CM Health Library: National and International Reports
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CM Health Library: National and International Reports
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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Achieving Equity in Health Outcomes: Highlights of selected papers | Ministry of Health

Achieving Equity in Health Outcomes: Highlights of selected papers | Ministry of Health | CM Health Library: National and International Reports | Scoop.it

The Government has mandated the Ministry of Health to take a bold approach to health equity that delivers tangible changes to system behaviour with measurable results in a three to five-year horizon. An approach that operates on a repeating cycle based around deepening the understanding of equity gaps, shifting thinking about where priorities for investment of time and resources lie, followed by increasing direct action to address inequalities is being developed.


This paper traces the beginnings of health equity and the philosophical and ethical foundations that sit behind it. It looks at a selection of the international and local literature to help understand definitions of equity. It considers how framing and thinking about the concept of equity and approaches to addressing equity have evolved, and how progress to address equity can be measured.

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Infection Prevention & Control and Management of Carbapenemase-producing Enterobacteriaceae (CPE) | Ministry of Health

Antimicrobial resistance (AMR) is a growing threat globally and to the entire New Zealand population, because it hinders our ability to manage infections. It has been estimated that Carbapenemase-producing Enterobacteriaceae (CPE) have the greatest potential to contribute to the overall problem of antimicrobial resistance.


This Guideline sets out recommendations, requirements and response actions for the prevention, management, and control of healthcare-associated infections due to CPE in acute care and residential care facilities in New Zealand.

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IHI Psychology of Change Framework | IHI

IHI Psychology of Change Framework | IHI | CM Health Library: National and International Reports | Scoop.it

This white paper is a guide for all leaders interested in understanding the underlying psychology of change and leveraging its power to impact quality improvement efforts to achieve breakthrough results, sustainably, at scale.


The paper presents a framework and set of methods for the psychology of change — five interrelated domains of practice that organizations can use to advance and sustain improvement: •Unleash Intrinsic Motivation •Co-Design People-Driven Change •Co-Produce in Authentic Relationship •Distribute Power •Adapt in Action


Building on the legacies of W. Edwards Deming, Everett Rogers, and many others, a renewed focus on the human side of change increases the likelihood that efforts to improve health and health care will succeed in the short term and be scaled and sustained over time. ​

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A Fair, Supportive Society: Summary Report | Institute of Health Equity

A Fair, Supportive Society: Summary Report | Institute of Health Equity | CM Health Library: National and International Reports | Scoop.it

This report highlights that some of the most vulnerable people in society – those with learning disabilities – will die 15-20 years sooner on average than the general population – that’s 1,200 people every year. The report commissioned by NHS England highlights key facts, stats, and interventions. Much of the government action needed to improve life expectancy for people with disabilities is likely to reduce health inequalities for everyone. Action should focus on the ‘social determinants of health’, particularly addressing poverty, poor housing, discrimination and bullying.

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How should health policy respond to the growing challenge of multimorbidity? | PolicyBristol | University of Bristol

There is growing awareness internationally of the increasing number of people living with multiple long-term health conditions, known as multimorbidity. Health services, including the NHS, need to adapt to address this challenge. We need patient-centred care, with more emphasis on generalist rather than specialist care and better integration between general practice, hospitals, and social care This policy report discusses the issue of multimorbidity, and offers a summary of recommendations.
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Reducing Unwarranted Variation | The Economist Intelligence Unit

Reducing Unwarranted Variation | The Economist Intelligence Unit | CM Health Library: National and International Reports | Scoop.it


Unwarranted variation in healthcare has been on the radar of providers, payers, and policymakers for over 40 years. The term refers to variation in medical practices that cannot be explained by illness, medical need, patient preferences, or the recommendations of evidence-based medicine. The Economist Intelligence Unit reviewed the recent evidence regarding the effectiveness of attempts to reduce unwarranted variation in healthcare settings, with a particular focus on interventions at the hospital level.

The authors list the following recommendations for provider organizations and other stakeholders: Move to bundled payments; Introduce integrated care delivery systems with multidisciplinary teams; Measure costs and outcomes for individual patients; Use IT tools such as decision-making systems or learning systems.

