scholarly journals 17.C. Workshop: I-Care Lab: Puglia scaling up in integrated care for the future of digital health and social system

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
Keyword(s):  
Integrated Care ◽  
Digital Health ◽  
Chronically Ill ◽  
Scaling Up ◽  
Healthcare Services ◽  
Added Value ◽  
Good Practices ◽  
Health And Social Care ◽  
Care Systems ◽  
Sustainable Health

Abstract Background Healthcare systems around the world are under great pressure to drive forward transformation in order to meet the evolving needs of their populations. Ageing and chronicity are the main challenges to be tackled. In many countries care is too often fragmented and has clear deficiencies in quality, inducing low responsiveness of the healthcare system and low satisfaction with healthcare services. To address these challenges, the transformation towards integrated care has the potential to address deficiencies in order to obtain accessible, quality, effective and sustainable health care. Objectives The objectives of this workshop are to present 3 innovative projects undertaken by Puglia Region, by means of its Strategic Regional Agency for Health and Social Care AReSS, within the framework of the I-CARE LAB, a think tank and beta site for integrated care focused on the production of evidence-based knowledge and systematic approaches to exploitation and scaling up of good practices. The workshop will present the results of the research that has taken place around the above-mentioned projects and to gather feedback from the participants on their opinions and perspectives about integrate care models, policies, tools and practices. Results The featured projects are based on the collaboration with national and international partners interested in developing tools and approaches to stimulate changes towards more sustainable health and care systems, and in supporting scalability and transferability of good practices in Europe. The knowledge transfer among these institutions represents the added value that can establish a common language and framework of integrated care. The showcased projects focus on vulnerable populations for which integrated care might be most beneficial, e.g., chronically ill, frail elderly, and multi-morbid persons; the projects have identified and described an impressive number of promising practices; there are several plans to evaluate these in the coming years, and other plans to facilitate the wider-spread implementation and scaling up of such programs. During this session, 3 of such projects will present their findings, approaches and connections: SCIROCCO Exchange (assessment of integrated care interventions), FooDia-NET (patient engagement and literacy), EURIPHI (innovation procurement). Conclusions The workshop will be a 90-minute session with 3 presentations with ample time for audience interaction (30-minutes). Three individual members of the above-mentioned projects will be responsible for conducting the workshop (the chair, and 3 people making 3 presentations). The session will be chaired by the AReSS Puglia CEO, who will introduce the workshop. A set of presentations will follow, covering the different session topics corresponded to the 3 projects of the Puglia I-Care Lab. Participants will be asked to actively join in the discussion on the further projects enhancement. Key messages The first impact of the proposed workshop consists of stimulating knowledge and discussion about emerging tools and approaches in Europe towards more sustainable health and care systems. The second expected impact is to create awareness and to support scalability and transferability of good practices in Europe and abroad.

scholarly journals Assessing the digital health transformation with the SCIROCCO Exchange tool in Puglia Region

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Mingolla ◽  
E Pantzartzis ◽  
E A Graps
Keyword(s):  
Integrated Care ◽  
Assessment Tool ◽  
Digital Health ◽  
Action Plan ◽  
Added Value ◽  
Local Health ◽  
Maturity Level ◽  
Health Authorities ◽  
Health And Social Care ◽  
Local Health Authorities

Abstract Have we progressed integrated care in Europe? The EU Health Programme funded project, SCIROCCO Exchange addresses this question by providing online self-assessment tool for integrated care. Among the project partners, Puglia Region and the Strategic Regional Agency for Health and Social Care (AReSS), assessed the integrated care maturity level of the six Puglia' Local Health Authorities. The SCIROCCO Exchange project provides a 12-dimensions online tool for European regions to assess their maturity in the provision of integrated care, including identification of strengths, weaknesses and areas for improvement. The methodology provides the following steps: 1) selection of key stakeholders participating in the assessment; 2) conducting the individual assessments; 3) building the consensus among the involved stakeholders. The outcomes of the assessment were captured in the form of spider diagrams, highlighting Puglia' strengths and weaknesses in integrated care. The research has provided a multi-dimensional representation of the integrated care maturity level of the Puglia' Local Health Authorities. With reference to the SCIROCCO Exchange tool dimensions, major strengths include: Digital Infrastructure; Population Approach; Process Co-ordination; and Citizen Empowerment. Among the areas for improvement: Finance & Funding; Removal of Inhibitors; and Evaluation Methods were identified. The experience of using the SCIROCCO Exchange Tool have demonstrated benefits and added value of the Tool in guiding involved stakeholders towards the implementation of integrated care in Puglia and in stimulating multi-stakeholders discussions and participants' engagement. The assessment results will be used to orient an Action Plan to facilitate much more effective and tailored knowledge transfer process and provide better digital care services in Puglia.

