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Everyone there was a fan of integration and an impressive speaker called Kenneth Kitzer spoke about how he had turned the Vetarans Assoication group of hospitals in the US from a disaster to the best health service in america in 10 years. He did this by integrating health care- cutting beds in hospital by half (some were sold to prison authorities which tells you something) and creating community clinics. It was cheaper, patients loved it and he put in place the largest electronic health record in the world.
For integarted care to work he said you need clinical leadership, multidiscplinary team working,. to see hospitals as cost centres and not revenue centres (which we have got wrong already as Foundation Trusts are meant o make money), and to put in place quality management and an understadning that health care works on the chaos theory- it is complex and you don;t get linear improvements.
So there you go- you;ve saved the cost of admission to the conference and got the best bits,.
Northern Ireland has had integrated care (which means the patient has a seamless experience from community to primary to secondary care) since 1970s- but no one else seems to know that.
In England we have Torbay and that;s about it.
Anyone know any other egs?