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OUTSTANDING CARE – EVERY PERSON, EVERY DAY. Point of Care Integration Driving Transformation BRIDGES Conference 2014 Thursday March 27th, 2014. A Debate About Reform and Which Road is Best…. Steadfast Despite Political Context. Structural Reform?. Layered On?.
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OUTSTANDING CARE – EVERY PERSON, EVERY DAY Point of Care Integration Driving Transformation BRIDGES Conference 2014 Thursday March 27th, 2014
A Debate About Reform and Which Road is Best… Steadfast Despite Political Context Structural Reform? Layered On? Point of Care – Functional Integration
Point of Care Integration Building inter sectorial, inter-organizational, inter-professional teams at the point of care
One Client: One Team A Perspective On Lessons Learned From A Regional Partner
Flip Our Thinking Ground The Approach
Delivering integrated care requires integrated action within 3 key domains… 1 3 2 Acute, CCC or Rehab At home, in the community When necessary, the transition
Multiple Integration Initiatives Aim: One client, One team
Point of Care Integration Virtual Ward Kids with Medical Complexity
Point of Care Integration Palliative Care ICCP Older Adults
Point of Care Integration and Alignment with BRIDGES Integrated Home Based Primary Care (IHBPC) IMPACT Plus Integrated Community Care Team (ICCT)
Stop, Take Stock and Reflect Principals to Guide Integration
“I meet with my ICCP care coordinator every two weeks or so… She speaks with my doctor. This is the first time the doctor ever came to my home.” – Client “The Coordinator works with other professionals to collect information, so I just have one person to contact. It saves me time.” – Primary Care Physician Point of Care “The cross-sector care we now provide is improving the patient experience - as witnessed by shorter lengths of stay and improved patient satisfaction scores within these patient groups.” – Acute Care Partner
Incremental Build Maturity Reached Over Time
Walk a Mile or Two… How can we work together differently? What do I need to do differently? How can we understand and experience different perspectives? How can we all work together on what is most important to the client/family?
Opposing NotionsTensions Integrated Solutions
Need For Scientific Evidence And Outcomes With Quality Improvement Frameworks For Complex And Disruptive Change Processes Balance
Demonstrating Value Less Talk And More Delivery
There is no script… Lead Through Ambiguity
Relationship Will Determine Success Trust Will Determine Success Safe Shared Accountability
Leadership Leaderful Greater Emphasis on Emotional Intelligence
Lift Up, Look out… …and Honour the Past
Thank You JodemeGoldhar Lead, Health System Integration for Complex Populations and Primary Care