The international evidence base for healthcare commissioning

The Centerpiece of Value-Based Care Executing on the care transformation imperative About the Webconference Success during care delivery transformation will require new competencies, paramount among is managing the care of aging populations facing dramatically higher rates of chronic disease. Our members that have been most successful in this transition have transformed care delivery with the following best practice principles in mind: Leverage best-in-class predictive modeling analytics to identify current and future high-risk, high-cost patients for proactive management across all care settings Eliminate gaps in both chronic and preventative care for the broader patient population using evidence-based clinical guidelines Generate customized care management plans to more effectively manage chronic patients Coordinate care team workflow across the ambulatory network Engage patients through customized take-home documents that increase care plan compliance Provide practices and individual physicians with a degree view of performance Successful health systems in this new marketplace will be organizations that manage their risk flashpoints, engage their physicians on variation and steer additional care resources to the patients needing it the most. We will share the challenges associated with making this transition and showcase cutting edge analytics designed to stratify populations, activate patients, and engage physicians and care teams in performance improvement.

The international evidence base for healthcare commissioning

They are becoming an increasingly common feature in high-income countries for purchasing personal care that often lies on the border line between health and social care.

In England, they have recently been introduced explicitly for the purchasing of health care. There are some key motivations behind their introduction: This paper draws from a review of the international evidence on personal budgets which identified: The paper examines the motivating factors behind personal budget schemes in light of this evidence.

It concludes that there is little in the evidence to suggest that international governments' expectations for personal budget programmes are well-founded. The assumptions that they improve choice, and that more choice will in turn lead to greater autonomy and then improved outcomes at lower cost, are actually far more complex and generally unsupported by evidence.

Article Preview Introduction Most health and social care services are provided to service users as relatively passive recipients. Local providers might hold a contract for the delivery of that service, and the service user will get little or no say in how, where and when that service is provided.

The international evidence base for healthcare commissioning

Personal or individual budgets are an alternative way of purchasing elements of health and social care services. This extension of the choice agenda is consonant with policies aimed at increasing competition within healthcare systems based on a belief that competition will drive down spiralling healthcare costs.

Such policies are highly dependent on the ideologies of governments in power Toth, Reflecting on waves of healthcare reforms in recent decades in six OECD countries, Toth notes that choice and competition initiatives were instituted by conservative governments in the early s.

PBs fit squarely within this agenda implying that patients are consumers of healthcare, and as consumers are best placed to make choices about that care Fotaki, The notion that healthcare is consumed in the marketplace in the same way as other goods and services has been widely critiqued Greener, ; Lupton, PB programmes vary enormously, but all converge on the principle of improving choice and control for service users by involving them in the planning and purchasing of care.

It furthers the work of the Health Foundation who, inpublished a research scan Health Foundation, which provided a brief synopsis of evidence on the impact of PBs on patient-centred care, health outcomes and value-for-money. The evidence available was largely subjective evidence regarding satisfaction and feelings of empowerment.

Since that research scan, several government-led programmes have been piloted and evaluated, and the evidence base has been strengthened.

To build on the research scan, the objectives of this review were to identify: It questions whether there is evidence that PBs deliver either definitive outcomes or cost savings.

It also examines whether PBs offer choice or an illusion of choice to budget holders. Four common motivating factors behind the introduction of PB programmes in different countries are identified and examined in the light of international evidence based priorities, of the CMO’s annual report for (‘Advocacy’ volume).

‘well-being’ which currently go well beyond existing evidence. Commissioning in public mental health – summary Public mental health should be framed according to the WHO model of mental health promotion, mental illness. Although evidence based medicine (EBM) has been around for 20 years, influencing other healthcare disciplines, there are less incentives to facilitate evidence-informed decision making in commissioning.

Commissioning is a complex process undertaken by individuals from a variety of professional backgrounds and disciplines, including medicine, public health, nursing, the allied health professions, finance, accounting, contracting and business studies.2 Commissioners must take into account a number of factors such as local need, availability of.

Nov 01,  · Evidence- and consensus-based (S3) Guidelines for the Treatment of Actinic Keratosis - International League of Dermatological Societies in cooperation with the European Dermatology Forum - .

An evidence-based systems approach to suicide prevention: guidance on planning, commissioning and monitoring “For me, the feeling from losing my brother from suicide continues to be a cold, dark place.

Enfield Clinical Commissioning Group, along with our North Central London colleagues, wants to the secure the greatest health impact it can with its resources by adhering as closely as possible to the clinical evidence base available.

International Journal of Evidence-Based Healthcare