CM Health Library: National and International Reports
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A clearinghouse of knowledge, expertise and innovation supporting better health outcomes for the people of South Auckland http://cmdhb.ovidds.com.cmdhb.idm.oclc.org/portal
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The Impact of New Medicines in the NHS: 70 Years of Innovation | Office of Health Economics

The Impact of New Medicines in the NHS: 70 Years of Innovation | Office of Health Economics | CM Health Library: National and International Reports | Scoop.it

In 2018, the NHS turns 70. This OHE Consulting Report demonstrates the contribution and impact of medicines to the health economy in the UK throughout the history of the NHS. Through interviews with experts we identified a shortlist of the most important medicines to have been brought to market, and from a review of the literature and evidence base we attempt to quantify the benefits of these key medicines in terms of health and economic outcomes.


Our analysis of the interviews identified seven themes, each representing a factor that has played an important role in determining the impact of new medicines. These themes highlight a variety of ways in which policymakers can facilitate positive impact from new medicines.

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Connecting Patients for Better Health: 2018 | Canada Health Infoway

Connecting Patients for Better Health: 2018 | Canada Health Infoway | CM Health Library: National and International Reports | Scoop.it

The Connecting Patients for Better Health 2018 report provides the latest availability, use and citizen interest in accessing their health information online as well as digitally enabled health services (e-services). The results are from four public opinion surveys administered between February and March 2014 – 2018, and are nationally representative of Canadians by age, province/territory and gender.

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Building the Case for Health Literacy: Proceedings of a Workshop | National Academies Health and Medicine Division

Building the Case for Health Literacy: Proceedings of a Workshop | National Academies Health and Medicine Division | CM Health Library: National and International Reports | Scoop.it

To understand the extent to which health literacy has been shown to be effective at contributing to the Quadruple Aim of improving the health of communities, providing better care, providing affordable care, and improving the experience of the health care team, the Roundtable on Health Literacy established an ad hoc committee to plan and conduct a public workshop on building the case for health literacy. The workshop included presentations and discussion of issues related to the effect of health literacy interventions on health and health care costs, quality, behaviors, outcomes, and other areas.

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Health inequalities: reducing ethnic inequalities | Public Health England

Health inequalities: reducing ethnic inequalities | Public Health England | CM Health Library: National and International Reports | Scoop.it

Ethnicity is a multidimensional concept with numerous links to health. While the major determinants of ill-health are largely the same across all ethnic groups, ethnicity is a salient social identifier in modern Britain, shaping people’s networks of association and their social and economic opportunities. Further, minority ethnic identities continue, in many circumstances, to be stigmatised and subject to exclusion. According to the recently published Race Disparity Audit (RDA), there are disparities between ethnic groups in all areas of life affected by public organisations.

This resource aims to: 

-promote an integrated approach to reducing health inequalities by drawing out relationships between different forms of inequality and by highlighting the root causes 

-clarify basic concepts and terms 

-provide material on ethnicity and health for use in local joint strategic needs assessments and local health and wellbeing strategies  -inform local discussion and action on ethnic health inequalities  -identify key gaps in data by ethnic group and areas in need of better evidence for action

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Making money work in the health and care system | PwC UK

Making money work in the health and care system | PwC UK | CM Health Library: National and International Reports | Scoop.it

Our research looks at how the current NHS funding system works and delivers recommendations for how to put money entering the system to best use for patients. We worked with the Healthcare Financial Management Association (HFMA) on this research and spoke to NHS finance professionals, non-executive directors and NHS leaders across the country. With the help of the HFMA, we surveyed over 200 finance professionals to understand what they think about the way money works in the healthcare system and how it could be improved.


An integrated model of care is undoubtedly the right direction for the UK healthcare service. Not only does it benefit patients and NHS staff but we’ve seen that it works overseas. The current direction of travel is promising with the Five Year Forward View. But there is an overwhelming desire for change from front line NHS finance staff.


We have made several recommendations for short and medium term action, aimed at re-aligning financial flows with the emerging place based architecture of the system, giving systems better long term line of sight over their funding envelope, and ensuring that money is directed towards incentivising better patient outcomes.

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Delivering integrated care: Role of the multidisciplinary team | Social Care Institute for Excellence


Multidisciplinary teams (MDTs) enable health and social care practitioners and other professionals to integrate and collaborate successfully. This Highlights briefing defines them and describes how they work.


