scholarly journals Implementation and Evaluation of an IPAC SWAT Team Mobilized to Long-Term Care and Retirement Homes During the COVID-19 Pandemic: A Pragmatic Health System Innovation

2021 ◽  
Author(s):  
Michael J. Lamb ◽  
Anthony La Delfa ◽  
Monakshi Sawhney ◽  
Diana Adams ◽  
Karoleen Abdel-Shahied ◽  
...  
Keyword(s):  
Health System ◽  
Long Term Care ◽  
System Innovation ◽  
Term Care ◽  
Swat Team

scholarly journals Long-term care in the health system: European tendencies and Bulgarian experience

2018 ◽  
Vol 66 (4) ◽  
Author(s):  
Teresa Vasileva ◽  
Marilena Pittara ◽  
Sarina Yanakieva ◽  
Elka Atanasova ◽  
Stefka Koeva
Keyword(s):  
Health System ◽  
Long Term Care ◽  
Term Care

scholarly journals Long-Term Care Coverage as a Microcosm for Health System Reform

2016 ◽  
Vol 15 (4) ◽  
pp. 4-5
Author(s):  
Adalsteinn Brown
Keyword(s):  
Health System ◽  
Long Term Care ◽  
System Reform ◽  
Term Care ◽  
Health System Reform

scholarly journals A Health System Response to COVID ‐19 in Long‐Term Care and Post‐Acute Care: A Three‐Phase Approach

2020 ◽  
Vol 68 (6) ◽  
pp. 1155-1161 ◽  
Author(s):  
Gina Kim ◽  
Mengru Wang ◽  
Hanh Pan ◽  
Giana H. Davidson ◽  
Alison C. Roxby ◽  
...  
Keyword(s):  
Health System ◽  
Acute Care ◽  
Long Term Care ◽  
System Response ◽  
Term Care ◽  
Phase Approach ◽  
Three Phase ◽  
Post Acute Care

The Health System Pharmacist and TeleHealth Strategies

2018 ◽  
Vol 1 (2) ◽  
Author(s):  
TMT Editorial Team
Keyword(s):  
Health System ◽  
Long Term Care ◽  
Vice President ◽  
Medication Therapy Management ◽  
Term Care ◽  
Corporate Development ◽  
Medication Therapy ◽  
Key Points ◽  
Medicine Today

No abstract available. Editor’s note: The Pharmacy Podcast Show serves pharmacy businesses, including independent retail, long-term care, specialty, and small chains. During this interview, Dr. Jeff Kosowsky, Senior Vice President of Corporate Development of American Well, a telehealth company, discusses telehealth-like technologies in the pharmacy industry and health system pharmacies, including consultations and medication therapy management. The entire interview is presented here. Below, Telehealth and Medicine Today has summarized the key points by Dr. Kosowsky during an interview with Todd Eury, Founder & Publisher of Pharmacy Podcast.

scholarly journals Health Sector responses to the COVID-19 pandemic in Ontario, Canada – January to May 2020

2020 ◽  
Vol 18 (1) ◽  
pp. 106-120
Author(s):  
Iwona A. Bielska ◽  
Derek R. Manis ◽  
Connie Schumacher ◽  
Emily Moore ◽  
Kaitlin Lewis ◽  
...  
Keyword(s):  
Health System ◽  
Long Term Care ◽  
Health Sector ◽  
Medical Officer ◽  
Future Health ◽  
State Of Emergency ◽  
Term Care ◽  
Delivery Of Care ◽  
The Impact

The first positive case of COVID-19 in Canada was reported on January 25, 2020, in the city of Toronto, Ontario. Over the following four months, the number of individuals diagnosed with COVID-19 in Ontario grew to 28,263 cases. A state of emergency was announced by the Premier of Ontario on March 17, 2020, and the provincial health care system prepared for a predicted surge of COVID-19 patients requiring hospitalization. The Chief Medical Officer of Health and the Minister of Health guided the changes in the system in response to the evolving needs and science related to COVID-19. The pandemic required a rapid, concerted, and coordinated effort from all sectors of the system to optimize and maximize the capacity of the health system. The response to the pandemic in Ontario was complex with some sectors experiencing multiple outbreaks of COVID-19 (i.e. long-term care homes and hospitals). Notably, numerous sectors shifted to virtual delivery of care. By the end of May 2020, it was announced that hospitals would gradually resume postponed or cancelled services. This paper explores the impact of the COVID-19 pandemic on multiple health system sectors (i.e., public health, primary care, long-term care, emergency medical services, and hospitals) in Ontario from January to May 2020. Given the scope of the sectors contributing to the health system in Ontario, this analysis of a regional response to COVID-19 provides insight on how to improve responses and better prepare for future health emergencies.