scholarly journals Skills building seminar: Capacity-building for implementing integrated care

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
◽  
Keyword(s):  
Knowledge Management ◽  
Capacity Building ◽  
Integrated Care ◽  
Real Life ◽  
Scaling Up ◽  
Healthcare Systems ◽  
Added Value ◽  
European Regions ◽  
Care Systems ◽  
Different Levels

Abstract Rationale The significance of integrated care as a means for improving health outcomes and effectiveness and sustainability of health and care systems is widely acknowledged. Integrated care is a central element in many on-going or planned healthcare system reforms, however, the main challenge remains of how to build relevant capacity and know-how for the successful implementation of integrated care. Capacity-building is both the foundation and aspiration of SCIROCCO Exchange EU Health Programme funded project. The project aims to facilitate access to tailored, evidence-based support and improvement planning by recognising different staring points, or levels of maturity of healthcare systems in Europe. Objectives This round table aims to explore different levels of local maturity and capacity to implement integrated care in three European regions; Basque Country, Flanders and Poland. The workshop will be a practical opportunity to dispute what actions and activities should be prioritised in these regions in order to improve their capacities for the adoption and scaling-up of integrated care. The workshop also aims to raise awareness about different levels and mechanisms of capacity-building support for integrated care that exists at European level. In particular, the workshop will feature SCIROCCO Exchange Knowledge Management Hub as one of the capacity-building tools and its application in the real-life settings. Added value Sharing learning more widely will help to build sustainable integrated care systems and tackle the risks of people working in isolation or re-inventing the wheel. Format of the workshop The workshop will consist of two keynote presentations, providing necessary background into the existing European policies, programmes and initiatives to support the adoption and scaling-up of integrated care. The introductory presentations will then follow by three snapshot presentations of 5 minutes featuring the main findings on the maturity and capacity of three European regions to implement integrated care. In the second part of the meeting, the participants will have the opportunity to discuss interactively with the representatives of the regions the use of SCIROCCO Exchange Knowledge Management Hub in the real-life settings, its added value and implications of the outcomes for future actions and improvement planning. The ultimate objective is to stimulate the discussion and knowledge on how to address the existing difficulties in implementing integrated care. Key messages Integrated care is considered as fundamental element driving transformation of healthcare systems. The challenge remains how to address different levels of capacities to implement integrated care. SCIROCCO Exchange can facilitate the access to capacity-building support that is needed for transition and/or improvement of existing systems for the adoption and scaling-up of integrated care.

scholarly journals Integrated care in mental health: next steps after the NHS Long Term Plan

2019 ◽  
Vol 214 (06) ◽  
pp. 315-317 ◽  
Author(s):  
Derek K. Tracy ◽  
Kara Hanson ◽  
Tom Brown ◽  
Adrian J. B. James ◽  
Holly Paulsen ◽  
...  
Keyword(s):  
Integrated Care ◽  
Royal College ◽  
Ageing Population ◽  
Select Committee ◽  
Complex Needs ◽  
Health And Social Care ◽  
Care Systems ◽  
The Uk

SummaryHealth and social care face growing and conflicting pressures: mounting complex needs of an ageing population, restricted funding and a workforce recruitment and retention crisis. In response, in the UK the NHS Long Term Plan promises increased investment and an emphasis on better ‘integrated’ care. We describe key aspects of integration that need addressing.Declaration of interestD.K.T. and S.S.S. are on the editorial board of the British Journal of Psychiatry and executives of the Academic Faculty at the Royal College of Psychiatrists. A.J.B.J., H.P. and Z.M. have roles at the Royal College of Psychiatrists that include evaluation of integrated care systems. A.J.B.J. is married to Dr Sarah Wollaston, Member of Parliament for Totnes and Chair of the Health Select Committee.

scholarly journals International experiments with different models of allocating funds to facilitate integrated care: a scoping review protocol

BMJ Open ◽  
2018 ◽  
Vol 8 (11) ◽  
pp. e021374
Author(s):  
Akram Khayatzadeh-Mahani ◽  
Ellen Nolte ◽  
Jason Sutherland ◽  
Pierre-Gerlier Forest
Keyword(s):  
Integrated Care ◽  
Scoping Review ◽  
Care Coordination ◽  
Social Care ◽  
Service Providers ◽  
Research Question ◽  
Major Barrier ◽  
Health And Social Care ◽  
Wide Range ◽  
Care Systems

