Abstract
Upon the Integrated Care Exchange program initiated between Oldham CCG and Catalan healthcare providers (Hospital Clinic, CHV, CAPSE and CASAP) and co-organised by AQuA and IFIC in 2014-2015, we do aim to continue the learning exchange around a central topic: Transitional Care.
We propose a double session. The first one will address different interventions in Transitional Care to be compared following a similar presentation pattern that will allow to identify the lessons learns in three key aspects: value sources, SWOT analysis, scale-up and sustainability in the long run.
Interventions selected:
1. Virtual integration model: hospital and primary care in Vic
2. Emergency care as key place for transition management: geriatric assessment, situational diagnostic and community resources management
The second session will cover the patient perspective in the transition within and among health institutions. Patient experience is a driver for healthcare improvement in transitional care.
Interventions selected:
1. Patient participatioin in integrated care (Oldham CCG)
2. Person-centered prescription (Hospital Santa Creu)
3. The patient journey of diabetic patients (CASAP)
We have already secured presentations from: Hospital Santa Creu (Vic, Spain), CASAP (Castelldefels, Spain), Oldham CCG (Oldham, UK). We are open to accomodate presentations for third parties that fit the topic.