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Improving Health Professional Education and Practice Through Technology: Proceedings of a Workshop | National Academies of Sciences, Engineering, and Medicine

Improving Health Professional Education and Practice Through Technology: Proceedings of a Workshop | National Academies of Sciences, Engineering, and Medicine | CM Health Library: National and International Reports | Scoop.it

A pressing challenge in the modern health care system is the gap between education and clinical practice. Emerging technologies have the potential to bridge this gap by creating the kind of team-based learning environments and clinical approaches that are increasingly necessary in the modern health care system both in the United States and around the world. To explore these technologies and their potential for improving education and practice, the National Academies of Sciences, Engineering, and Medicine hosted a workshop in November 2017. Participants explored effective use of technologies as tools for bridging identified gaps within and between health professions education and practice in order to optimize learning, performance and access in high-, middle-, and low-income areas while ensuring the well-being of the formal and informal health workforce. This publication summarizes the presentations and discussions from the workshop.

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Will population ageing spell the end of the welfare state? A review of evidence and policy options | WHO/Europe

Will population ageing spell the end of the welfare state? A review of evidence and policy options | WHO/Europe | CM Health Library: National and International Reports | Scoop.it
This brief serves as an overview and introduction to the Economics of Healthy and Active Ageing series. It reviews the main evidence on the health and long-term care costs associated with ageing populations to better understand the expected cost pressures due to changing demographics. At the same time, the brief explores how older populations can and do contribute meaningfully both in economic and societal terms, particularly if they are able to remain healthy and active into later life. The brief concludes by reviewing selected policy areas that have been shown to either support the health and activity of older people or which otherwise reinforce sustainable care systems more broadly in the context of population ageing.
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Making a contribution to our communities is good for us but some people face barriers to getting involved | Centre for Ageing Better

Making a contribution to our communities is good for us but some people face barriers to getting involved | Centre for Ageing Better | CM Health Library: National and International Reports | Scoop.it

This report sets out the findings of the Review of Community Contributions in Later Life, led by the Centre for Ageing Better in partnership with the Office for Civil Society between October 2017 and June 2018.


As well as helping others, making a contribution to our communities is good for us. It has been shown to improve our social connections, enhance our sense of purpose and self-esteem – and as a result, to increase our life satisfaction, happiness and wellbeing. By the time people reach later life, the vast majority already have some experience of contributing to their communities.


Very few people in later life make no contribution of any kind. However, some people encounter barriers to getting involved in all the ways they might want to, especially as their circumstances change. Different forms of contribution currently seem to work better for some people than others. In particular, there are significant inequalities in participation in formal volunteering..

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A Design Thinking, Systems Approach to Well-Being Within Education and Practice: Proceedings of a Workshop | National Academies of Sciences, Engineering, and Medicine

A Design Thinking, Systems Approach to Well-Being Within Education and Practice: Proceedings of a Workshop | National Academies of Sciences, Engineering, and Medicine | CM Health Library: National and International Reports | Scoop.it


The mental health and well-being of health professionals is a topic that is broad, exceptionally relevant, and urgent to address. It is both a local and a global issue, and affects professionals in all stages of their careers. To explore this topic, the Global Forum on Innovation in Health Professional Education held a 1.5 day workshop. This publication summarizes the presentations and discussions from the workshop.
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Implementing Quality Measures for Accountability in Community-Based Care for People with Serious Illness: Proceedings of a Workshop | National Academies of Sciences, Engineering, and Medicine

Implementing Quality Measures for Accountability in Community-Based Care for People with Serious Illness: Proceedings of a Workshop | National Academies of Sciences, Engineering, and Medicine | CM Health Library: National and International Reports | Scoop.it

Millions of Americans of all ages face the challenge of living with serious illnesses such as advanced cancer, heart, or lung disease. Many people with serious illness are increasingly cared for in community settings. While the number of community-based programs to provide care for those with serious illness has grown significantly, the quality of care provided is not consistent across geographic locations or care settings. Care for the serious illness population often features gaps in coordination across sites of care and poor patient and family perceptions as to the quality of care provided.


This publication explores the current state of quality measurement for people with serious illness, their families, and caregivers, with the aim of identifying next steps toward effectively implementing measures to drive improvement in the quality of community-based care for those facing serious illness.

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Mental wellbeing, reading and writing | National Literacy Trust

Mental wellbeing, reading and writing | National Literacy Trust | CM Health Library: National and International Reports | Scoop.it

This report explores the link between children and young people’s mental wellbeing and their reading and writing enjoyment, attitudes and behaviours.

