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North West London Collaboration of Clinical Commissioning GroupsWHOLE SYSTEMS INTEGRATED CARE (SIC) DASHBOARDS COLLABORATION OF NFL CCS Ian Riley, Director of Business Intelligence Amanda Lucas, Program
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How to fill out whole systems integrated care

01
To fill out whole systems integrated care, follow these steps:
02
Identify the key stakeholders involved in the care system, such as healthcare providers, social workers, and community organizations.
03
Establish a clear vision and goals for the integrated care system, ensuring that all stakeholders are aligned and committed to these objectives.
04
Develop a governance structure to oversee the implementation and operation of the integrated care system, including decision-making processes and communication channels.
05
Assess the existing healthcare infrastructure and resources to identify any gaps or areas for improvement.
06
Collaborate with all stakeholders to design care pathways and workflows that promote seamless coordination and continuity of care for individuals.
07
Implement health information exchange systems and technology platforms to facilitate the sharing of patient information and promote collaboration among providers.
08
Train and educate healthcare professionals on the principles and practices of integrated care, emphasizing the importance of teamwork and patient-centered approaches.
09
Monitor and evaluate the performance of the integrated care system, collecting data on key indicators and using feedback to drive continual improvement.
10
Foster partnerships and collaboration with community organizations and social services to address the broader determinants of health and promote holistic care.
11
Continuously engage and involve individuals and their families in decision-making processes, ensuring that their preferences and needs are considered in the delivery of care.

Who needs whole systems integrated care?

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Whole systems integrated care is beneficial for the following groups:
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- Individuals with complex healthcare needs that require coordinated and multidisciplinary care across different settings.
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- Older adults with chronic conditions who may require support from multiple healthcare professionals and services.
04
- Individuals with mental health or substance abuse disorders who can benefit from a collaborative and integrated approach to their care.
05
- Individuals with disabilities who may require support from various social services and healthcare providers.
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- Low-income populations or vulnerable groups who often face barriers to accessing healthcare and social services.
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- Individuals transitioning between different stages of care, such as from hospital to home or from pediatric to adult care.
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- Caregivers and family members who play a crucial role in supporting the well-being and care of their loved ones.
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In summary, whole systems integrated care is relevant for individuals with complex needs, older adults, individuals with mental health or substance abuse disorders, individuals with disabilities, vulnerable populations, individuals transitioning between care settings, and caregivers.
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Whole systems integrated care is an approach that seeks to provide seamless and coordinated care to individuals by integrating services across different healthcare providers and settings.
Healthcare organizations, providers, and payers are typically required to file whole systems integrated care.
Whole systems integrated care can be filled out by collecting and reporting data on patient outcomes, service utilization, care coordination efforts, and other relevant metrics.
The purpose of whole systems integrated care is to improve the quality of care, enhance patient experience, reduce healthcare costs, and promote better health outcomes.
Information such as patient demographics, medical history, treatment plans, care coordination efforts, and outcome measures must be reported on whole systems integrated care.
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