Meeting Report. Second Annual Technical Meeting on Coordinated/Integrated Health Services Delivery (CIHSD)


Wyświetl

Autor: WHO

Tytuł: Meeting Report. Second Annual Technical Meeting on Coordinated/Integrated Health Services Delivery (CIHSD). Developing the Framework for Action in the context of the European Policy Health 2020

Opublikowane: Istanbul, 17–18 February 2015

Streszczenie: The Roadmap to develop a Framework for Action towards Coordinated/Integrated Health Services Delivery (CIHSD) places a strong emphasis on a participatory approach to ensure ownership in the process of its development. This includes input from Member State Technical Focal Points on CIHSD and the Expert Advisory Team. In order to achieve the highest possible engagement, the Second Annual Technical Meeting on CIHSD was called for to report on the progress made since the Kick-Off Technical Meeting in February 2014 and to receive further input. This meeting gave the Member States Technical Focal Points and Expert Advisory Team the opportunity to discuss the continued advancement of key concepts and to facilitate the exchange of experiences and insights from countries and participants. The report at hand and the feedback received during this meeting will be used to further develop and refine the Framework for Action, ensuring the highest possible relevance and practicability for Member States

Tagi: Delivery of healthcare. Integrated. Health services. Disease management

 

Coordinated/Integrated Health Services Delivery (CIHSD) Stakeholder Consultation


Wyświetl

Autor: WHO

Tytuł: Meeting Report Coordinated/Integrated Health Services Delivery (CIHSD) Stakeholder Consultation

Opublikowane: Brussels, 1 April 2014

Streszczenie: The WHO Regional Office for Europe would like to thank the International Health Department of the Belgian Ministry of Health, Food Chain Safety and the Environment for their generous support of the Stakeholder Consultation. We would also like to thank the stakeholder representatives, Member State technical focal points for CIHSD, the Member State representatives, and the External Advisory Team for their valuable inter ventions, input and feedback during the meeting. We would especially like to thank the rapporteur for this meeting, Kerry Waddell, who so diligently prepared the notes and the draft for this report.

TagiDelivery of healthcare. Integrated health services disease management.


 

Second Annual Technical Meeting on Coordinated/Integrated Health Services


Wyświetl

Autor: WHO

Tytuł: Second Annual Technical Meeting on Coordinated/Integrated Health Services. Delivery: Developing the Framework for Action in the context of Health 2020

Opublikowane: Istanbul, 17-18 February 2015

Streszczenie:  This delegate briefing note has been prepared to preface sessions set to take place on 17-18 February 2015 in Istanbul, Turkey at the Second Technical Meeting on Coordinated/Integrated Health Services Delivery: Developing the Framework for Action in the context of Health 2020. Convening Ministry of Health appointed representatives from across Member States, as well as partnered international experts and staff from the different technical units of WHO and its offices, the event aims ultimately to examine the continued advancement of key concepts, to facilitate the exchange of experiences and insights across participants and to discuss the onward development of the Framework for Action. In line with these objectives, this briefing sets out to position the following: (1) progress to-date across planned activities in developing the Framework for Action; (2) reflections on feedback from earlier consultations; (3) an overview of concepts in alignment with input received and further reviews undertaken; and(4) an outline of the Framework for Action’s action-oriented lens to health services delivery transformations

Tagi: Istanbul. Delivery of healthcare. Integrated. Health services. Health policy. Regional health planning Europe.

 


 

Preparing for success in a time of uncertainty and change


Wyświetl

Autor: PwC

Tytuł: Preparing for success in a time of uncertainty and change. A PwC response tothe Productivity Commission Inquiry Report “Caring for Older Australians”

Opublikowane: October 2011

Streszczenie: The Productivity Commission Inquiry Report “Caring for Older Australians” (Report) has identified that the aged care system in Australia faces several challenges. The system is difficult to navigate, services are limited, as is customer choice, and quality is variable. A package of integrated reforms is proposed by the Productivity Commission, including, increasing customer choice, better provision of information and localised care co-ordination. We believe that the diversity of peoples’ needs should be met by equally diverse support. Further consideration about how this can be achieved within the capacity of the broader ‘health and care’ sector is required, in order to support individuals, familiesm and carers beyond the auspices of ‘aged care’. Those individuals, families and carers who require aged care services will also require some level of additional support be it primary, acute or informal community support. Whilst there are still many unknowns about the future of aged care, what we can be sure of is the increase in the number of people with complex long-term conditions, budget constraints, increasingly sophisticated (and expensive) treatments and rising expectations of what health and care services should deliver. We encourage and support the industry in embracing the challenges and uncertainties they are faced with and turning them into compelling reasons for change that can make a difference to Older Australians today and in the future.

Tagi: Care integration. Funding model. Operating model.


 

Organizing Care for Complex Patients in the Patient-Centered Medical Home


Wyświetl

Autorzy: Eugene C. Rich, Debra Lipson, Jenna Libersky, Deborah N. Peikes, Michael L. Parchman

Tytuł: Organizing Care for Complex Patients in the Patient-Centered Medical Home

Opublikowane: Ann Fam Med 2012

Tagi: Care Coordinators. Health IT. Primary health care. Patient-centered care. Chronic disease. Frail older adults. Persons with disabilities. Health policy. Agency for Healthcare Research and Quality (U.S.)


 

The New York Chronic Illness Demonstration Project Final Report on an Evaluation of Six Pilot Coordinated Care Projects for High – Needs Medicaid Recipients


Wyświetl

Autorzy: Charles Michalopoulos, Michelle Manno, Tod Mijanovich, Susanna Ginsburg, Jennifer Somers

Tytuł: The New York Chronic Illness Demonstration Project Final Report on an Evaluation of Six Pilot Coordinated Care Projects for High-Needs Medicaid Recipients

Opublikowane: August 2014

Streszczenie: Coordinated care programs are designed to assist individuals with multiple chronic conditions who might require attention from several doctors, risking duplicative tests or prescriptions for contraindicated medications. Such programs try to reduce these risks by helping individuals optimize their use of the health care system and represent an important policy tool for high-needs Medicaid recipients. In 2007, the New York State legislature approved funding for the Chronic Illness Demonstration Project (CIDP) to provide coordinated care to chronically ill Medicaid recipients. In 2009, six CIDP projects began providing services to individuals with a high likelihood of being hospitalized. The projects used care managers to assess clients’ health care and social service needs, educate them on their medical conditions, coordinate care across providers, and help them make and keep medical appointments. Projects also attempted to facilitate individuals’ access to appropriate care. The state’s goal was to help individuals use more primary and preventive care, in turn reducing emergency room and hospital use and helping to control Medicaid costs. This report presents results of a study of CIDP conducted by MDRC. The study had two components: an impact analysis of the effects of the projects on health care used through Medicaid, and an implementation analysis of the services provided and challenges faced by the projects.

Key Findings. The projects faced a number of challenges implementing the program. Effective working relationships with other providers and timely information on hospitalization and emergency department visits were difficult to obtain. In addition, inaccurate contact information and residential instability made it difficult to find and enroll individuals in services. Because only 10 percent of eligible individuals enrolled, staff spent time and resources building relationships with a large number of community partners in an effort to locate and serve eligible Medicaid recipients. The program did not appear to reduce Medicaid costs or care from hospitals and emergency departments. The frequency of primary care visits, hospital admissions, emergency department visits, and use of prescription medications were similar for CIDP-eligible Medicaid recipients and a control group. If anything, the program appeared to increase Medicaid costs slightly, reflecting the costs of providing coordinated care. The projects could have been improved in several ways. More effective programs have had frequent in-person contact, focused on the transition from hospital to home, and had close interaction between care managers and primary care providers. No CIDP project adopted all these principles. There was variation across projects in most of these areas, although in general they came closer to meeting these standards than did other recent demonstrations. Although the results suggest the program had little effect on Medicaid costs in its first two years, it is possible that the effects would have emerged after the second year. It is also possible that the program increased the quality of care, the use of social services, or patient satisfaction with care, but the study did not measure these variables.

Tagi: Medicaid. Coordinated care. High-cost patients.

 

Building Integrated Care Services for Injection Drug Users in Ukraine


Wyświetl

Autor: Matt Curtis

Tytuł: Building Integrated Care Services for Injection Drug Users in Ukraine

Wydane: World Health Organization 2010

Streszczenie: WHO commissioned this report to examine the development of IC services for people with a history of injection drug use in Ukraine, as part of the country’s ongoing response to the HIV epidemic. Following a WHO evaluation of Ukrainian IC programmes earlier in 2009, three sites in Dnipropetrovsk, Kriviy Rig and Simferopol were identified as embodying a high standard of practice from which other programmes may learn. While far from perfect, each has made important progress in IC. The goal of this publication, therefore, is to present these programmes as practical, real world models for other Ukrainian government and nongovernmental agencies that are considering taking on IC services.The author gathered information for this report through interviews with clients and staff of the three IC programmes during site visits in October 2009, and through review of evaluations, project reports and other available materials.

Tagi: DELIVERY OF HEALTH CARE, INTEGRATED – organization and administration. SUBSTANCE ABUSE, INTRAVENOUS – therapy. HIV INFECTION. UKRAINE

 

Ocena wdrażania praktyk laktacyjnych w ramach obowiązującego standardu opieki okołoporodowej oraz sposobu żywienia dzieci od urodzenia do 12. miesiąca życia


Wyświetl

Opis: Badanie realizowane było przez prof. Barbarę Królak-Olejnik we współpracy z Dorotą Paluszyńską, Anną Szczygieł oraz Danutą Gajewską przy udziale firmy TNS, finansowane przez Fundację NUTRICIA.

Tytuł: Raport z badania. Ocena wdrażania praktyk laktacyjnych w ramach obowiązującego standardu opieki okołoporodowej oraz sposobu żywienia dzieci od urodzenia do 12. miesiąca życia

Tagi: Laktacja. Karmienie piersią. Standardy okołoporodowe.