friday 20 november - ific · care, better patient experience and lower health-care costs. people...

TWITTER @IFICinfo #WCIC3 #integratedcare

Friday 20 November

7:30am

Revolucion

Foyer

Registration, refreshments, exhibition and networking

8:30am –

9:00am

Revolucion

Room

OPENING CEREMONY

Welcome to the Conference

Dr Nick Goodwin, Chief Executive Officer, International Foundation for Integrated Care (IFIC)

Welcome to Country

Eduardo Gonzalez Pier, Under Secretary of Integration and Development, Ministry of Health,

Mexico

Dr Galileo Pérez-Hernández, President, CONAEMI

Ricardo Fábrega, Regional Expert, Pan-American Health Organization (PAHO)

9:00am –

10:30am

Revolucion

Room

PLENARY 1 - People-Centred Care for All

Chaired by


Tomas Flores, PFPS Champion, World Health Organization (WHO)

Integrated people-centered care: the pathway to universal access to health and Universal Health

Coverage


Transforming the health system through Integrated Primary Care

Dr Maria del Rocio Saenz Madrigal, Executive President, CCSS, Costa Rica

Organizational change to support family and carers in coproduction

Beverley Johnson, President and Chief Executive Officer, Institute for Patient and Family Centered

Care (IPFCC)

Questions and discussion


10:30am

Revolucion

Foyer

Refreshment break, exhibition, posters and networking

11:00am –

12.30pm

Parallel sessions 1

Alameda 3

1.1 Engaging and empowering for health, sharing the experiences (CONT to Lunchtime

Workshop)

This session will be presented in Spanish only without translation.

Lead by the World Health Organization (WHO)

Chaired by

Katthyana Aparicio, Programme Officer, Patients for Patient Safety, World Health Organization

(WHO) and Dr Galileo Pérez-Hernández, President, CONAEMI

Apoyando el Empoderamiento y el Involucramiento de las Personas en Salud

Dr Lourdes Ferrer, Director of Programmes, International Foundation for Integrated Care (IFIC)

Panel: Evangelina Vazquez Curiel (Mexico), Randall Madrigal (Costa Rica), Lucia Aguilar Almazán

(Mexico) and Tomas Flores (Mexico)

Patient and people engagement and empowerment can lead to better health outcomes, better

care, better patient experience and lower health-care costs. People are enabled to make informed

decisions, choose appropriate care options and seek health interventions appropriately when

meaningfully engaged and empowered.

The workshop will aim to engage the participants in a discussion about how to bring the patient,

family and the community voice into health care systems and services. It will provide an overview

of WHO global initiatives on engagement and empowerment for patient safety and health-care

quality, for people-centred and integrated health services and for quality Universal Health

Coverage (UHC).

This session will be an interactive discussion with patient advocates, health professionals and

policy-makers from different countries of the Latin American region. The panel will be composed

of four - five speakers to address the questions about how can engagement and empowerment be

taken forward meaningfully? How can we ensure universal access to health care, and enable

disadvantaged people or groups to have an equal access and voice that is heard in health care?

How can countries learn from each other? The panel will engage with the audience to harvest

experience and viewpoints for collective learning.

Revolucion

Room

1.2 Integrated Care and Chronic Care

Chaired by


Dr Brenda Reiss-Brennan, Director Mental Health Integration, Intermountain, USA

Patients at risk: integration and innovation in action (118)

Claire Naumann, Counties Manukau District Health Board, New Zealand

Prediction Modelling and Risk Stratification for Chronic Disease for care coordination on a national

scale: a systematic review (119)

Valerie Twomey, Health Service Executive, Ireland

Programa de gestión e integración en salud de enfermedades crónicas (123)

Javier Diaz MD, ISSSTE, Mexico

Alameda 6

1.3 Financing mechanisms and assessing performance in Integrated Care

Chaired by

Helmut Hildebrandt, CEO, OptiMedis AG, Germany and Treasurer, International Foundation for

Integrated Care (IFIC)

Financing population based and disease-based Integrated Care: lessons from the Netherlands

Prof Guus Schrijvers, Chair and Founder, International Foundation for Integrated Care (IFIC)

Capitated payments for triple integration, are they triple the effort? (176)

Catherine Pollard, Pricing Development & Integrated Care Director, Monitor

Bruno Desormiere, Pricing Development Manager, Monitor

[Paper selected to compete for the Integrated Care Award ]

Testing Integrated Care service models for patients with complex care needs using simulation

modelling (183)

Beverley Matthews, Programme Delivery Lead – Long Term Conditions, NHS Improving Quality

Jacquie White, Deputy Director - Long Term Conditions, Older People & End of Life Care, NHS

England

Innovation barriers and Germany’s new Innovation Fund: a breakthrough for Integrated Care?