Key messages

• Multidisciplinary teams (MDTs) have been shown to be an effective tool to facilitate collaboration between professionals and hence improve care outcomes.

• Successful working requires at minimum an identified manager or coordinator, regular joint meetings and the effective sharing of electronic records.

• Teams do not necessarily have to be located in the same premises to work successfully.

• Multidisciplinary working can be approached in more than one way as the case studies in this briefing demonstrate.

• The success of the MDT approach is not guaranteed: without strong organisation the impact may be negative rather than positive.

• Ongoing integrated care developments should provide further evidence to enable us to understand how MDTs should be used in the future.

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Always Events® Evaluation Phase 4: Scale-up and spread | Picker Institute

Always Events® Evaluation Phase 4: Scale-up and spread | Picker Institute | CM Health Library: National and International Reports | Scoop.it

Always Events are aspects of the patient experience that are so important to patients and family members that health care providers must aim to perform them consistently for every individual, every time. Understanding what matters most to patients, and co-designing the changes with them, is at the heart of Always Events. NHS England, in collaboration with Picker and the Institute for Healthcare Improvement (IHI), have been leading an initiative to support trusts to reliably integrate Always Events into their routine care processes. Our report outlines the key learnings from trusts that have piloted an Always Event and have sought to spread the approach to other areas in their organisation.

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Health matters: health economics - making the most of your budget | Public Health England

Health matters: health economics - making the most of your budget | Public Health England | CM Health Library: National and International Reports | Scoop.it

This edition of Health matters focuses on local authorities, NHS commissioners and healthcare providers making better evidence-based commissioning decisions, and getting the most from their budget using easy to use health economic tools, resources and core principles.


Changing needs and context mean that local authorities must frequently review which public health services they provide for their population. Whether the decision to be made is around particular interventions or a wider review of allocating resources across programmes, there are health economics resources that can help. For decisions around specific interventions, going straight to the Health Economics Evidence Resource and ROI tools may be the best option. However, for a wider review of how resources are spent across programmes, PHE’s Health Economics team recommends that public health teams should start with a coherent prioritisation process. This process should involve questioning the current state of programmes being delivered, which programmes could offer greatest value, and analysing other considerations such as population needs, political acceptability, health inequalities, and links to the health system.

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The Montefiore Health System in New York: a case study

The Montefiore Health System in New York: a case study | CM Health Library: National and International Reports | Scoop.it

Every day in New York, the number 4 train running from Brooklyn to the Bronx achieves an astonishing process of social segregation. Picking up the train in midtown Manhattan, you join a representative mix of the New York population: suited professionals, manual workers, children going to school. As the train crosses 85th Street, running parallel to Central Park, the residents of the Upper East Side above you have an average household income of $180,000; smoking, obesity and chronic diseases are well below the national average; life expectancy stands at 85, better even than Japan.


By the time you cross 150th Street, the heart of the Bronx, almost all the white people and all the suited professionals have exited the train. Average household income has shrivelled from $180,000 to just $45,000; unemployment has doubled; in the South Bronx, 65 per cent of children are born into poverty. From 85th Street to 150th Street, life expectancy drops by a decade: 6 months for every minute on the subway; 3.2 years for every mile travelled.


Few health care organisations have been a match for such inequality. Yet the Montefiore Health System, a ‘safety net’ health system in the heart of the Bronx, has found ways of helping even the most deprived, while contributing to the recovery of a struggling community. It has done so, in large part, by stepping beyond the bounds of conventional health services. Our report explores the system in detail.

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Making the case for preconception care: planning and preparation for pregnancy to improve maternal and child health outcomes | Public Health England

Making the case for preconception care: planning and preparation for pregnancy to improve maternal and child health outcomes | Public Health England | CM Health Library: National and International Reports | Scoop.it

Preconception care is not a new service: It is a way of supporting health improvement for individuals across their reproductive life-course, aligning local services to provide universal support for everyone, as well as targeted support where it is most needed. It is also about ensuring that services can take a forward view to promote healthy behaviours and support early interventions to manage emerging risks across the life-course, prior to first pregnancy, and then looking ahead to the next baby and beyond. Preconception care is person-centred and holistic, requiring coordinated, collaborative commissioning, within local maternity systems, across primary care and more broadly within sustainability and transformation programmes (or integrated care systems, where these are in place).


