E3: Developing a whole systems approach to integrated care


Wednesday 17 May | 13:15-14:30


Format: Presentation
Stream: Integrated care
Content filters: n/a


Chair: Tom Nolan, BMJ; England


PART ONE – Building a learning and improvement community for an integrated care system (ICS) in the North of England


Our integrated care system (ICS) is a partnership of organisations providing health and care for 2.9 million people across the North East and North Cumbria. Our ambition is to “be the best at getting better”: putting learning and improvement at the heart of what we do collectively, to improve the health of our population and address some of the worst health inequalities in England. In this inspiring session, we’ll describe how we’ve mobilised people across the North of England into a learning and improvement community, how we identified shared priorities and worked in a boundaryless way to achieve system goals.


​​After this session, participants will be able to:



  • Understand how to set up a learning and improvement system for population health across an integrated care system

  • Hear the story of how the learning and improvement system was co-produced with people who use services, local communities and people who work at the point of care

  • Take ideas and inspiration for improvement in their own setting, whatever the size or context of the population


Annie Laverty, North East and North Cumbria Integrated Care Board, England

Samantha Allen, North East & North Cumbria Integrated Care Board, England


 


PART TWO  – Achieving value-based healthcare through whole system linked datasets and patient reported measures


The primary and tertiary health sectors in Australia operate in information and funding silos contributing to fragmented and unsafe care for patients. To achieve sector-wide integration of data and patient reported measures (PRM), as well as an understanding and propagation of what matters to patients, NSW Health has developed and is harnessing the Lumos (data linkage) project and the Health Outcomes and Patient Experience platform (HOPE) – a real time e-enabled capture of PRMs. These two initiatives provide an enabling connection across the care continuum, focusing on


looking after and understanding the appropriateness, safety and care of patients.


After this session, participants will be able to:



  • Describe how use of patient reported measures identifies what matters to patients across pathways of care

  • Describe how system-wide. de-identified data drives improvement at service and individual patient level

  • Understand how to create a learning system through tactics for functional and professional integration


Walid Jammal, ​​​​Hills Family General Practice, Australia


Paresh Dawda, Prestantia Health, Australia


PART THREE – What does it take to establish reliable quality in healthcare? A whole system approach to safety


Improving and sustaining patient safety in any setting requires the interplay of culture and the learning system. In this session, faculty will share experiences and lessons learned from practice, consider what it takes to strengthen safe practice and explore a framework that forms the foundation for transformational work. Learn about the components of the framework and how they interact to achieve safe, reliable and effective care. Participants will hear how this framework is being applied to strengthen the quality system across a country and build safety structures that will support the future of system wide healthcare.


After this session, participants will be able to:



  • Describe the components of a framework to advance patient safety in your area of responsibility

  • Discuss and understand how culture and the learning system interact to drive patient safety

  • Identify two components where you will begin to explore or address an identified gap


John Boulton, Improvement Cymru, Wales