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OBH and Centene UK launch new publication on the Evaluation of Outcomes Frameworks for use in Integrated Care Systems

The paper launched in April reviewed 5 outcomes frameworks, including the NHS Outcomes Framework (NHSOF) and The Quality and Outcomes Framework (QOF), with the aim of understanding the technical measure integrity and viability behind each indicator. OBH drew from their clinical, analytics and NHS data experience to capture considerations such as data availability, accuracy and robustness over time.

Whilst publicly available frameworks can be used for a range of purposes including monitoring quality, benchmarking providers against one another and to highlight variation in care provision, the paper argues that these frameworks are less effective when measuring and monitoring outcomes at a local-level. OBH recommends a greater focus on outcomes, a well-defined and locally configured segmentation model, local agreement on outcomes across the health and care system, as well as the use of local linked datasets, across all providers to allow the measurement of true outcomes in near-real time.

The official launch of the paper took place at the NHS Elect event in April on “Reflections on Delivering Integrated Care in the NHS”, where CEO Rupert and Senior Health Outcomes Analyst Ellie presented the findings. The event featured presentations from Centene about their work in the UK, as well as case studies from across the NHS Elect network. The full paper can be found on the Resources page on our website.

Rupert speaks at PCC event on Measuring Outcomes in Integrated Services

In April, CEO Rupert spoke at the Primary Care Commissioning event on “Measuring outcomes in Integrated Services”.

The event covered various themes including population segmentation, outcomes measurement for the currently healthy population, contracts to secure integrated service provision, as well as the financial considerations of implementing integrated services. Delegates included CCG chief officers, directors of commissioning and directors of finance.

Read more here.

CEO Rupert invited to join the Strategic Advisory Board for the All Party Parliamentary Group for Longevity

We are delighted to announce that in April, CEO Rupert was invited to join the Strategic Advisory Board for the All-Party Parliamentary Group (APPG) for Longevity, chaired by Lord Filkin.

The APPG aims to address the scientific, technological and socio-economic issues related to the growing ageing demographic to promote living younger, healthier and longer lives, in line with the Industrial Strategy Grand Challenges. The group will facilitate a cross-disciplinary exchange about the advantages of longevity within an ethical, citizen-centred framework, and develop practical guidance and recommendations for the UK government.

At the first Strategic Advisory Board Meeting, Rupert was invited to speak about OBH’s work identifying the ‘currently healthy’ population, and the measurement of outcomes for this specific population group. Whilst health and care systems have generally succeeded in prolonging life in recent years, a whole population, objective, system-level understanding as to whether or not these ‘extra years’ have been lived in good health has yet to be determined. Rupert conveyed the importance of metrics such as HealthSpan and Healthy Lifespan Index in addressing the unsustainable rise of health and care costs. Such metrics are excellent markers of prevention and indicators of progress in achieving several key national targets.

COO Juliana to give a keynote speech at the HIMSS Hospitalar Forum in Sao Paulo, and joins Department for International Trade on a trade mission to Brazil

We are excited to announce that COO Juliana will be giving a keynote speech under the Health Analytics vertical on 24th of May 2019 at HIMSS Hospitalar focusing on “Digital Health – Prediction, Prevention and Precision Care”. She will share OBH’s experience in the UK and discuss the application of population segmentation and advanced analytics to measure Healthy Lifespan. The event remains the most influential event in the Latin American healthcare segment, exhibiting over 1,200 companies and 85,000 delegates from 50 countries, discussing the latest innovations in health and care.

Whilst in Brazil, Juliana has also been invited to attend several meetings with key local stakeholders, facilitated by the DIT Brazil together with the UK Consulate in Sao Paulo. We are delighted for Juliana to have the opportunity to join another international mission, and would like to thank DIT Brazil for their ongoing support.

CEO Rupert speaks at IBM Watson event on AI and Data Analytics

In March, CEO Rupert spoke at the IBM Watson Health event on the role of Artificial Intelligence and Data Analytics in transforming healthcare.

Rupert discussed the importance of linking clinical, cost and operational datasets to ensure timely outcomes reporting, as well as how the unlocking of data could help achieve better, informed care decisions across pathways. He also emphasised the need to measure outcomes for healthy populations in addition to those who are already being treated for an illness, stating that this was an essential step forward in the proactive analysis required in order to effectively implement targeted prevention strategies.

The event, hosted at the King’s Fund and delivered in partnership with IBM Watson Health, discussed the latest opportunities that science and technology can bring to health and care, including their role in actioning the government’s focus on prevention outlined in the NHS Long Term Plan.

