The development of an evaluation framework for a Hospital at Home service

Purpose – The purpose of this paper is to share good practice with interested professionals, commissioners and health service managers regarding the development of an evidence-based approach to evaluation of an integrated care service providing acute level care for patients in their own homes in South London called the Guys and St Thomas’ @home service. Design/methodology/approach – A literature review related to Hospital at Home (HH) schemes was carried out with an aim of scoping approaches used during previous evaluations of HH type interventions to inform the development of an evaluation strategy for @home. The results of the review were then applied to the Donabedian conceptual model: Structure; Process; and Outcome and contextualised to the population being served by the scheme to ensure a robust, practical and comprehensive approach to evaluation. Findings – Due to the heterogeneity of the studies it was not possible to conduct a systematic review or meta-analysis. In total, 28 studies were identified that met the inclusion criteria and included both HH to facilitate early discharge and admission prevention across a wide range of conditions. The key finding was there is a dearth of literature evaluating staff preparation to work on HH, models of delivery, specifically integrated care and trans-disciplinary working and few studies included the experiences of family carers. Originality/value – This paper will be of value to those involved in the commissioning and delivery of HH and other models of integrated care services type services and will help to inform evaluation strategies that are practical, evidence based and include all stakeholder perspectives.

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Achieving person-centredness through technologies supporting integrated care for older people living at home: an integrative review

Journal of Integrated Care ◽

10.1108/jica-03-2021-0013 ◽

2021 ◽

Vol ahead-of-print (ahead-of-print) ◽

Author(s):

Julie MacInnes ◽

Jenny Billings ◽

Alexandra Lelia Dima ◽

Chris Farmer ◽

Giel Nijpels

Keyword(s):

Older People ◽

Integrated Care ◽

Digital Technologies ◽

Healthcare Management ◽

Integrative Review ◽

Scientific Publications ◽

Content Type ◽

Range Type ◽

Care For Older People ◽

At Home

PurposeThe purpose of this paper is to identify the range, type and outcomes of technological innovations aimed at supporting older people to maintain their independence within the context of integrated care at home. We also discuss key emergent themes relevant to the use of person-centred technology for older people in integrated care and propose recommendations for policy and practice.Design/methodology/approachAn integrative review methodology was used to identify and describe recent scientific publications in four stages: problem identification, literature search, data evaluation and data analysis.FindingsTwelve studies were included in the review. Three studies described remote consultations, particularly telemedicine; five studies described tools to support self-management; three studies described the use of healthcare management tools, and one study described both remote consultation and self-care management. Emergent themes were: acceptability, accessibility and use of digital technologies; co-ordination and integration of services; the implementation of digital technologies; and safety and governance. Several recommendations are proposed relevant to integrated care teams, technology developers and researchers.Originality/valueThis review uniquely considers the extent to which novel digital technologies used in integrated care for older people are person-centred.

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Integrating Home-Based Exercise Training with a Hospital at Home Service for Patients Hospitalised with Acute Exacerbations of COPD: Developing the Model Using Accelerated Experience-Based Co-Design

International Journal of Chronic Obstructive Pulmonary Disease ◽

10.2147/copd.s293048 ◽

2021 ◽

Vol Volume 16 ◽

pp. 1035-1049

Author(s):

Ruth E Barker ◽

Lisa J Brighton ◽

Matthew Maddocks ◽

Claire M Nolan ◽

Suhani Patel ◽

...

Keyword(s):

Exercise Training ◽

Home Based ◽

Home Service ◽

Acute Exacerbations ◽

Hospital At Home ◽

At Home

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Evaluation and decision making in social media marketing

Management Decision ◽

10.1108/md-10-2015-0450 ◽

2017 ◽

Vol 55 (1) ◽

pp. 15-31 ◽

Cited By ~ 34

Author(s):

Brendan James Keegan ◽

Jennifer Rowley

Keyword(s):