Susanne Ozegowski, Managing Director, German Managed Care Association

Juarez

Room

1.4 Workshop: Developing and Training the future high quality workforce ensuring integrated

care for ALL (186)

Chaired by

Lisa Jane Hill, Top of the World Ltd, United Kingdom

Dr Ian Walton, Top of the World Training Ltd, United Kingdom

We show how when you have the right person at the right time in the right place with the right

attitude it makes a real difference. We will take you through a tried and tested approach which

will enable you to learn the key features to design and develop an integrated whole system model


that includes prevention, early intervention and social care. We will work with you and

demonstrate each step of this approach. It starts with an award-winning and now established

workforce planning formula for planning future services, analysing the workforce, developing

workforce databases and tools, assessing the future workload, recruiting from the labour market,

ensuring appropriate education and training, addressing the gaps and issues and future proofing

the workforce particularly in times of austerity. We give an example of a recognised UK exemplar

service of how integrated care achieved this - how would you?

Alameda 4

1.5 Workshop: Using Electronic Health Records to measure, monitor, and evaluate the impact of

Integrated Care (203)

Chaired by

Dr Kenneth Smith, Interim Director, University of Texas Medical Branch (UTMB), United States

The roundtable discussion aims to create a space for experts to share experience of adopting

Electronic Health Records (EHRs) in their care settings. In addition, the panel will be encouraged to

identify strategies to (1) widen the use of EHRs, (2) strengthen interoperability, (3) improve

exchanges among stakeholders, (4) collect meaningful measurements, (5) integrate technology

into work flows, (6) support decision making, (7) ensure accountability, and (8) achieve cost

saving. Finally, the panel will be encouraged to engage in long-term networking and develop joint

actions/projects.

This session continues through lunch …..

Alameda 5

1.6 Workshop: Integrated Care Academy © Dr Viktoria Stein, Head of Education and Training and the Integrated Care Academy ©, International Foundation for Integrated Care (IFIC) Dr Albert Alonso, Directorate for Research and Innovation, Hospital Clinic de Barcelona and Vice-chair, International Foundation for Integrated Care (IFIC) Esther Suter, Director, Workforce Research and Development, Alberta Health Services, Canada The Integrated Care Academy gives participants the opportunity to get a comprehensive overview of the concepts underlying the conferences’ titular themes of high quality people-centred integrated care and how to enable them. In Mexico, a special focus will be put on building and enhancing competencies in the workforce. During the WCIC there will be several parallel sessions and workshops dedicated to specific methods of involving and sensitizing health professionals, especially doctors, to adopt a people-centred approach, but what do we actually mean by people-centred care? And what are some of the prerequisites for education and training of professionals to enable them to work in multidisciplinary teams providing people-centred integrated care? What are the roles and responsibilities and how can/should they be changed? These will be the guiding questions for the Integrated Care Academy, which will be further detailed and discussed with the participants to ensure the highest possible relevance for them.


The programme of the Integrated Care Academy © will be organized along the following main contributions:

1. Overview of concepts of integrated care and people-centred care, highlighting how these necessitate new roles, responsibilities, skills and competencies (Viktoria)

2. Inter-professional education: tools and experiences to prepare professional for people-centred, integrated service provision overview of Canadian interprofessional competency framework; example 1) interprofessional mentoring model; example 2) communities of practice (Esther)

3. How can it work in practice: examples from Catalunya (Albert) 4. Group discussions on experiences and challenges with multi-disciplinary work in everyday

practice: does it happen? What are the challenges? What skills and competencies are necessary? How can they be acquired?

12.30pm Lunch, exhibition, posters, workshops and networking

Lunchtime Sessions

12.30pm –

1.30pm

Revolucion

Foyer

Guided Poster Walk supported by the Integrated Care Academy ©

Led by Dr Viktoria Stein, Head of Education and Training and the Integrated Care Academy ©,

International Foundation for Integrated Care (IFIC)

12.30pm –

1.30pm

Juarez

Room

Lunchtime Workshop: How to develop and maintain an Improvement Network?

Led by Dr Anne Hendry, National Clinical Lead, Integrated Care, Joint Improvement Team, Scottish

Government

The evidence, impact, evaluation and power of networks for achieving social change is growing.

Networks that are adaptable and flexible are increasingly used to support complex adaptive and

cross sector change. Networks can empower people and professionals to work together to shape,

learn and share improvements for quality.

This session will describe the journey from Managed Clinical Networks and QI networks in

Scotland towards an Improvement Network for Integrated Care and Support, with formative

assessment and development support from the Health Foundation Network Development

Maturity Model.

The session will highlight tools and coproduction approaches to help you link up your networks

and communities of practice, support mentoring, coaching and shadowing and enable knowledge

exchange across professions and sectors and involving lived experience of people who use

integrated care and support.


