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Draft Programme – subject to change 1 COLOUR CODE Theme 1. Promoting the health and welfare of people, families and communities Theme 2. Timely transitions: optimizing patient flow across care settings Theme 3. Preventing and managing chronic disease: engaging and empowering people Theme 4. Ageing health and wellbeing Theme 5. Implementing integrated care Cross-cutting Theme: Education & Training in association with the Integrated Care Academy© Cross-cutting Theme: How to design and implement integrated care: Lessons from early adopters in Europe in association with EU Commission International Journal of Integrated Care * Denotes that paper or poster has been selected for Best Paper/Best Poster Award ** Nominated by two reviewers

COLOUR CODE - IFIC...2017/03/22  · 387 Automatic Support for Improving Management and Treatment of Patients with Obtrusive Sleep Apnea Syndrome, Rafael-Palou 632 A federated collaborative

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Page 1: COLOUR CODE - IFIC...2017/03/22  · 387 Automatic Support for Improving Management and Treatment of Patients with Obtrusive Sleep Apnea Syndrome, Rafael-Palou 632 A federated collaborative

Draft Programme – subject to change 1

COLOUR CODE

• Theme 1. Promoting the health and welfare of people, families and communities

• Theme 2. Timely transitions: optimizing patient flow across care settings

• Theme 3. Preventing and managing chronic disease: engaging and empowering people

• Theme 4. Ageing health and wellbeing

• Theme 5. Implementing integrated care

• Cross-cutting Theme: Education & Training in association with the Integrated Care Academy©

• Cross-cutting Theme: How to design and implement integrated care: Lessons from early adopters in Europe in association with EU Commission

• International Journal of Integrated Care

* Denotes that paper or poster has been selected for Best Paper/Best Poster Award ** Nominated by two reviewers

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Draft Programme – subject to change 2

Monday, 8 May 2017

07:30

Registration, refreshments, exhibition, posters and networking

9.00 – 10.30 PARALLEL SESSION 1

Workshop SIG Population health management

Workshop (129): The 'Power of Sport' in Communities

Workshop (672): Organizing Integration of Care – Results from Project CORTEXS*

Integrated Care Academy© Part 1: What is integrated care?

The Implementation Room: How to design and implement integrated care: Lessons from early adopters in Europe (organised by DG Sante) 1. Northern Ireland, UK

Chaired by Oliver Groene, Optimedis 375 The Population health management as the road map of Italian Regional healthcare systems’ reforms for tackling chronic care, Morando 103 Conducting a Health Needs Assessment to Identify Potentials for Population-based Integrated Care Models in Socially Deprived Urban Regions – The Example of the Integrated Care Project “Billstedt-Horn” in Hamburg, Germany, Schulte 653 Getting to know the needs of people with multimorbidity

Chaired by Dave Sweeney and Richard Munson 158 Sport and Community Engagement in Ageing Health: Tackling isolation and scoring better outcomes. NHS Halton CCG and Widnes Vikings, Sweeney * 157 A Super League partnership - Integrating professional sport and the NHS to tackle health inequalities. Widnes Vikings and NHS Halton CCG, Sweeney

Chaired by Ezra Dessers, KU Leuven and Hubertus Vrijhoef, Maastricht University, Brussels University, Panaxea 602 Organizing Care Integration. A Social Systems Based Approach 484 Analyzing task division, coordination and continuity of care: A comparative case study of four specialized Multiple Sclerosis hospitals, Sam Pless, KU Leuven 329 The Governance, Structure and Management Processes of an Emergent Goal-directed Organizational Network: an Evaluation of a Configurational

Chaired by Viktoria Stein, International Foundation for Integrated Care (IFIC) and Robin Miller, University of Birmingham, UK - What is Integrated Care? Overview of concepts, models and tools. (Viktoria) - Implementing integrated care in the Irish context: policy, data, impact and challenges (PJ?)

Moderator: Loukianos Gatzoulis, European Commission, DG SANTE a) Change management, organisational changes, governance b) Patient engagement for telehealth procurement Eddie Ritson, ACT@Scale Sloan Harper, ACT@Scale

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better: implications for new models of care, Rijken

420 Simulation as a tool for evaluating intelligent self-care systems managing chronic disease patients. Shojaei ? 249 How the evaluate population health? A study of nine population management initiatives, Hendrikx* (oral poster)

Framework of Goal-directed Networks. 232 Financial incentives for integrated care for people with chronic conditions in Belgium: a qualitative study within the CORTEXS research project 760 Information technologies care for patient engagement in integrated: Lessons from international comparison for the CORTEXS-project. 170 Quality and Safety of Chronic Illness Care through Patients’ Eyes

Workshop (345): EU-funded Integrated Care for Vulnerable Persons (e.g., chronically ill, multi-morbid, frail elderly) Research Projects (in Assoc with SIG Complexity)

Supporting self-care and care coordination

Oral poster session: Planning and designing pathways according to patients’ needs

Economic evaluation of integrated care (in association with SIG HEIC)

Workshop (163): Towards Evidence-based Integrated Care (Kick-off meeting Special Interest Group EbIC)

Chaired by Maureen Rutten-van Molken, Erasmus University Rotterdam Plus Alpana Mair (SYMPATHY) Plus Inés García-Sánchez (ADVANTAGE)

784 Design and implementation of an empowering program for the gypsy population in the Basque country, Gamboa Moreno 446 Exploring the role of collaborative patient-provider relationships in self-

668 Designing an integrated care pathway for falls prevention in University Hospital Waterford. Dunphy 250 Promoting the physical health of people with severe mental illness: improving

Chaired by Apostolos Tsiachristas, Health Economics Research Centre, Oxford University 351 Western Sydney Diabetes Prevention Strategic Alliance: Economic case for prevention of type 2 diabetes, Janine Dawson, Western Sydney Diabetes Initiative Integrated Care

Chaired by Roelof Ettema, University for Applied Sciences Utrecht 388 Mapping for conceptual clarity: Exploring implementation of integrated community-based primary health care from a whole system perspective. Carolyn Steele Gray, Lunenfeld-

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management during radiation therapy

