martin mcshane: driving quality up with integration
DESCRIPTION
Martin McShane, Director of Commissioning Development and QIPP, NHS Lincolnshire PCT Cluster, shares the key integrated care lessons he learnt from the USA and how these can be applied to the NHS.TRANSCRIPT
Driving quality through
integrated careDr Martin McShane
NHS Lincolnshire
Integrated care study tour
Key issues
• Integrated careStrategy (the story)Primary careLeadershipWorkflowInformationITIncentives
= CULTURE
VERTICAL&
HORIZONTAL
VERTICAL&
HORIZONTAL
Horizontal and vertical integration
Horizontal – Peer review/benchmarking
Horizontal – Peer review/benchmarking
CCGs
Networks
The GAP - size of challenge
The GAP - size of challenge
Focus?
Feedback
Incentives
• QOF (QIPP)• Tariff (30%)• Pooling (Reablement)• Block (Risk sharing)
ImpactFOPS
• 4% reduction for all unscheduled admissions
• 7% reduction for all admissions for pts over 65
• 8% reduction for all admissions for pts over 75
• 2% reduction in admissions for ACS conditions for pts 65 and over
Integrated care
• About a system – not an organisation• People – the hearts and minds• Processes – the way we work• Incentives – used for change not status quo