The International Foundation for Integrated Care in association with Edgehill University are delighted to present this series of webinars “The Building Blocks of Integrated Care”. Six webinars will run on a monthly basis from October – March, in the lead up a public lecture on 14 April 2016 at Edgehill University by Professor Jon Glasby entitled If integration is the answer, what was the question? What next for health and social care partnerships. The webinars are targeted at all those interested in improving their core knowledge of integrated care principles and techniques. Webinars will draw on academic research and practical examples.
Integrated care has long emerged as a viable approach to overcome deficiencies in the care management for people with chronic diseases and frail elderly, while at the same time improving efficiency, quality and effectiveness of the health services provided. The focus thus has been on better coordination and integration among health sectors to manage specific diseases. However it has become evident that in order to provide truly people-centred services that promote health, the scope of integrated care needs to be expanded to bridge the gaps not only within the health system, but also between the health and social system, among others. These aspirations necessitate the overcoming of many boundaries, most notably between different professions, different organisations and different attitudes.
The many experiences across Europe and around the world have demonstrated that it does not suffice to tackle only one of these barriers, but that sustainable solutions need a multi-faceted approach which changes the processes and structures of service delivery just as much as the culture and attitudes of professionals involved. Most importantly, patients, families and communities need to be actively involved in this process in order to ensure that their needs are met and their voices heard. And while a lot of efforts are put into the technicalities of integrated care, building the competencies necessary to work in and manage an integrated environment are often neglected.
This webinar series will give a comprehensive overview of the different building blocks of integrated care, touching all of the above-mentioned elements and illustrating the concepts with numerous practical examples from around the world. By mixing presentations with live question and answer sessions, participants will also have the chance to ask burning questions in a relaxed and safe environment. Background material and recommended reading lists will also be available for download.
The webinar series will:
• Provide a comprehensive overview of the principles, models and building blocks of integrated care
• Highlight the financial, organisational, political and cultural aspects, which have to be taken into account when designing and implementing integrated care;
• Understand and identify challenges on different levels (patient to system; local to international)
• Illustrate pitfalls, lessons learned and success stories of integrated care initiatives with cases around the world
The webinars will all take place at 3pm – 4.30pm CET (2pm – 3.30pm GMT). They are free to attend although delegates must register in advance. There are limited number of spaces so if closer the time you find you are not able to make it please cancel your place to allow someone else to take up the spot.
Thursday, 22 October 2015 3pm – 4.30pm CET (2pm – 3.30pm GMT)
Over the past decade many definitions, concepts and theories have emerged trying to explain what integrated care is and what the main building blocks for successful integration of services across sectors and professions may be. In this first webinar Dr Nick Goodwin gives a comprehensive overview of the most influential concepts, analyses the lessons learned so far and highlights the complexities of designing such systems on local, regional and national level. In doing so he also highlights the pitfalls which many integrated care initiatives encounter and illustrates with practical examples how integration of health and social services make it work.
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.
Wednesday, 11 November 2015 3pm – 4.30pm CET (2pm – 3.30pm GMT)
If change towards integrated systems is not supported by policy makers, who ensure that legal and regulatory frameworks reflect these changes adequately, change will not be long-term. By telling the journey Scotland undertook over the past 15 years, Dr Anne Hendry recounts the many steps it took to convince key decision makers and politicians of changing the environment in which health and social services are provided in Scotland. In a very personal account, she highlights how to use evidence-based information, how to identify and engage key supporters and opponents and how to create platforms for communication to finally create a common understanding, a sense of urgency and a burning platform for action.
Dr Anne Hendry
National clinical lead for Integrated Care
Joint Improvement Team, Scottish Government
Anne, a consultant geriatrician and Honorary Clinical Associate Professor at the University of Glasgow, works with the Scottish Government and Joint Improvement Team as clinical lead for Integrated Care.
She supports professionals to improve outcomes for older people and people with multiple conditions in Scotland through person centred care and support that fully integrates health, social care, housing, community and voluntary sectors, and is co-designed and delivered with people in local communities.