1.00pm –

2.00pm

Alameda 3

Lunchtime Workshop: Engaging and empowering for health, sharing the experiences This session will be presented in Spanish only without translation. Lead by the World Health Organization (WHO) Chaired by Katthyana Aparicio, Programme Officer, Patients for Patient Safety, World Health Organization (WHO) Panel: Evangelina Vazquez (Mexico), Jorge Martinez (Argentina), Randall Madrigal (Costa Rica), Lucia Restrepo (Colombia); Tomas Flores (Mexico). Patient and people engagement and empowerment can lead to better health outcomes, better care, better patient experience and lower health-care costs. People are enabled to make informed decisions, choose appropriate care options and seek health interventions appropriately when meaningfully engaged and empowered. The workshop will aim to engage the participants in a discussion about how to bring the patient, family and the community voice into health care systems and services. It will provide an overview of WHO global initiatives on engagement and empowerment for patient safety and health-care quality, for people-centred and integrated health services and for quality Universal Health Coverage (UHC). This session will be an interactive discussion with patient advocates, health professionals and

policy-makers from different countries of the Latin American region. The panel will be composed

of four - five speakers to address the questions about how can engagement and empowerment be

taken forward meaningfully? How can we ensure universal access to health care, and enable

disadvantaged people or groups to have an equal access and voice that is heard in health care?

How can countries learn from each other? The panel will engage with the audience to harvest

experience and viewpoints for collective learning.

1.00pm –

2.00pm

Revolucion

Room

Lunchtime Workshop: Benchmarking Integrated Care for better Management of Chronic and

Age-related Conditions in Europe: findings from Project INTEGRATE

Led by Magdalena Rosenmoller, IESE Business School, Spain

This project has already examined four case studies of best practices of integrated care in Europe,

in the areas of COPD, Mental Health, Geriatric Conditions and Diabetes, which have had a proven

impact in terms of improving patient experiences, generating better care outcomes and providing

cost-effectiveness. The key aim of this part of the research was to define what constitutes good

quality integrated care provision, and how integrated care systems can most effectively be built.

In Phase 2 of the research, the project is considering the cross-cutting themes process design,

service delivery, skill mix, patient involvement, financial flows, regulatory conditions, and enabling

information technologies in order to create connectivity, alignment and collaboration within and

between the cure and care sectors.


In the final phase of work, Project INTEGRATE will provide managerial and policy

recommendations, based on evidence from successful integrated care experiences examined in

the early phases and evidence from international best practice. These recommendations will

impact on the development of national and European policy development and practice.

2.00pm –

4.00pm

Revolucion

Room

PLENARY 2 - Care Coordination and Continuity of Care

Chaired by

Eduardo Gonzalez Pier, Under Secretary of Integration and Development, Ministry of Health,

Mexico

Improving continuity of care and care coordination around the world: Evidence, outcomes and

lessons for fragmented systems


Practical examples:

Redesigning Primary Care in the U.S.: Dr Craig Tanio, Chairman, Maryland Health Care

Commission

Tackling multi-morbidities, advances and strategies in the Basque Country: Jon Darpon,

Minister of Health for the Basque Region

Health Reform in Uruguay and challenges to comprehensive care: Dr Gilberto Rios

Ferreira, Specialist Health Services Administration - Master of Health Policy and

Management Europe Latin America, University of Bologna - Italy

Discussion: How do these examples highlight potential paths, challenges and opportunities to

improve Care Coordination and Continuity of Care in the Americas?

4.00pm –

4.30pm

Revolucion

Foyer


4.30pm –

6.30pm

PARALLEL SESSIONS 2

Revolucion

Room

2.1 Integrating Mental and Physical Health

Chaired by

Prof David Perkins, Director, The Centre for Rural and Remote Mental Health (CRRMH), University

of Newcastle, Australia, IFIC Board Member and IJIC Editor

Integrating health and mental health services in the US (144)

Douglas Tynan, American Psychological Association, United States

The impact of continuous long-term integrated team-based care on healthcare quality, utilization,

cost and patient Experience


Dr Brenda Reiss-Brennan, Director Mental Health Integration, Intermountain, USA

Sydney North shore Beaches ‘Partners in Recovery’ – a local model of consumer directed and

people-centred integrated mental health care (171)

Laurie James Bassett, CCNB, Australia

Susan Moylan-Coombs, Founder & Director, The Gaimaragal Group

Allison Ann White, Northern Sydney Local Health District, Australia

People-centred, community based integrated care: the perfect mental health recovery journey

partner (173)

Allison Ann White, Northern Sydney Local Health District, Australia

Juarez

Room

2.2 Improving transitions and managing fragmentation

Chaired by

Sebastian Garcia Saisò, General Director of Quality and Education in Health, Ministry of Health of

Mexico

Development of a quality framework to facilitate effective care transitions from hospital to home

(113) - VIDEO

Tara Sampalli, Nova Scotia Health Authority, Canada

Mapping care fragmentation in terms of task division (187)

Sam Pless, KU Leuven, Belgium

Enhancing patients value through Integrated Care Transitions (193)

Regina Rigatto Witt, Universidade Federal do Rio Grande do Sul, Brazil

A Model of integrated care: an experience developed in the South of Brazil (160)

