Alternatives to Hospital Care: Modelling the Whole System Tom Bowen Tom Bowen Associates, Brighton, UK ORAHS 2003, Prague, Czech Republic 28 July 2003.

Slides:



Advertisements
Similar presentations
The Balance of Care Group Alternatives to Hospital MODELS OF INTEGRATED CARE Tom Bowen ORAHS 2008, Toronto, 29 July.
Advertisements

Project HIFT alfords Health Investment For Tomorrow Project HIFT alfords Health Investment For Tomorrow SHIFT Project – Salfords Health Investment For.
Walsall Interface With Secondary Care Trish Skitt 13, Nov 2003 Birmingham Evercare Event.
Seaton Hospital Pursuing Perfection Discharge Project Pursuing Perfection means raising standards to ensure patients have the right care at the right time.
LOCAL IMPROVEMENT FINANCE TRUST (LIFT). OUR NEEDS Primary Care that is: Under doctored – up to 6% growth needed Under nursed and short of other professionals.
NHS Health Scotland Linking the Scottish Health Survey to hospitalisation and mortality records in Scotland Bruce Whyte July 2003.
Whole System Models of Care for Older People Tom Bowen The Balance of Care Group ORAHS 2004, Stockholm, Sweden 28 June 2004.
Whos in the beds? Experience of using the AEP in the UK Paul Forte ORAHS Working Group Prague, July 2003.
Modelling the Potential for Telecare and Telemedicine Tom Bowen & Paul Forte The Balance of Care Group ORAHS 2005, Southampton, UK 4 August 2005.
Whos in the beds: surveying and the aftermath Dr Paul Forte Balance of Care Group and Centre for Health Planning & Management, Keele University, UK.
Achieving the 18 week maximum wait Tom Bowen The Balance of Care Group Routledge Health Management Conference 14 September 2006.
Scottish Intensive Care Society Audit Group, Annual Report Note from Scottish Intensive Care Society Audit Group.
To eliminate unnecessary delays in the safe transfer of care of patients from acute therapy teams to community services by improving the quality of information.
Hospital reform Nigel Edwards. The same problems across Europe Growing demand Patients increasingly have..... Multiple chronic conditions Poly-pharmacy.
Stroke Services at HWPH NHS Foundation Trust
Right First Time – Redesigning how we discharge patients 7 days a week D R A NDREW G IBSON, S HEFFIELD T EACHING H OSPITALS AND S TEVEN H AIGH, R IGHT.
Alzheimer’s & Dementia S u p p o r t S e r v i c e s Registered Charity Number Speaker: Liz Jewell, CEO of Alzheimer's & Dementia Support Services.
Dr. Rasha Salama PhD Community Medicine and Public Health Suez Canal University Egypt.
LOCAL LHD LOGO Kate Lloyd Manager, Acute Care Agency for Clinical Innovation Tel | Mob Criteria.
Costs.
Seven Day Services Improvement Programme Birmingham, Sandwell and Solihull Collaborative Professor Matthew Cooke Deputy Medical Director (Strategy & transformation)
Shaping a service Colin Hughes Consultant Nurse - Older People (Mental Health) Chesterfield Primary Care Trust.
Higher Education in the Czech Republic.  A Doctoral Study Programme is focused on academic research or development  Study is organised on the basis.
Health promotion and disease prevention
Making patients’ views count Frequent Feedback Service Regula Dent Marketing Manager Picker Institute 21 April 2009.
European Festival of Psychiatric Nursing, Malta Mgr. TOMAS PETR BLANKA NOVOTNÁ Psychiatric Nursing in Czech Republic.
Trends in Health Care Health Team Relations
The Balance of Care Approach: Modelling complexity in services for older people Paul Forte & Tom Bowen ORAHS 2010,
Benefits of IT Farrokh Alemi, Ph.D. Based on Kropf and Scalzi Making Information Technology Work.
 Patients that have become bedridden  Doctors  Insurance Companies  Hospitals  Manufacturing companies.
Sustaining the Patient- and Family- Centered Care Philosophy.
Idealised Design and Modelling of Alternatives to Hospital Care Tom Bowen ORAHS 2010, Genoa, Italy, July 2010.
15: The ‘Admin’ Question Patient flow Dr Tony Kambourakis.
Less is more? (or how to make the most of our new hospitals) Nanna Skovgaard Head of Division.
Hospital Operational Standards Jennie Hall, Chief Nurse Dr Ros Given-Wilson, Medical Director Martin Wilson, Director of Delivery and Improvement.
