@DanLasserson Critical Importance of OOH Primary Care Covers - PowerPoint PPT Presentation

Feb 12, 2024 •353 likes •521 views

Out of Hours Primary Care Use at the End of Life Dan Lasserson MA MD FRCP Edin MRCGP Senior Interface Physician in Acute and Complex Medicine Dept of Geratology, OUH NHS FT Associate Professor, Nuffield Department of Medicine @DanLasserson

Out of Hours Primary Care Use at the End of Life Dan Lasserson MA MD FRCP Edin MRCGP Senior Interface Physician in Acute and Complex Medicine Dept of Geratology, OUH NHS FT Associate Professor, Nuffield Department of Medicine @DanLasserson
Critical Importance of OOH Primary Care • Covers primary medical care for the whole population for 2/3 of the hours of the week • 18:30 – 08:00 weekdays, 24 hour weekends and BHs • 2013-14 = 5.8 million cases, 3.3 million face to face consultations and 800,000 home visits
Risk, infrastructure, and research in OOH care • Clinical work is complex and risk is greater than in ‘normal general practice’ • Patients are unwell enough to seek care from an unfamiliar doctor in an unfamiliar setting • Access to health records can be limited, access to diagnostics and wider multidisciplinary team limited.
OOH Clinical Research Team Gail Hayward NIHR Academic Clinical Lecturer Nuffield Department of Primary Care Health Sciences, University of Oxford Rebecca Fisher National Medical Director’s Fellow Health Foundation Rachel Brettell NIHR Academic Clinical Fellow Nuffield Department of Primary Care Health Sciences, University of Oxford
Where do we start? • Population based OOH primary care service • 600,000 people • Urban and rural settings • Who does the OOH service see with palliative care needs?
Study conducted over 4 years 2010-2014 • 496,431 contacts All contacts • 6045 contacts • 1.2% of all contacts Palliative coded contacts • 3760 patients Individual patients
Palliative Care and Age in OOH Br J Gen Pract 2016; DOI: 10.3399/bjgp16X686137
When do patients contact the service? • 50.2% contact the service during the daytime on Saturday and Sunday • 28.5% of contacts during the evenings • 19.3% of contacts overnight
Is Access Universal? Br J Gen Pract 2016; DOI: 10.3399/bjgp16X686137
Outcomes after OOH assessment • 5% admitted to hospital • 35% – no specific further follow up • 42% - asked to contact their own GP for further management of symptoms
We still don ’ t know …… • What happens at a ‘palliative’ OOH consultation? • How many patients that die in a population access OOH care beforehand? • Do we fail to recognise the palliative phase of illness?
End of life care and OOH care • OOH is a significant provider of care in the last month of life in a population • What is the optimal model of end of life care? • universal access • appropriate recognition • what is needed from the encounter • ongoing support and integration across OOH and In Hours primary care
Acknowledgements • Oxford Health NHS Foundation Trust, Urgent and Ambulatory Care Service • Oxfordshire Health Services Research Committee • Staff at Sue Ryder, Nettlebed
Out of Hours Primary Care Use at the End of Life Dan Lasserson MA MD FRCP Edin MRCGP Senior Interface Physician in Acute and Complex Medicine Dept of Geratology, OUH NHS FT Associate Professor, Nuffield Department of Medicine @DanLasserson

Recommend

Comprehensive Primary Care initiative Innovation Center Centers for Medicare & Medicaid

Comprehensive Primary Care initiative Innovation Center Centers for Medicare & Medicaid Services Primary Care Primary care is critical to achieving the three part aim of promoting health, improving care, and reducing overall system

461 views • 31 slides

AKI in Primary Care AKI: Context and focus for primary care Definition, staging and

Acute Kidney Injury (AKI) In Primary Care Supporting early detection and consistent management Responding to AKI Warning Stage Test Results for Adults in Primary Care: Best Practice Guidance AKI in Primary Care AKI: Context and focus for

