This article explores legislative provisions in relation to patient privacy in the context of integrated health and social care and the development of multidisciplinary health care teams that include practitioners from private sector and government agencies in the health, education, child protection, family welfare, disability, aged-care, housing, local government and criminal justice sectors.
This growing repository holds publications, multimedia, toolkits, news and events with information and insights about integrated people-centred health services. Share your resources! Follow us!
This growing repository holds publications, multimedia, toolkits, news and events with information and insights about integrated people-centred health services. Share your resources! Follow us!
Publications
Residents living in US-Mexico border communities have some of the worst health outcomes nationally. Rates of chronic disease such as obesity, diabetes, and related mortality in the Rio Grande Valley exceed those in most other regions of Texas and the nation. Poverty is pervasive, placing residents at high risk for poor health; they are more likely to be exposed to environmental hazards and have higher rates of chronic physical and mental health concerns. At its foundation, integrated behavioral health care aims to address multiple health concerns, and related social determinants, by bringing behavioral health and primary care services together. No single model of integrated behavioral health care can be applied universally to health or social service settings; however, each approach is team-based and involves collaboration between multidisciplinary health and social service providers to achieve shared patient and community outcomes. This randomized trial evaluated whether patients receiving enhanced integrated behavioral health care at a southern Texas free and charitable were more likely to improve health outcomes after 12 months compared to patients receiving standard care.
Multimedia
In Ireland, the ValueCare project focuses on co-designing a digital solution to help older people (≥75) experiencing mild to moderate frailty to live independently in their homes. The technology will foster regular communication between older people in the relevant organisations (primary, secondary and social care) with technology enabled data sharing & common data sets can improve flow and information exchange. Older people will access the VALUECARE integrated care pathway via referral from primary care, the emergency department, the acute medical unit or the public health nurse. The care coordinator will develop the following 4 components; case finding; needs assessment; care planning and care co-ordination. For more information on the ValueCare project visit https://projectvaluecare.eu/
This podcast belongs to International Foundation of Integrated Care. Health and care workers are our greatest asset, working alongside family carers, community partners and local networks of support. However, without reforms, sustaining the workforce is also one of our greatest challenges. Core competencies for integrated care are highly relational: patient advocacy, communication, interdisciplinary working, people-centred care, and continuous learning. Leading and managing transformational change is a collective responsibility and sustainable improvements will only take place if a flexible approach to driving the change is embedded. Enabling individuals and the system to be their own change agents will create an environment that can effectively respond to the continuous evolution of communities and populations alongside being able to harness the potential of innovations and new ways of working. The current pandemic has stretched our workforce beyond what we could have imagined. They have stepped up by extending scope of practice, blurring roles to support each other, and rapidly acquiring new caring and remote consultation skills to offer the best possible care and support in extremely difficult circumstance. This is a unique opportunity to test integrated workforce solutions that will strengthen our systems and lead to better health, better care and better value.
Toolkits
The Canadian Patient Safety Institute (CPSI) and Health Standards Organization (HSO), with the dedicated support of hundreds of stakeholders across Canada, recognized the need for a greater commitment to quality and safety improvement. We are pleased to share the Canadian Quality and Patient Safety Framework for Health Services, the first of its kind in Canada. By committing to improving quality and patient safety, we can achieve better health care for all. Be sure to take full advantage of all the communications tools and resources in this package: Download Five Goals to Align Canada on Patient Safety and Quality Improvement This people-centred framework defines five goal areas designed to drive improvement and to align Canadian legislation, regulations, standards, organizational policies, and public engagement on patient safety and quality improvement. Goal 1 | People-Centred Care People using health services are equal partners in planning, developing, and monitoring care to make sure it meets their needs and to achieve the best outcomes. Goal 2 | Safe Care Health services are safe and free from preventable harm. Goal 3 | Accessible Care People have timely and equitable access to quality health services. Goal 4 | Appropriate Care Care is evidence-based and people-centred. Goal 5 | Integrated Care Health services are continuous and well-coordinated, promoting smooth transitions.
Health Education England, Skills for Health, and Skills for Care have produced the Person-Centred Approaches Core Skills and Education Training Framework. Those interested in integrated care can access any of the following resources mapped for different users. Integrated Care Toolkit: resources by user groups
News
The European Commission´s second call for an Expression of Interest for innovative and rapid health-related approaches to respond to COVID-19 and to deliver quick results for society for a higher level of preparedness of health systems: Proposals should focus on lessons learnt: they should i) address how to mitigate social and economic impacts of the outbreak response related to health systems; ii) identify non-intended consequences of epidemic-control decisions; and iii) provide answers to social, including gendered, dynamics of the outbreak and the related public health response. In particular, in their proposals the applicants are encouraged to integrate multiple medical, social sciences and humanities disciplines, including anthropology, psychology, sociology, epidemiology, implementation science, journalism & communication, economics and political sciences, as well as gender studies and intersectional research to address the following inter-related dimensions. Submit an Expression of Interest by June 11, 2020.
