As part of the Better Care Fund programme, testing the impact and effectiveness of the new health and care pathways in the community is vital.
Monitoring and evaluating service user journeys through the care system is key to developing a model that works. All partner organisations have committed to having an independent evaluation of the schemes within the Leicestershire Better Care Fund.
These pages provide information about the Simulation to Evaluate Great Care (SIMTEGR8) evaluation project.
The project has been carried out in two phases. Both phases have involved the evaluation of four patient centric service integrations being piloted through the Leicestershire Better Care Fund (BCF). Both phases have also been undertaken as a collaboration between Leicestershire County Council, Healthwatch Leicestershire, Loughborough University and SIMUL8.
Phase One: 2015
The purpose of the evaluation is to evaluate how emergency admissions to hospitals could be reduced and to help improve the patient journey through new integrated interventions.
The schemes evaluated are:
- Older Persons’ Unit
- Integrated Crisis Response Service 24/7 – Overnight Nursing
- Rapid Response Falls Service
- 7 Day Services in Primary Care
Overview of Methodology:
Building on previous research and the three types of SimLean (Robinson et al. 2014) (more information at http://simtegr8.wixsite.com/simtegr8v2/simlean-approach) the project consisted of three key stages:
- Evaluation (Jun-15 to Jan-15)
Building on the concepts of Simlean Facilitate, the project evaluated the four interventions outlined above through rapid modelling of the patient flow and carry out a series of workshops with stakeholders and service users.
- Development (Aug-15 to Feb-16)
Utilising Simlean Evaluate, the project modelled the integrated patient journey for the four interventions and develop a dashboard of key metrics to measure service user experience.
- Testing (Dec-15 to Feb-16)
Through building on Simlean Educate, the project developed an online-based tool for wider use and dissemination for influencing the future design of integrated services.
The final report of the project is available here: Final Report of SIMTEGR8
A presentation following the completion of phase 1 is available here: SIMTEGR8 webinar slides
A webinar given following the completion of phase 1 of the project is available below:
Phase Two: 2016/17
The purpose of the evaluation is to test the impact and effectiveness of the following four integrated service interventions being piloted through the Leicestershire BCF:
Ambulatory pathway at CDU (Glenfield) hospital admissions avoidance scheme for cardio/respiratory patients
Lightbulb housing support service
Help to Live at Home Service
The intensive community support (ICS beds) scheme
For Phase Two, a revised methodology of the SIMTEGR8 phase One project was developed based on the SimLean and PartiSim methodology. Three stakeholder-oriented workshops will be held for each intervention. Simulation models will be developed after discussing the pathways with relevant stakeholders in a facilitated workshop.
These models will be subsequently used in a facilitated workshop environment to generate understanding and discussion around the impact of the current alternative pathways on reducing the emergency hospital admissions and improving user experience, and to identify potential improvements. Patient-centred workshops will be also held as part of each intervention.
The evaluation is being done through the application of facilitated simulation modelling, to support the development of patient centric integrated services to reduce emergency hospital admissions and/or improve the user experience.