Innovation in Integrated Care

Poster Session
HRT11420 –Innovation Awards
November 2014 Melbourne
Innovation in Integrated Care
Hospital Code Name:
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AIM: Innovation in Integrated Care (IIC)

To encourage services to identify creative solutions to
address current and future demand, with a particular focus
on strengthening integration with other parts of the health
care system.
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Opportunity within the LHD
The LHD Board endorsed $2.5M annually for two years for local
innovative and integrated projects.
The LHD recognised & wanted to support locally driven
innovation ideas to:
 Strengthen innovation and integration across the LHD
 Build capacity at a local level
 Enable support for innovation ideas to
flourish from ideas to action
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The IIC Process – Governance
A Project Selection Panel was convened to review applications. Members for this
panel included:
• Executive Lead (Convenor)
• Deputy Director Primary & Ambulatory Care
• Director Operations, Royal Hospital for Women
• Director Mental Health
• Stream Director - Aged and Rehabilitation
• Stream Director – Medicine
• Director Population Health and Planning
• CEO, UNSW Centre for Primary Health Care and Equity
• Medical Locals Chief Executives
• NSW Ministry of Health Integrated Primary Care Branch
• Clinical Efficiency & Evaluation Manager
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The IIC Process – staged culling
A total of 44 project submissions were received from across the LHD.
Round 1
Projects were evaluated
according to 6 criteria:
Innovation
Integration
Equity
Measurable impact & data
Sustainability
Cost effectiveness
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Round 2
Projects were evaluated
according to 5 criteria:
Vertical/horizontal integration
Improved integration
Measurable impact & data
Sustainability
Value
The Fulop Model
The diagram below represents the Fulop model, with the central aim of
integrated care to patients and/or services to communities.
Systemic integration
(consistent privacy policies, pooled funding arrangements)
Organisational integration
Functional integration
(shared records, service
directories, single point of contact
for referrals)
(e.g. joint ventures, liaison
officers, service networks)
Integrated care to the patient/
services to the community
Clinical integration
(shared care programs, use of
clinical pathways)
Normative integration
(multi-disciplinary training and education)
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Service integration
(multi-disciplinary teams,
‘one stop shops’)
The approximate proportions of submissions addressing the
different levels of integration
Levels of integration
addressed
25
20
15
10
5
0
Systemic Organisational
Integration
Integration
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Functional
Integration
Service
Integration
Clinical
Integration
Normative
Integration
Innovation in Integrated Care
Ten Innovation in Integrated Care (IIC) projects are currently in the implementation phase, funded through SESLHD
until 30th June 2015.
The project teams submit quarterly progress reports to the IIC Steering Committee throughout the project phases.
Site
Project Name
SESLHD South Eastern Sydney Recovery College
TSH
Southcare Outreach Service (SOS)
SGH/
SESML
SGH
Brake the Break Osteoporosis Refracture Prevention Service
Mental Health
Older Persons Care
Community Assessment and Liver Liaison (CALL)
SESLHD Optimising health and learning: targeted screening of newly arrived refugee and
vulnerable migrant young people
Southern Bulbuwil (Health Living) Aboriginal Lifestyle Support Program
Sector
TSH
Children’s Acute Review Service (CARS)
RHW
SugaMama: A customised mobile application to enhance self-management, education
and support for women with gestational diabetes mellitus
RHW
Perinatal Outreach Mental Health Service (POMHS)
Northern Integrated Management Pathways for Alcohol and Drug Clients into Treatment (IMPACT)
Sector
Multicultural Health
Aboriginal Health
Paediatrics
Women’s Health / Perinatal
Drug and Alcohol
The Enablers – what worked






Building on existing opportunities (COAG sub-acute project)
Breadth of the selection committee
Emphasis on evaluation in the early stages of planning
Involvement of UNSW for education
Highlighting the projects throughout the organisation
Project support centrally – moving from project concept to
implementation
The Lessons – what would we do differently


Agency level engagement as well as project level engagement
with partners
Selection committee – shaping shared values (e.g. what
counts as innovation)
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What opportunities have arisen from this
process:





Developing a shared framework for integration
Building internal capacity and capability for innovation
Applying the Primary Health Care Partnership Framework
Reviewing the selection process for future ideas
Enabling the readiness for innovation change
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Contact information:
Jocelyn Hickson
Innovation in Integrated Care Project Manager
Improvement and Innovation
South Eastern Sydney Local Health District
Tel. (02) 8545 4730
Mobile. 0417 577 176
Jocelyn.Hickson@sesiahs.health.nsw.gov.au
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