148 Group Medical Visits for patients with chronic disease – innovative tool to improve patient’s outcomes through inter-patient interaction and inter-patient empowerment, Simon 791 Putting the citizen at the centre of accessing information about health and health services, Connolly 551 Care Coordination partnerships: promoting patient choice in primary care, Tonel

integration between primary and secondary care. O'Shea 481 Where are the pathway patients? Steinsbekk 193 Exploring the gap between community mental health care and intermediate specialized psychiatric units in clinical care pathways, Sather 325 Stroke rehabilitation familiar close: developing integrated care for elderly with CVA, Kraan* 282 A protocol to evaluate the effectiveness of a nationwide Acute Medicine programme: examining what works, for whom, how, and in what circumstances. Hurley 317 How to Implement Transitional Care in France: first lesson, Corvol 252 How Do Patients Perform in Establishing Informational Continuity of Care during Multi-Institutional Readmission in Rural China? Lu

592 Effectiveness and cost-effectiveness of an integrated primary care approach to improve well-being of frail community-dwelling older persons 642 Person-centered, cross organizational and multiprofessional team halves mortality risk. The PAtient Centered Care Team (PACT) Study – Preliminary results from a comparative effectiveness study, Berntsen 798 Cost-effectiveness of an Integrated Care Home Support Service in Oxfordshire, England, Tsiachristas

Tanenebaum Research Institute, Sinai Health System 700 The SELFIE project: Results from 8 focus groups amongst persons with multi-morbidity on how to define good health and a good care process, Leijten

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10.30 – 11.00

Refreshments, exhibition, posters and networking

11.00 – 12.30

PARALLEL SESSIONS 2

Building healthy communities – thinking beyond health and social care

Physical activity programmes for target populations

Workshop (181): Creating the conditions for integrated systems of care: Learning from two large-scale approaches to changing thinking, practice and behaviour in Scotland and North West England

Integrated Care Academy© Part 2: Changing culture and values for collaborative working

The Implementation Room: How to design and implement integrated care: Lessons from early adopters in Europe (organised by DG Sante) 2. XXX

557 Healthy Strong Communities: added capacity for dealing with "wicked issues"*, Blunden 245 Overcoming social exclusion and promoting dignity of older people in a post-war country, Focic 399 Community Clinic-Combining Care and Empowering Community: A Story to Share from Bangladesh, Islam 560 Helping a community to help their kids: Bringing services together in a community hub in inner-city Sydney, Australia, John

670 Physiotherapy Health Promotion through Brief Interventions, Gilliland 658 Physical Activity Coaching Service for COPD Patients, Schonenberg 210 Advanced Practice Physiotherapy Progressing Integrated Care of Musculoskeletal Disorders in Ireland: a National Evaluation, Orna Fennelly, School of Public Health, Physiotherapy and Sports Science, University College Dublin

256 Neuro-Functional Training Programme (NFTP): engaging and empowering people with a neurological condition, Twohig

Chaired by Elizabeth Bradbury and June Wylie, Healthcare Improvement Scotland

Chaired by Viktoria Stein, International Foundation for Integrated Care (IFIC) and Robin Miller, University of Birmingham, UK - What is the international evidence about impact and key success factors including culture and values (Robin) - How do we change cultures and values? (Robin) - Creating multi-disciplinary teams (Robin)

Moderator:

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Eastwood, Sydney Local Health District * 544 Identifying strategic opportunities for Māori community organisations to respond to pre-diabetes: Building a platform for integrated care to deliver change that matters to communities, Beaton

499 Promoting active ageing through a physical exercise program aimed at reducing frailty and risk of falling among older adults, Alhambra-Borrás

Workshop (430): SUSTAIN: what have we learned so far and how to move forward?*

Strengthening family caregivers Workshop: Special Interest Group on Polypharmacy

Measurements that support decision-making in integrated care (in association with SIG HEIC)

Oral poster session: ICTenabled integrated care

Chaired by Simone de Bruin, RIVM 454 Inter-professional coordination: first step towards a more person-centred approach. Improvement projects in Catalonia within the framework of the SUSTAIN project

179 Carer Needs Assessment Development - A Republic of Ireland led International Joint Working Project to Support Delivery of Integrated Health and Social Care. O’Sullivan 438 The outcomes of pilot projects of integrated home care in Lithuania from the informal carers' viewpoint, Danuseviciene 318 Family Carers as Partners in Implementing Integrated Care: Maximising the Impact of Ireland’s National Carers Strategy, O’Sullivan

Chaired by Alpana Mair, Head of Effective Prescribing and Therapeutics, Scottish Government 762 Sustainable Implementation of Polypharmacy reviews as part of integrated care at Scale, Mair 634 Polypharmacy and Integrated Care: Identifying synergies in implementation 437 Continuity of care post-hospitalisation of patients at risk of medicines management problems

Chaired by Apostolos Tsiachristas, Health Economics Research Centre, Oxford University 671 Measuring maturity of integrated care: a first validation study, Grooten 588 The Assessment of Burden of COPD (ABC) tool: a shared decision-making instrument that is predictive of healthcare costs, Rutten-van Molken 788 “Counting the intangible”: The use of evaluation tools and indicators to measure integrated care outcomes in the Basque Country, de la Camara

387 Automatic Support for Improving Management and Treatment of Patients with Obtrusive Sleep Apnea Syndrome, Rafael-Palou 632 A federated collaborative care cure cloud architecture for addressing the needs of multi-morbidity and managing poly-pharmacy (C3-Cloud Project), Arvanitis 504 Project ECHO NI, McMullan 348 Vectors and drivers of connected health in Europe: a

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696 At the interface between formal and informal care: Supporting families caring for a person with Intellectual Disability in Ireland, Bianca van Bavel, School of Nursing, Midwifery & Health Systems

296 The Patient Held Active Record of Medication Status (PHARMS) Feasibility Study 365 Introduction of a Mental Health Medicines Education Service 224 An Independent Service User Evaluation of a Consultant Pharmacist Led Medicines Optimisation in Older People’s Project 222 Developing a Regional Medicines Optimisation Model for Older People in Care Homes: Refinement and Reproducibility

126 The “Results Centre” of the Catalan healthcare system: A tool for integrated care, García-Altés + 522 Defining indicators for assessing integrated care (2012-2014): Lessons learned on methodology and the evolution in assessment approach, Robles

foundation for integrated care, Mountford 180 deploying eHealth: a new approach to face depression in the Basque country, Txarramendieta 240 Improving integrated care for frail elderly patients throught ICT – the Veneto region experience, Gris 306 Designing a Proactive, Person-Centred, Digital Integrated Care System, Doyle 337 eHealth advances in support of people with complex care needs: Case examples from Canada, Scotland and the United States. Steele Gray