Investing in a “Rehabilitation Model” to Improve the Decision-Making Process in Long-Term Care

2013 ◽  
pp. 37-47
Author(s):  
Connie D’Astolfo
Keyword(s):  
Decision Making ◽  
Health System ◽  
Chronic Diseases ◽  
Long Term Care ◽  
Hospital Costs ◽  
Cost Savings ◽  
System Transformation ◽  
Term Care ◽  
Rehabilitation Model

An aging population is a primary factor associated with escalating healthcare costs due to increased drug spending, chronic diseases and co-morbidities, physician visits, and hospital costs (TD Report, 2010). There has already been a marked increase in the number of Long-Term Care (LTC) residents with co-morbidities, and chronic diseases will be more prevalent in future years (Conference Board of Canada, 2011). The chapter explores the use of a rehabilitation model to improve the current decision-making processes that impact the health outcomes of seniors across the Ontario LTC continuum. Improved clinical management of this population through rehabilitation could result in not only enhanced quality of care but also significant cost savings for both the Long-Term Care (LTC) industry and the health system at large. The chapter highlights the need for the LTC sector to identify strategies for harnessing innovation to improve its own activities and outcomes and become a leader in health system transformation.

Models for community-based long-term care for the elderly in a changing health system

1997 ◽  
Vol 45 (2) ◽  
pp. 59-63 ◽  
Author(s):  
Clare E. Collins ◽  
Frieda R. Butler ◽  
Sarah H. Gueldner ◽  
Mary H. Palmer
Keyword(s):  
Health System ◽  
Long Term Care ◽  
The Elderly ◽  
Community Based ◽  
Term Care ◽  
Care For The Elderly

scholarly journals Can Asia provide models for tax-based European health systems? A comparative study of Singapore and Sweden

2020 ◽  
pp. 1-18
Author(s):  
Richard B. Saltman ◽  
Ming-Jui Yeh ◽  
Yu Liu
Keyword(s):  
Health Service ◽  
Health System ◽  
Health Systems ◽  
Long Term Care ◽  
Health Sector ◽  
Chronically Ill ◽  
Term Care ◽  
Care Services ◽  
Case Comparison

Abstract Singapore's health system generates similar levels of health outcomes as does Sweden's but for only 4.4% rather than 11.0% of gross domestic product, with Singapore's resulting health sector savings being re-directed to help fund both long-term care and retirement pensions for its elderly citizens. This paper contrasts the framework of financial risk-sharing and the configuration and management of health service providers in these two high-income, small-population countries. Two main institutional distinctions emerge from this country case comparison: (1) Key differences exist in the practical configuration of solidarity for payment of health care services, reflecting differing cultural roots and social expectations, which in turn carry substantial implications for financing long-term care and pensions. (2) Differing arrangements exist in the organization of health service institutions, in particular balancing public as against private sector responsibilities for owning, operating and managing these two countries' respective hospitals. These different structural characteristics generate fundamental differences in health sector financial and delivery outcomes in one developed country in Far East Asia as compared with a well-respected tax-funded health system in Western Europe. In the post-COVID era, as Western European policymakers find themselves forced to adjust their publicly funded health systems to (further) reductions in economic growth rates and overall tax receipts, and as the cost of the information revolution continues to rise while efforts to fund better coordinated social and home care services for growing numbers of chronically ill elderly remain inadequate, this two-country case comparison highlights a series of health system design questions that could potentially provide alternative health sector financing and service delivery strategies.

scholarly journals Trends in prevalence, incidence, health system use and cost by persons with dementia in Ontario from 2004 and 2013: a population-based study

2017 ◽  
Vol 1 (1) ◽  
Author(s):  
Susan Bronskill ◽  
Jun Guan ◽  
Marian Vermeulen ◽  
Erika Yates ◽  
Ryan Ng ◽  
...  
Keyword(s):  
Health System ◽  
Service Use ◽  
Long Term Care ◽  
Population Based ◽  
P Value ◽  
Term Care ◽  
Health Administrative Data ◽  
System Use ◽  
Over Time

