View
221
Download
0
Category
Preview:
DESCRIPTION
Why? People want to stay in their home as long as possible NHS funding requires reduction in unplanned admissions Reducing patient harm New GP DES - Unplanned admissions Enhanced Service
Citation preview
Risk Stratification and Medicines Optimisation
Helen LiddellLeeds South & East CCG
• Why Risk Stratification• What is Risk Strat?• Limitations of Risk Stratification• What implications for Medicines Optimisation
Why? • People want to stay in their home as long as
possible• NHS funding requires reduction in unplanned
admissions• Reducing patient harm• New GP DES - Unplanned admissions Enhanced
Service
4
The workload / cost distribution
Emergency admissions are draining resources. They account for the most cost and days
56% PBR budget is allocated to emergency care for
48%59%
84%
52%41%
16%
Spells Cost Days
Emergency Elective
160K £215M
Source: NHSIC. Data Leeds CCGs 11/12
What?Risk profiling a population
Risk profiling and case management• Individualised Care plans• Telehealth• Community Matrons• Case Managers – Elder Care Facilitators• Intensive support for LRCs• Third sector and voluntary organisations• Medicines Optimisation?
Limitations of tools
• Medicines costings are inaccurate• Coding errors• Rare and spurious conditions • Expense and time
Medicines Optimisation in targeted populations• In Care Homes• 4 or more medicines• with renal disease• Post discharge• Taking high risk medicines• Those identified by a risk prediction tool• Those with a particular condition• Those referred to a service
A vision of care services in 5 years
The House of Care model
Performance Measures•A measure to evaluate how well a programme, agency or service system is working.
•Three questions:•How much did we do? (quantity)•How well did we do it? (quality)•Is anyone better off as a result? (quantity and quality of effect or customer/client outcomes)•Performance measures tell us how well service providers are working as opposed to the impact on whole populations
From ends to means
ENDS
OUTCOMES“A condition of well-being for children, adults, families or communities”
PERFORMANCE MEASURES“A measure to evaluate how well a programme, agency or service system is working”
MEANS
INDICATORS“A measure which helps quantify the achievement of an outcome”
Popu
latio
n A
ccou
ntab
ility
Perf
orm
ance
Acc
ount
abili
ty
Further opportunities?• More patient contact• Links with Community Pharmacies• Social Services• Intermediate Care Team• Hospital discharge pharmacists
Where does Medicines Optimisation fit in?
Recommended