12.30 – 14.00

Buffet Lunch, exhibition, posters and networking

13.00 – 14.00

Lunchtime Workshops

Enabling people to return to a quality life and work

Oral poster session: putting integrated care for dementia patients into practice

Oral poster session: The patient’s perspective on integrated services

Oral poster session: Change management, policies and strategies in action

Oral poster presentations

460 Rehabilitation coordination for Return to

373 Care Coordination and Continuity of Care in Oral

519 Active Ageing - Implementing integrated care for falls prevention and bone

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Work, as extended role for Health Professionals– Results from a Randomized Controlled Trial, Werr* 772 Vision for change in practice: a pilot study of recovery oriented mental health services, Colleran* 113 Development of Functional Restoration Pain Program with veterans, Hollrah + 114 Acceptance and Commitment Therapy in a Functional Restoration Program, Hollrah*

445 The Evergreen Programme Revisited- Making a Therapeutic Programme for Older Adults Fit for Purpose, Lyons 586 An Integrated approach to dementia care in a Community Hospital in Singapore, Yong 627 (Un)Met needs of community dwelling people with dementia: the importance of providing integrated holistic care, Hopper 470 Building a Population Based Cognitive Screening System to Improve the Early Diagnosis of Dementia in Japan, Higashino

Anticancer Treatment: The Patients' Perspective. Cohen Castel 494 The transition of patients with rare diseases between providers: the patient journey from the patient perspective. Ferrara 527 Adolescent feedback on the Haemophilia Transition Programme between Our Lady’s Children’s Hospital and St. James’s Hospital Dublin Ireland. Hunter Nolan 269 Patients’ perspectives of self-testing when using anticoagulant therapy, McKee 295 Hepcheck Dublin: Homeless, Hep C & Competing Priorities, Lambert 124 Chronic Disease Patient Experience of Healthcare Services in Ireland, Twomey 790 Participation of patients with chronic diseases in integrated care – a systematic review, Buyck

593 Proactive, Integrated Care within Sustainable and Transformation Planning, Cochrane 547 Kick Starting Integrated Primary and Community Health Systems in Taranaki, Jenkins 187 The key elements and effects of the integration between private secondary hospital and public township health center in China, Yuan 621 The Health Network Tennengau – The first population oriented integrated chronic care programme for persons with multiple chronic conditions in Austria, Kraus 216 Introduction of home care services in Bulgaria – a chance for transformation of the primary health care system, Todorovska

health at scale, O Byrne-Maguire 221 394 Enhancing loco-regional adaptive governance for integrated chronic care through agent based modelling (ABM), Macq

14.00 – 15.30

PARALLEL SESSIONS 3

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Identifying populations at risk (in association with SIG PHM)

ICT solutions as a key facilitator for people-centred care

Leading whole of systems change where it counts: experiences from regional initiatives around the world

Teaching integrated care: innovative approaches to education and training

Workshop: Design thinking

Chaired by Oliver Groene 416 Risk stratification at primary care centres in Valencia (Spain) to activate integrated care pathways for elderly patients with chronic conditions, Doñate-Martinez** 591 Targeting emerging risk individuals for care management interventions, Strydom* 604 Population Health Management in Ribera Salud, Bosch** 171 SIFT- Research of the patient flows and structures in health and social care services in three Finnish cities in 2009-2015, Petteri*

559 ICT4Life Integrated Care Platform, Sánchez-Rico de las Heras* 675 ICT supporting clinicians and patients – the key facilitator of integrated care, Kearns 281 Engaging Primary Care Providers to Participate in a Telephonic Consultation System to Improve Pediatric Behavioral Health Access, Waxmonsky* 486 Using etechnology to create quality care for seniors, Esther Suter, Workforce Research & Evaluation Alberta Health Services, Calgary *

197 From Integrated Care to Accountable Care, the North West England journey: System leadership challenges and successes. 447 Reorientating the focus of care, Parker 479 Bridging Health and Social Care – An Innovative Framework, Schlaeffer 475 Reorganise primary care in Flanders Region: change management and process 2010-2017, Wallyn 661 From local organisational harmonisation to Global change leader: a story of operational success, Kearns*

Chaired by 266 Patients and professionals learning together: an evaluation of an intergrated change management fellowship programme for healthcare improvement, Myron 545 Patient Academy- A platform for collaborative working to improve Paediatric Child Health & to empower patients in the role of educators, Sepahzad 733 Teaching teams to teach: Program evaluation results from an interprofessional faculty development program in academic family medicine, Kopansky-Giles 392 Interactive Nursing Support to Promote Integrated Care for Elders Receiving Home Health Care, Liebel

Organised by IBM 781 “Looking from the other side”: Using Design Thinking for Strategic Projects at the Basque Health Service, de la Camara* 534+539+540 Designing initiatives for vulnerable families: from theory to design in Sydney, Australia. John Eastwood, Sydney Local Health District

Workshop: Compassionate Communities – Kick-off Meeting Special Interest Group on Palliative care

What do people really want? Nurse-led care Workshop (127): The approach to assessing integrated care: taking stock and looking ahead. Experiences from the EU Expert

Workshop (227): Underlying values and principles of person-centered integrated care: a systematic literature review (SIG Values in Integrated Care)

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group on Health System Performance Assessment

Chaired by Anne Hendry 304 Compassionate Communities - From frailty to community resilience – making a public health approach to end of life care a reality, McDaid* 541 Closing the mental health treatment gap in palliative care

208 Does Combined Respiratory and Palliative Care Management Improve Care for COPD Patients Alison Bunce Compassionate Inverclyde Christina Rodriguez Compassionate Seville

617 Towards a basis for person-centered care measurement: a narrative approach, Nick Zonneveld, Vilans (NL) 563 “Instead of just assuming what people need, actually ask them what they’re after”: Patient Reported Measures for families with complex needs, Miller 132 Developing patient-centred outcome measures (PCOMs) in a child health population, Dr Sarah Montgomery-Taylor, Imperial College Healthcare NHS Trust 542 Protocol for the Evaluation of an Outcomes Based Care for Vulnerable Older People, Gumbie 776 The National Patient Experience Survey in Ireland: developing a national survey instrument 528 Hearing the lived experience of young women with a rare genetic disorder 22q11.2DS regarding integrated care, Lorna

392 INSPIRE HHC: Interactive Nursing Support to Promote Integrated Care for Elders Receiving Home Health Care, Liebel 160 The Nurse Navigator: An Innovative Role to Optimise Patient Transitions Across Primary and Secondary Care Settings, Cooper 637 The Development of a Respiratory Nurse Led Clinic in St Michael’s Hospital, O’Toole 635 How to… deliver integrated care to frail elderly? A SELFIE research on the barriers and facilitators in the Netherlands. Hoedemakers 778 Integrated Home Care Service: Qualitative Study on Collaboration between Home Care Nursing and Social Service, Gudnadottir

Chaired by Filip Domanski, DG Sante With Apostolos Tsiachristas

Chaired by Nick Zonneveld, VILANS

• A short presentation of a first set of values and principles of person-centered integrated care, derived from a systematic literature review.

