Martin McShane: Driving quality up with integration
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Transcript of Martin McShane: Driving quality up with integration
Driving quality through
integrated careDr Martin McShane
NHS Lincolnshire
Integrated care study tour
Key issues
• Integrated careStrategy (the story)Primary careLeadershipWorkflowInformationITIncentives
= CULTURE
VERTICAL&
HORIZONTAL
VERTICAL&
HORIZONTAL
Horizontal and vertical integration
Horizontal – Peer review/benchmarking
Horizontal – Peer review/benchmarking
CCGs
Networks
The GAP - size of challenge
The GAP - size of challenge
Focus?
Feedback
Incentives
• QOF (QIPP)• Tariff (30%)• Pooling (Reablement)• Block (Risk sharing)
ImpactFOPS
• 4% reduction for all unscheduled admissions
• 7% reduction for all admissions for pts over 65
• 8% reduction for all admissions for pts over 75
• 2% reduction in admissions for ACS conditions for pts 65 and over
Integrated care
• About a system – not an organisation• People – the hearts and minds• Processes – the way we work• Incentives – used for change not status quo