Regina Rigatto Witt, Universidade Federal do Rio Grande do Sul, Brazil

Maternity and the production of identities: repercussions on women’ s health at the puerperium

Dora Lúcia Leidens Correa de Oliveira, Associate Professor, Graduate Program in Nursing, School

of Nursing, Federal University of Rio Grande do Sul - UFRGS - Porto Alegre (RS), Brazil

Integration through co-location of allied health services into general practice: a demonstration

trial in north coast NSW Medicare Local (177)

Vahid Saberi, North Coast Primary Health Network, Australia

Alameda 3

2.3 Developing and implementing change

Chaired by


Rationale for improving integrated service delivery: reduced cost and improved care in Georgia

(192)


Tamar Chitashvili, Senior Quality Improvement Advisor, MNCH/FP and NCD Technical Unit lead of

USAID ASSIST Project, University Research Co. LLC, the US


Strengthening the referral system of the first level of care in Yucatan

Patricia Faridhe Carrera Gonzalez, social work and referral system supervisor, Yucatan Health

Services

Improving access to and integration of inpatient specialist rehabilitation services in Ireland (120)

Dr Amanda Carty, Brain Injury Programme Manager, National Rehabilitation Hospital, Dublin

Ireland

Shared Decision Making in Catalonia: a new step forward in improving decision making process

(110)

Montse Moharra, Agency for Healthcare Quality and Assessment of Catalonia, Spain

Integrated Care Networks in Chile

Margarita Barría, Depto. de modelo de APS, DIVAP / División de Atención Primaria, Subsecretaría

de Redes Asistenciales, Ministerio de Salud, Chile

Alameda 6

2.4 Inter-professional education and workforce support in Integrated Care

Chaired by

Dr Viktoria Stein, Head of Education and Training and the Integrated Care Academy ©,


Enhancing primary healthcare delivery in the Inner City through interprofessional team work and

service innovation (168)

Dr Deborah Kopansky-Giles, Professor, Graduate Education and Research, Canadian Memorial

Chiropractic College and Department of Family and Community Medicine, St. Michael's Hospital,

University of Toronto, Canada


Inter-professional care in a university school of medicine: how did we do that? (209)

Eron Grant Manusov, University of Texas Rio Grande Valley SOM, United States

Curt Galke DO, Program Director, UTRGV SOM DHR Family Medicine Residency

Adrian Sandoval, UTRGV SOM Department of Family and Preventive Medicine

John Ronnau, Senior Associate Dean, Interprofessional Education, UTRGV SOM

A look into the work of care professionals: job quality and relational coordination (111)

Leen De Kort, Researcher, Centre for Sociological Research, Research Group Work and

Organisation, University of Leuven, Belgium

A serious game on job quality of care professionals (122)

Prof Ezra Dessers, Assistant Professor, Centre for Sociological Research, KU Leuven, Belgium

Workforce planning approaches in integrated care: challenges & best practices


Susanne Ozegowski, Managing Director, German Managed Care Association

A patient reaction to presentations

Evangelina Vazquez Curiel, PFPS Champion, World Health Organization (WHO)

Alameda 5

2.5 Digital Health and Integrated Care

Chaired by

Dr Albert Alonso, Directorate for Research and Innovation, Hospital Clinic de Barcelona and Vice-chair, International Foundation for Integrated Care (IFIC)

Coherency and completeness in TeleHealth (208)

Prof Jason Yap, Associate Professor, Saw Swee Hock School of Public Health, National University of

Singapore and IFIC Board Member

Gold Coast Integrated Care Shared Care Record (138)

Helen Marie Cooper, Gold Coast Hospital and Health Service, Australia

Innovation and integration for impact: playing today a leading role in tomorrow’s health (132)

Felipe Moyano, URG - OSDE Group, Argentina

7.00pm –

8.00pm

Revolucion

Foyer

Drinks Reception and Drumming Circle


Saturday 21 November

7.15am –

8.15am

Alameda 6

Meeting of the CONAEMI Board of Directors and National Council of Associations

7.15am –

8.15am

Revolucion

Room

Masterclass: Leadership and management that supports Integrated Care The ability to bring professionals and organisations together to better co-ordinate care and services around the needs of patients is a complex task. It should be recognised that in no health care system, given the history in the way care provision has been established, does integrated care emerge naturally as a solution. In order to achieve integration across an often diverse set of professionals and providers there is strong evidence to demonstrate that systems must be effectively led, managed and nurtured. Yet, there is a lack of evidence to understand how the process to support change can be best led and managed when designing, piloting, implementing, assessing and scaling-up innovations that support more integrated service provision. The aim of this Masterclass will be to support professionals seeking to improve quality by developing more people centred and integrated care strategies. The masterclass will cover key areas that support planning and managing change in complex health systems. It will include the following speakers and presentations: Managing change towards integrated care: the key steps for implementation Dr Nick Goodwin, Chief Executive Officer, International Foundation for Integrated Care (IFIC) Improving quality in integrated care: lessons from the Joint Improvement Team in Scotland Dr Anne Hendry, National Clinical Lead, Integrated Care, Joint Improvement Team, Scottish Government