Our analysis found that:

•Children and young people who are the most engaged with literacy have better mental wellbeing than their peers who are the least engaged (Mental Wellbeing Index scores of 7.9/10 vs 6.6/10)

•Children who are the most engaged with literacy are three times more likely to have higher levels of mental wellbeing than children who are the least engaged (39.4% vs 11.8%)

•As children transition from primary to secondary school, their levels of literacy engagement and mental wellbeing both begin and continue to decline

•Boys who are the most engaged with literacy have higher levels of mental wellbeing than girls who are equally engaged (Mental Wellbeing Index scores of 8.1/10 vs 7.6/10)

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Q: The journey so far | The Health Foundation

Q: The journey so far | The Health Foundation | CM Health Library: National and International Reports | Scoop.it

Widespread change is necessary to make the health sector fit for the future. Organisations need to be able to reduce waste and unhelpful variation, while developing new models of prevention-focused care. And it is vital that the health sector makes good use of the improvement ideas and expertise that already exist in every part of the UK.


Three years after it started, the Q initiative is growing rapidly and providing an insightful picture of the range and location of people involved in improvement efforts. This report reflects the commitment of the Health Foundation and NHS Improvement to share progress and learning from the Q initiative as it develops.

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Shifting the centre of gravity: making place-based, person-centred health and care a reality | Local Government Association

Shifting the centre of gravity: making place-based, person-centred health and care a reality | Local Government Association | CM Health Library: National and International Reports | Scoop.it

The examples in this report show what can be achieved by system leaders and staff from local government, the NHS, the voluntary, community and social enterprise sector, and service user and carer groups working together to improve health and deliver person-centred care.

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Outpatients: the future – adding value through sustainability | Royal College of Physicians

Outpatients: the future – adding value through sustainability | Royal College of Physicians | CM Health Library: National and International Reports | Scoop.it

The traditional model of outpatient care is no longer fit for purpose, ie specialty opinion, diagnosis and disease monitoring. It places unnecessary financial and time costs on patients, clinicians, the NHS and the public purse. Growing demand and expectations cannot be, and are not being, met by the status quo. It is no longer acceptable to solely consider the cost of clinical interventions in relation to individual health outcomes.


In order to continue to deliver high-quality healthcare, we must start to think in terms of value and sustainability; identifying a balance between cost and outcomes (value) and long-term impacts (sustainability). That means taking into account all the costs related to an intervention, including loss of income to a patient attending an appointment and the impact of transport on public health.


This report seeks to re-evaluate the purpose of outpatient care and align those objectives with modern-day living and expectations.

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Improving access and continuity in general practice | Nuffield Trust

Improving access and continuity in general practice | Nuffield Trust | CM Health Library: National and International Reports | Scoop.it

The report describes our key findings on the impact of improved access upon continuity of care, and provides a series of recommendations for commissioners and policy-makers. It sets out the evidence on continuity of care, its impact on clinical outcomes and wider health services, its importance to patients and GPs, and the relationship between improved access initiatives and continuity of care within general practice. It examines how to achieve the optimal balance between these two dimensions of care when redesigning services for local populations.

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How do we include health inequality impacts in economic analysis of policy options? | Centre for Health Economics | The University of York

How do we include health inequality impacts in economic analysis of policy options? | Centre for Health Economics | The University of York | CM Health Library: National and International Reports | Scoop.it
This briefing introduces the health equity impact plane – a simple visual tool for clarifying the relationship between cost-effectiveness (total health impact) and equity impact (health inequality reduction). The equity impact plane can be used to compare policy options based on these two key policy objectives. It can also be used to clarify thinking about policy trade-offs and compromises, and to re-design policies to reduce health inequality in cost-effective ways that do not sacrifice large potential health gains.
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National patient experience survey: Results for patients treated in August 2018 | HQSC

Results of the national inpatient experience survey for patients treated in August 2018

Key Findings

•National results for the four domains (communication, partnership, coordination, and physical and emotional needs) have remained broadly consistent across all 17 survey rounds.

•There was little variation between district health boards (DHBs).

•The national response rate was consistent with previous rounds at 25 percent. •We have undertaken weighting, as before, in line with the methodology and procedure document.

•The question “Did the hospital staff include your family/whānau or someone close to you in discussions about your care?” had a statistically significant shift upwards, which is promising. .