• An interactive session in which the values and principles will be discussed, categorised and loaded with practical examples.

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Kerin, Love Knowledge Consultancy, Ireland

15.30 – 16.00

Refreshments, exhibition, posters and networking

16.00 – 16.30

Welcome to conference keynote address and official opening Simon Harris, Minister for Health, Irish Government

16.30 – 18.00

PLENARY 1: Promoting the health and welfare of people, families and communities

Chaired by: Derick Mitchell, IPPOSI Partnerships in Care: promoting collaborative, empowering partnerships among patients, families, and carers Bev Johnson, President and Chief Executive Officer, The Institute for Patient- and Family-Centered Care ‘Thrive’: a comprehensive mental health plan for New York City Gary Belkin, Executive Deputy Commissioner, New York City Department of Health and Mental Hygiene, Mental Health/Regional Approaches Cognitive care management: improving integrated care in Harrow Bernie Flaherty, Director of Adult Social Services, Harrow Council, UK 280 The Patient Narrative Project - Phase One

19.00

Welcome Drinks Reception in Trinity College Dublin (bus transfers from UCD departing at 18.15)

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Tuesday, 9 May 2017

Main Theatre

7.30 – 9.00 IFIC Board Meeting (by invitation only)

9.30 – 11.00

PLENARY 2: Implementing integrated care

Chaired by: The path to person-centred Integrated Care in Ireland: reflections to date Dr Áine Carroll, National Director, Clinical Strategy & Programmes Division, Health Service Executive Ireland Systems, not Structures: shaping the future health and social care in Northern Ireland (323) Professor Rafa Bengoa, Director, Institute for Health & Strategy and Chair of the Review into Northern Ireland's health service Professor Deirdre Heenan, Director - Health & Wellbeing Research Centre, Ulster University Aligning population based approaches to improving health outcomes: improving primary care services and lessons for integrated care Dr Catherine Darker, Adelaide Assistant Professor in Health Services Research, School of Medicine, Trinity College Dublin

11.00 – 11.30

Refreshments

11.30 – 13.00

PARALLEL SESSIONS 4

Integrated Mental Health Service - A National Multifaceted Approach (600) (This session runs for 2h)

Shared health records/EHR enabling integration

Workshop – Continuity and clinical coordination (SIG Complexity)

Capturing complex interventions: developing methods to evaluate integrated care

The Implementation Room: How to design and implement integrated care: Lessons from early adopters in Europe (organised by DG Sante) 3. Catalonia, Spain

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Chaired by Jonathan Nolan 440 Development of an Integrated National Model of Care for Eating Disorder Services across Multiple Settings, Sarah McDevitt, National Clinical Programme for Eating Disorders, HSE 443 Interprofessional education as a building block for collaborative and integrated eating disorder services, Sarah McDevitt, National Clinical Programme for Eating Disorders, HSE 492 Little Things - making a big difference to promoting positive mental health, Enda 365 Introduction of a Mental Health Medicines Education Service, Kennedy 473 Assessment and Management of Self Harm in Emergency Departments in Ireland: The National Clinical Programme, Wrigley

272 Who Shares Wins! Cross-Border Integrated Care IT Solution, Naughton 196 From Connected Care to Integrated Care – A work in Progress, Dr. Rachelle Kaye, Assuta Medical Centers 800 Integration through Practitioner Ownership: A Welsh Story, Behl 623 Information When and Where Needed for Safe and Effective Integrated Care, Power 607 Shared Record Programme, Goff

Chaired by Anne Hendry, Mudi Kadu (IFIC) and Nuria Toro, WHO 674 To what extent is patient-rated quality of life associated with continuity of care, therapeutic relationships and unmet need for services? A study of outpatient mental health service users in Norway, Adnanes 546 My Plan – a new meso to micro level building block to promote person-centred care planning, Lukersmith 750 Understanding the sustainability of cross-sectoral care coordination: an exploration of two approaches to coordinating mental and physical health service, Khan* 128 What Works in Integrated Care Programs for Older Adults with Complex Needs? A Realist Review, Im Integrated Care4 People platform and evidence review on Continuity of care and clinical coordination, Mudi Kadu

136 Development of the COMIC Model for the comprehensive evaluation of integrated care interventions, Bussetto 532 An Evaluation of the Barriers to Health and Social Care for “Hard to Reach” Groups enrolled in an Integrated Care Initiative in Sydney, Australia, John Eastwood, Sydney Local Health District 271 System-level mechanisms and contexts for health and social care coordination through Multi-Specialty Community Providers in England: a Realist evidence synthesis, Brand 237 Capturing the experiences of patients across multiple complex interventions: a pragmatic qualitative approach, Webster 799 Evaluating the cost-effectiveness of population health interventions alongside literature reviews: the case of comprehensive geriatric assessment, Tsiachristas

Moderator: Filip Domanski, European Commission, DG SANTE a) ICT infrastructure and solutions b) Incentives (bundled payment, risk sharing model, payment for performance) Toni Dedeu, ACT@Scale Albert Alonso, SIMPATHY

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Developing frailty pathways Making patient and carer engagement happen

Managing hospital (re)admissions

Workshop: What can we learn from the US experiences on Accountable Care Organizations? Reflections from Germany, the UK, France and Australia. (427)

Symposium: Policy plans and initiatives, part 1: driving reforms on the national level

585 Integrated care in practice, Drysdale 605 Frail Elderly Pilot Programme Connolly Hospital Blanchardstown 2016, Muldoon 694 A novel integrated care pathway for people with dementia presenting to acute hospitals, Timmons* 707 Integrated Healthcare for the Frail Older Adult, Drumm 377 Community teams, specialist fall services and emergency department implementing an integrated regional falls risk assessment and prevention pathway, O’Connor

431 What Factors Influence Patient and Carer Engagement in Community Based Primary Health Care? Insights from People with Complex Care Needs and their Carers, Kuluski* 138 Preferred intensity and implementation of patient and family participation in an outpatient psychiatric service and an outpatient type 2 diabetes service, Lucy Whiston, Trinity College Dublin 228 Exploring how multimorbidity care is navigated, managed and integrated for older persons from patients' and providers' perspectives using network analysis: Preliminary results from an Irish study. Caffrey* 599 Attitudes of health professionals and patients in a geriatric hospital towards patient involvement, Kiselev

