Wednesday, 29 July 2015

Using Incentives To Improve Experience In Maternity, Children And Young People's Services

"The report will discuss three core recommendations, each with a number of sub-recommendations to support local, regional and national discussions on how CQUINs and other financial incentive schemes can be used to improve the quality and effectiveness of maternity, children and young people’s services." 

Using Incentives To Improve Experience In Maternity, Children And Young People's Services
P Kumalo, M Cunnington
NHS South East CSU
July 2015

Read more here.

Breast Cancer Screening, Incidence, and Mortality Across US Counties

"Our analysis shows that, when directed toward the general US population, the most prominent effect of screening mammography is overdiagnosis. Nonetheless, we do not believe that the right rate of screening mammography is zero. As is the case with screening in general, the balance of benefits and harms is likely to be most favorable when screening is directed to those at high risk, provided neither too frequently nor too rarely, and sometimes followed by watchful waiting instead of immediate active treatment."

Breast Cancer Screening, Incidence, and Mortality Across US Counties
C Harding, F Pompei, D Burmistrov, HG Welch, R Abebe, R Wilson
JAMA Intern Med. Published online July 06, 2015. doi:10.1001/jamainternmed.2015.3043

Read more here.

Making change possible: A Transformation Fund for the NHS

"To ensure that the substantive changes required can be achieved, we argue that the NHS needs dedicated funding – a Transformation Fund – to deliver the change required, aligned with more effective practical support and the right policy context for change."

Making change possible: A Transformation Fund for the NHS
R Murray et al.
The Health Foundation, The King's Fund
July 2015

Read more here.

The NHS in 2030: a people-powered and knowledge-powered health system

"The NHS has the opportunity to take advantage of two powerful and under–exploited sources of innovation that have the potential to make care better and, under the right circumstances, cheaper. These are the rapidly accelerating pace of digital technology, and the power of social innovation."

The NHS in 2030: a people-powered and knowledge-powered health system
J Bland, H Khan, J  Loder, T Symons, S Westlake
NESTA
July 2015

Read more here.

Using data and analytics to transform patient care

"Data-driven decision making has improved patient outcomes in Intermountain's cardiovascular medicine, endocrinology, surgery, obstetrics and care processes — while saving millions of dollars in procurement and in its the supply chain." 

How Intermountain Healthcare is using data and analytics to transform patient care
M Fitzgerald
MITSloan Management Review
June 2015

Read more here.

Identifying alternatives to old age psychiatry inpatient admission

"The results suggest that if enhanced community services were available, a significant minority of inpatients could be more appropriately supported in their own homes at a cost considerably lower than that currently incurred."

Identifying alternatives to old age psychiatry inpatient admission: an application of the balance of care approach to health and social care planning

S Tucker, C Brand, M Wilberforce, M Abendstern, D Challis
BMC Health Services Research 2015, 15:267  doi:10.1186/s12913-015-0913-1

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The influence of context on the effectiveness of hospital quality improvement strategies

"Our findings suggest that some of the most relevant context factors are those close to the clinical microsystem in which the QI intervention is delivered. This provides cues for action for improvement practitioners who may include an assessment of such factors, and dedicated change processes, in their local plans for quality improvement."

The influence of context on the effectiveness of hospital quality improvement strategies: a review of systematic reviews
DS Kringos et al.
BMC Health Services Research 2015, 15:277  doi:10.1186/s12913-015-0906-0

Read more here.