The Forum

The blog for global health care leaders

Are after-hours patients turning to your ED unnecessarily? Here's how one hospital solved the problem.

by Paul Trigonoplos and Liz Jones January 10, 2019

Convenient access is a huge priority for patients seeking primary care. In fact, when we asked patients to rank 56 primary care attributes in a 2014 consumer preference survey, six of the top 10 most important ones related to access and convenience. These were things like 24/7 GP access, short wait times, same-day scheduling, and so on.

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The unusual 'prescription' that has cut ED visits by 42% (and avoided almost £650,000 in costs)

by Paul Trigonoplos and Vidal Seegobin January 3, 2019

Imagine a world where a patient visits his or her GP for diabetes complications. The GP notices that the patient is overweight and, in addition to providing a referral to a specialist, the GP 'prescribes' physical activity as a clinical intervention too. The patient then goes to an athletic centre or gym, where a physiotherapist or health coach can formally 'fill' the prescription and help conduct a workouts with the patient over the course of several months.

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Loneliness is deadly—but hard to spot. Here's how a simple app is revolutionising treatment in the UK.

by Paul Trigonoplos and Vidal Seegobin December 13, 2018

Loneliness has been in the spotlight lately for its serious health implications—studies show that intense social isolation equates to the same health risks of smoking almost a pack of cigarettes a day, and that it raises the risk of death by over 25%.

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How health systems are using technology to increase behavioural health access

Petra Esseling , Peter Kilbridge November 15, 2018

Behavioural health needs are highly prevalent, comorbid with other chronic conditions, and associated with increased clinical care and cost. Spending on behavioural health services is projected to reach roughly $239 billion in the US by 2020—that's 5.5% of total health spend. Elsewhere, mental health spending in the UK accounted for one in every ten pounds spent by the Department of Health in 2017/2018.

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Have you unknowingly built your high-risk strategy to fail?

September 20, 2018

About a year ago, I was presenting to a health system board in Northern England. We were talking about population health management—specifically, where organisations doing this work should start. The conversation quickly turned to the system's frequent users of care. We call these patients 'high-risk' for their higher propensity for unplanned interactions with the health system. Since high-risk patients often represent the largest costs to a system, this is where most providers choose to focus first.

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CEO Q&A: How being 'unfailingly kind' has shaped the culture at Chelsea and Westminster Hospital Foundation Trust

Liz Jones August 23, 2018

In this interview with Advisory Board International, Lesley Watts, Chief Executive at Chelsea and Westminster Hospital NHS Foundation Trust (which manages Chelsea and Westminster Hospital and West Middlesex University Hospital and a range of community based clinics) shares how her nursing career has influenced her leadership, what the 'Fab Change Week' is, and her approach to succession planning and staff development.

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6 key insights on systemness, distilled from a year of CEO roundtables

by Vidal Seegobin and Liz Jones July 5, 2018

We recently wrapped up our meeting series for our research on 'systemness' ('From Silos to Systems'). Over the last year, we've held chief executive roundtables in Denmark, London, Toronto, and Sydney. It has been a great privilege to share this research on network integration with our diverse membership, and conversation was rich across the meetings.

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Oxford University Hospital's CEO opens up on his partnership with Mayo Clinic, the future of AI, and more

by Andrew Rosen and Liz Jones June 28, 2018

Andrew Rosen, the former executive director of Advisory Board International, sat down recently for a wide-ranging discussion with Dr Bruno Holthof, the CEO of Oxford University Hospitals in the UK. Among the topics they discussed: how Oxford is teaming up with Mayo Clinic, the upsides and downsides of working in a publicly funded health system, and how Oxford's 800-year history informs his approach to innovation today.

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