161 The influence of relationships among institutions on inpatient readmission flow: Strengthening institutional collaboration in a Chinese county health care system. Wang 485 Reducing Hospitalisations for Ambulatory Care-sensitive Conditions in Integrated Care Systems, Schulte 645 Modelling the substitutability of community, long-term, and hospital care and their impact on acute hospital length of stay in Ireland, Walsh 752 Understanding the psychosocial, behavioural and environmental factors behind frequent hospital admissions, Dr Tan Shermin, National University Health System, Singapore

Chaired by Alexander Pimperl, Optimedis 426 From clinical commissioning to contracting for outcomes: prerequisites and facilitators to embed Accountable Care Organizations within the National Health Service in England, Groene 184 Can ‘meso-tier’ healthcare organizations enhance health system performance? - lessons from US Accountable Care Organizations (ACOs) and a discussion of the implications for Australia, Peiris 207 Performance Management in Accountable Care Organizations in the U.S. and Germany: From external reporting requirements to enabling internal performance management in physician practices, Pimperl 336 Integration form, financial and non-financial incentives and impact on Health Care Delivery: a mixed-method design on US

Chaired by Aine Carroll, HSE 291 Implementing integrated Care in Belgium: a nationwide mobilization, Bourgeois 626 Integrated Care Partnerships Northern Ireland - Leading Integration; Delivering Better Outcomes, Malone* 740 Integrating Care On A Cross-Border Basis: Priorities Of Key Actors In The Irish Context, Murphy* 701 Assessing National Practice and Preparedness for Integrated Care Delivery Ireland, Keeling 630 Implementing Universal Healthcare implies Integrated Care Design - findings from a systematic review of the organisational challenges of implementing UHC policy, Dr. Sarah Barry, SPHeRE Programme

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Accountable Care Organizations and learnings for France, Mouques

13.00 – 14.30

Buffet lunch, exhibition, posters, networking and lunchtime workshops

13.30 – 14.30

Lunchtime Workshops

Oral poster presentations: Supporting a smooth journey home: solutions for better care transitions

Workshop in cooperation with Optimity

Workshop: Putting the patient into patient-centred care

Workshop (742): Cognitive Computing: Supporting the Third Care Pathway

Workshop: Opportunities for financing integrated care strategies – European Investment Bank

Chaired by Anne Hendry, IFIC Associate 262 Nurse Led Symptom based Telephonic Triaging in Post Acute Care At Home Programme (PACH): Reduction in unnecessary Acute Hospital admissions. Tng 378 A daily multidisciplinary hospital discharge support meeting in an acute hospital: An evaluation of a quality improvement initiative to facilitate timely discharge & transfers of care, O’Connor + 379 Using an integrated model of care between an acute hospital and primary care in a

Chaired by 641 Readiness Assessment Tool: Strengthening Implementation of Integrated Care, Lennox-Chougani Andrew Terris

Organised by IPPOSI and HSE

presented by IBM Watson Health

Chaired by With Brian Murphy, HSE

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transitional care unit to support patient flow and discharge home, O’Connor 105 Evaluation of a transitional care programme for frail older adults and the effectiveness for the oldest old, van der Vlegel-Brouwer 190 The GP OOH Palliative Care Handover Project, Shanagher 294 Integration of resources for the improvement of attention to people with chronic diseases at nursing home, Lamana

Oral poster session: Tools to evaluate, assess and compare integrated care

Chaired by Jeremy Goff, KLAS 253, 785 736, 501

Main Theatre

14.30 – 16.00

PLENARY 3: Timely transitions: optimizing patient flow across care settings

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Chaired by: Successful models of integrated care for patients with complex health care needs Chad Boult, Professor of Public Health, Medicine and Nursing, John Hopkins University, Hospital to Home Ensuring quality and patient safety during transitions in patient care Peter Lachman, CEO, International Society for Quality in Health Care (ISQua) Crossing the digital divide: a new frontier in healthcare in Ireland Richard Corbridge, HSE, Future of Digital and Technology to support integrated care

16.00 – 16.30

Refreshments, exhibition, posters and networking

16.30 – 18.00

PARALLEL SESSION 5

Reorganising primary care to support vulnerable populations

Care support for older people living at home

Mobilising health professionals and providers to embrace change

Financing and paying for integrated care (in association with SIG HEIC)

The Implementation Room: How to design and implement integrated care: Lessons from early adopters in Europe (organised by DG Sante) 4. Scotland, UK

243 Scotland’s National Links Worker Programme: mitigating negative impacts of social determinants of health through community connected general practice, Chris Gourley and

723 Challenges in integration of primary care for older adults addressed by introducing a geriatric care model: results of a RCT, Aaltje Poulina Daniëlle Jansen, VU University medical center, *

247 Providers perspectives on mandated local health networks for older adults in the province of Quebec, Canada, Wankah* 340 What are the Facilitators and Barriers to Integrated

Chaired by Apostolos Tsiachristas 264 Key drivers of payment reform in population health management: lessons from nine Dutch pioneer sites, de Vries 219 Gesundes Kinzigtal 4.0 - A new financial model and performance

Moderator: BenchCan or HA REACT, TBD a) Legislation – Integrated care partnerships (organisational change), assessment framework b) Leadership – Learning networks (workforce education)

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Mark Kelvin, The Health and Social Care Alliance Scotland** 480 Communities empowered by professionals, van den Schoot 277 Integrated care in community health centers in Belgium. An exploratory study on the provision of care by general practitioners, nurses and social workers. Van Landschoot 503 North West Surrey's locality hubs - delivering integrated care, Compton

639 Managing frailty: exploring the effectiveness of integrated primary care interventions by distinguishing subpopulations of frail older people, Looman* 722 A mixed methods exploration of the housing needs of older people in social housing, comparing standard and “sheltered” housing models, Timmons 594 Quality of integrated primary care and coproduction of care with community-living frail older persons, Vestjens*

Health and Social Care in the Community? Insights from Care Providers, Kuluski* 673 The art of the possible. On the necessary conditions for cross-sector cooperation in a New Public Management oriented health service. Høgsgaard* 354 Care living labs at work, Yennef* 406 Managerial strategies for integrated care: Health care provider engagement in the iCOACH project, Shaw

metrics for the delivery of population-based integrated care, Meyer 350 Creating an integrated behavioural/developmental care partnership: financing and measuring effective change, Elkin* 562 Toward integrating birth care by bundled payments in the Netherlands. Describing the model and expectations of key stakeholders, Struijs 414 Integrated Care Pathway and personalised care at the heart of Lombardy Region’s strategy for tackling chronic care: lessons learnt from the CreG (Chronic Related Group) model, Morando

