The Atos Origin Alliance will provide an overview of how eHealth can support the delivery of high value, coordinated and personalised care for people living with Long Term Conditions. There will be particular focus on how we can support the Reshaping of Older People’s Care pathway from a whole systems perspective.
eHealth – Enabling High Quality and Coordinated Care for People with Long Term Conditions
1. E HEALTH – ENABLING HIGH QUALITY AND CO-ORDINATED CARE FOR PEOPLE LIVING WITH LTC’s
2. CONTENT Some key challenges Integrating Care – supporting MDT’s Reshaping delivery of Older People’s Care E Pharmacy current and future opportunity The benefits
4. ANGUS CHP – PATIENT PROFILE Virtual Wards focusing on Tier 4 , Innovative Step Down Services are key to success! Macro Integrator NHS Tayside and Angus Council 724 2% LTC Population North West 187 North East 191 South 346 LEVEL 4 INTENSE CASE MANAGEMENT VIRTUAL WARD ANTICIPATORY CARE PLANS PATIENT PASSPORTS CASE MANAGEMENT 10148 28% LTC Population LEVEL 3 CASE MANAGEMENT North West 2631 North East 2673 South 4844 PRO-ACTIVE CONTACT SUPPORTING SELF CARE 70% LTC Population LEVEL 2 SUPPORTED SELF CARE 25372 North West 6577 North East 6684 South 12111 PRO-ACTIVE CONTACT SUPPORTING SELF CARE LEVEL 1 HEALTHY COMMUNITIES 72487 66% Overall Population North West 18790 North East 19096 South 34601 LTC’s Asthma 6101 COPD 2056 Diabetes 4698 HBP 16423 CHD 5318 Obesity 11854
5. ENSURE OUTCOMES ARE DELIVERED…. Project Definition Statement Benefits Statement Project Status Report Is used for: Stating your case for change Current state analysis Evidence / Data Envisaged Change Summarise benefits Is used for: Define benefits in detail Define appropriate measures Summarise enabling changes ( PP&T) Summarise milestone tracking Is used for: Report on delivery progress. Report on Benefits Realisation against plan. Escalate to Project Board or EMT for decision, support etc Multi- disciplinary Project Board, Clinical and Finance essential
8. User Device Access TECHNOLOGY ENABLING INTEGRATED CARE Applications Security Service Complex Case Management Collaboration Tools Staff ID Virtual Database Case Management Clinical Portal RBAC PMS GP Community Health& Social Pro-active Contact TELEHEALTH PREDICTIVE RISK TELECARE BUSINESS ANALYTICS Prevention Integration Platform
9. IHI CARE CO-ORDINATION MODEL Person Centred For people with multiple needs Personalised Multi-channel interface Family, associated assets Family Social Care Peer Groups Carer/s Voluntary Goals(G) Co-ordination(C) PATIENT IDENTIFICATION OUTCOMES Value Proposition Service Delivery Service Design Supporting with enabling technology CARE CO-ORDINATOR Predictive Risk Tools GP Systems Community Information Systems Telehealth Telecare Performance Management Business Analytics
14. Key improvement areas:Reduce all age Emergency Beds More effective HPM Standard operating procedures Effective MDT working Effective medication concurrence
17. SOME IDEAS FOR THE FUTURE Telepharmacy Electronic Dispensing and Payment Processing for NHS24, OOH Pharmacy & Pandemics – Trial withUniversity of Aberdeen ECS + PCRs arethe makings of anational patient summary record ECS PCRs Patient Registration Service InformationServicesDivision Remote Electronic Prescribing (iPrescribe) mobile prescribing and pharmacy services – prototype 2011/12 ePharmacy Message Store Payment process PharmacyCareRecord ePay rules engine Scanning and message processing Complianceblister pack technology ??? End to End Medicines & Compliance Management in NHSS – better dispensing and Pharmacy care informationsystems…add secondary care ePrescribing and compliance product to provide a unique medicines management service improving patient care and reducing costs through reducing re-admissions to secondary care and managing the drugs budget Delivering beneficial change and efficiency gains and using innovative ways of sharing, developing and implementing to benefit the full patient journey
20. Aligning with local improvement initiatives eg CMR in Angus, Case Management and ACP’s across Tayside..
21. Envisaged benefits across Patient Access, Service Redesign and Patient Experience:Drive effective attendance at A&E Reduction in unscheduled bed days Effective discharge models Focus on the right patients Increase value multi-disciplinary team time Net CRES of £1.5-2.0m per annum.
