How to use the LTC year of care commissioning simulation tool webinar

WELCOME

Wednesday 11 March 2015 WebinarHow to use the LTC Year of Care Commissioning simulation tool

A Practical Demonstration

How to use the LTC Year of Care

Commissioning simulation tool –

A practical demonstration

Wednesday 11 March 2015

12.30pm – 1.30pm

Claire CordeauxExecutive Director Health & Social Care, SIMUL8 Corporation

&

Beverley MatthewsLTC Programme Lead, NHS Improving Quality

Beverley Matthews

LTC Programme LeadNHS Improving Quality

Beverley.matthews@nhsiq.nhs.uk

www.england.nhs.uk

LTC Year of Care Commissioning

Programme:

4

• 5 Early Implementer sites

• 35 Fast Followers

• Whole Population Datasets

• Implementation Guide

• Simulation Modelling

• Specialist Support Team

www.england.nhs.uk

LTC Framework Improvement

Programme:

5

Organisational &

Clinical

Processes

Informed and

engaged patients

and carers

Health & Care

Professionals

committed to

partnership

working

Commissioning

• Information and

technology

• Case finding & risk

stratification

• Care Planning

• Safety and

Experience

• Guidelines,

evidence and

national audits

• Care Delivery

• Self Management

• Information and

Technology

• Group and Peer

Support

• Care Planning

• Policies for carers

• Voluntary sector

patient & carer

support

• HSC Integration

• Multi Disciplinary

Teams

• Culture

• Workforce

• Technology

• Care Co-

ordination

• Care Planning

• Needs

Assessment and

Planning

• Joint

Commissioning

• Metrics and

Evaluation

• Service User and

Public Involvement

• Contracting and

Procurement

• Care Planning

• Tools and Levers

The table below sets out some of the key components needed to deliver the central

aim for LTC Framework - Person Centred Coordinated Care

Long Term Conditions Dashboardhttp://ccgtools.england.nhs.uk/ltcdashboard/flash/atlas.html

Long Term Conditions House of Care Toolkitwww.nhsiq.nhs.uk/improvement-programmes/long-term-conditions-and-integrated-care/house-of-care.aspx

Simulation Modelhttp://www.simul8.com/viewer/download.htm

#LTCyearofcare #LTCimprovement @NHSIQ

Tools and Resources:

www.england.nhs.uk

LTC Learning Community:

7

• Lunch & Learn Webinar Series

• Bite Size Master Classes

• Case Studies and Exemplars

• Twitter Chats

• Google Hangouts

To register email LTC@nhsiq.nhs.uk

LTC Lunch & Learn Series ….coming soon…

Date Webinar Hosted by Bev Matthews &

16 March 2015 Maximising the value of technology enabled care services

Annie Thompson (NHS England);Ashley Moore (NHS England) and Tim Ellis (NHS Sheffield CCG)

How to use the LTC Year of Care Commissioning simulation tool - A practical demonstration

• Clearer understanding of what the simulation tool is.

• Practical understanding of how to use the tool and what it can do.

• Understanding the benefits of using the tool.of Care foundation.

Today’s Learning Outcomes

Year of Care Long Term

Conditions Simulation

Claire Cordeaux: Executive Director, Healthcare

SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com

Agenda

• What is simulation and why use it?

• The Long Term Conditions simulation

• Next steps

• Your questions and comments

SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com

What is simulation?

Models a flow of individual patients

Small scale operations

Service operations

Whole system

Passing of time

Arrivals

Duration of treatment

Time between treatments

Waiting times and bottle necks

Experimentation

What if?....

No risk to patients through pilots

Results

Costs

Resource utilisation

Waiting times

High level flow and operational questions, individual patient variability, graphical visualisation

SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com

Why simulate Year of Care?

• “Bottle” the processes of the

Early Implementers

• Easily enable Fast Followers and

others to understand and test

impacts

• Use local

data to test

assumptions

• Ability to

update and

review

Simulation

• Level of

acuity

• Increasing

numbers of

long term

conditions

Current Simulation

• Likelihood of patients accessing services by

changing state of patients (state transition)

SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com

• Patients in each “state” have

– A likelihood of accessing certain types of service

(Acute, Community, Mental Health, Social Care),

including accessing services more than once

• Costs associated with those services

How it works

SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com

Data builds an underlying discrete

event simulation model

• Number of

patients in

each “state”

by year

• Average cost

per patient

Results

• Cost by each area of service/organisation

Results

• Costs by state per year

• Average cost per patient

• Comparison with tariff

Results

SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com

Results Comparison

Trial results

SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com

• Known to integrated care team or not?

• Test against proposed tariff?

• Change variation in cost for services?

• Decrease transitions through states?

Scenarios

SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com

• Planning for demand

• Testing an improvement scenario

• Negotiation between healthcare providers

How can this help?

SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com

• Building in capacity scenarios

• What would you like you know?

– How many staff will I need to support people with

LTC?

– What type of staff will I need for services?

– How many beds will I need for the LTC cohort?

Next Steps

Click to edit Master title styleClick to edit Master title style

SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com

QUESTIONS?

To register email LTC@nhsiq.nhs.uk

LTC Lunch & Learn Series ….coming soon…

Date Webinar Hosted by Bev Matthews &

16 March 2015 Maximising the value of technology enabled care services

Annie Thompson (NHS England);Ashley Moore (NHS England) and Tim Ellis (NHS Sheffield CCG)