Donna Henderson, SCIROCCO Anne Hendry, SCIROCCO

Integrated care in care homes Giving power to the people: experiences in community-led service design

Making change happen: lessons from implementing eHealth and pathways

Workshop (664): Integrated Care Pioneers

Symposium: Policy plans and strategies, part 2: integrating mental health

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453 PROACT – A Journey of Integration& Collaboration of Health Services into Residential Aged Care, Donnelly* 474 In reach into Nursing Homes Education, Training and Development Programme, Elizabeth Graham and Mandy Ellis, Northern Health and Social Care Trust* 754 Respect to Prevent- A whole system approach to the prevention of elder abuse within care settings, O’Brien* 794 Developing cultures of person-centredness, Peelo-Kilroe* 512 Initial learning from system wide feedback about an integrated physical and mental health, in-reach, service for care homes, Coates

205 Relationship-based Care and Improved Health Outcomes: Southcentral Foundation’s Customer-Centered Approach, Gottlieb 506 Citizen Led Healthcare - Learning from the Millom experience: An NHS North West Leadership Academy Project. Phazey* 647 Co-designing Integrated Care Using Participatory Action Research [PAR]: The Epilepsy Partnership in Care [EPiC] Project, Varley 566 North West Surrey's locality hubs - delivering integrated care, Oksman

590 Implementing integrated care – lessons from the national implementation of general eReferrals in Ireland, Quinlan* 215 The Canterbury pathway to integrated care, warts and all, McGonnigle* 666 Managing integrated care – experiences from developing a digital pathology network, Palm 787 Can implementation of standardized care pathways meet the conflicting demands of an integrated, personalized and effective care? Ekstedt 789 The 7 Habits of Highly Effective Implementation of eHealth Enabled Integrated Care, Keijser

Chaired by Robin Miller This workshop will provide insights and discussion regarding:

• The context, aims and aspirations of the Integrated Care Pioneer Programme in England

• The detailed methodology of the five year, multi-disciplinary evaluation

• Emerging evidence of the progress and impacts of the programme to date

Chaired by 711 The Development of a Programme of Mental Health Services for People with Intellectual Disability in Ireland, Dodd 188 The development of Health Services Executive Best Practice Guidance for Mental Health Services in Ireland, Moore 796 Whole of patient cancer care: bridging the gap between policy and practice, Kelly 797 Integrated mental healthcare in Australia: rural pact and city partnership, Perkins* 386 Development, pilot testing and evaluation of a mental health care plan (MHCP) in primary health care (PHC) setting in Nepal, Luitel

Oral poster session: Training programmes to support integrated care

541, 344, 316, 270, 355, 133, 299

19.30 – 23.30

Congress Dinner at the Royal Hospital Kilmainham

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Wednesday, 10 May 2017

Main Theatre

9.00 – 10.30

PLENARY 4: Preventing and managing chronic disease: engaging and empowering people

Chaired by: WHO Framework on integrated people-centred health services: putting people and communities at the centre of health systems Nuria Toro, Technical Officer on Integrated people-centred health services, World Health Organization (WHO) Strategies to activate and empower patients in the management of their own care Michael Brophy, Chair, National Patient Forum Supporting integration through new roles and working across boundaries Helen Gilburt, Fellow, Policy, The King's Fund

10.30 – 11.00

Refreshments

11.00 – 12.30 PARALLEL SESSIONS 6

Integrated care for children and adolescents, part 1: Designing policies (182)

Inclusive services to tackle homelessness and substance abuse

Leading and managing integrated care networks: theory versus practice

Organisational development – workforce development

The Implementation Room: How to design and implement integrated care: Lessons from early adopters in Europe (organised by DG Sante) 5. Basque Country, Spain

Chaired by Frank Tracey and Grace Turner 278 National policy on access to services for children with

Chaired by 385 National Drugs Rehabilitation Framework:

748 Distributed versus centralized leadership in the implementation of a Canadian

757 The 21st century public servant - what roles and skills do we need from public servants to

Moderator: Anne-Marie Yazbeck, European Commission, Chafea

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disability or developmental delay: Working together to support children and families, Cantan 524 Integration of health and social care for children with complex health conditions: an assessment of the policy and organisational context in Europe. Warters* 589 Co-creation of Integrated Care: The Wiki-Management Model© A case study example – Connecting Care for Children (CC4C), Crossley 624 A Conceptual Model to Support Integrated Early Intervention Practice for Children with Disabilties, Carroll + 638 Relationship Stages in Early Intervention Practice for Children with Disabilities, Carroll*

person-centred care in the addiction services, Corrigan 689 Innovative co-design of integrated services designed to improve access to health care, Doyle 523 Successful application of a cross-sectoral integrated care approach to addiction and homeless services – the experience from Southern Ireland, Kirby 405 To reduce antisocial behaviour on one ground floor team at a drug treatment centre to zero by June 2016, Fenton 529 Transitions in care: What can family-members of people who struggle with substance use teach us about care-integration? Findings from the German AnNet Study. Schnute

integrated care initiative, Gutberg 564 Hospital-Led Integrated Care for High need-High Cost Patients: A review of reviews, Xin Ya Lim, Saw Swee Hock School of Public Health, National University of Singapore 743 Supports and hindrances to the integration of co-located services in multiple models of primary health care delivery Integration in co-located primary health care services, Gill 439 Weymouth and Portland Integrated Care Hub, Helen Persey, Bournemouth University

deliver better outcomes for citizens? 726 iCOACH: Integrated care as boundary spanning: Organizational workarounds in the delivery of community based primary health care 175 Integration or co-ordination – what’s in a name? a critical appraisal of the application of integrated care in the context of real world clinical care delivery. Larkin 401 Case managers in France: Impact of seniority and graduation on practices and professional representations. Le Guen 625 Struggling to Maintain Professional Identities When Engaging in Inter-professional Teamwork to Deliver Integrated Care

a) Risk stratification (patient focus/empowerment) b) Political support and commitment Esteban de Manuel Keenoy, SCIROCCO and ACT@Scale Marisa Merino, ACT@Scale 709 Development of a new integrated care organizational model for patients with complex needs in the Basque country, Merino

Workshop (292): The SELFIE project on Integrated Care for Persons with Multi-Morbidity: framework, promising programmes, financing, and evaluation’

Managing Diabetes

Workshop Intermediate Care SIG

System evaluation/evaluation of impact

How to involve the third sector and other service providers?

