Unbundling recovery: A step-by-step guide to audit and modelling

"This practical guide sets out a methodology for providers to audit whether the recovery aspects of a patient's acute hospital stay could be better provided and to model the impact of varying lengths of stay on tariff and bed utilisation."

Unbundling recovery: A step-by-step guide to audit and modelling
NHS Improving Quality
June 2015

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Investing in prevention and early intervention

"These documents aim to raise awareness of the prioritisation frameworks and associated tools and resources which are used by the NHS and local authorities. They help to make the case for investment in prevention or early intervention, to prioritise investment (and disinvestment) or to improve the use of existing resources invested."

Investing in prevention and early intervention
Public Health England
October 2015

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Reducing Care Utilisation through Self-management Interventions

"Very few self-management support interventions achieve reductions in utilisation while compromising patient outcomes. Evidence for significant reductions in utilisation were strongest for respiratory disorders and cardiac disorders."

Reducing Care Utilisation through Self-management Interventions (RECURSIVE): a systematic review and meta-analysis
M Panagioti, G Richardson, E Murray, A Rogers, A Kennedy, S Newman, et al.
Health Service Delivery Research 2014;2(54).

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The importance of multimorbidity in explaining utilisation and costs

"This work forms a basis for identifying groups that would most benefit from improved integrated care, which might be facilitated by integrated financial arrangements and better pathway management."

The importance of multimorbidity in explaining utilisation and costs across health and social care settings: evidence from South Somerset’s Symphony Project
P Kasteridis, A Street, M Dolman, L Gallier, K Hudson, J Martin, I Wyer
Centre for Health Economics, University of York
February 2014

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A systematic review of medical practice variation in OECD countries

"Combined with engagement from clinicians and policy makers, the continued study of the causes and consequences of variation has the potential to enhance the effectiveness and efficiency of health care systems."

A systematic review of medical practice variation in OECD countries
AN Coralloa, R Croxford, DC Goodmanb, EL Bryanb, D Srivastavac, TA Stukela
Health Policy, 2014; 114: 5-14

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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

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