An improvement framework to reduce community musculoskeletal waits while delivering best outcomes and experience
NHS England - Integrated high quality community musculoskeletal (MSK) services are integral to a productive high-performing healthcare system supporting the management of MSK conditions. This framework will support integrated care systems (ICSs) to reduce commissioned community MSK waiting times while delivering best outcomes and experience for patients. It includes defining principles, recommended actions across primary, community and secondary care and further resources.FrameworkMore detail (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - January 10, 2023 Category: UK Health Authors: The King ' s Fund Library Tags: Primary and community care Source Type: blogs

AMA Touts Apples ‐​to‐​Oranges Study in its Fight to Preserve the Medical Cartel
This study supports the evidence that use of NPs can improve access to primary care with similar quality and cost of care.The VHA emergency medicine study that the AMA is touting makes no case against NPs and FNPs independently providing primary care. However, its findings do suggest that hospitals should prefer board ‐​certified ENPs to FNPs when staffing their emergency departments with non‐​physicians.Spencer Pratt is a  Research Associate in the Department of Health Policy Studies (Source: Cato-at-liberty)
Source: Cato-at-liberty - December 13, 2022 Category: American Health Authors: Jeffrey A. Singer, Spencer Pratt Source Type: blogs

Strategies to reduce waiting times for elective care
The King's Fund - The King's Fund undertook research to understand the strategies that have been used to reduce waiting times in the past 20 years.ReportAssociated blog (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - December 13, 2022 Category: UK Health Authors: The King ' s Fund Library Tags: NHS performance and productivity Quality of care and clinical outcomes Workforce and employment Source Type: blogs

Managing NHS backlogs and waiting times in England
National Audit Office -According to this report, the plan to reduce long waits for NHS elective and cancer care services by 2025 is at serious risk. It finds that the funding government allocated for recovering services has not kept pace with inflation, and the NHS faces workforce and productivity issues.ReportNational Audit Office - press release (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - November 17, 2022 Category: UK Health Authors: The King ' s Fund Library Tags: NHS performance and productivity Patient involvement, experience and feedback Source Type: blogs

Why have ambulance waiting times been getting worse?
The Health Foundation - This data analysis looks at ambulance service performance and explores the contributing factors and priorities for improvement.Data analysis (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - November 7, 2022 Category: UK Health Authors: The King ' s Fund Library Tags: NHS performance and productivity Source Type: blogs

The Macro View – Health, Economics, and Politics and the Big Picture. What I Am Watching Here And Abroad.
October 27, 2022 Edition-----In the UK we have a political farce running with only a day or so to run when you read this, with a new PM (Rishi Sunak) in place..In the US the mid-term elections are coming in a week or so, thus some concern as to where the US is going!In China Xi has his third 5 year term so we all wonder how that will turn out!In OZ we have has a Budget with floods, inflation, data leaks, the threat of recession, Medicare concerns and other issues just rolling on! At least the Budget does not seem to have broken anything!Overall an ‘omnishambles’ as they say!-----Major Issues.-----https://www.afr.com/wo...
Source: Australian Health Information Technology - October 27, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Under pressure: an analysis of primary care pressures facing Integrated Care Systems at launch
This report identifies 16 of 42 regions where primary and secondary care services are under high levels of pressure going into this winter. The research finds widespread variation in access to services including a nearly four-fold variation in the proportion of patients waiting three weeks or more for a GP appointment. Analysis from nine different NHS data sources including appointment access, waiting times and ratios of staff to patients is used to look at relative pressures between new integrated care systems, established in July 2022 and now responsible for regionally managing health services.ReportFuture Health - publi...
Source: Health Management Specialist Library - October 14, 2022 Category: UK Health Authors: The King ' s Fund Library Tags: Integrated care, collaboration and partnership Primary and community care Source Type: blogs

DiGA: How Germany Channeled Digital Health Apps Into Its Healthcare System
Digital health applications and solutions are increasingly becoming part of our healthcare experience. Partially because they offer fast and convenient solutions for problems arising from capacity shortages of the traditional medical systems (like skin checking apps), or because they enhance the capabilities of doctors, medical personnel, or hospitals (like sepsis watch algorithms or A.I. diagnostics models). While these apps are available in a large number of medical specialities, channelling them into state-run healthcare systems to harness the benefits on population-wide scales is challenging.  Germany’s Di...
Source: The Medical Futurist - October 4, 2022 Category: Information Technology Authors: Andrea Koncz Tags: TMF Digital Health Research Healthcare Policy healthcare system germany digital health apps DIGA Source Type: blogs

