1. ITHAcA – How will we know when we get there?
Ithaca is the health integration team that aims to facilitate an integrated urgent care system in Bristol
How will we know when we have been successful as a health integration team?
Helen Baxter
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2. I T H A
First name of each and organisation
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3. I T H A
ITHAcA was the home of Odysseus – the Greek hero known for his brilliance guile and versatility
He was also famous for taking a long time to get to where he needed to go – we don’t intend to take so long
He went through a lot in his travels to get where he needed to go
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4. I T H A
The current urgent care system with the poor patient looking confused and distressed
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5. Integration to Avoid Hospital Admission
Avoidable admissions
Using data to inform commissioning
Integration to Avoid Hospital Admission
ITHA A
Managing risk
Knowledge Mobilisation
Patient and public involvement
This is a map of the ITHAcA workstreams – we are a research HIT and this is our focus but we do a high level of KM in all our activities to ensure that the research we are conducting has relevance in the real world
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6. Knowledge Mobilisation
Research
Knowledge Mobilisation
CCGs & Providers
Unanswered questions
The circle of virtue
Implementation

7. I T H A
Sometimes it feels like we have a long path ahead – however we are making some progress – and we’ve had a lot of help from our friends
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8. #BHPhitconf I T H A CLAHRC West
Organisations that have given us funding to achieve goals
CLAHRC West
Collaboration for Leadership in Applied Health Research and Care West
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9. #BHPhitconf I T H A British Thoracic Society
Working for Healthier Lungs
Our partners in various projects
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10. Using data to inform commissioningH A
Avoidable admissions
Care bundles (COPD)
Causes and reasons for admission (Dementia)
Mapping of services (children’s asthma)
Avoidable admissions
Using data to inform commissioning
ITHA A
Projects in the area of avoidable admissions with a focus on 3 key areas identified from the literature
Managing risk
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11. RuBICoN Dementia #BHPhitconf Respiratory Infections HIT I T H A
Health Integration Team
We have also teamed up with our colleagues in other HITs
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12. Using data to inform commissioningH A
Avoidable admissions
Why are people attending?
A device to reduced AA due to UTIs
Development of a tool for AA
Avoidable admissions
Using data to inform commissioning
ITHA A
With CIPIC, with Rubicon and in partnership with South Gloucs and Bristol CCGs
Managing risk
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13. An evaluation of the complex assessment unit
Using data to inform commissioning
An evaluation of the complex assessment unit
Cold homes and avoidable admissions
Avoidable admissions
Using data to inform commissioning
ITHA A
Explain CAU
Managing risk
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14. Using data to inform commissioningH A
Managing risk
Abnormal test results
Discharge from secondary care
Utility of a brief holistic assessment within PC
Alternatives to acute care
Avoidable admissions
Using data to inform commissioning
ITHA A
We are starting now to looking at these areas in the system. A recent systematic review we conducted to look at alternatives to acute care has provided evidence that people can be safely managed at home and this has lead to a new area of work
Managing risk
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15. #BHPhitconf E admission avoidance I T H A
The vodka was just to get your attention – this is a new area of work for us led by Jonathan Benger in partnership across the 2 universities to explore the idea of absolute admission avoidance from hospital
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16. I T H A
We are hoping to do some work with some new friends – the telecommunications industry and work in the area of how cold homes can impact on avoidable admissions
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17. I T H A
This is what a working urgent care system might look like – for the population of Bristol and running as an efficient single system
And when we achieve this in Bristol then the ITHAcA HIT can look forward to……
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18. Bristol Health Partners
A nice long rest
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