783 views • 35 slides

Yes Big Data is a Big Deal! The Importance of Primary Care Data in a Learning Health System

Yes Big Data is a Big Deal! The Importance of Primary Care Data in a Learning Health System Richard Birtwhistle MD MSc FCFP Declaration I have received research funding for CPCSSN from CIHR, PHAC, Canadian Frailty Network, CIMVHR, Calian

660 views • 30 slides

Commissioning and Enabling Primary Care in Doncaster Laura Sherburn 30 June 2016 Primary Care

Commissioning and Enabling Primary Care in Doncaster Laura Sherburn 30 June 2016 Primary Care Strategic Model Proactive Responsive Primary Keeping people Coordinated Extended Primary Care well Primary Care Care Bringing care closer

466 views • 9 slides

Introduction to Primary Care First and Direct Contracting Models Introduction to Primary Care

Introduction to Primary Care First and Direct Contracting Models Introduction to Primary Care First (PCF) Primary Care First Goals Primary Care First Overview 5-year alternative payment model To reduce Medicare spending by 1 preventing

550 views • 19 slides

Assist primary care providers, critical access/rural hospitals and

Rob Edwards, MBA Executive Director, Kentucky Regional Extension Center Director of Strategic Initiatives and Regulatory Affairs UK HealthCare Rob.Edwards@uky.edu Assist primary care providers, critical access/rural hospitals

462 views • 21 slides

Comprehensive Primary Care Plus Advancing the Delivery of and Payment for Primary Care

Comprehensive Primary Care Plus Advancing the Delivery of and Payment for Primary Care Information for Payers 1 Comprehensive Primary Care Plus Center for Medicare & Medicaid Innovation Three Main Goals Underlie CPC+ 1 A dvance care

515 views • 22 slides

Primary Care Network Development in Havering Jordanna Hamberger Primary Care Delivery Manager

Primary Care Network Development in Havering Jordanna Hamberger Primary Care Delivery Manager Emily Plane Head of Primary Care 24 July 2019 Why Primary Care Networks? - PCNs are the key building block of the NHS Long Term Plan. - At

1.1k views • 14 slides

of Rheumatoid Arthritis: The Critical Role of Primary Care Learning Objectives Assess

Early Identification and Management of Rheumatoid Arthritis: The Critical Role of Primary Care Learning Objectives Assess patients for symptoms and signs of rheumatoid arthritis (RA) Identify standard and novel therapies for RA and

583 views • 40 slides

Comprehensive Primary Care Plus Advancing the Delivery of and Payment for Primary Care Through

Comprehensive Primary Care Plus Advancing the Delivery of and Payment for Primary Care Through Multi-Payer Partnership LAN Summit April 26, 2016 Laura Sessums, JD, MD 1 Comprehensive Primary Care Plus Center for Medicare & Medicaid

568 views • 20 slides

Developmental Screening in the Primary Care Setting Dr Kang Ying Qi Associate Consultant Child

Developmental Screening in the Primary Care Setting Dr Kang Ying Qi Associate Consultant Child Development Unit National University Hospital 28 May 2016 Content 1. Overview of terminology and concepts 2. Importance of Primary Care setting

759 views • 48 slides

Critical Access Hospitals Providing Care to the Medically Underserved A Little About Paul Oliver

Critical Access Hospitals Providing Care to the Medically Underserved A Little About Paul Oliver Memorial Hospital Services Offered -Over 50,000 visits -Long Term Care -Primary Care -Visiting Specialists -Digital Radiology -Dialysis

215 views • 7 slides

Steve McInnes Primary Care Relationship Manager NHS Portsmouth CCG Primary Care engagement

Steve McInnes Primary Care Relationship Manager NHS Portsmouth CCG Primary Care engagement Clinical and Practice engagement Facilitating quality improvements in primary care Commissioning of local primary care services Patient