Anne is a trustee for two national charities, represents Scotland in the European Innovation Partnership on Active and Healthy Ageing, and is on the advisory board for the European Joint Action on Chronic Diseases and Promoting Healthy Ageing across the Life Cycle.
She is an Associate Editor for the International Journal for Integrated Care.
Wednesday, 9 December 2015 3pm – 4.30pm CET (2pm – 3.30pm GMT)
While there is a plethora of tools and instruments available now to support and foster integration of health and social services (e.g. continuous patient pathways, eRecords, case/care management), little thought is given to the people who need to implement and utilise these tools on a day to day basis. Reflecting on the technical knowledge and skills necessary to work in an integrated health and social system, Dr Viktoria Stein explores the competencies required to implement integrated care and analyses how current education and training approaches fall short of conveying these competencies on all levels. By defining the differences between knowledge, skills and attitudes, and aligning them with the deliverables expected on the different levels of integrated care, this webinar brings to light one of the most neglected topics in integrated care.
Dr Viktoria Stein
Senior Fellow in Integrated Care
Head of Education and Training
International Foundation for Integrated Care (IFIC)
Dr. Viktoria Stein joined the International Foundation for Integrated Care in September 2015 as Senior Fellow in Integrated Care and Head of the Integrated Care Academy©. As such, she is responsible for the development of IFIC’s Education and Training programme, which provides a range of courses and tools to support knowledge transfer, skills development and technical know-how. Among the portfolio is the International Summer School on Integrated Care, webinar series and content provision for Master’s programmes around the world. The courses are relevant for students, researches and professionals alike and are adapted to the needs of partners, such as universities or local health boards, on demand.
Viktoria holds a PhD in health economics and in her work focuses on health systems and their organization, specifically how to design contextualized integrated models of care and how to manage the change process towards such models. She previously worked with the WHO Regional Office for Europe coordinating the development of the Framework for Action on Coordinated/Integrated Health Services Delivery, and supporting WHO Member States in reforming their health systems to better address the challenges of providing services for ageing populations and people with multi-morbidities. Prior to joining WHO, she was a research assistant at the Medical University of Vienna, working on the development of Austrian national priorities regarding integrated care and a national integrated care programme for dementia patients and their caregivers, among other things. In 2009, she was the Scientific Programme Coordinator and Organiser of the 9th International Conference on Integrated Care in Vienna. Throughout her career, Viktoria had a strong interest and focus on education and training, teaching students and professionals around the world, as well as developing her own course programmes.
Viktoria was a founding member of the Board of IFIC and is on the editorial board of the International Journal of Integrated Care. Moreover, she is the founding president of the Young Researchers in Health Network (YRIHN), which will be further developed under the auspices of IFIC.
One of the biggest obstacles to successful implementation of integrated care initiatives is resistance by professionals and patients. Fundamentally changing the monolithic structures of current health and social systems, overcoming sectorial and professional mistrust and administrative barriers or simply getting people to talk to each other, is a time-consuming feat, which is often not adequately addressed and accounted for. Complementing the previous webinar, Dr Robin Miller will present in more detail how a climate for change can be created and how people may be motivated to change, to buy into new ideas and formulate a common vision and narrative. Such an environment that allows for creativity and trust necessitates organisational as well as personal actions.
Senior Fellow and Director of Consultancy,
Health Services Management Centre,
University of Birmingham
Robin is a Senior Fellow and Director of Consultancy at HSMC, the social care lead within the Chronic Disease Theme of the West Midlands Collaborations for Leadership in Applied Health Research & Care, and a Fellow of the School for Social Care Research. His research interests build on his practical experiences in the field, and centre on commissioning and management of integrated services, the role and impact of the Third Sector, and personalisation. He leads on a variety of knowledge exchange projects with health and social care organisations, with a particular focus on evaluating and learning from change initiatives. Robin is Co-Editor of the Journal of Integrated Care and an Associate Editor of the International Journal of Integrated Care. He convenes MSc modules at HSMC and is a cohort director on the national NHS Elizabeth Garrett Anderson Leadership Programme. Outside of his University role, Robin is a non-executive director on the Board of Trident Social Investment Group and the chair of the board of trustees of Trident Reach.