7.15am –

8.15am

Juarez Room

Workshop: The role of Public Health in Integrated Care

led by




8.00am

Revolucion

Foyer

Registration, refreshments, exhibition and networking

8.30am –

10.25am

PLENARY 3 - Creating an Enabling Environment: Policy, Governance and Accountability

Chaired by


Revolucion

Room



Perspectives and options to improve people-centred integrated care through good governance in

Mexico


Mexico

Key issues in accountability and governance in Integrated Care networks

Esther Suter, Director, Workforce Research and Development, Alberta Health Services, Canada

Shared accountability and its role in moving forward Gesundes Kinzigtal in Germany



Policy, Governance and Accountability, Experiences from Brazil

Prof Marcio Mariath Belloc, Brazil

Open discussion

How can governance and accountability accelerate policy change towards people-centred

integrated care?

10.25am –

10.30am

Revolucion

Room

Presentation of ICIC16 Barcelona, Spain


10.30am –

11.00am

Revolucion

Foyer


11.00am –

1.00pm

PARALLEL SESSIONS 3

Revolucion

Room

3.1 Instruments and tools that support People-centred and Integrated Care

Chaired by


A case study approach and application of a modified value-stream mapping methodology to

improve patient engagement in the management of complex chronic conditions (114) - VIDEO

Tara Sampalli, Nova Scotia Health Authority, Canada


The WHO global strategy on people-centred and integrated health services: towards Universal

Health Coverage

Nuria Toro, Consultant on People-Centred and Integrated Health Services, World Health

Organization (WHO) Geneva, Switzerland

Medication Adherence Programme at PMU Lausanne - A case study on people-centred and

integrated health services (PCIHCS) approach (136)

Susan Kamal, PMU Lausanne, Switzerland

The Global Applicability of SHARE THE CARE™: An evidence-informed caregiving program (108)

Sheila T. Warnock, Founder & President, Alene Hokenstad, Senior Director, IPRO and Board

Member, ShareTheCaregiving, Inc, USA

Shared Decision Making: changing perspectives in Chronic Care

Antonio Heras Gómez, IMSS, México

Alameda

4&5

3.2 People-centred care and Integrated Care for older people in practice

Chaired by

Prof David Perkins, Director, The Centre for Rural and Remote Mental Health (CRRMH),

University of Newcastle, Australia, IFIC Board Member and IJIC Editor

Addressing the challenges of aging population in Latin America: What can integrated care offer?

Luis Miguel Gutierrez Robledo, Director, National Institute of Geriatrics

One Client, One Team: Healthcare integration for older adults with complex care needs: how

small steps can lead to transformation (150)

Stacey Daub, Chief Executive Officer, Toronto Central Community Care Access Centre

Jodeme Goldhar, Chief Strategy Officer, Toronto Central Community Care Access Centre


Independent living for older people: What could we learn from Switzerland? (181)

Laura G. González Ortiz, Università della Svizzera Italiana, Switzerland

New ways of working: Multi-level health benefits of an integrated approach to falls prevention in

New Zealand (169)

Ken Stewart, Canterbury District Health Board, New Zealand

Alameda 3

3.3 Assessing Integrated Care and Person Centre Care

Chaired by


Identifying and mobilising knowledge of 'what works' in an integrated care programme (134)

Dr Abeda Mulla, Strategy Unit - Transformation Team, Midlands and Lancashire Commissioning

Support Unit, United Kingdom



Indicators and measurement tools for health systems integration: Results from a knowledge

synthesis (128)

Esther Suter, Director, Workforce Research and Development, Alberta Health Services, Canada

Patient/User Perceptions on the Principles of Integration (143)

Maria Alice Lima, Full Professor at the School of Nursing/Federal University of Rio Grande do Sul,

Brazil

Using a person-centered clinical method: results on patient satisfaction (212)

Carolina Delgado Dominguez, Universidad Veracruzana, Mexico

The structure and effectiveness of health systems: Exploring the impact of system integration in

rural China (106)

Xin Wang, Shandong University, China

Alameda 6

3.4 Integrated and people centred care in Mexico and Spain: Key lessons learned of the

implementation process

Chaired by

Marianne Samuelson

The Journey from a Chronic Care Program toward an Integrated Health and Social Care Model in

Catalunya.

Joan Carles Contel, Programa Prevenció i Atenció a la Cronicitat, Departament de Salut Catalunya

The quest to integrated care in Mexico: Challenges and opportunities.

Dr. Galileo Pérez-Hernández, President, CONAEMI.

Reflections about the implementation process on integrated care: What can we learn about

Mexico and Spain experience?

