Wednesday, 19 November 2014

Commission on hospital care for frail older people

"There is a myth that providing more and better care for frail older people in the community, increasing integration between health and social care services and pooling health and social care budgets will lead to significant, cashable financial savings in the acute hospital sector and across health economies. The commission found no evidence that these assumptions are true."

Commission on hospital care for frail older people: main report
Health Service Journal, Serco
November 2014

Read more here.

Commissioning supplement: Sorting the good ideas

"How the NHS is looking to CSUs to bring health and social care together, plus two CCGs show a new way for GPs to coordinate data"

Commissioning supplement: Sorting the good ideas
Health Service Journal Supplement, 14 November, 2014

Read more here.

The Next Generation of Incentives to Help Doctors Improve the Quality and Efficiency of Care (podcast)

"To improve decision-making at the health care provider level, policies that blend financial and non-financial incentives are being developed and tested. A new initiative called Incentives 2.0 is exploring this new type of payment reform."

The Next Generation of Incentives to Help Doctors Improve the Quality and Efficiency of Care
S Hausman
The Commonwealth Fund
Oct 2014

Access the podcast here.

Exploring CQC’s well-led domain: How can boards ensure a positive organisational culture?

"The paper has been written as a practical guide for board members in strengthening leadership and culture and in preparing for CQC inspections."

Exploring CQC’s well-led domain: How can boards ensure a positive organisational culture?
K Steward
The King's Fund
November 2014

Read more here.

Management of transient ischaemic attacks in the emergency department

"This educational intervention has improved patient safety and has been seen to be sustainable on the second improvement cycle."

Management of transient ischaemic attacks in the emergency department: a quality improvement project
S Wydall, A Gordon, M Sims
BMJ Quality Improvement Reports 2014;3: doi:10.1136/bmjquality.u205496.w2443

Read more here.

Improving the percentage of electronic discharge summaries completed within 24 hours of discharge

"EDSs are an important part of patient care and medical communication. It is therefore important that they are completed promptly. Our results show the five day EDS summary led to a mean 9.75% improvement in EDS completion rates, and the protected EDS hour a mean 4.5% improvement in EDS completion rates within 24 hours of patient discharge."

Improving the percentage of electronic discharge summaries completed within 24 hours of discharge
M Haycock, L Stuttaford, O Ruscombe-King, Z Barker, K Callaghan, T Davis
BMJ Quality Improvement Reports 2014;3: doi:10.1136/bmjquality.u205963.w2604

Read more here.

Tuesday, 18 November 2014

Changes in costs and effects after the implementation of disease management programs

"After one year we have found indications of improvements in level of integrated care for cardiovascular risk  patients and lifestyle indicators for all diseases, but in none of the diseases we have found indications of cost savings due to disease management programs. However, it is likely that it takes more time before the improvements in care lead to reductions in complications and hospitalizations."

Changes in costs and effects after the implementation of disease management programs in the Netherlands: variability and determinants
A Tsiachristas, J Murray Cramm, AP Nieboer, MPMH Rutten-van Mölken
Cost Effectiveness and Resource Allocation 2014, 12:17

Read more here.