This document comprises 2 parts, bringing together information on the impact of preconception health as well as ways to improve birth outcomes, address inequalities and radically upgrade prevention through embedding preconception care. It highlights the benefits, including the return on investment, of considering conception across women’s reproductive life as they access a range of health services and professionals, and the opportunities for intervention aimed at health improvement within these services. Links to specific evidence, guidance and best practice advice are provided in the text.

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Hospital vending machines: helping people make healthier choices | Public Health England

Hospital vending machines: helping people make healthier choices | Public Health England | CM Health Library: National and International Reports | Scoop.it


Obesity-related illness costs the NHS around £6.1 billion per year and vending machines in hospitals can support healthy consumption habits amongst NHS staff, patients and visitors. This was highlighted in the Department of Health and Social Care’s (DHSC) Childhood Obesity Plan and NHS England’s challenge to action on sugar.


Behavioural Insights experts in DHSC and Public Health England collaborated with Leeds Teaching Hospitals NHS Trust and Selecta to run a trial in 17 cold drink and mixed snack vending machines. The trial tested in 2 phases: whether changing the availability or positioning of products within the vending machines could encourage healthier choices and whether that was economically viable.


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Healthy Homes Initiative Evaluation: Final Report | Ministry of Health

This report presents the findings of an evaluation of the Ministry of Health’s Healthy Homes Initiative (HHI). The HHI was established as part of the Ministry’s Rheumatic Fever Prevention Programme (RFPP). It was launched in the Auckland region in 2013, and subsequently expanded to a further eight DHBs with high incidence of rheumatic fever. In 2016 the HHI was allocated additional funding to expand the eligibility criteria to include children aged 0-5 and to incorporate social risk factors. The Ministry commissioned Allen + Clarke to undertake a process evaluation of the HHI, with a focus on the service expansion.

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Consumer Study on Patient Experience 2018 | The Beryl Institute

Consumer Study on Patient Experience 2018 | The Beryl Institute | CM Health Library: National and International Reports | Scoop.it

Healthcare professionals have taken major steps to understand, measure, and improve the Patient & Family Experience. But do consumers really care about this? How do they see and define a positive patient/family experience? What matters most to them when they think about their own health and using healthcare resources? The full research report from the inaugural study, Consumer Perspectives on Patient Experience 2018 is now available. The first of its kind global research, the study engaged 2,000 respondents across four continents. It shares the perspectives of consumers of healthcare on the patient experience, its importance, the critical factors that impact its success and how it will influence individual choices in healthcare.

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Patient Discharge from Hospital to General Practice: Thematic Report 2017-2018 | Healthcare Inspectorate Wales

Based on concerns identified during work inspecting General Practices during 2014-15, HIW decided to undertake a national review to evaluate the quality of patient discharge from hospitals to general practices.

The key findings from our review are:

•Electronic discharge (e-discharge) has had a positive impact on both quality of information and timeliness of receipt by GPs

•Discharge is often more efficient where ward-based pharmacy staff are used

•Professionals involved in patient care need to take greater responsibility for ensuring that they provide timely, accurate and relevant information to colleagues in order to achieve continuity of care

•There is a need for greater clarity around the roles and responsibilities of those healthcare professionals involved in the discharge process, with stronger relationships needed between GPs and hospitals

•There is often insufficient engagement with patients and families on how and when discharge will occur

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Second annual update on increasing transparency in New Zealand health care | HQSC

Second annual update on increasing transparency in New Zealand health care | HQSC | CM Health Library: National and International Reports | Scoop.it

This paper sets out the annual update required by the Ombudsman from the Ministry of Health (the Ministry) and the Health Quality & Safety Commission (the Commission) on the sector’s progress towards increasing transparency of health data in New Zealand by June 2021. Specifically this means selecting, developing and publicly reporting a range of quality of care measures (including outcomes data) across specialties.

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The New Innovation Agenda | Advisory Board

The New Innovation Agenda | Advisory Board | CM Health Library: National and International Reports | Scoop.it

Hospitals and health systems need to prepare for a new wave of clinical innovation, especially as leaders read about the promise of patient-generated data, artificial intelligence, and precision medicine in clinical literature and the popular press alike. But which emerging innovations have the potential to truly transform health care delivery—and fundamentally disrupt hospitals’ business?