ABSTRACTObjectiveEfforts to enable persons with dementia to remain at home longer, and to reduce use of costly acute care resources, are at the forefront of policy agendas internationally. Foundational to planning appropriate health system supports is the ongoing, comparable and accurate estimation of the prevalence and incidence of dementia across regions, as well as associated patterns of health services use and cost. Our objective was to explore emerging approaches to using population data in dementia research and demonstrate the policy contribution of the resulting new knowledge. ApproachUsing population-based health administrative data and an algorithm that was validated using electronic medical records, we developed a series of repeated, cross-sectional cohort studies to examine trends in dementia prevalence, incidence and publicly-funded health service use and costs between 2004/05 and 2013/14 among adults aged 65 years and older in Ontario, Canada. Trends in yearly rates of health service use were assessed using regression models for serially correlated data and compared to a 1:1 matched control group based on age, sex, geographic region and comorbidity level. ResultsOver time, age- and sex-adjusted prevalence of dementia increased by 18.2% (from 63.0 to 74.5 per 1,000 persons; p-value < 0.001) and age- and sex-adjusted incidence decreased slightly (from 18.2 to 17.0 per 1,000 persons; p-value = 0.05). Community-dwelling persons with dementia were more likely than matched controls to be placed in long-term care (11.8% vs. 1.5% in 2013; p<0.001) and use home care (45.8% vs 23.2%; p<0.001) but equally likely to visit family physicians (93.9% vs. 94.8% in 2013) and specialists (87.1% vs. 89.4%). Median costs associated with one year of health system use were $19,468 (interquartile range (IQR) $4,490 to $47,726) for prevalent cases in 2012/13 and $16,549 (IQR $5,070 to $47,899) for incident cases. Long-term care and hospital care accounted for the largest portion of total costs in both groups. ConclusionThe prevalence of dementia has increased in Ontario, Canada over time and, given slightly declining incidence rates, is likely attributable to improved survival. Surveillance of dementia with health administrative data is a cost-effective tool for describing and monitoring trends in incidence and prevalence over time, and for supporting health system capacity planning. This comparative information is critical to understanding the impact of policy decisions designed to address dementia-related health care needs at a population level.

scholarly journals Trajectories of health system use and survival for community-dwelling persons with dementia: a cohort study

BMJ Open ◽  
2020 ◽  
Vol 10 (7) ◽  
pp. e037485
Author(s):  
Susan E Bronskill ◽  
Laura C Maclagan ◽  
Jennifer D Walker ◽  
Jun Guan ◽  
Xuesong Wang ◽  
...  
Keyword(s):  
Cohort Study ◽  
Home Care ◽  
Health System ◽  
Service Use ◽  
Long Term Care ◽  
Community Dwelling ◽  
Term Care ◽  
System Use ◽  
Over Time

ObjectivesTo determine the long-term trajectories of health system use by persons with dementia as they remain in the community over time.DesignPopulation-based cohort study using health administrative data.SettingOntario, Canada from 1 April 2007 to 31 March 2014.Participants62 622 community-dwelling adults aged 65+ years with prevalent dementia on 1 April 2007 matched 1:1 to persons without dementia based on age, sex and comorbidity.Main outcome measuresRates of health service use, long-term care placement and mortality over time.ResultsAfter 7 years, 49.0% of persons with dementia had spent time in long-term care (6.8% without) and 64.5% had died (30.0% without). Persons with dementia were more likely than those without to use home care (rate ratio (RR) 3.02, 95% CI 2.93 to 3.11) and experience hospitalisations with a discharge delay (RR 2.36, 95% CI 2.30 to 2.42). As they remained in the community, persons with dementia used home care at a growing rate (10.7%, 95% CI 10.0 to 11.3 increase per year vs 6.7%, 95% CI 4.3 to 9.0 per year among those without), but rates of acute care hospitalisation remained constant (0.6%, 95% CI −0.6 to 1.9 increase per year).ConclusionsWhile persons with dementia used more health services than those without dementia over time, the rate of change in use differed by service type. These results, particularly enumerating the increased intensity of home care service use, add value to capacity planning initiatives where limited budgets require balancing services.

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