While this pandemic has the potential to fracture societies, it is the resilience, solidarity, strength, and ingenuity of communities that will help overcome this crisis. Highlights Community-driven development (CDD) programs, which put people at the center of designing their own solutions, are a critical part of the World Bank’s response to the global COVID-19 crisis. The Bank is supporting countries in Horn of Africa and in Solomon Islands through CDD programs that are delivering cash and basic services to the most vulnerable. To tackle a crisis of this magnitude and scale, countries need an equitable, whole-of-society approach, which lies at the heart of CDD programs. The COVID-19 pandemic continues to have devastating impacts on people, with a disproportionate impact on the poor and the most vulnerable, who lack the coping mechanisms and essential services they need. In a crisis of this magnitude, no single intervention is enough, and countries need to use every available platform and tool. CDD programs scaled up by World Bank in Horn of Africa and in Solomon Islands are a few examples of community-based interventions providing support to vulnerable communities and groups to get vital resources to people. These are relatively early days in the World Bank´s efforts to help Governments respond to COVID-19. The operations are drawing lessons from previous pandemics, including the 2014-16 Ebola outbreak, which highlight the importance of community level efforts programs in crisis relief and recovery to complement medical efforts. RELATED WORLD BANK Community Access and Urban Services Enhancement (CAUSE) Project in Solomon Islands Development Response to Displacement Impacts Project (DRDIP) in the Horn of Africa
Events
The International Foundation for Integrated Care’s report, Realising the true value of integrated care describes the steps we must take to create a radically different future beyond COVID-19. The report is a powerful call to reset our compass to a new reality based on solidarity and collaboration for population health. IFIC Scotland and partners explore this new future in series 5 of their Integrated Care Matters webinars. Guest panelists, members of IFICs international Special Interest Groups, will share their experiences and insights and challenge us to design a better future that improves lives and opportunities for all. The final webinar of 2020 in the Integrated Care Matters series 5 will discuss digitally enabled care pathways. All who register will receive links to the recordings and topic resources. Additional information and guest panelists
16/12/20 - 19/12/20
European Conference of Family Doctors
The European Conference of Family Doctors will take place virtually December 16th to 19th. The following topics and subtopics will be addressed, Managing Primary Care Special Groups of Patients General Aspects Practice Training Future Settings of Primary Care
Blog
Following presentation of Dr. Áine Carroll, Consultant at The National Rehabilitation Hospital (NRH) and Professor of Healthcare Integration and Improvement at UCD describes current lessons learnt in the design and delivering of integrated people-centred health services in Ireland. In the context of challenging emerging demands and system constraints, a clinical strategy and over 30 national programs have been developed to improve clinician and patient experience at the lower cost. Dr. Carroll, addresses the challenges of implementing integrated care programs and highlights the most recent achievements of national policy “Sláintecare Action Plan” that contributes to make integrated care a reality. Several elements as patient narratives, partnership and leadership make up the health system’s capacities for building integration at micro, meso and macro level. Please check out the video: https://pro.panopto.com/Panopto/Pages/Viewer.aspx?tid=5e8a430a-519d-45ad-88ad-ac7100d48a92
Integrated Health Service Delivery Networks (IHSDN) based on primary health care (PHC) are the most promising solution for health systems to satisfy the health needs of the population and to address access, efficiency, quality and equity challenges faced by health systems of the world. PHCs essential attributes (people and family centred care, comprehensiveness, continuity, longitudinality) position this approach as one of the key strategies for countries to meet the aspiration of achieving universal health coverage. Creating care networks has been a common thread running through Latin America and the Caribbean health policy agendas. In terms of actually putting the IHSDN model in action, there is a wide range of interpretations and experiences, with designs, scales, organizational methods, and maturity levels that vary within and between countries. Health Network in Action, a publication from the Inter-American Development Bank, shares evidence of the progress made in forming and launching IHSDN in Latin America based on four case studies conducted in Argentina, Brazil, Colombia, and Mexico. The results were found by systematically applying an instrument that collects regional information on the context and features of the IHSDNs governance, funding, care models, and IHSDN management models. The book’s chapters describe the characteristics of IHSDN in the four studied countries, lessons are drawn from how these IHSDN have been designed and implemented, challenges for the future are identified, and recommendations are provided on what it will take to consolidate the IHSDN model in Latin America. The hypothetical story of Dioselina, illustrates throughout the book the obstacles and difficulties that arise for a diabetic patient when using health services that are not people-centred.The results shed light on how prepared IHSDN in this region are to provide patient-centred care and where to focus efforts for improvement. The evidence found in this study will help develop and advance PHC in Latin America.