This research report explores the clinical technology pipeline to help health care leaders become more conversant in the major vectors of innovation, leading applications of new technologies, and the business implications for established providers.

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Mapping primary care in Australia | Grattan Institute

Mapping primary care in Australia | Grattan Institute | CM Health Library: National and International Reports | Scoop.it

Strong primary care is central to an efficient, equitable and effective health system. Australia has good-quality primary care by international standards, but this report shows that it can and should be better. Too many poorer Australians still can’t afford to go to a GP when they need to, or a dentist when they should. People in rural and remote areas still find it too hard to get to a pharmacist or medical specialist.


Primary care policy in Australia is under-done. Neither the Commonwealth nor the states have taken the lead. This report shows new policies are needed: Australia needs a comprehensive national primary care framework to improve patient care and prevention; formal agreements between the Commonwealth, the states and Primary Health Networks to improve system management; and new funding, payment and organisational arrangements to help keep populations healthy and to provide better long-term care for the increasing number of older Australians who live with complex and chronic conditions.

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Independent assurance review for the National Bowel Screening Programme | HQSC

Independent assurance review for the National Bowel Screening Programme | HQSC | CM Health Library: National and International Reports | Scoop.it

This is the final report from the independent assurance review for the National Bowel Screening Programme.


The independent assurance review for the National Bowel Screening Programme was established in March 2018 in response to a number of issues that arose from the Waitemata Bowel Screening Pilot. This document is a copy of their final report. The panel is fully supportive of the National Bowel Screening Programme and endorses its continued roll-out as planned. The programme is in a good position and has considerable strengths.

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New Zealand National Gambling Study: Wave 4 | Ministry of Health

New Zealand National Gambling Study: Wave 4 | Ministry of Health | CM Health Library: National and International Reports | Scoop.it

The New Zealand National Gambling Study (NGS) is a nationally representative longitudinal cohort survey. This report presents the results from the 2015 survey.


From 2012 to 2015, overall gambling participation has declined while problem gambling and low-risk and moderate-risk gambling have remained static. This poses a public health challenge of identifying the factors that explain the persistence of harm despite declining gambling participation. One reason may be a high relapse. If this is the case, greater attention is required for relapse prevention in public health and treatment programmes.


Māori and Pacific peoples continue to have very high problem gambling prevalence rates. This means that unless more focus is placed on understanding why this is the case, and processes put in place to change the current situation, Māori and Pacific communities will continue to be disproportionately affected by gambling-related harm.

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The New Zealand Health, Work & Retirement Longitudinal Study 2006-2016 | Massey University

The New Zealand Health, Work & Retirement Longitudinal Study 2006-2016 | Massey University | CM Health Library: National and International Reports | Scoop.it

The focus of this report is to highlight key findings using data from the original Health, Work and Retirement Study (HWR) cohort recruited in 2006. Each section outlines findings on a key issue over the period spanning 2006-2016: Healthy Ageing; Cognition; Work and Retirement; Economic Wellbeing; Health Behaviours; Housing; Caregiving; Mäori Cultural Indicators; Future Directions for the New Zealand Health, Work and Retirement Study.


Results from the first 10 years of the HWR indicate that people are more likely to age with good physical, mental and social health if they also have greater economic wellbeing, satisfying and higher status work, home ownership, and housing satisfaction. Older people with poor physical, mental and social health are more likely to be experiencing economic, employment, housing and care problems. They are more likely to be in situations which may worsen poor health and are more likely to have high health-care needs in the future. Attention to the resources and living environments of vulnerable groups of older people will contribute to healthy ageing for all New Zealanders.