IntroductionIntegrated care is viewed widely as a potential solution to some of the major challenges faced by health and social care systems, such as those posed by service duplication, fragmentation and poor care coordination, and associated impacts on the quality and cost of services. Fragmented models of allocating funds to and across sectors, programmes and providers are frequently cited as a major barrier to integration and countries have experimented with different models of allocating funds to enhance care coordination among service providers and to reduce ineffective care and avoid costly adverse events. This scoping review aims to assess published international experiences of different models of allocating funds to facilitate integration and the evidence on their impacts.Methods and analysisWe will adopt a scoping review methodology due to the potentially vast and multidisciplinary nature of the literature on different models of allocating funds in health and social care systems, as well as the scarcity of existing knowledge syntheses. The framework developed by Arksey and O’Malley will be followed that entails six steps: (1) identifying the research question(s), (2) searching for relevant studies, (3) selecting studies, (4) charting the data, (5) collating, summarising and reporting the results and (6) and conducting consultation exercises. These steps will be conducted iteratively and reflexively, making adjustments and repetitions when appropriate to make sure the literature has been covered as comprehensively as possible. To ensure comprehensiveness of our literature review, we also search a wide range of sources.Ethics and disseminationAn integrated knowledge translation strategy will be pursued by engaging our knowledge users through all stages of the review. We will organise two workshops or policy roundtables/policy dialogues in Alberta and British Columbia with participation of diverse knowledge users to discuss and interpret the findings of our review and to draw out policy opportunities and lessons that can be applied to the context of these two provinces.

scholarly journals The Iranian Integrated Care Electronic Health Record

2021 ◽  
Author(s):  
Ehsan Bitaraf ◽  
Maryam Jafarpour ◽  
Vajiheh Jami ◽  
Fatemeh Sarani Rad
Keyword(s):  
Electronic Health Record ◽  
Integrated Care ◽  
Service Oriented Architecture ◽  
Point Of Care ◽  
Medical Knowledge ◽  
Healthcare Services ◽  
Health Record ◽  
Care Systems ◽  
Point Of Care Systems ◽  
Electronic Health

E-health plays a crucial role in E-government by proposing healthcare services based on information technology. However, the way to administer these services by using E-health solutions is one of the challenging issues. One of these significant challenges is how one integrates heterogeneous healthcare information of the different point of care systems. This paper introduces the Iranian integrated care electronic health record using the information gathered from several point-of-care systems in healthcare enterprises in Iran. This service-oriented architecture has a remarkable characteristic – its accessibility to medical knowledge and medical concepts through archetypes and ontology, respectively. The Ministry of Health and Medical Education of the Islamic Republic of Iran has designed and implemented this national architecture.

scholarly journals A scaling-up strategy supporting the expansion of integrated care: a study protocol

2019 ◽  
Vol 27 (3) ◽  
pp. 215-231 ◽  
Author(s):  
Liset Grooten ◽  
Cristina-Adriana Alexandru ◽  
Tamara Alhambra-Borrás ◽  
Stuart Anderson ◽  
Francesca Avolio ◽  
...  
Keyword(s):  
Integrated Care ◽  
Large Scale ◽  
Scale Up ◽  
Implementation Fidelity ◽  
Scaling Up ◽  
Realist Evaluation ◽  
Content Type ◽  
Project Outcomes ◽  
Care Systems ◽  
Funded Project

Purpose To ensure that more people will benefit from integrated care initiatives, scaling-up of successful initiatives is the way forward. However, new challenges present themselves as knowledge on how to achieve successful large-scale implementation is scarce. The EU-funded project SCIROCCO uses a step-based scaling-up strategy to explore what to scale-up, and how to scale-up integrated care initiatives by matching the complementary strengths and weaknesses of five European regions involved in integrated care. The purpose of this paper is to describe a multi-method evaluation protocol designed to understand what factors influence the implementation of the SCIROCCO strategy to support the scaling-up of integrated care. Design/methodology/approach The first part of the protocol focuses on the assessment of the implementation fidelity of the SCIROCCO step-based strategy. The objective is to gain insight in whether the step-based strategy is implemented as it was designed to explore what works and does not work when implementing the scaling-up strategy. The second part concerns a realist evaluation to examine what it is about the SCIROCCO’s strategy that works for whom, why, how and in which circumstances when scaling-up integrated care. Findings The intended study will provide valuable information on the implementation of the scaling-up strategy which will help to explain for what specific reasons the implementation succeeds and will facilitate further improvement of project outcomes. Originality/value The expected insights could be useful to guide the development, implementation and evaluation of future scaling-up strategies to advance the change towards more sustainable health and care systems.

