Transcript Finance

“The Brave New World”
May 2011
By Paul Zollinger- Read
The King’s Fund 10 High
Impact Changes
1.
2.
3.
4.
5.
Self-management
Primary prevention
Secondary prevention
Managing ambulatory conditions
Integrating mental & physical health
care
The King’s Fund 10 High
Impact Changes
6. Care coordination & integration
7. End-of-life care
8. Medicines management
9. Managing elective activity
10.Managing emergency activity
Enablers
• Post Industrial Primary Care
• Integrated Care
• Systematic and proactive management
of Long Term Conditions
• Empowerment of patients
• Population management
Primary Care
• Coordination and signposting
• Become the navigator to steer patients
• No longer act as the sole reactive care
giver
• New deal with patients
• Measure performance, improving care
standards, and transparent reporting
Integrated Care Organisations
• Cross organisational
• Capitated budget
• Governance models
• Across Care Pathways
The Bigger Picture
• Be clear on decision making process
• Risk management
• Strategic oversight
• Learn and build on clinical networks
• Power of relationships
ZRs First Law
SP = (C * I ) CR
SP = Sustained Performance
C = Capabilities
I = Incentives
Healthy Organisations
• Strong correlation between “healthy
organisations” and performance
– Set clear medium term health aspirations
– Strive for a baseline of good health
– Involve a broad leadership coalition,
develop followership
The Challenge for Consortia
Relationships between practices must
be build on shared values and vision,
trust, respect and collaboration. As well
as requiring leadership from the
consortium, this will require member
practices to have time, patience and
commitment.
Kings Fund Report on Primary Care Quality 2010
Carpe Diem
10 + 5