Friday, 10 June 2016

Outpatient services and primary care: scoping review, substudies and international comparisons

"There is little conclusive evidence on the cost-effectiveness of the provision of more care in the community. In developing new models of care for the NHS, it should not be assumed that community-based care will be cheaper than conventional hospital-based care. Possible reasons care in the community may be more expensive include supply-induced demand and addressing unmet need through new forms of care and through loss of efficiency gained from concentrating services in hospitals."

Outpatient services and primary care: scoping review, substudies and international comparisons 
E Winpenny, C Miani, E Pitchforth, S Ball, E Nolte, S King, et al.
Health Services Delivery Research 2016;4(15)

Read more here.

Stopping Over-Medication of People with Learning Disabilities

"The goal is to improve the quality of life of people with a learning disability by reducing the potential harm of inappropriate psychotropic drugs that may be used wholly inappropriately, as a “chemical restraint” to control challenging behaviour, in place of other more appropriate treatment options. It is time for action, it is time for you to lead a medication review of all people with a learning disability, with a view to implementing a planned supervised dose reduction and stopping of inappropriate psychotropic drugs"

Stopping Over-Medication of People with Learning Disabilities (toolkit): Reducing inappropriate psychotropic drugs in people with a learning disability in general practice and hospitals in 2016
NHS England
June 2016

Access the toolkit here.

Commissioning for Value Focus Packs

"These focus packs provide more detailed information on those highest spending programmes previously covered by the earlier Commissioning for Value packs. The areas covered are: cancer; the CVD family of conditions including renal, stroke and diabetes; maternity and early years; mental health and dementia; musculoskeletal and trauma; neurology; and respiratory. The packs include a wider range of outcome measures and information on the most common procedures and diagnoses for the condition in question. They help CCGs begin work on phase two of the RightCare approach ‘What to Change’ by using indicative data to identify improvement opportunities."

There are two Commissioning for Value focus packs available for each CCG:

  • Cancer, Mental health and dementia, MSK and trauma – May 2016
  • CVD, Neurological, Respiratory, Maternity – April 2016

Find out more and access the packs here.

Dementia and housing: An assessment tool for local commissioning

"Commissioned by Public Health England ... this self-assessment tool focuses on local commissioning processes and decision-making. The main principle being applied in this tool is that all available assets and resources need to be combined, both to create the conditions that reduce the risk of developing dementia, and to develop a framework of support to help those with dementia, their families and carers, to have as good a quality of life as possible."

Dementia and housing: An assessment tool for local commissioning
Housing Learning & Improvement Network
May 2016

Read more here.

Sustaining Improvement. IHI White Paper

"This white paper presents a framework that health care organizations can use to sustain improvements in the safety, effectiveness, and efficiency of patient care. The key to sustaining improvement is to focus on the daily work of frontline managers, supported by a high-performance management system that prescribes standard tasks and responsibilities for managers at all levels of the organization."

Sustaining Improvement. IHI White Paper
R Scoville, K Little, J Rakover, K Luther, K Mate 
Cambridge, Massachusetts: Institute for Healthcare Improvement
2016

Read more here (requires registration).  

Methods for Reducing Sepsis Mortality in Emergency Departments and Inpatient Units

"In 2011, North Shore-LIJ Health System (now Northwell Health) launched a strategic partnership with the Institute for Healthcare Improvement to accelerate the pace of sepsis improvement, focusing initially on sepsis recognition and treatment in emergency departments (EDs). The health system reduced overall sepsis mortality by approximately 50 percent in a six-year period (2008-2013; sustained through 2014) "

Methods for Reducing Sepsis Mortality in Emergency Departments and Inpatient Units
ME Doerfler  et al.
Joint Commission Journal on Quality and Patient Safety. 2015 May;41(5):205-211.

Read more here (registration required).

Impact of the DoH Commissioning for Quality and Innovation incentive on the success of venous thromboembolism risk assessment

"We achieved 95% RA [Risk Assessment] compliance which has favourably impacted on our daily practice and improved the quality of the clinical care."
The impact of the DoH Commissioning for Quality and Innovation incentive on the success of venous thromboembolism risk assessment in hospitalised patients. 
A Shlebak, P Sandhu, V Ali, G Jones, C Baker
Journal of the Royal Society of Medicine Open June 2016 vol. 7 no. 6 2054270416632702

Read more here.