Future Development of Medical Informatics from the Viewpoint of Health Telematics

2009 ◽  
Vol 48 (01) ◽  
pp. 55-61 ◽  
Author(s):  
K. P. Pfeiffer
Keyword(s):  
Health Care ◽  
Integrated Care ◽  
Information And Communication Technology ◽  
Medical Informatics ◽  
Communication Technology ◽  
Social Care ◽  
Care Process ◽  
Health And Social Care ◽  
Care Systems ◽  
Information And Communication

Summary Objectives: The transformation process of the health care systems in most countries in direction of integrated care needs the support of information and communication technology. The central element of this development is the electronic health care record. But there are many other applications around this record and the functionality and usability of these systems has to be improved and extended. Methods: A system-analytic approach to integrated care is used to analyze the possibilities and the role of information and communication technology in current and future health and social care systems. Results: The key elements of the improvements in the next years are the integration of evidence-based knowledge in the care process, the improvement of the usability for patients and health care providers, the development of pro-active systems for decision support, the support of the mobility of patients and the activities of daily living, the integration of data form molecular biology, semantic interoperability and last but not least the processing and analysis of these data. In a series of tables requirements of the functionality of eHealth applications are summarized. Conclusion: Research in medical informatics has to focus on strategic concepts and how to transform the demands of a modern integrated health and social care system into user-friendly, secure and efficient ICT solutions and to support the citizen’s responsibility for her/his own healthcare. But there is also a high demand for research to improve the technology of ICT systems in health and social care.

scholarly journals Can health and social care integration make long-term progress? Findings from key informant surveys of the integration Pioneers in England

2019 ◽  
Vol 28 (1) ◽  
pp. 14-26
Author(s):  
Bob Erens ◽  
Gerald Wistow ◽  
Nicholas Mays ◽  
Tommaso Manacorda ◽  
Nick Douglas ◽  
...  
Keyword(s):  
Integrated Care ◽  
Large Scale ◽  
Social Care ◽  
Community Health Services ◽  
Content Type ◽  
Barriers To Change ◽  
Health And Social Care ◽  
Wide Range ◽  
Key Informant ◽  
Care Systems

Purpose All areas in England are expected by National Health Service (NHS) England to develop integrated care systems (ICSs) by April 2021. ICSs bring together primary, secondary and community health services, and involve local authorities and the voluntary sector. ICSs build on previous pilots, including the Integrated Care Pioneers in 25 areas from November 2013 to March 2018. This analysis tracks the Pioneers’ self-reported progress, and the facilitators and barriers to improve service coordination over three years, longer than previous evaluations in England. The paper aims to discuss these issues. Design/methodology/approach Annual online key informant (KI) surveys, 2016–2018, are used for this study. Findings By the fourth year of the programme (2017), KIs had shifted from reporting plans to implementation of a wide range of initiatives. In 2018, informants reported fewer “significant” barriers to change than previously. While some progress in achieving local integration objectives was evident, it was also clear that progress can take considerable time. In parallel, there appears to have been a move away from aspects of personalised care associated with user control, perhaps in part because the emphasis of national objectives has shifted towards establishing large-scale ICSs with a particular focus on organisational fragmentation within the NHS. Research limitations/implications Because these are self-reports of changes, they cannot be objectively verified. Later stages of the evaluation will look at changes in outcomes and user experiences. Originality/value The current study shows clearly that the benefits of integrating health and social care are unlikely to be apparent for several years, and expectations of policy makers to see rapid improvements in care and outcomes are likely to be unrealistic.

Challenges in measuring integrated care models: International knowledge and the case of Québec

2020 ◽  
Vol 23 (2-3) ◽  
pp. 75-91
Author(s):  
Paul Wankah ◽  
Maxime Guillette ◽  
Thomas Lemaitre ◽  
Louise Belzile ◽  
Yves Couturier
Keyword(s):  
Older Adults ◽  
Integrated Care ◽  
Developed Countries ◽  
Measurement Strategy ◽  
Multiple Data ◽  
Health And Social Care ◽  
Care Models ◽  
Care Systems ◽  
International Knowledge ◽  
Integrated Care Models

Introduction The implementation of integrated care models requires significant efforts, especially due to institutional and organisational inertial forces that characterize health and social care systems of developed countries. It is therefore crucial to deploy strategies that promote continuous adjustment to these barriers so as to improve the benefits of integrating care. Measuring the implementation and effects of integrated care models are key component of these strategies. However, measuring integrated care also faces major challenges. This study aims to identify and characterise integrated care measurement challenges. Methods A review of reviews on the measurement of integrated care identified 12 papers. A thematic analysis was conducted to identify and categorize measurement challenges. Document analysis was done on the measurement of an integrated care model for older adults in Québec. Results Eight categories of measurement challenges were identified. These challenges include difficulties in measuring structures, processes, and effects of models; conceptual ambiguity and heterogeneity of organisational forms; involving multiple actors in the measurement strategy; and including multiple data sources, amongst others. These challenges revealed and explained potential gaps in the measurement of integrated care for older adults in Québec. For instance, the Québec measurement strategy did not include effects indicators. Conclusion Although the measurement of integrated care is a complex endeavour, there is a need for adequate measurement strategies that allow to appreciate important elements of integrate care. The findings of this study could be used as a reflexive tool in advancing research and practice of measuring integrated care.

Sign in / Sign up

Export Citation Format

Share Document