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Chaired by Maureen Rutten-van Molken, Erasmus University Rotterdam

223 Demonstrating the Practicalities of a Patient Centred Medical Home (PCMH) for Diabetes Care in an Australian Corporate Medical Centre Setting, Pope 343 Integrated Care of people with Type 2 diabetes in Western Sydney: A business case for Joint Specialist Case Conference (JSCC) with General Practice, Meyerowitz-Katz 570 Trends in the Quality of Structured Diabetes Care in Primary Care, Riordan 631 A Realist Evaluation of a National Model of Care for the Diabetic Foot, O’Neill 719 Mexican policy to treatment people with diabetes and tuberculosis. Lara

Chaired by Anne Hendry 276 Evaluating the impact of an Acute Care at Home service on acute hospital admissions. 677 Early Supported Discharge after stroke: a feasible and effective service model for a rural population, Ciara Breen, Occupational Therapy Dept, University Hospital Galway 220 The Development and Refinement of a Regional Model for Medicines Optimisation in Older People in the Intermediate Care Setting 367 Home ward: our partnership journey towards integrated care (Oral poster), Lewis Technology Enabled Intermediate Care in Ayrshire Developing Advanced Practice

706 Evaluating the implementation process of an integrated care program in a region 402 Process evaluation of the national clinical care programmes in Ireland, Darker 374 Evaluation of the implementation of integrated care for people with chronic conditions, Van Durme 777 Implementation of an evaluation system for chronic care models in Spain, Nuño-Solinis

456 Integrated care: Third Sector engagement and co-responsibility, Mathieson 476 Third Party Delegation; The required governance framework, Labourne 410 Engaging Communities as Home Care Providers, Utilizing a Social Enterprise Model, O’Connor* 452 Supporting Patient Outcomes through Organised Networks (SPOT ON), Cross

Oral poster session: New roles and responsibilities – redesigning work flows, enhancing job profiles and creating opportunities to work together

580 A pilot to evaluate the extension of the role of a Pharmacist Independent Prescriber on a Care of Older Persons /Stroke Ward through the introduction of a Doctor Light Discharge service. Magee 398 The Impact of a Pharmacist Independent Prescriber on the Discharge Processes at the Weekend in an Acute Hospital, McCrudden 746 Workflow barriers out of hours: optimising critical care outreach to support clinical decision making in medical and surgical care settings, Brady

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615 “Chains, shops, networks” – Organizing efficient patient flows in hospitals, Bjørkquist 516 Emergency Departments and Occupational Therapy: Integration, Unscheduled Care and Over-crowding, James 214 Building Nurse Navigation in colorectal cancer care, Thygesen 464 Transferability of innovative care models: Results from a large scale telephone based health coaching RCT, Sjobom 601 Implementing Collaborative Care for anxiety and depression: a qualitative study from the Capital Region of Denmark, Kousgaard 610 Implementing new ways of working to reduce the risk of falls among older people: an evaluation of community-based falls risk assessment clinics, McHugh

12.30– 14.00 Buffet lunch, exhibition, posters, networking and lunchtime workshops

13.00 – 14.00

Lunchtime Workshops

Oral poster session: Integrated care for children and adolescents

Symposium: Hospital-based integrated care

Workshop (567): Value-based integrated care: Exploring strategies to enhance the uptake of integrated care

Symposium: Improving Access to diagnostics in primary care

Oral poster session: Engaging hard to reach communities

455 Development of a framework for the delivery of integrated child healthcare: a commissioning support tool, Agarwal 543 A View of the Whole Child - Patient Co-Design of a Communication and Information Tool to Support Complex Care, Altman

Chaired by 360 Hardwicke: transition from a surgical ward to an exemplar Specialist Geriatric Ward, O’Donoghue 765 Implementation of an integrated delirium prevention system of care for elderly patients with hip fractures, Mok

Chaired by Pim Valentijn and Bert Vrijhoef, Maastricht University 555 A meta-framework and conceptualisation of person and people-centred integrated health care, Sue Lukersmith 576 A participatory evaluation of the validity and feasibility of the Meta-framework of Person and People-centred Integrated

Chaired by 213 Bringing Cardiac Diagnostics to the Heart of the Community, Shortt 411 Improving GP access to U/S – a multidimensional approach in collaboration with the Primary Care Division, Folan

423, 489, 200, 715, 199*

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531 Paediatric Spasticity and Orthopaedic Management for Children with Physical and Neuro-disability, O Dwyer 535 The integration of care at the acute/ community/ primary care interface for children with complex health needs in 30 European Countries: A MOCHA study, O'Shea 285 The use of Social Network Analysis to Evaluate Cross Functional Care Teams – A Case Study, Douthwaite

640 Enhanced initiation of osteoporosis management in hip fracture surgery patients, Su

Health Care (PPCIHC), Sue Lukersmith

14.00 – 15.30 PARALLEL SESSIONS 7

Integrated care for children and adolescents, part 2: Implementation

Integrated care for older people in the community

Developing education and training programmes for integrated care

Managing patients in and out of hospital

The Implementation Room: How to design and implement integrated care: Lessons from early adopters in Europe (organised by DG Sante) 6. Norrbotten, Sweden

302 DBT STEPS-A: Inter-agency collaboration to promote positive mental health in adolescents 558 Integrated care service models for children and youths at risk: facilitators and barriers

Chaired by Anne Hendry and Inés García-Sánchez 145 Program of integrated geriatric and primary care for frail older adults in the community. An innovation case. Inzitari

Chaired by Deborah Kopansky-Giles, University of Toronto 721 A ‘How-To-Guide’ for teaching and assessing Collaborator Role competencies in family medicine residency and health professional training programs, Kopansky-Giles

125 Integrated Hospital Discharge Programme, Joe Nguyen, PPL 366 Identifying barriers to admission avoidance in an emergency care pathway, Hilton

Moderator: JA CHRODIS, TBD a) Stakeholder engagement, collaboration/trust b) Workforce/patients education and training Lisa Lundgren, SCIROCCO

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for the development of successful services, Melby 137 National Scaling-up of an area-based approach to Prevention, Partnership & Family Support in Ireland: Key strengths and challenges to its implementation. Dr Aisling Gillen, Prevention, Partnership & Family Support (PP&FS)