Wednesday, 24 February 2016 3pm – 4.30pm CET (2pm – 3.30pm GMT)
Apart from organisational and professional barriers, integration of services within and between sectors is often hampered by financial disincentives, budgetary restrictions or incompatible funding structures. This holds true for both tax-based and insurance-based systems, even though to varying degrees. Dr Apostolos Tsaichristas will describe and explain the effects different financial instruments have on (dis)integration of services, and introduce examples of how integrated funding systems may work in practice.
Dr Apostolos Tsiachristas,
Health Economics Research Centre,
Nuffield Department of Population Health,
University of Oxford
Apostolos is a senior researcher at the Health Economics Research Centre (HERC), University of Oxford. His main research interests are related to the economic evaluation and financing of integrated care. In collaboration with several medical departments across the UK, his current work focuses on the economic evaluation of integrated care models in various disease areas (Oxford CLAHRC), process changes in breast cancer screening (CO-OPS trial) and in cervical cancer screening (STRATEGIC trial), and hospital-at-home in geriatric care (CGA trial). He is also involved in SELFIE, a H2020 project about the payment and economic evaluation of integrated care models for people with multi-morbidity in Europe. Apostolos’ methodological work focuses on reducing confounding in observational studies and the application of Multi-Criteria Decision Analysis (MCDA) in evaluating complex health interventions. Prior to his current positon, Apostolos worked as researcher at the Institute for Medical Technology Assessment (iMTA), Erasmus University Rotterdam. At iMTA, he investigated adequate financial incentives that facilitate integration of care and their impact on health spending. He was also involved in the economic evaluation of 22 Dutch disease management programs (ZonMw-Disease management project), a cluster randomised control trial about the cost-effectiveness of a COPD disease management program (RECODE trial), and a FP7 European project about the cost-effectiveness of new professionals and new professional roles in integrated care (MUNROS project). Apostolos also worked as consultant at APE bv, a public economics consultancy located in The Hague.
The last six years, Apostolos has been teaching health economics in undergraduate, postgraduate, and professional courses in Oxford and Rotterdam. His work is published in numerous international scientific journals and presented in prestigious conferences in his field. Apostolos acts as a reviewer in several scientific journals and leads the health economics special interest group of the International Foundation for Integrated Care (IFIC).
Wednesday, 16 March 2016 3pm – 4.30pm CET (2pm – 3.30pm GMT)
A key principle of integrated care is active patient involvement and empowerment, but in practice, it is often being paid lip service. Until recently, the question of how to involve patients, their families and caregivers as well as their wider communities from the design through to the delivery of health and social services has often been sidelined, even though strong evidence exists for many tools of their positive effect on health outcomes, patient and professional satisfaction and cost effectiveness. In the final webinar, Dr Lourdes Ferrer will give a comprehensive introduction and definition of the different tools and instruments available to involve, support and empower patients, their families and communities to actively participate in the design, delivery and management of health and social services.
Dr Lourdes Ferrer
Director of Programs
International Foundation for Integrated Care (IFIC)
Lourdes Ferrer is Director of Programs at the International Foundation for Integrated Care (IFIC). Lourdes joined IFIC from the International Journal of Integrated Care (IJIC), where she led as Managing Editor for the journal for 2 years. During that period Lourdes lead the journal to acquire its first official impact factor and to increase the amount of publications/submissions by 50 %. She has extensive experience of supporting people from different areas of knowledge and practice to connect and find common ground and/or new understandings.
Lourdes is a qualified doctor and her previous roles include Special Adviser for the Ministry of Health in El Salvador for health systems transformation and for the extension of health coverage to hard-to-reach populations. Lourdes leads the scientific development of the IFIC Annual Conferences and Congresses, supports research and development projects in partnership with Public Health England and WHO, and supports the Integrated Care Academy © and the further development of the IJIC.
Dr Viktoria Stein
Dr. Viktoria Stein is Director of Education at the Integrated Care Academy© at the International Foundation for Integrated Care and is responsible for delivering the Foundation's education and training programmes.