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Aligning Outcomes and Spending: Canadian Experiences with Value-Based Healthcare | Canadian Foundation for Healthcare Improvement

Aligning Outcomes and Spending: Canadian Experiences with Value-Based Healthcare | Canadian Foundation for Healthcare Improvement | CM Health Library: National and International Reports | Scoop.it

The aim of this Executive Brief is to provide a Canadian perspective on value-based healthcare (VBHC) and how these concepts are being applied across the country. It draws on a review of academic literature, surveys, and case studies. To inform the Brief, profiles of six Canadian initiatives that embody key elements of value-based healthcare, such as tracking and linking outcomes and costs, were developed.

Leading examples of VBHC highlight its promise for addressing some of the health sector’s enduring challenges. By building on these experiences, we have the potential to advance a more person-centred, integrated system that uses available resources to optimize the outcomes that matter most to those it serves.

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Talking about dying: How to begin honest conversations about what lies ahead | Royal College of Physicians

Talking about dying: How to begin honest conversations about what lies ahead | Royal College of Physicians | CM Health Library: National and International Reports | Scoop.it

The 'Talking about dying' report offers advice for any doctor on holding conversations with patients after the diagnosis of a progressive or terminal condition.

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Annual Report for the year ended 30 June 2018 | Ministry of Health

Annual Report for the year ended 30 June 2018 | Ministry of Health | CM Health Library: National and International Reports | Scoop.it

Each year, the Director-General of Health publishes an Annual Report to Parliament that assesses the Ministry of Health's performance against objectives set at the beginning of the financial year. The Annual Report for the year ended 2018 contains the Ministry's achievements including the Ministry's financial and non-financial performance

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Doomed to repeat? Lessons from the history of NHS reform | Nuffield Trust

Doomed to repeat? Lessons from the history of NHS reform | Nuffield Trust | CM Health Library: National and International Reports | Scoop.it


NHS leaders are now hard at work on a long-term plan for the health service, due to be published in the coming months. Those who have been involved with health care in England for some time could be forgiven for feeling a sense of déjà vu, as NHS history is littered with similar plans. This essay collection brings together our research and analysis of the key questions that should inform the new plan. What factors always seem to be forgotten, and tend to trip up even the best thought out visions for the future? What is the track record of lining up staff and money to support changes, and how could this be better? How do you choose priorities that can actually happen? So what lessons can be learned from these previous plans, and how can we ultimately ensure that this time is a success

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Evaluation of the surgical site infection improvement programme | HQSCNZ

Evaluation of the surgical site infection improvement programme | HQSCNZ | CM Health Library: National and International Reports | Scoop.it

In this final evaluation report, we present our summative findings on the surgical site infection improvement programme (SSII). We have focussed our assessment on performance against the primary aim of the programme, whether there has been a reduction in SSI rates as a result of the programme interventions on the basis of orthopaedic and cardiac programme data. We present also results of a Cost Benefit Analysis (CBA) completed to assess the value-for-money of investment in the SSII programme and a brief update on findings reported in the interim evaluation against other programme objectives and evaluation areas

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Cigarette smoking: an assessment of tobacco's global environmental footprint across its entire supply chain, and policy strategies to reduce it | WHO

Cigarette smoking: an assessment of tobacco's global environmental footprint across its entire supply chain, and policy strategies to reduce it | WHO | CM Health Library: National and International Reports | Scoop.it
The report presents findings of research on the full cradle-to-grave life cycle impacts and resource needs of tobacco globally, undertaken at Imperial College London (Zafeiridou, Hopkinson & Voulvoulis, 2018) and offers additional analysis and recommendations for policy actions. The latter builds on existing evidence of the environmental issues associated with tobacco, including the WHO-published overview for World No Tobacco Day (WHO, 2017), and goes beyond the currently available research by producing a systematic life-cycle assessment of the entire global cigarette smoking supply chain and considering a range of environmental impact categories, from climate change to resource depletion and impacts on ecosystem health.
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Approaches to better value: improving quality and cost | The King's Fund

Approaches to better value: improving quality and cost | The King's Fund | CM Health Library: National and International Reports | Scoop.it

The NHS is increasingly focusing on how it can improve the value of its services, to deliver the highest quality health outcomes for patients at the lowest possible cost. This report shares learning and insight from three NHS hospital trusts that have developed organisation-wide strategies for value improvement.


While there are differences in how organisations are approaching value improvement, there are also several common conditions for success. These include fidelity to a clearly defined strategy that brings the various strands of value improvement work together; recognition that value improvement is a long-term commitment that will require considerable staff time and resources; and a new leadership approach that requires continuous engagement with frontline clinicians and managers.

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