120 Geriatrician in the Practice Model of Care, Dr Jeremy Christley, Shoalhaven Hospital Nowra, NSW 466 A Community Virtual Ward Supporting Integrated Care for Older Persons with Complex Health and Social Care Needs. 778 Integrated Home Care Service: Qualitative Study on Collaboration between Home Care Nursing and Social Service, Gudnadottir

415 Developing a National Training Programme for Health Behaviour Change for health professionals in the Irish Health Service, Mairead Gleeson and Aileen Scott, Health & Wellbeing Division, Health Service Executive 508 Developing a National Undergraduate Curriculum for Health Professionals in Ireland on health behaviour change (Making Every Contact Count), Maria O’Brien, Health and Wellbeing Division, Health Service Executive (HSE) 352 Acute Medicine Nurses facilitating Patient Flow – A National Unscheduled Care Clinical Skills and Competencies Education Programme, Miriam Bell, Health Service Executive Ireland South East and Geraldine Shaw, ONMSD, Clinical Strategy and Programmes Division. Health Service Executive, Ireland 646 Promoting the delivery of integrated care by a tiered approach of training and education, Burdett

744 Callcenter – an Integrated Healthcare System in the Middle of Denmark 327 Improving the quality of information sent from nursing homes (NH’s) when transferring patients to the acute hospital (AH), Lang

Brita Winsa, SCIROCCO

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Integrated care for people with dementia

Using technologies to improve patient participation in and access to care

Care coordination Capturing complex interventions: evaluating integrated care for target populations

Symposium: Frameworks for integrated care

191 Guidance for healthcare staff: Advance Care Planning and Advance Healthcare Directives with People with Dementia, Deirdre Shanagher, Irish Hospice Foundation 251 Alzheimer's Cafe Bray - An Integrated Hospital and Community Patient-Centred Approach, de Wilde 255 Collaborative primary care for community dwelling individuals with dementia: the DementiaNet approach, Nieuwboer 293 The implementation of personalised supports for people with dementia through multi-stakeholder, integrated care networks, Keogh 694 A novel integrated care pathway for people with dementia presenting to acute hospitals, Timmons*

194 NHS Western Isles - Involving our Patients: Faster Access to Treatment for Hypertension in Primary Care, Iain Trayner, NHS Western Isles and Lisa Taylor, Simple Shared Healthcare 239 Managing Chronic Care & Tele-Monitoring Model for enhancing integrated care – The MOMA Suggestion, Angela Irony, Maccabi HealthCare Services 389 Using Information Communication Technology in Models of Integrated Community-Based Primary Health Care: Exploring ICT in the iCOACH Study, Carolyn Steele Gray, Lunenfeld-Tanenebaum Research Institute, Sinai Health System 382 Psychogeriatric SOS – a unique e-health clinician-to-clinician solution for under-resourced areas, Huber

208 Does Combined Respiratory and Palliative Care Management Improve Care for COPD Patients? Amy Mulkerns, St. Michael’s Hospital Dun Laoghaire 636 Supporting Stroke Survivors in Roscommon, Gill 396 The ParkinsonNet approach: a model of integrated care for long term conditions, Eimers 578 Delivering Person-Centric, Seamless Care through the Patient Appointment Consolidation (PAC) Programme, Foo 233 "My Health" - A new coaching approach for empowering people to health activities in an integrated care setting. Melle

289 Evaluation of the effectiveness of complex health care interventions: the example of case management, Lambert 471 Quality of Dutch integrated head and neck cancer care: measurements and evaluation, Lydia F.J. van Overveld, Scientific Center for Quality of Healthcare, Nijmegen, The Netherlands 229 Evaluating a cardiology Primary Care Plus intervention: a practice-based, mixed-methods research, Quanjel 703 Evaluating the impact of an integrated care program, Miquel 782 Fostering a chronic care strategy in the Basque country through the evaluation of health care providers, Lamiquiz-Linares

Chaired by PJ Harnett, HSE 801 A framework approach to enable local leaders integrate care for older persons: moving from the ‘what’ to the ‘how’. Harnett 739 Development, evaluation and implementation of an Interprofessional Collaboration Competency Framework – Experiences from a Canadian Inner City Teaching Hospital, Kopansky-Giles 236 New care service landscape-challenging integrated care, Sogstad 368 A Theoretical Logic Model of Integration in Health Care, Kerrissey * 424 An Integrated Care Charter - Correcting the Organisational Focus Paradox by Empowering the Citizen, Rigby

Oral poster session: New roles and responsibilities –

580 A pilot to evaluate the extension of the role of a Pharmacist Independent Prescriber on a Care of Older Persons /Stroke Ward through the introduction of a Doctor Light Discharge service. Magee

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redesigning work flows, enhancing job profiles and creating opportunities to work together

398 The Impact of a Pharmacist Independent Prescriber on the Discharge Processes at the Weekend in an Acute Hospital, McCrudden 746 Workflow barriers out of hours: optimising critical care outreach to support clinical decision making in medical and surgical care settings, Brady 615 “Chains, shops, networks” – Organizing efficient patient flows in hospitals, Bjørkquist 516 Emergency Departments and Occupational Therapy: Integration, Unscheduled Care and Over-crowding, James 214 Building Nurse Navigation in colorectal cancer care, Thygesen 464 Transferability of innovative care models: Results from a large scale telephone based health coaching RCT, Sjobom 601 Implementing Collaborative Care for anxiety and depression: a qualitative study from the Capital Region of Denmark, Kousgaard 610 Implementing new ways of working to reduce the risk of falls among older people: an evaluation of community-based falls risk assessment clinics, McHugh

15.30 – 17.00

PLENARY 5: Ageing, health and wellbeing

Chaired by: A reflection on old age: making it count Dr Elisabeth Mesthenos, Greece Living in a more age-friendly society: co-producing services to reflect the aspirations of older people Lucie Stephens, Head of Co-production, New Economics Foundation EU Joint Action on Frailty Prof Leocadio Rodriguez Mañas, Head of the Department of Geriatrics at the Hospital Universitario de Getafe (Madrid)

17.00 – 17.30

CLOSING CEREMONY

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Closing remarks by Aine Carrol Invitation to join ICIC18 in Utrecht, Henk Nies and Jeroen Struijs Closing remarks by Nick Goodwin

Poster Display Only (no oral presentation time allowed)

429 Process Evaluation of Rural Integrated Care Delivery Model (RICDM) in China: How Providers Affects the Policy Implementation, Tang (from paper)

For further information, contact:

Fiona Lyne, Director of Communications, International Foundation for Integrated Care [email protected]