Decision Making ◽

Social Media ◽

Planning Process ◽

Evaluation Framework ◽

Social Media Marketing ◽

Management Decision ◽

Exploratory Research ◽

Report Generation ◽

Content Type ◽

Wide Range

Purpose As organisations are increasing their investment in social media marketing (SMM), evaluation of such techniques is becoming increasingly important. The purpose of this paper is to contribute to knowledge regarding SMM strategy by developing a stage model of SMM evaluation and uncovering the challenges in this process. Design/methodology/approach Interviews were conducted with 18 key informants working for specialist SMM agencies. Such informants are a particularly rich source, since they manage social media campaigns for a wide range of clients. An exploratory research was conducted and thematic analysis surfaced the key components of the SMM evaluation process and associated challenges. Findings The SMM evaluation framework is developed. This framework has the following six stages: setting evaluation objectives, identifying key performance indicators (KPIs), identifying metrics, data collection and analysis, report generation and management decision making. Challenges associated with each stage of the framework are identified, and discussed with a view to better understanding decision making associated with social media strategies. Two key challenges are the agency-client relationship and the available social analytics tools. Originality/value Despite an increasing body of research on social media objectives, KPIs and metrics, no previous study has explored how these components are embedded in a marketing campaign planning process. The paper also offers insights in the factors that make SMM evaluation complex and challenging. Recommendations for further research and practice are offered.

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GP294 Junior clinicians’ experiences in leading implementation of new models of care: designing and developing a paediatric hospital at home service

10.1136/archdischild-2019-epa.353 ◽

2019 ◽

Author(s):

Shruti Patel ◽

Alice Stebbings

Keyword(s):

Models Of Care ◽

Paediatric Hospital ◽

Home Service ◽

New Models ◽

Hospital At Home ◽

At Home

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A randomized controlled trial of a hospital at home service for the terminally ill

Palliative Medicine ◽

10.1191/026921600701536200 ◽

2000 ◽

Vol 14 (5) ◽

pp. 375-385 ◽

Cited By ~ 61

Author(s):

G E Grande ◽

C J Todd ◽

S I G Barclay ◽

M C Farquhar

Keyword(s):

Randomized Controlled Trial ◽

Controlled Trial ◽

Terminally Ill ◽

Randomized Controlled ◽

Home Service ◽

Hospital At Home ◽

At Home

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Hospital at home for chronic obstructive pulmonary disease: an integrated hospital and community based generic intermediate care service for prevention and early discharge

Chronic Respiratory Disease ◽

10.1177/1479972306070074 ◽

2006 ◽

Vol 3 (4) ◽

pp. 181-185 ◽

Cited By ~ 12

Author(s):

A G Davison ◽

M Monaghan ◽

D Brown ◽

C D Eraut ◽

A O'Brien ◽

...

Keyword(s):

Chronic Obstructive Pulmonary Disease ◽

Pulmonary Disease ◽

Care Service ◽

Early Discharge ◽

Chronic Obstructive ◽

Intermediate Care ◽

Community Based ◽

Obstructive Pulmonary Disease ◽

Hospital At Home ◽

At Home

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Organizational innovation and integrated care: lessons from Buurtzorg

Journal of Integrated Care ◽

10.1108/jica-06-2014-0024 ◽

2014 ◽

Vol 22 (4) ◽

pp. 174-184 ◽

Cited By ~ 11

Author(s):

Sharda Nandram ◽

Nicole Koster

Keyword(s):

Integrated Care ◽

Management Practice ◽

Good Practice ◽

Integrated Approach ◽

Lessons Learned ◽

Secondary Process ◽

Community Based ◽

Content Type ◽

First Case

Purpose – The purpose of this paper is to describe the case of Buurtzorg Nederland as a good practice example of integrated care, focussing in particular on the organizational aspects of its innovation. As the field of integrated care is still in many ways in its infancy, it is hoped that lessons learned could help other agencies and other systems seeking to reform community-based care. Design/methodology/approach – Drawing on a grounded approach, this case study is based on individual interviews with 38 respondents comprising staff, founder, co-founders, coaches, nurses, clients and a trainer and analysis of internal company reports. Findings – Based on the case study the authors suggest an integrated approach as the main explanation of the good practice at Buurtzorg rather than a focus on one single concept such as management structure, information and communication technology, community-based care or a patient focus. Next to the multi-level approach it furthermore shows a multi-dimensional approach as explanation for its success. In this perspective the primary process is the leading process but fully supported by the secondary process containing support facilities from a head office of the organization. Practical implications – Buurtzorg Nederland has been awarded with several prizes for its good management practice in integrated care and attention internationally is growing. Originality/value – This paper provides the first case study write-up of the Buurtzorg model for an international audience, based on extensive research to be published in an international book.

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