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IHI Innovation System | Institute for Healthcare Improvement

IHI Innovation System | Institute for Healthcare Improvement | CM Health Library: National and International Reports | Scoop.it

This white paper describes how a health care organization might create its own internal innovation system, based on the needs of the organization, that focuses on improving health care delivery. We share our nearly 30 years of experience with innovation at IHI, using examples to highlight how to move through this process, determine what is right for your organization, and balance innovation activities with ongoing operations. The paper provides a detailed description of the IHI innovation system and includes guidance on: •Determining the innovation system architecture: goals, priorities, and dedicated resources for innovation •Creating a disciplined innovation process, which includes an in-depth description of IHI's 90-Day Learning and Testing Cycles •Establishing ongoing management of the innovation system: identifying innovation drivers, developing processes, and integrating operations and innovation

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Trusted measures: analytical resources for integrated care | Nuffield Trust

Trusted measures: analytical resources for integrated care | Nuffield Trust | CM Health Library: National and International Reports | Scoop.it

Are you looking for examples of indicators for integrated care, or how to use predictive models? Here we signpost you to analytical approaches that we have developed at the Nuffield Trust, explaining how they could be used by integrated care systems. We also run through the challenges and opportunities for making better use of analytics.


In this guide, we draw out resources and examples that are relevant to analysts and evaluators who need to understand the impact of integrated services. It draws on methods we have developed over a number of years, including pioneering analytical processes using linked data, new measurement techniques and evaluating innovations that were intended to improve integration. We have pulled out the most relevant resources from our research reports into one place – making it easier to know more about each and to find out what has been tried and known to be useful, to avoid reinventing the wheel. The resources have been grouped under four headings, but these overlap, and can be linked together for greater impact. •Defining what to measure •Identifying data sources •Using predictive models •Monitoring for change

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Evidence-scoping review – service transitions for mental health and addiction | HQSC

Evidence-scoping review – service transitions for mental health and addiction | HQSC | CM Health Library: National and International Reports | Scoop.it

This is a summary of evidence of factors that affect service transitions for those using mental health or addiction services. The overarching question is: What factors inhibit or facilitate service transitions for consumers of mental health or addiction services?


The review addresses two main objectives:

1.To define and categorise factors that inhibit service transitions for consumers of mental health or addiction services.

2.To explore published literature concerning interventions aimed to improve service transitions for consumers of mental health or addiction services.


This evidence review was commissioned by the Health Quality & Safety Commission as a part of scoping for the mental health and addiction quality improvement programme. This programme has five streams of work. One of these streams is focused on improving service transitions. This review looks at the literature within two broad domains. Firstly, it explores the factors that affect service transitions. Secondly, it reviews intervention studies that have attempted to improve service transitions.

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Reducing and eliminating seclusion in mental health inpatient services | HQSC

Reducing and eliminating seclusion in mental health inpatient services | HQSC | CM Health Library: National and International Reports | Scoop.it

Seclusion is "where a consumer is placed alone in a room or area, at any time and for any duration, from which they cannot freely exit" (Standards New Zealand, 2008a, 2008b). It is a restrictive practice that New Zealand's mental health inpatient services are working towards reducing, and eventually eliminating. These services provide specialist care for people with mental health and/or addiction problems, and are delivered in 19 district health boards (DHBs).


The purpose of this review is to provide up-to-date information about reducing restrictive practices (seclusion and restraint) to help inform Health Quality and Safety Commission New Zealand's mental health and addiction quality improvement programme. This evidence review describes the current context for restrictive practices in mental health services, with a focus on the reduction of seclusion, and provides an overview of recent research and best practice resources.

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Health and Independence Report 2017 | Ministry of Health

The Health and Independence Report is the Director-General of Health’s annual report on the state of public health in New Zealand. The 2017 report presents an overview of the health of New Zealanders drawing on a range of sources.


Section one presents an overview of New Zealand’s health status. Life expectancy has increased at a faster rate than improvements in health expectancy, which means New Zealanders are experiencing more of their lives in poor health. There are also inequities in life expectancy and rates of amenable mortality for Māori and Pacific peoples.


Section two highlights key factors that influence New Zealanders’ health including the environment, social determinants and health behaviours. Addressing modifiable risk factors has the potential to reduce approximately a third of health loss in New Zealand.


Section three highlights the importance of starting well in pregnancy and developing well during childhood and adolescence. Infant mortality rates have improved, more children are starting school without dental cavities, and most young people are in good physical health. However, too many young children are ending up in hospital when this could have potentially been avoided, the rates of mental illness and suicide are high amongst young people, and inequities are present between different groups.


Section four notes that our population is forecast to grow, become more diverse and get older, which will increase the demand for health services. Focusing on prevention and improving how the services work together is vital to population health outcomes.

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