Building a platform for integrated care: delivering change that matters to people
The International Foundation of Integrated Care (IFIC) in partnership with the Health Service Executive (HSE) presented the 17th International conference on Integrated Care “Building a platform for integrated care: delivering change that matters to people” in Dublin, Ireland 08 to 10 May 2017. In association with 5th World Congress on Integrated Care (WCIC5).
The conference brought together researchers, clinicians and managers from around the world who engaged in the design and delivery of integrated health and social care. They shared experience and the latest evidence about integrating Public Health, Health and Social Care and the New roles and Possibilities for Hospitals, producing Positive and Curative Integrated Mental and Physical Care, mobilising key enablers like policy making and Mobile and Digital Health Solutions, and investment in an Integrated Care Workforce, clinical leadership and coproduction with individuals, careers, communities and populations.
Theme 1. Promoting the health and welfare of people, families and communities
- Engaging and empowering people and communities
- Improving population health and supporting families to live well
- Bridging the gap between mental and physical health services
- Managing the integrated delivery of better public health services and working with community assets to improve health outcomes
- Integrated early childhood development: working with schools and children’s services and integrating care across the whole life course
- Understanding the social determinants of health
- Tackling inequalities and improving access to health and care services for minorities and hard-to-reach groups
Theme 2. Timely transitions: optimizing patient flow across care settings
- Reducing length of hospital stay
- Tackling delayed transfers of care, handoffs, sequences and early discharge
- Risk stratification and tools for reducing unnecessary readmissions
- Optimising patient flow in hospital settings and during emergencies; overcoming blockages in acute services
- Hospital-to-Home services
- Patient flow and improving care pathways across care settings and multiple organisations
- Intermediary care
- Managing complexity
- Whole system patient flow
- Defining roles and responsibilities
Theme 3. Preventing and managing chronic disease: engaging and empowering people
- Supporting self-care and improving health literacy
- Care planning; Care/Case Management
- Telehealth/Telecare Support
- Access to Healthcare Records
- Enhancing primary care and community services
- Managing ambulatory care sensitive conditions
- Multi-morbidities, Cancer and HIV
- Congenital conditions and transitions from paediatrics to adult services
- Medications management/polypharmacy
- The role of community pharmacy, integration with other providers and integration with the multi-disciplinary team
Theme 4. Ageing health and wellbeing
- Geriatric conditions
- Age-friendly environments
- Resilience/coping in old age
- Supporting Carers
- Active Ageing
- Involving communities
- Older people’s care in the home environment
- Extra-care housing
- Supporting families to care for older adults
- Integrated care in residential and nursing homes
- Promoting dignity, preventing elder abuse and reducing social isolation
- Palliative and end-of-life care
Theme 5. Implementing integrated care
- Leading and managing change
- Building blocks of integrated care
- Co-design and co-production
- Financing integrated care
- Toolkits and guides for promoting and delivering integrated care
- Measurements, indicators and evaluation tools
- Developing the business case
President and Chief Executive Officer,
Institute for Patient and Family Centred Care (IPFCC
Beverley H. Johnson serves as the President and Chief Executive Officer of the Institute’s Board. She has over 25 years of experience in organizational development and management. She has worked as a health professional providing direct care in hospitals, managing a hospital unit, and teaching.
She has served as a trustee of a hospital, national health care organization, and a school board. In these trustee roles, she has chaired and served on strategic planning committees and had fiduciary responsibility for nonprofit organizations. She has provided technical assistance and consultation to over 250 hospitals across the United States and Canada. She has published widely on patient- and family-centered issues and strategies.
Bev is the recipient of the 2011 Dorland Health People Award for leadership in the area of patient- and family-centered care, the 2008 Stanley Graven Award for outstanding contribution to the National Perinatal Association, the 2007 Stan and Mavis Graven Award for Leadership in promoting optimal environments and developmental care for high risk infants and their families, the 2007 Changemaker Award by the Board for the Center for Health Care Design, the 1992 Lloyd Bentsen Award for leadership for family-centered care, and the 1990 Humanitarian Award from Pediatric Nursing.
Dr Áine Carroll
National Director for Clinical Strategy and Programmes
Health Service Executive (HSE)
Dr Áine Carroll is Ireland Health Service Executive’s National Director for Clinical Strategy and Programmes since November 2012, a division encompassing the National Clinical Programmes, Integrated Care Programmes and The Office of the Nursing & Midwifery Services (ONMSD).
The National Clinical Programmes were established to improve and standardise patient care throughout the health services by bringing together clinical disciplines to develop and share innovative healthcare solutions in individual specialty delivery. Dr Carroll is currently building on the successes of the Clinical Programmes through the development of Integrated Care Programmes for older persons, chronic disease, children and patient flow, to promote coordinated care and team work across services and specialties, ensuring that care is provided effectively and seamlessly to patients as they move through the system.
Prior to her appointment as National Director, Dr. Carroll was the Clinical Lead of the Rehabilitation Medicine Programme. She is a Consultant in Rehabilitation Medicine, Associate Clinical Professor at University College Dublin School of Medicine, past Chair of the Medical Board of the National Rehabilitation Hospital and past President of the Irish Association of Rehabilitation Medicine. Her works on a wide variety of topics are widely published, with presentations at national and international conferences.
Technical Officer on Health Care Services,
World Health Organization (WHO) Geneva
Nuria Toro is a Technical Officer on Health Care Services at the World Health Organization (WHO) in Geneva, Switzerland, where she is coordinating the WHO Framework on integrated people-centred health services.