421 views • 13 slides

The Human Factor: The critical importance of communication and effective teamwork in providing

10/20/2018 The Human Factor: The critical importance of communication and effective teamwork in providing excellent care . Anna K. Meyer, MD,FAAP, FACS Associate Professor Coach UCSF School of Medicine Facilitator, UCSF Center for Enhancement of

683 views • 24 slides

PRIMARY EYE CARE AND CHILDHOOD BLINDNESS PRIMARY EYE CARE TRAINING Training will be provided

ACTIVITIES PLANNED FOR PRIMARY EYE CARE AND CHILDHOOD BLINDNESS PRIMARY EYE CARE TRAINING Training will be provided to primary health care teams (DMOs/MOHs/PN/PHI/PHMW) Training will concentrate on screening and identification of common

267 views • 26 slides

Im Sick or Hurt Where Do I Go? Getting the Right Care in the Right Setting Primary Care

Im Sick or Hurt Where Do I Go? Getting the Right Care in the Right Setting Primary Care Many Emergency and Urgent Care visits can be prevented with timely access to Primary Care Physician (PCP) PCPs specialize in General Practice,

126 views • 8 slides

Critical Care Response Team Nursing Orientation What is a Critical Care Response Team? A

Critical Care Response Team Nursing Orientation What is a Critical Care Response Team? A critical care response team (CCRT) is team of critical care trained physicians, nurses and respiratory therapists and that respond to calls from the

704 views • 14 slides

1 Interprofessional Collaboration Primary care is the central pillar of health care. The

Created in 2005 Why this Forum? The European Forum for Primary Care is situated at the NIVEL institute in the Dissemination of expertise and knowledge on Netherlands. Primary Care systems Board members from Belgium, UK, Support

346 views • 5 slides

Primary Care Road Map to Recovery Primary Care Practices June 18, 2020 Primary Care Road Map to

Primary Care Road Map to Recovery Primary Care Practices June 18, 2020 Primary Care Road Map to Recovery Training will be recorded Questions will be at the end of the presentation Post-Survey Questionnaire CME/CEU Credits

837 views • 57 slides

Definition Definition Pre-conception Care Pre-conception Care for Primary Care for Primary

Definition Definition Pre-conception Care Pre-conception Care for Primary Care for Primary Care Providers Providers Biomedical & behavioral interventions that identify and address reversible risks to a woman s health that must be

427 views • 13 slides

Comprehensive Primary Care Plus Information for Health IT Vendors 1 Comprehensive Primary Care

Comprehensive Primary Care Plus Information for Health IT Vendors 1 Comprehensive Primary Care Plus Center for Medicare & Medicaid Innovation Three Main Goals Underlie CPC+ 1 Advance care delivery and payment to allow practices to provide

496 views • 15 slides

Primary Care: Its Essential Role in Value-Based Health Care NCHC Primary Care Forum March 1,

Primary Care: Its Essential Role in Value-Based Health Care NCHC Primary Care Forum March 1, 2017 Nitin S. Damle, MD, MS, MACP President, American College of Physicians Medicare Payments Uncertain Prior to MACRA Sustainable Growth Rate

130 views • 9 slides

Primary Care Medicine: Principles and Practice The Present and Future of Primary Care:

Primary Care Medicine: Principles and Practice The Present and Future of Primary Care: Optimizing Joy, Quality, Equity, and Payment Coleen Kivlahan, MD, MSPH Primary Care Medicine: Principles and Practice 1 Primary Care Medicine: Principles

169 views • 14 slides

New Mexico Primary Care Training Consortium Primary Care in the Land of Enchantment Albuquerque

New Mexico Primary Care Training Consortium Primary Care in the Land of Enchantment Albuquerque Santa Fe Primary Care Training In New Mexico Silver City Las Cruces Mor ore t to C o Com ome NMPCTC CONFERENCE SPONSORS Burre rrell

427 views • 8 slides