ITHAcA: Integration to avoid hospital admission – new directions June 12 th 2015 Helen Baxter on...
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Transcript of ITHAcA: Integration to avoid hospital admission – new directions June 12 th 2015 Helen Baxter on...
ITHAcA: Integration to avoid hospital admission – new directionsJune 12th 2015
Helen Baxter on behalf of ITHAcA
Sarah Purdy (lead director) University of Bristol Jonathan Benger U.W.E and UHB Peter Brindle APCRC Helen England BrisDoc James Calvert NBT Alison Comley Bristol City Council Peter Goyder Bristol CCG
The directors
To reduce avoidable hospital admissions across BNSSG
Purpose
Integration to avoid hospital admission
Areas of focus
COPD, childhood respiratory, dementia and using data to inform commissioning
COPD:
Childhood respiratory: PhD project on childhood respiratory admissions and
decision making by parents and professionals in the ED
Mapping local asthma services to model patient flows APCRC 2014
Research
To evaluate admission/discharge care bundles for COPD patients. NIHR HS&DR 2014
Study of using systems dynamics modelling for COPD services. APCRC 2013
Dementia: An exploration of the available data to understand better
the causes for admission. CLAHRC West 2014 A systematic review of the literature to develop an
appropriate intervention for this population. CLAHRC West 2014
Wider scope: Programme development grant around managing risk
to reduce emergency bed days for older patients. NIHR 2014
Avoidable hospital
admissions (patient groups
of focus - childhood
respiratory, dementia &
COPD)
Avoidable hospital
admissions (patient groups
of focus - childhood
respiratory, dementia &
COPD)
The management of risk (primary and secondary
care)
The management of risk (primary and secondary
care)
Data to inform commissioning Data to inform commissioning
Research
Implementation
Unanswered questions
CCGs and providers
Discussion Working Groups (DWGs) Virtual Wards Feb 2014 and Avoiding Unplanned Admissions Enhanced Service July 2014
Presentations The Urgent Care Review by Jonathan Benger, 2014, An Acute Frailty Service by Dan Lasserson, 2015
Information repository
What are we already doing?:
Avoidable hospital admissions (patient
groups of focus - childhood
respiratory, dementia & COPD)
Avoidable hospital admissions (patient
groups of focus - childhood
respiratory, dementia & COPD)
The management of risk (primary and secondary care)
The management of risk (primary and secondary care)
Data to inform commissioning Data to inform commissioning
Influence & engagement (DWGs and presentations)
Information repository
Patient and public involvement
Can we do more?:
Researcher in Residence focusing on Urgent Care
The unanswered questions Co-produced projects
Discharge of patients from secondary care – risk management and clinical decision making. APCRC & CLAHRC West
Out of Hours abnormal tests results. APCRC
The future:
Implementation of the findings from the projects by working with the CCGs and service providers
Using these relationships to gain feedback to inform the next questions for research.
Networking and linkage with CCGs and service providers
Avoidable hospital admissions (groups of focus - childhood
respiratory, dementia & COPD)
Avoidable hospital admissions (groups of focus - childhood
respiratory, dementia & COPD)
The management of risk (primary and secondary care)
The management of risk (primary and secondary care)
Data to inform commissioning Data to inform commissioning
Influence & engagement (DWGs and presentations)
Information repository
Patient and public involvement
Networking and linkage with CCGs and service providers