ITHAcA: Integration to avoid hospital admission – new directionsJune 12th 2015

Helen Baxter on behalf of ITHAcA

Sarah Purdy (lead director) University of Bristol Jonathan Benger U.W.E and UHB Peter Brindle APCRC Helen England BrisDoc James Calvert NBT Alison Comley Bristol City Council Peter Goyder Bristol CCG

The directors

To reduce avoidable hospital admissions across BNSSG

Purpose

Integration to avoid hospital admission

Areas of focus

COPD, childhood respiratory, dementia and using data to inform commissioning

COPD:

Childhood respiratory: PhD project on childhood respiratory admissions and

decision making by parents and professionals in the ED

Mapping local asthma services to model patient flows APCRC 2014

Research

To evaluate admission/discharge care bundles for COPD patients. NIHR HS&DR 2014

Study of using systems dynamics modelling for COPD services. APCRC 2013

Dementia: An exploration of the available data to understand better

the causes for admission. CLAHRC West 2014 A systematic review of the literature to develop an

appropriate intervention for this population. CLAHRC West 2014

Wider scope: Programme development grant around managing risk

to reduce emergency bed days for older patients. NIHR 2014

Avoidable hospital

admissions (patient groups

of focus - childhood

respiratory, dementia &

COPD)

Avoidable hospital

admissions (patient groups

of focus - childhood

respiratory, dementia &

COPD)

The management of risk (primary and secondary

care)

The management of risk (primary and secondary

care)

Data to inform commissioning Data to inform commissioning

Research

Implementation

Unanswered questions

CCGs and providers

Discussion Working Groups (DWGs) Virtual Wards Feb 2014 and Avoiding Unplanned Admissions Enhanced Service July 2014

Presentations The Urgent Care Review by Jonathan Benger, 2014, An Acute Frailty Service by Dan Lasserson, 2015

Information repository

What are we already doing?:

Avoidable hospital admissions (patient

groups of focus - childhood

respiratory, dementia & COPD)

Avoidable hospital admissions (patient

groups of focus - childhood

respiratory, dementia & COPD)

The management of risk (primary and secondary care)

The management of risk (primary and secondary care)

Data to inform commissioning Data to inform commissioning

Influence & engagement (DWGs and presentations)

Information repository

Patient and public involvement

Can we do more?:

Researcher in Residence focusing on Urgent Care

The unanswered questions Co-produced projects

Discharge of patients from secondary care – risk management and clinical decision making. APCRC & CLAHRC West

Out of Hours abnormal tests results. APCRC

The future:

Implementation of the findings from the projects by working with the CCGs and service providers

Using these relationships to gain feedback to inform the next questions for research.

Networking and linkage with CCGs and service providers

Avoidable hospital admissions (groups of focus - childhood

respiratory, dementia & COPD)

Avoidable hospital admissions (groups of focus - childhood

respiratory, dementia & COPD)

The management of risk (primary and secondary care)

The management of risk (primary and secondary care)

Data to inform commissioning Data to inform commissioning

Influence & engagement (DWGs and presentations)

Information repository

Patient and public involvement

Networking and linkage with CCGs and service providers