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Martin McShane: Driving quality up with integration

Martin McShane, Director of Commissioning Development and QIPP, NHS Lincolnshire PCT Cluster, shares the key integrated care lessons he learnt from the USA and how these can be applied to the NHS.

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Martin McShane: Driving quality up with integration

  1. 1. Driving quality through integrated care Dr Martin McShane NHS Lincolnshire
  2. 2. Integrated care study tour
  3. 4. Key issues <ul><li>Integrated care </li></ul><ul><ul><ul><li>Strategy (the story) </li></ul></ul></ul><ul><ul><ul><li>Primary care </li></ul></ul></ul><ul><ul><ul><li>Leadership </li></ul></ul></ul><ul><ul><ul><li>Workflow </li></ul></ul></ul><ul><ul><ul><li>Information </li></ul></ul></ul><ul><ul><ul><li>IT </li></ul></ul></ul><ul><ul><ul><li>Incentives </li></ul></ul></ul><ul><ul><li>= CULTURE </li></ul></ul>VERTICAL & HORIZONTAL
  4. 5. Horizontal and vertical integration Horizontal – Peer review/benchmarking Horizontal – Peer review/benchmarking CCGs Networks
  5. 7. The GAP - size of challenge
  6. 8. The GAP - size of challenge
  7. 9. Focus?
  8. 10. Feedback
  9. 12. Incentives <ul><li>QOF (QIPP) </li></ul><ul><li>Tariff (30%) </li></ul><ul><li>Pooling (Reablement) </li></ul><ul><li>Block (Risk sharing) </li></ul>
  10. 13. Impact <ul><li>FOPS </li></ul><ul><li>4% reduction for all unscheduled admissions </li></ul><ul><li>7% reduction for all admissions for pts over 65 </li></ul><ul><li>8% reduction for all admissions for pts over 75 </li></ul><ul><li>2% reduction in admissions for ACS conditions for pts 65 and over </li></ul>
  11. 14. Integrated care <ul><li>About a system – not an organisation </li></ul><ul><li>People – the hearts and minds </li></ul><ul><li>Processes – the way we work </li></ul><ul><li>Incentives – used for change not status quo </li></ul>

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