The Forum

The blog for global health care leaders

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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Elevating quality improvement by telling patients how much the hospital harmed them: A Q&A with David Dalton, chief executive of England's Northern Care Alliance

by Andrew Rosen May 24, 2018

Andrew Rosen, former Advisory Board International executive director, sat down recently for a wide-ranging discussion with David Dalton, chief executive of England's Northern Care Alliance (Salford Royal NHS Foundation Trust and Pennine Acute Hospitals Trust). In this interview, David shares about his career in health care, sustaining quality improvements over time, and connecting with staff in meaningful ways.

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CEO Q&A: Nurse-led 'neighbourhood care' in the Netherlands

by Petra Esseling March 28, 2018

Policy makers and health care leaders point to primary care doctor shortages, patient complexity, ineffective payment models, and care fragmentation as reasons for decreased quality care provision. Innovative solutions to overcome these struggles are piloted widely.

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Health care on Aisle 5: Lessons from the global rise in retail care

by Ashley Ford and Rachel Zuckerman March 6, 2018

Is the hospital of the future the pharmacy down the road? Around the world, well-known businesses are establishing retail clinics co-located with pharmacy centres.

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