What Do People Think Of The Idea Of Command Centres At Major Hospitals?
I noticed this a while ago and there now seems to be a few more springing up! This seems to be a growing trend here and overseasWA ’s East Metropolitan Health Service deploys Philips’ Clinical Command Centre solutionByDean KohDecember 16, 2020 12:00 AMDutch healthcare giant Philips announced the successful deployment of its Clinical Command Centre solution with Western Australia ’s East Metropolitan Health Service (EMHS) to improve patient care and proactively detect the risk of patient deterioration.WHAT ’S IT ABOUTAs a cornerstone of EMHS ’s Health in A Virtual Environment (HIVE) program, the Clinical Command C...
Source: Australian Health Information Technology - September 23, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

6 Questions to Help You Simplify and Focus on What Matters This Fall
“Don’t be fooled by the calendar. There are only as many days in the year as you make use of. One man gets only a week’s value out of a year while another man gets a full year’s value out of a week.” Charles Richards There are many important things in life. Your family and friends. A hobby perhaps. Working out and staying healthy.  The most important relationship in your life. And reading, learning and growing as a person. But finding the time for what is most important in life is not always easy. It sometimes feels like there aren’t enough hours in the day. But even if it may not feel like it, there are o...
Source: Practical Happiness and Awesomeness Advice That Works | The Positivity Blog - September 14, 2022 Category: Consumer Health News Authors: Henrik Edberg Tags: Happiness Personal Development Productivity Success Source Type: blogs

How much is Covid-19 to blame for growing NHS waiting times?
Nuffield Trust - This analysis looks at access and waiting times before and during the Covid-19 pandemic. While it has accelerated a trajectory of declining NHS performance, Covid is not solely to blame for the current problems.AnalysisPress release (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - September 5, 2022 Category: UK Health Authors: The King ' s Fund Library Tags: Covid-19 Quality of care and clinical outcomes Source Type: blogs

DIY Blood Draw – Could Patients Collect Blood At Home?
Blood draws are essential, but this doesn’t make them anyone’s favourite pastime: they are time-consuming and involve needles. Is there a way to make it in a do-it-yourself (DIY) fashion? Can we collect blood samples at home?  While this method will be far from omnipotent for the unforeseeable future, it might have its merits. The pandemic highlighted how avoiding contact with a large number of random patients can be a wise idea. Besides, home-sampling of blood can provide a very efficient and convenient method for clinical trials, encouraging patient participation. Let’s see the technology first. The init...
Source: The Medical Futurist - August 18, 2022 Category: Information Technology Authors: Andrea Koncz Tags: TMF E-Patients Future of Medicine blood test blood draw at-home tests at-home lab tests DIY blood draw blood sample at-home blood test at-home blood draw DIY blood test blood work Source Type: blogs

National Audit of Dementia: memory assessment service spotlight audit 2021
This report looks at community-based memory assessment services in England and Wales. It found that the average waiting time from referral to diagnosis has increased to 17.7 weeks since 2019, up from 13 weeks. Other key findings include: over 70 per cent of services experienced periods of closure, and over 80 per cent had staff redeployed during 2020; as part of their initial assessment, 61 per cent of patients had a discussion recorded about their eyesight, 58 per cent had a discussion recorded about hearing, and 76 per cent had a falls history discussed and recorded; and CT/MRI scans were requested for 47 per cent of pat...
Source: Health Management Specialist Library - August 16, 2022 Category: UK Health Authors: The King ' s Fund Library Tags: Quality of care and clinical outcomes Source Type: blogs

Weekly Australian Health IT Links – 1 August, 2022.
Here are a few I have come across the last week or so. Note: Each link is followed by a title and a few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment.General Comment-----Quite a lot this week – especially regarding the NBN and Labor trying to regain control of what it is actually for – service provision – and not making a huge profit – in their view. Love the new Minister has ambitions to be maximally photogenic and not a ‘techie’!Otherwise all sorts of fun things!-----https://www.ausd...
Source: Australian Health Information Technology - August 1, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

We Need To Make Sure We Are Optimising Our Approach And Use Of Telehealth Now The Pandemic May Be Settling!
This appeared last week: 18 July 2022Is telehealth the great panacea for rural health?Simon Judkins, Belinda Hibble& Stephen GourleyIssue 27 / 18 July 2022Instead of a telehealth explosion, where “we will get back in touch with you”, we need to refocus on a rural workforce explosion, where we can have clinicians and patients actually within hand’s reach of each otherOUT of a crisis comes opportunity, and with the effects of the global COVID-19 pandemic marching on, opportunities to transform many aspects of our health care systems have flourished.One of the areas that has gained much interest is the potentia...
Source: Australian Health Information Technology - July 29, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs