Models of Care for High-Need, High-Cost Patients

"This brief analyzes experts’ reviews of evidence about care models designed to improve outcomes and reduce costs for patients with complex needs. It finds that successful models have several common attributes"

Models of Care for High-Need, High-Cost Patients: An Evidence Synthesis
D McCarthy, J Ryan, S Klein
The Commonwealth Fund
October 2015

Read more here.

Case Finding & Risk Stratification Handbook

"This handbook describes current thinking and provides practitioner insights into case finding and risk stratification to support personalised care and support planning – both of which are key elements of the vision and outcomes in the NHS Five Year Forward View"

Case Finding & Risk Stratification Handbook
NHS England
January 2015

Access the handbook here.
Access the additional resources here.

NHS Innovation Accelerator Programme

"The NIA invites leading healthcare pioneers from around the world to bring their tried and tested innovations to the NHS. The programme aims to select a broad range of innovations – products, processes and technologies – to be more rapidly developed and scaled across the health service, to improve patient care, and reduce costs."

Find out more and apply here.

Shared decision making to improve care and reduce costs

"A 2011 Cochrane Collaborative review of 86 studies showed that as compared with patients who received usual care, those who used decision aids had increased knowledge, more accurate risk perceptions, reduced internal conflict about decisions, and a greater likelihood of receiving care aligned with their values."

Shared decision making to improve care and reduce costs
E Oshima Lee, EJ Emanuel
New England Journal of Medicine, 2013, 368(1):6-8

Read more here.

Proton pump inhibitors: potential cost reductions by applying prescribing guidelines

"There are opportunities for substantial cost savings in relation to proton pump inhibitors prescribing if implementation of clinical guidelines in terms of generic substitution and step-down therapy is implemented on a national basis."

Proton pump inhibitors: potential cost reductions by applying prescribing guidelines
C Cahir, T Fahey, L Tilson, C Teljeur, K Bennett
BMC Health Services Research, 2012, 12:408

Read more here.

Liaison psychiatry - the way ahead

"The study set out to identify how liaison psychiatry can most effectively contribute to the Government’s quality, innovation, productivity and prevention (QIPP) challenge of improving health outcomes while also reducing healthcare costs."

Liaison psychiatry - the way ahead: issue 249
Mental Health Network
NHS Confederation
November 2012

Read more here.

Allied Health Professionals' QIPP Toolkits

"The Strategic Health Authority Allied Health Professionals (AHP) Leads for England have worked with NHS London to compile AHP QIPP Toolkits, designed to help commissioners design services that are of high quality whilst reducing cost."

Access the toolkits below:

• AHP Stroke Toolkit
• AHP Oral Nutritional Support Toolkit
• AHP Musculoskeletal Care Toolkit
• AHP Cancer Toolkit
• AHP Diabetes Toolkit

Cost reduction in central government

"Despite the short timescale, departments successfully managed within their reduced spending allocations for 2010-11."

Cost reduction in central government: summary of progress
Cabinet Office and HM Treasury
February 2012

Read more here.

Why clinical quality improvement fails to deliver bottom-line results

"As the U.S. health care system begins shifting its focus from volume to value, hospitals will need to adapt their cost structures and capacity to accommodate lower per capita utilization rates as well as reductions in the per-episode intensity of care."

The savings illusion - why clinical quality improvement fails to deliver bottom-line results
SS Rauh, EB Wadsworth, WB Weeks, JN Weinstein
New England Journal of Medicine, 2011, 365:e48

Read more here.

Reducing expenditure on low clinical value treatments

This health briefing suggests that the NHS could save up to £500 million a year by carrying out fewer ineffective or inefficient treatments.

Reducing expenditure on low clinical value treatments
Audit Commission
April 2011

Read a summary or download the full version here.

Delivering QIPP by redesigning iron deficiency services

"Redesigning intravenous iron services is an excellent way of delivering QIPP improvements to patient care by dramatically reducing hospital visits and improving service efficiency and cost-effectiveness. Currently, the treatment of iron deficiency involves multiple visits to the hospital but a drug called Ferinject from Vifor Pharma administers all the iron a patient needs in one 30 minute visit.

Watch this video to find out how this patient-centric service is saving the NHS money and promoting faster recovery and better outcomes."

Delivering QIPP by redesigning iron deficiency services
HealthExecTV
April 2011

View video here (free registration needed to view content)

Can we save money by improving quality

"This paper uses research evidence to assess the contribution that quality-improvement can make as a central component of cost reduction."

Can we save money by improving quality
M Marshall, J Ovretveit
BMJ Quality and Safety, 2011, 20(4):293-296

Read more here.

If you cannot access the full record, please use your NHS Athens username and password  or contact the Royal Free Medical Library.

Many of the other articles in this issue focus on quality-improvement collaboratives.