrant young people Southern Bulbuwil (Health Living) Aboriginal Lifestyle Support Program Sector TSH Children’s Acute Review Service (CARS) RHW SugaMama: A customised mobile application to enhance self-management, education and support for women with gestational diabetes mellitus RHW Perinatal Outreach Mental Health Service (POMHS) Northern Integrated Management Pathways for Alcohol and Drug Clients into Treatment (IMPACT) Sector Multicultural Health Aboriginal Health Paediatrics Women’s Health / Perinatal Drug and Alcohol The Enablers – what worked Building on existing opportunities (COAG sub-acute project) Breadth of the selection committee Emphasis on evaluation in the early stages of planning Involvement of UNSW for education Highlighting the projects throughout the organisation Project support centrally – moving from project concept to implementation The Lessons – what would we do differently Agency level engagement as well as project level engagement with partners Selection committee – shaping shared values (e.g. what counts as innovation) The Health Roundtable What opportunities have arisen from this process: Developing a shared framework for integration Building internal capacity and capability for innovation Applying the Primary Health Care Partnership Framework Reviewing the selection process for future ideas Enabling the readiness for innovation change The Health Roundtable Contact information: Jocelyn Hickson Innovation in Integrated Care Project Manager Improvement and Innovation South Eastern Sydney Local Health District Tel. (02) 8545 4730 Mobile. 0417 577 176 [email protected] The Health Roundtable