She holds an Economics and Business Administration degree from the University of Deusto (Spain), Master in Business Analysis from Lancaster University (UK) and a Diploma in Health Management from Deusto Business School (Spain). At the beginning of her career she worked as a consultant for KPMG Consulting, developing projects in the field of strategy and management for both private and public sector. In 2004 she joined the Basque Institute of Healthcare Innovation, where she has been working as a senior researcher for ten years.
She was involved in the design and implementation of the “Strategy for tackling the Challenge of Chronicity in the Basque Country”, released in 2010. She also became engaged in the design, development and evaluation of the “Integrated Care Plan in the Basque Country”, which underpins the transformation approach towards a more integrated, quality and efficient Basque healthcare system. Her areas of expertise are health services organization, management and evaluation, integrated care and chronic disease management.
Dr Nick Goodwin
International Foundation for Integrated Care (IFIC)
Nick was the co-Founder of IFIC in October 2011 and became its first Chief Executive Officer in March 2013. Nick is also the Editor-in-Chief of IFIC’s open-access and impact rated scientific periodical the International Journal of Integrated Care.
Nick holds a range of research, educational and consultation roles worldwide. These international commitments include several European R&D projects such as the EU FP7 Project INTEGRATE, the Horizon 2020 project SUSTAIN and the ICT-PSP projects SMARTCARE, BEYOND SILOS, and CAREWELL. Nick is an active member of the European Innovation Partnership on Active and Healthy Ageing B3 Action Group on Integrated Care.
Nick has also been working with the World Health Organisation to support the development of its Global Strategy on People-Centred Integrated Health Services and is on the Expert Advisory Team to WHO Regional Office for Europe’s Framework for Action Towards Coordinated/Integrated Health Services Delivery (CIHSD) leading work related to change management and adoption of integrated care in policy and practice.
Over the past year, Nick has also worked as an international consultant to the Agency for Integrated Care, Singapore; the Pan American Health Organisation, Washington; the WHO’s Western Pacific Regional Office; and to NHS England’s Better Care Fund Support Programme.
In previous roles, Nick worked as a Senior Fellow at the King’s Fund (2007-2013) leading key work on integrated health and social care as well as a two-year Inquiry into the quality of care in English general practice. Nick has also worked as a Senior Lecturer at the London School of Hygiene and Tropical Medicine (2003-2007) where he directed MSc and DrPH courses and worked as a lead academic for the National Institute for Health Research commissioning key studies into the service delivery and organisation of health care.
In January 2016, Nick received the Avedis Donabedian International Award for his contribution to Healthcare Excellence and Integrated Health and Social Care.
Dr Chad Boult
John Hopkins University
Chad Boult, MD, MPH, MBA, is a medical director, a healthcare consultant, a teacher, a researcher and a physician board-certified in Family Medicine and Geriatrics.
Dr. Boult has extensive experience in developing, testing, evaluating, and diffusing new models of comprehensive health care for persons with chronic conditions. He has published two books and more than 85 articles in biomedical scientific journals. From 2001-2012, he was a Professor of Health Policy and Management in the Bloomberg School of Public Health at the Johns Hopkins University, where he also held joint appointments on the faculties of the Schools of Medicine and Nursing. From 2000-2005, he edited the “Models and Systems of Geriatric Care” section of the Journal of the American Geriatrics Society, and he has reviewed manuscripts for 20 scientific journals and served as a grant reviewer on study sections of the NIA, AHRQ and other funding organizations.
During 2009-2011, Dr. Boult served as a “Health and Aging Policy Fellow” and a Senior Advisor for Geriatrics and Long-Term Care at the Centers for Medicare & Medicaid Services (CMS). From 2012-2013, he directed the “Improving Healthcare Systems” program of the Patient-Centered Outcomes Research Institute (PCORI). He is now the medical director for geriatrics, palliative care and house calls for a large healthcare system. He has provided healthcare consultative services in the U.S. and internationally for the past twenty years.
Chief Executive Officer
Peter Lachman M.D. MPH. M.B.B.Ch., FRCPCH, FCP (SA), FRCPI assumed the position of ISQua Chief Executive Officer on 1st May 2016. He has great experience as a clinician and leader in quality improvement and patient safety.
Dr Lachman was a Health Foundation Quality Improvement Fellow at IHI in 2005-2006, and developed the quality improvement programme at Great Ormond Street Hospital where he was the Deputy Medical Director with the lead for Patient Safety. Prior to joining ISQua, Peter was also a Consultant Paediatrician at the Royal Free Hospital in London specialising in the challenge of long term conditions for children.
Dr Lachman has been the National Clinical Lead for SAFE, a Heath Foundation funded RCPCH programme which aims to improve situation awareness in clinical teams. In Ireland he is Lead International Faculty at the RCPI in Dublin, where he co-directs the Leadership and Quality programme to develop clinical leaders in quality improvement. He is co-founder and Chairperson of PIPSQC, the Paediatric International Patient Safety and Quality Community.
Dr Catherine Darker,
Adelaide Assistant Professor in Health Services Research
School of Medicine
Trinity College Dublin
Dr Catherine Darker is the Adelaide Assistant Professor of Health Services Research in the Department of Public Health & Primary Care, Trinity College Dublin. Her research interests include health inequalities, developing models of integration between primary and secondary care; and evaluating a number of national disease registers, especially with regard to the major causes of death and disability.
She is a Health Psychologist by background training and is a member of the Council for Healthy Ireland.