Dr Albert Ledesma Castelltort, Director, Pla interdepartamental d’atenció i interacció social i

sanitaria, Generalitat de Catalunya

Juarez Room

3.5 Working with systems, networks and institutions to enable Integrated Care (Part 1)

Chaired by



The influence of political processes of health systems reforms based on primary health care in

institutional and organizational innovations and health services performance: a case study of

three municipal settings in Argentina and Bolivia (178)


Ernesto Báscolo, National Scientific and Technical Research Council (Consejo Nacional de

Investigaciones Científicas y Técnicas - CONICET


Comparing the performance of the public social security and private health sub-system in

Rosario, Argentina (202)

Ernesto Báscolo, National Scientific and Technical Research Council (Consejo Nacional de

Investigaciones Científicas y Técnicas - CONICET

The evolution of regional health systems in Singapore (207)

Prof Jason Yap, Associate Professor, Saw Swee Hock School of Public Health, National University

of Singapore and IFIC Board Member

Engineering performant, innovative and sustainable health systems: an integrated approach (157)

Raphael Wouters, Enterprise Architect & Management Consultant, Xeneo, Belgium/Ireland

1.00pm

Lunch, exhibition, posters, workshops and networking

Lunchtime Special Sessions

1.00pm –

2.00pm

Revolucion

Foyer

Guided Poster Walk supported by the Integrated Care Academy ©

Led by Dr Viktoria Stein, Head of Education and Training and the Integrated Care Academy ©,


1.30pm –

2.30pm

Alameda

4&5

International Expert Symposium: Advancing the agenda of people-centred, integrated palliative

care

Supported by the International Association for Hospice and Palliative Care (IAHPC) and the

NewHealth Foundation

Chaired by

Dr Emilio Herrera, President, NewHealth Foundation

A number of international experiences are showing the way to true integrated palliative care,

proving compassionate social care models which empower families and carers and align

professionals and resources to provide high-quality integrated care to end-of-life patients. Which

are these? What can we learn from them? What trends can be identified in palliative integrated

care?

1.00pm –

2.00pm

Lunchtime Workshop: Developing the abilities to empowering people (211)


Juarez Room Chaired by

Carol Vértiz Kroetzsch, Proyecto Kookay Bienestar Integral, Mexico

The aim of this workshop is to introduce the healthcare professionals to the core principles of the

people-centred approach first described by Carl Rogers (congruence, empathy and unconditional

positive regard) and to the Humanistic and Motivational Interview and through practicing this

principles develop the abilities to ease empowerment in their patients.

1.30pm-

2.30pm

Revolucion

Room

Sponsored Lunchtime Workshop: The response of technology to a maturity model for

integrated care

Sponsored by IBM Watson Health

Dr Hector Upegui, Global Business Development Executive, Health and Social Programs, IBM

Watson Health

Did you realize that today's technology generates on average of 12 Terabytes of health related

data per day? That's equivalent to 40 million of books of 100 pages full text. Can you imagine

harnessing cognitive computing that can consume millions of pages of natural language text in

seconds, in order to aid decision makers?

Technology is certainly changing, but so is the way in which individuals are interacting with

knowledge and science. As citizens and consumers, individuals have higher expectations;

demanding more from society. Care is a perfect example of this shift - moving from isolated to

integrated. This session will present a maturity model for integrated care that matches

technology to the different levels of maturity, while reflecting on steps to implement change.

2.30pm –

4.15pm

PARALLEL SESSIONS 4

Alameda 3

4.1 Integrated People-Centred Care in Practice

Chaired by


HIV, excellent overall health and the need for Integrated Care (184)

Michael Goodman, University of Texas Medical Branch (UTMB), United States


Delivering sustainable spine care in underserved communities: The World Spine Care (WSC)

Charity (www.worldspinecare.org) (158)

Dr Deborah Kopansky-Giles, Professor, Graduate Education and Research, Canadian Memorial

Chiropractic College and Department of Family and Community Medicine, St. Michael's Hospital,

University of Toronto, Canada

http://www.worldspinecare.org/


One Whānau (Family) at a time (166)

Nicola Ehau, Health Hawke's Bay, New Zealand


Practical examples on integrating mental and physical health in Australia

Prof David Perkins, Director, The Centre for Rural and Remote Mental Health (CRRMH),

University of Newcastle, Australia, IFIC Board Member and IJIC Editor

Gold Coast Integrated Care: enabling partnerships (137)

Helen Marie Cooper, Gold Coast Hospital and Health Service, Australia

CASALUD: Preventing chronic diseases through innovative people-centred and integrated care

models in Mexico

Paola Abril Campos Rivera, Operational Solutions Coordinator, Carlos Slim Health Institute,

Mexico

This session will finish 15 minutes late

Alameda

4&5

4.2 Advancing strategies to support care coordination and continuity of care

This session will be presented in Spanish only without translation.

