leeds: best city approach to integration...admissions to hospital for leeds-registered patients aged...
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Leeds: Best City
approach to
integration &
innovation Rob Kenyon | Health Partnerships | Leeds
@1Robkenyon
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The Grandest Grand Départ
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A ‘BEST CITY’ approach to Health and Care services, which enables us to:
• tell the same story across organisations
• be clear about our values
• start the process of acting as ‘one organisation’
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Partnership Working
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Integration, Integration, Integration
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A sustainable,
high quality
health and social
care system
What are the characteristics of a high performing health and social care system?
A Focus on
Quality
Leeds Institute
of Quality
Healthcare
Informatics and
Intelligence
Informatics
Strategy
A single point
of arbitration CEx’s Group
A model for
financial risk
sharing
Directors of
Finance Group
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Pioneering approach to health and wealth
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“Nowhere else has the potential of Leeds to lead the world in the use of data to drive health and wellbeing outcomes”
Sir Alan Langlands and Sir Alex Markham
Leeds – Data City
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• Integration between:
• Primary and specialist care
• Health and Social Care
• Physical and Mental Health
Partnership Working
Successful integration of all services is predicated on a individualised view
across a patient’s record
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Whole system approaches to integration and innovation
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Communications and patient engagement
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Take Up
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Caroline Lockie, Community Matron “I have 9 case managed patients who are registered at an EMIS practice. LCR access lets me see what is happening with these patients so I’m no longer going blind”
Emma Seabourne, Occupational Therapist “Being able to see an EDAN so easily
saves time in wards photocopying documents.”
Gary Schofield, Social Worker “ This is REALLY good! Enables
me to see information in other systems so I aren’t going in blind”
Chris Woods, District Nurse “ I was able to use this whilst working on a weekend when I couldn’t call the GP”
Angela Kier, NT Co-ordinator “This will save me time phoning round wards and chasing GPs for summaries”
Kiera Pagdin, Staff Nurse “It enabled me to see what had happened to a patient who had been hospitalised, meaning I
didn’t make a wasted journey to see them”
And what do people think?
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‘virtual wards’ and patient lists
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The Ripple effect
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Open Innovate Collaborate
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Monthy variation (95%)
Annualized Diff. to Trend
Age-
sex c
orr.
adm
issio
ns p
er 1
,000
pat
ients
per m
onth
Apr-1
0
Jul-1
0
Oct-1
0
Jan-
11
Apr-1
1
Jul-1
1
Oct-1
1
Jan-
12
Apr-1
2
Jul-1
2
Oct-1
2
Jan-
13
Apr-1
3
Jul-1
3
Oct-1
3
Jan-
14
Apr-1
4
Jul-1
4
Oct-1
4
Jan-
15
Apr-1
5
Jul-1
5
Oct-1
5
Jan-
16
0.00
5.00
10.00
15.00
20.00
25.00
30.00
35.00Ap
r-09
Jul-0
9O
ct-0
9Ja
n-10
Apr-1
0Ju
l-10
Oct
-10
Jan-
11Ap
r-11
Jul-1
1O
ct-1
1Ja
n-12
Apr-1
2Ju
l-12
Oct
-12
Jan-
13Ap
r-13
Jul-1
3O
ct-1
3Ja
n-14
Apr-1
4Ju
l-14
Oct
-14
Jan-
15Ap
r-15
Jul-1
5O
ct-1
5Ja
n-16
Apr-12: First three IH&SC teams go live
Projected ‘do nothing’
baseline
Leeds total
First three IH&SC
teams
Apr-13:All teams operational
Assessing the impact of integration: Emergency admissions to hospital for Leeds-registered patients aged 65 year and over
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Leeds Academic Health Partnership
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17
Jönköping
Aravind Eye Care
So what will Leeds be known for?