Faculty of Clinical Informatics appoint Nasrin and Rupert as Fellows

We are delighted to announce that in February, CEO Rupert and CTO Nasrin were accepted as Fellows of the Faculty of Clinical Informatics!

The faculty was established as the professional membership body for all clinical informaticians within the UK – formed of a group of health and social care professionals, who through their specialist knowledge around data and information technology, can assist in the delivery of safe, person-centred care.

The FCI aims to establish clinical informatics as a recognised profession, develop professional standards, provide training and accreditation for individuals and courses, and support recruitment and careers in clinical informatics.

CEO Rupert Speaks at NHSE Population Health Management Community of Practice event

In December, Rupert spoke at the third Community of Practice event for population health management leads across ICSs, organised by NHS England’s System Transformation Group.

The event began with updates from the group, followed by the keynote session focusing on enablers and outcomes of integrating health and social care at an international level. The afternoon sessions allowed delegates to participate in a variety of workshops, with topics including the measuring of health outcomes, the role of an integrated care record in supporting PHM, as well as segmentation and integration.

Speaking specifically on the measurement of health outcomes, Rupert discussed the particular segmentation requirements for outcome measurement. This included how OBH ‘segments’ populations using a version of the Bridges to Health model, built around the unique features of NHS health and care data. This evolved into an interesting discussion around child health and young adults, notably on how population segmentation requirements may fundamentally differ for this cohort.

OBH support multiple Long-Term Conditions programme with King’s College London

In November, OBH started a new programme of work with King’s College London, on understanding multiple Long-Term Conditions in Lambeth and Southwark, funded by Guy’s and St Thomas’s Charity (GSTTc). The programme aims to explore and understand people who are at high risk of developing multiple long-term conditions, and delay their onset or prevent the development of multimorbidity.

OBH have been building models around defining, identifying and understanding people with long-term conditions as part of their work on the development of the Bridges to Health segmentation data model. They will be bringing this expertise to the programme, and expanding the evaluation and analysis to deep dive into multimorbidity. With both national and international approaches to defining a LTC and multiple-LTCs varying significantly, the initial stage of the project involves developing and collectively agreeing upon a definition. This is a crucial part of any work on multimorbidity as stated by the recent Academy of Medical Sciences report on multimorbidity. The long-term conditions that will be defined in scope of the programme will be included based on those conditions that impact people’s lives, that are highly prevalent, and that are most referenced by national and international sources.

We look forward to working with GSTT Charity and King’s College through the duration of this programme; with the ambitious vision of further understanding progression, and delaying or preventing the onset of multimorbidity.

The official launch of the OBH Clinical Associates Network!

This December saw the official launch of the OBH Clinical Associates Network!

CEO Rupert spoke to a full house as he welcomed everyone to the event, beginning with a brief overview of our work on value, outcomes and population segmentation across the NHS over the last 5 years. This was followed by presentations from our two guest speakers. Ivan Beckley (UCL Medical student, MSc Data science) firstly discussed his incredible journey so far as a medical student, including his experience as an intern at OBH, as well as his thoughts on AI and it’s role within the future of the NHS. Toby Colgate-Stone (Consultant Orthopaedic Trauma Surgeon and OBH Clinical Associate) then followed, providing a fascinating talk around his work at King’s College Foundation Trust, discussing ways in which he has seen and experienced the implementation of value on the front-line.

It was fantastic to see so many people interested in being part of the value-based community in the UK. We look forward to hosting our next Clinical Associates Network event soon!

If you are a clinician/medical student interested in joining the OBH Clinical Associates Network, visit the page on our website to find out more.

CEO Rupert speaks at King’s Fund Annual Conference

CEO Rupert joined IBM’s Chief Health Officer Dr Kyu Rhee, IBM’s Chief Medical Officer Dr Mark Davies and IBM’s Senior Healthcare Consultant, Alan Campbell in a panel discussion on the first day of the King’s Fund Annual Conference.

With a specific focus on the way in which NHS England’s Health Systems Support Framework can support population health and integrated care, the panel discussed data and analytics readiness, data governance challenges, and the importance of including the entire population and their needs in that analysis. Following the Secretary of State for Health and Social Care’s Prevention Strategy, an important focus on primary prevention for people who are currently in good health was also discussed. Using data analysis techniques such as machine learning and AI, integrated care systems can have the insights that will enable them to understand those most at risk of developing long-term conditions, for example, and interventions that are most likely to delay their onset of chronic conditions.

The session was part of the two-day King’s Fund conference focusing on population and public health, finance and funding, integrated care systems and the relationship between the public and the NHS.