Chaired by

Nuria Toro, Consultant on People-Centred and Integrated Health Services, World Health

Organization (WHO) in Geneva, Switzerland

The development of a successful integrated care model: The Strategy for the care of patients

with Chronic diseases in Madrid (139)

Ana María Miquel Gómez, Coordinator, Strategy for the Care of Patients with Chronic Disease,

Madrid, Spain

Advancement of the national strategy for integrated care in Tuberculosis and Diabetes Mellitus in

Mexico, 2015 (109)

Yazmin Dávila, Cenaprece/Salud, Mexico

Estrategia nacional de atención integrada para la co infección Tuberculosis y VIH en México,

avances al 2015 (112)

Yazmín Dávila, Cenaprece/Salud, Mexico

Revolucion

Room

4.3 Joint Improvement, Evaluation and Change: implementation in practice

Chaired by


Mexico

The European Partnership on Active and Healthy Ageing (EIP on AHA)



Integrating care in FIanders (Belgium): Interim report on the CORTEXS project (175)

Prof Ezra Dessers, Assistant Professor, Centre for Sociological Research, KU Leuven, Belgium

The creative potential of health work to develop an Integrated Care model in Brazilian Primary

Health Care (204)

Dr Debora de Souza Santos, Universidade Federal de Alagoas, Brasil

Integrated Chronic Care model in Mexico: lessons from Implementation

Virginia Molina Cuevas, Mexico

Alameda 6

4.4 Innovations and Policy making that supports integrated care

Chaired by



Mobile Palliative Care units in the state of Aguascalientes, a model of care for terminally ill

patients (172)

Dr Sandra Elizabeth Jimenez Cetina, Institute of Health Services of the State of Aguascalientes

Secretary of Health of Aguascalientes

Configuring Integration Palliative Care Service within the National Health System in Mexico

Dr Andrea Reyes Gutiérrez, Compañeros En Salud México | Partners In Health

Delivering integrated care on a national scale: Future Health and Wellbeing (124)

Valerie Twomey, Health Service Executive, Ireland

Fire as a Health Asset in Integrated Care (163)

Geoff Harris Director of Prevention and Protection, Greater Manchester Fire and Rescue Service,

United Kingdom

Jacquie White Deputy Director - Long Term Conditions (Children & Adults), NHS England, United

Kingdom.

Katie Walkin Project Delivery Manager – Older People, NHS England, United Kingdom

Portability and transferability of social Protection schemes: opportunities and challenges in Latin

America

Martín Gómez Silva, Coordinador de Investigación del CIESS

Juarez Room

4.5 Working with systems, networks and institutions to enable Integrated Care (Part 2)

Chaired by

Fiona Lyne, Director of Communications, International Foundation for Integrated Care (IFIC)


Care continuity in Quebec local health networks

Jeannie Haggerty, PhD, Professor at McGill University, Department of Family Medicine, Montreal,

Quebec, Canada

Integrated Care Networks in Cuba: the role of the first level of care

Dr Mario Augusto Pichardo, Red integrada de servicios en la APS, Minsap, Cuba

Dr Victor Lorente Diaz, Red integrada de servicios en la APS, Minsap, Cuba

Multi-Purpose Services: Model for smaller hospital integrated care (145)

Vahid Saberi, North Coast Primary Health Network, Australia

Integrated Health Service Delivery Networks and the leading role of the hospitals in the Americas


4.15pm –

4.45pm

Revolucion

Foyer


4.45pm –

6.45pm

Revolucion

Room

PLENARY 4 - Joint Improvement, Evaluation and Change

Chaired by


Mexico

Improving quality in Integrated Care: lessons from Scotland

Dr Anne Hendry, National Clinical Lead, Integrated Care, Joint Improvement Team, Scottish

Government

Integrated care and quality in Mexico and Latin America

Dr Enrique Ruelas, Former President of National Academy of Medicine

Joint improvement and change, perspectives from Colombia

Dr Eduardo Guerrero, Universidad de Antioquia, Colombia

Supporting health and social care integration in Catalunya

Dr Albert Ledesma Castelltort, Director, Pla interdepartamental d’atenció i interacció social i

sanitaria, Generalitat de Catalunya

6.45pm –

7.00pm

Revolucion

Room

CLOSING CEREMONY

Closing remarks and Presentation for the IFIC Integrated Care Best Paper Award


Dr Sebastian Garcia Saisò, General Director of Quality and Education in Health, Ministry of Health

of Mexico


Presentation of WCIC4, Wellington, New Zealand

6.45pm

END OF CONFERENCE


Poster Presentations Displayed in Revolucion Foyer Throughout the Conference

Person Centred-care

1. Integrating social determinants of breastfeeding into guidelines: an approach to enhance health

equity in infants (147) by Ruth Waldherr, Technical University Berlin, Germany

People centred-care for Older People

2. Proactively Delaying Frailty (104) by Grace Haeson Park, Fraser Health Authority, Canada

3. Integrating music therapy with social work practice in a home-based program of dementia care: a

participatory action research in China (189) by Yuanjin Zhou, Xiamen University, China

4. Rhythm Wellness (116) Syed Ibrahim, Programme & Artistic Director of OneHeartBeat Percussions,

REMO Endorsee (Drum Circle Facilitator), Village Music Circles Certified Drum Circle Facilitator &

