‘Integrate or Bust’

1. ‘Integrate or Bust’ Information and Technology enabled Integrated Care 2 May 2012

2. IT enabled integrated care Dr Lloyd McCann Medical Director, Harris Healthcare Solutions Talent pool member, NHS Interim Management and Support

3. Outline • Key messages • Integrated care • Information and technology in integrated care • Information as an asset in integrated care • Some tools • An IT framework in integrated care • Summary and discussion

4. Key Messages • Integrated care can and does work • Information and technology (IT) are critical components in successful models of integrated care delivery • Viewing and using information as an asset improves delivery of integrated care • Certain IT approaches and tools are better enablers than others • Patients must have an active role and be actively engaged

5. Integrated Care Kodner and Spreeuwenberg (2002). Integrated Care: meaning, logic, applications and implications – a discussion paper. International Journal of Integrated Care, vol 2, e12

6. Integrated Care

7. Integrated Care: Levels Curry and Ham (2010). Clinical and Service Integration: The route to improved outcomes. Kings Fund Publication.

8. Integrated Care: Types Normative Integration Systemic Integration Lewis et al (2010). Where next for integrated care organisations in the NHS? The Nufffield Trust.

9. Integrated Care: Types

10. Integrated Care: Evidence

11. Information and technology • Data management • Utilisation and outcomes tracking • Communication • Care coordination • Information sharing • Financial and clinical integration • Virtual integration

12. Information and technology Grone and Garcia-Barbero (2001). Integrated care: a position paper of the WHO European office for integrated healthcare services, International Journal of Integrated Care, Vol 1, 1.

13. Information as an asset

14. Tools

15. IT framework for integrated care

16. What’s worked? • Simple governance models • No additional repositories / databases • Real-time information • Remote monitoring • Patient portal • Provider portal - Holbrook, S (2006). Clinical Portal: A win for providers. Electronic Healthcare, Vol. 4, No 4. - Grant, J. What does it take to make integrated care work? McKinsey Quarterly Publication - Shaw, R and Ferranti, J (2011). Patient-provider internet portals – Patient outcomes and use. Journal of Medical Internet Research, 13(2): e41. - Grossman, J et al (2006). Hospital-Physician portals: The role of competition in driving clinical data exchange. Health affairs, 25(6). - Chaiken, B (2003). Clinical technology: are you getting your money's worth? - several factors should be considered when investing in clinical information technology. Healthcare Financial Management.

17. Summary • Integrated care can and does work • Information and technology (IT) are critical components in successful models of integrated care delivery • Viewing and using information as an asset improves delivery of integrated care • Certain IT approaches and tools are better enablers than others • Patients must have an active role and be actively engaged

18. IT enabled integrated care And if you have been... Thanks for listening