 OM focuses on the effective management of the resources and activities that produce and deliver the goods and services of a business/organization  Resources.
Frail Elderly Pathway Walsall Healthcare NHS Trust.
Avoiding Hospital Admission A Game of Snakes and Ladders! ACHSE 19 June 2007 Stephen Wilson Program Director Population Health.
Webster city Hospital.
Progress and challenges in mental health reforms: a governmental view H. Hinkov, National center for public health, Sofia, Bulgaria.
DISCHARGE DEVELOPMENTS ACROSS NORTH GLASGOW OUTPATIENT AND HOME PARENTERAL ANTIBIOTIC THERAPY (OHPAT) SERVICE Lindsay Semple Project Manager/Nurse Specialist.
Emergency Access Information Network - May 2009 ‘Why do people attend’ NHS Forth Valley A&E and what do we need to do to better manage demand’ Kathleen.
The Balance of Care Group in association with Lincolnshire Partnership Trust, Lincolnshire PCT, United Lincolnshire Hospitals NHS Trust, Lincolnshire County.
Ward Name Date Ward Type No. Beds Sister Nurse No. Nurse Name Nurse exp. Patient No. Patient Name Bed No. Date Admitted Date ExpLeave. UNFINF2NF3NF.
Healthcare Systems Engineering IDEAL Seminar Series January 27 th, 2015 Hospital metrics.
Safer Start 8am Monday 08 th February – 8am Monday 15 February.
HTR History of Medicine.  Something new and popular happening at a particular time  Example: Healthcare trend in the 19 th Century-Women in Medicine.
Show Me The Money Chris Cebollero, Chief. Show me the money CHAP Program - ER - EMS - Super Users Patient Treat at Home PCP Dr. Chris Perry Health Resource.
Good Practices in Mental Health Care in Norway – connecting health and social services. A glimpse from inside Arne Repål.
‘Environment’ Glossary Administrative categories from UK National Health Service.
Using Quality Improvement Methodology To improve Acute Flow at Wrexham Maelor Hospital.
We’re counting the benefits of EPR Find out at: epr.this.nhs.uk We’re counting the benefits of EPR Find out at: epr.this.nhs.uk The introduction of EPR.
Survey of acute hospital resources for patients with COPD T McCarthy, M O’Connor, on behalf of the National COPD (Respiratory) Strategy Group Population.
REHABILITATION IN THE HOME South Metropolitan Area Health Service “There’s no place like home…”
Michal Štefan DEX Innovation Centre
Preventing surgical deaths: critical care and intensive care outreach services in the postoperative period  D.R. Goldhill  British Journal of Anaesthesia 
אביבה אלקלעי, ראש היחידה לכניסה להוראה, המכללה האקדמית אחווה
מהו הסטאז'? המכללה האקדמית תלפיות.
Lueder Haus in Jefferson County
Dr S Rochow. Clinical Lead, Triage Unit. Woodend Hospital
Hospital Bed for Rent. Hospital Bed India provides patient care medical equipments for rental and sale at Home. Wheelchairs, semi-fowler beds, full-fowler.
Unit 3 Review (Calculator)
Prevention of hospital-acquired thrombosis from a primary care perspective: a qualitative study by Ian Litchfield, David Fitzmaurice, Patricia Apenteng,
Fife Shine Project – shifting the culture of care Julie Paterson, Senior Manager, Fife H&SCP Dr Margaret Hannah, Director of Public Health, NHS Fife.
Calculate 9 x 81 = x 3 3 x 3 x 3 x 3 3 x 3 x 3 x 3 x 3 x 3 x =
Supplementary Data Tables, Organizational Trends

Operational site management principles
Operational site management principles
Hospital Beds for Sale Hospital Beds for Sale. H ospital Style Adjustable Beds on Sale. Hospital and home care beds are designed to provide a comfortable.
Presentation transcript:

Alternatives to Hospital Care: Modelling the Whole System Tom Bowen Tom Bowen Associates, Brighton, UK ORAHS 2003, Prague, Czech Republic 28 July 2003

Content Current UK hospitalisation trends Wider modelling requirements Care homes example R & D agenda

Production functions do not apply Queueing models do not apply

Internal factors A bed is not a service point Doctors, diagnostics determine throughput Resource imbalances may increase length of stay Additional wards may scatter patients

External factors

Cost/Quality Model of Care Homes

Example of model calculation (2002)

R & D Agenda Internal process models Protocols for hospital care Therapy service models Prevention service models One to many flow models