Supported by National Arts Council (Singapore)

Care coordination and care continuity

5. Surveying country alignment to the WHO strategy on Patient Centered and Integrated Health

Services and Surgical Care (185) by Ann Pongsakul, University of Richmond, United States

6. Care transitions from the Emergency Department to home for patients with chronic illness (142) by

Maria Alice Lima, Full Professor at the School of Nursing/Federal University of Rio Grande do Sul,

Brazil [Paper selected to compete for the Integrated Care Award ]

7. Integrative Orthopaedics: Redefining Outpatient Total Joint Replacement Services (188) by Marcia

Friesen, President, Marcia Friesen & Associates, LLC, United States

8. Differences in the Second Admission Choices of the Township Inpatients in China: A Population-

Based Retrospective Cohort Study (155) by Yan Zhang, Huazhong University of Science and

Technology, China

9. Use of Technologies of Integrality in the Care for women within Brazilian primary care network (133)

by Dora Lúcia Leidens Correa de Oliveira, PhD in Health Education. Associate Professor. Graduate

Program in Nursing, School of Nursing, Federal University of Rio Grande do Sul - UFRGS - Porto

Alegre (RS), Brazil

Long term care and integrated care

10. Responding to challenges, A model under transformation: Integrated Care pathway for the patient

multimorbidity and complex needs(140), Ana Miquel Gómez, Gerente Adjunta de Planificación y

Calidad, Gerencia de Atención Primaria.

11. “Prevelencia de ansiedad y depression en pacients con diagostico de enfermedades cronicas no

transmisbles atendidos en le uneme-ec de la ciudad xalapa (210) by Elí García Sánchez, Secretaria de

Salid, Mexico

12. Detección de VIH en personas con Tuberculosis de cualquier forma como estrategia de atención

oportuna en la integración de servicios (117) by Yazmín Dávila, Cenaprece/Salud, Mexico

13. Concordancia en la notificación de casos con Tuberculosis y VIH, una herramienta para fortalecer la

atención integrada de las personas con la co-infección en México (115) by Yazmin Dávila,

Cenaprece/Salud, Mexico

14. Atención integrada en el paciente con diabetes tipo 2 del hospital general de Pachuca campus arista

(107) by Ricardo Daniel Corona Gonzalez, Médico Residente de la especialidad de Medicina

Integrada sede Hospital General de Pachuca, Hidalgo.


Joint improvement, Evaluation and change

15. Developing a patient reported measure of care co-ordination (198) by Dr Nick Goodwin, Chief

Executive Officer, International Foundation for Integrated Care (IFIC)

16. La sociedad de especialistas Medicina Integrada Hidalgo A.C. como facilitadores de la integración de

servicios de salud en el estado de Hidalgo (154) by Rufino Sanchez San Roman, Ministry of health

Mexico, Mexico

17. Comite SIRECO (191) by Javier Diaz MD, ISSTE,Mexico

Mobile and digital solutions

18. Atención Integrada de las Enfermedades Crónicos Degenerativas a través de Telemedicina

Queréretaro (195) by Janelly Arenas Rosas, Secretaria de Salud Querétaro, Mexico [Paper selected

to compete for the Integrated Care Award ]

19. Programa Estatal de Telemedicina Querétaro (197) by Janelly Arenas Rosas, Secretaria de Salud

Querétaro, Mexico

20. Impact of the use of social networks of old people: a cost-utility analysis, by Guadalupe Casales

Hernández, Secretaría de Salud. Subsecretaría de Prevención y Promoción de la Salud. Centro

Nacional de Programas Preventivos

Clinical Work and Management

22. Alert S.O.S Sex,Obesiy and Health (Sexo,Obesidad y Salud) (125) by Eleazar González Arriaga, Sector

Salud-Consulta Privada, Méjico

23. Use of bioelectric impedance analysis as screening test in the detection of disorders of bone mineral

density and they correlation with DXA in CKD (135) by Perla Judith Dorantes Reyne, ISSEA, México

24. Study Case of appendix adenocarcinoma (200) by Kharenny Itzel Benavides Rodríguez, Physician at

ER, current professor at Medical School of La Salle University , Physician at Private Clinic

Providence.Mexico.

25. Integrated Diabetic Foot Clinic, Utility and teamwork (205) by Judith Maldonado Vidales, Hospital

Bernardo Sepulveda, Metropolitano, Mexico.

26. Social representation about entrepreneurship in high education: An empirical study about the

acquisition of entrepreneurial skills with Portuguese nursing student by Pedro Miguel Parreira,

Adunct professor, entrepreneurship office coordinator, Nursing School of Coimbra

27. A nursing staff model: The impact in nursing care by Pedro Miguel Parreira, Adunct professor,

entrepreneurship office coordinator, Nursing School of Coimbra

friday 20 november - ific · care, better patient experience and lower health-care costs. people...

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