How Health Care Innovators Learn from Setbacks to Achieve Success

Course Corrections: How Health Care Innovators Learn from Setbacks to Achieve Success
Commonwealth Fund September 2019

• This report aims to share methods innovators used to develop new care models and overcome obstacles during their implementation, as well as lessons from their failures.
• Lessons learned
• 1. When refining a new care model, examine which patients don’t benefit.
• 2. Don’t be afraid to try new approaches.
• 3. Embrace change, even if that means saying goodbye to people
• 4. Know which parts of the model are essential.
• 5. Seek consensus on how to measure and reward success.

Course Corrections: How Health Care Innovators Learn from Setbacks to Achieve Success

Course Corrections: How Health Care Innovators Learn from Setbacks to Achieve Success
The Commonwealth Fund 10 September 2019

• This report examines new models for delivering and paying for health care to better serve vulnerable patients, and those at risk of developing health problems. It also showcases models that improve the quality of care and health outcomes while lowering costs or reducing unnecessary health care use.
• Many of care models examined rely on similar strategies, including:
• risk prediction and segmentation techniques to distinguish those who would benefit most
• proactive management of chronic diseases or serious illnesses
• managing transitions among clinicians and care settings
• identifying and addressing patients’ social needs.

Transforming care through technology – a toolkit for new models of outpatient care

Transforming care through technology – a toolkit for new models of outpatient care
The Shelford Group 9 September 2019

• This toolkit outlines examples of how Shelford Group trusts are using technology and digital innovations to transform outpatient services in the NHS.
• Case studies
• Streamlining booking and delivering virtual care 
• Supporting self-management and remote care 
• Implementing remote care through telemedicine 
• Moving to virtual care models 
• Improving efficiency through technology

Genomics: the power, potential and pitfalls of the new technologies and how they are transforming healthcare

Genomics: the power, potential and pitfalls of the new technologies and how they are transforming 
healthcare 
Clinical Med  v19(4269-272), 1 July 2019

• Powerful new genomic technologies are transforming healthcare. However few clinicians are aware of or prepared for this genomics-based future. Through five patient-focused scenarios with accompanying interviews, this article showcases new genomic technologies while highlighting the inherent challenges associated with complex genomic data.

Independence of General Practice [blog]

Independence of General Practice
Oxkham Healthcare 8 August 2018

• A Ben Gowland blog looking at the distinction between statutory bodies and independent contractors and asking whether the difference is of any consequence. 
• “Is the current review of the partnership model an attempt to shift general practice from independent contractor into some form of statutory body status? Are the new, semi-mandated GP networks the first step towards groups of GP practices as statutory bodies? “ 
• For a summary of Primary Care Models see here [Arden GEM CSU staff only]

Developing new care models through NHS vanguards

Developing new care models through NHS vanguards

NAO 29 June 2018

• This report examines whether the NHS is well placed to get value for money from its investment in developing new care models through vanguards. In particular, it focuses on:
• set up and management of the vanguard programme (Part One);
• national support and evaluation (Part Two);
• progress made by the vanguards (Part Three); and
• readiness for the spread of these new care models (Part Four).
• This report focuses primarily on the two types of vanguards which were designed to test integrated models of health and social care for a local population: integrated primary and acute care systems (PACs) and multispecialty community providers (MCPs)
• Includes an overview of the Vanguard programme (types and funding)

Key findings

Scaling up single specialty networked care - spreading best practice

Scaling upsingle specialty networked care: A strategic overview
Networked Care, March 2018

• In April 2017 the Moorfields vanguard team published a e-toolkit sharing findings from the research into best practice for single specialty networked care. (www.networkedcaretoolkit.org.uk) 
• This report shares findings from semi-structured interviews with more than 35 strategic decision makers across the NHS (providers, commissioners and regulators), and other sectors, as well as a desktop literature review, on the benefits and challenges of scaling up networked care numerically and geographically. 

Moorfields also published two other reports:

Spreading best practice UK Ophthalmology Alliance
Networked Care, March 2018

• The aim of the National Orthopaedic Alliance (NOA) vanguard programme was to create a UK-wide alliance of orthopaedic providers to deliver outstanding and consistent care in more areas. The NOA vanguard has developed a consistent benchmarking framework, describing not only ‘what good looks like’ in orthopaedic care but also the components of a quality improvement journey. 
• This publication shares experience and advice from replicating the membership model across ophthalmology nationally.

Staff and patients Improving networked care,
Networked Care, March 2018

• A description of work with the independent charity, the POCF, to understand the best methods and tools to embed staff and patient co-design of services across the Moorfields network.

Patient experience of new care models

How we are evaluating the impact of new care models on how people feel in Wessex
Wessex AHSN 11 January 2018
This short report describes the mixed-methods approach to evaluation, findings and how this has helped develop new care models.

• Collect and analyse large numbers of R-Outcomes from people, patients and staff 
• Undertake qualitative interviews with  patients, carers and staff
• Thematic analysis of case studies
• Observe teams at work using Normalisation Process Theory
• Synthesise this data to develop triangulated, rounded findings and evidence of impact