Innovative Health Programs

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Innovative Health Programs

Washington Apple Health and Healthplanfinder (US), Ontario's ASAP by AGE WELL, and Liverpool City Council's eMar system are three case studies surrounding innovative health programs from developed nations. Their details are outlined below.

WASHINGTON APPLE HEALTH AND HEALTHPLANFINDER (US)

CONTEXT

INNOVATION PROGRAM COMPONENTS

OUTCOMES AND LESSONS LEARNED

ONTARIO ASAP BY AGE WELL (CANADA)

CONTEXT

INNOVATION PROGRAM COMPONENTS

OUTCOMES AND LESSONS LEARNED

LIVERPOOL CITY COUNCIL-eMAR (UK)

CONTEXT

INNOVATION PROGRAM COMPONENTS

OUTCOMES AND LESSONS LEARNED
Sources
Sources

Quotes
  • "When the Affordable Care Act (ACA) was signed into law in 2010 with an individual mandate, Washington was already well poised for implementation, having attempted, and learned from, its previous universal coverage experiment."
  • "This case study will highlight the innovative range of options available through Apple Health, Washington’s Medicaid program, to provide upstream and population-level health improvement to its residents statewide. "
  • "Healthier Washington is a multipayer, integrated care model designed to improve individual and population health throughout Washington. Its main goals—improving care coordination, population health, and health care delivery payment—called for a fundamental change to the way health and health care was viewed and delivered in the state."
  • "Despite the aforementioned accelerators driving progress, even states as innovative as Washington face a number of barriers when attempting to transform such a complex system. ...It is important to point out that many of these barriers exist because of the nature of Washington’s health system transformation, and many will likely be resolved over time as they are better understood."
  • "Lessons Learned Since few states have achieved the level of success Washington has so far reached, many of the lessons learned about health system transformation have come through Washington’s own trial and error. The lessons described below may serve to guide other similar states through the murky process, as well as inform the planning processes of states that are just beginning their transformation."
Quotes
  • "The Washington Health Benefit Exchange today announced that 209,802 customers used Washington Healthplanfinder to purchase a Qualified Health Plan (QHP) for 2018 coverage during the most recent open enrollment period. This total is a nearly three percent increase over last year and is 50 percent higher than the number of enrollees recorded following the first open enrollment period in 2014."
  • "The report offers a comprehensive look at the more than 1.72 million Washington Healthplanfinder customers who are enrolled in health and dental coverage as of Feb. 2018, including the 1.5 million residents currently enrolled in free coverage through Washington Apple Health (Medicaid MAGI/CHIP)."
  • "Enrollees are using tax credits to get more coverage. Nearly 26,000 customers enrolled in a gold-level QHP for 2018 coverage – an 82 percent increase over the 14,000 customers enrolled in gold-level plans last year. This shift up in metal level coincides with average monthly tax credits increasing by $75 over last year to climb to $263 per person."
  • "About Washington Apple Health In Washington, Medicaid is called Washington Apple Health. Coverage is free and available year-round for those who qualify. Since the Affordable Care Act launched in October 2013, more people have access to preventive care, like cancer screenings, treatment for diabetes and high blood pressure, and many other health care services they need to stay healthy."
  • "Apple Health clients enroll and renew online using Washington Healthplanfinder. Apple Health is administered by the Washington State Health Care Authority: www.hca.wa.gov."
Quotes
  • "A new website is helping consumers choose GPS technologies that can locate loved ones with dementia who wander. In 2014, the number of people reported missing in Canada due to wandering was 1,528. "
  • "The site allows caregivers to compare GPS-based locator devices and other types of tracking technologies. The project was led by Dr. Lili Liu of the University of Alberta, with support from AGE-WELL and the Alzheimer Society of Ontario (ASO). It is part of ASO’s Finding Your Way® program, funded partially by the Province of Ontario."
  • "The volunteer-based Community ASAP service and app being developed by Dr. Liu’s team will put the Alberta legislation into action in Calgary and the surrounding area. The ultimate vision is a Canada-wide service."
  • "The Community ASAP project is timely as the federal government works toward finalizing a national dementia strategy, while also having a call and petition from Canadians asking for a National Silver Alert Strategy."
  • "Dr. Liu, Beleno and others from AGE-WELL have partnered with the Centre for Aging and Brain Health Innovation, police, community organizations and community members in Calgary, Ontario and British Columbia to test the Community ASAP alert system."
Quotes
  • "The plan is for Community ASAP to recruit thousands of subscribers across Canada. In this way, the program will act as an awareness campaign in its own right: a call to action that will educate those who wouldn’t necessarily know about dementia-related wandering."
  • "“We feel that if the community thinks it’s important, and the end-users and people affected by dementia-related wandering see this as important, then through our advertising and publicity campaign, Community ASAP should stick and capture the interest of the general public,” says Dr. Liu."
  • "Though the alert system is still being tested, its founders are looking ahead to how the service could have an even broader impact. Ron is hopeful that in the future Community ASAP will be implemented to help other populations, such as children with autism that go missing. "
  • "And Dr. Liu’s team is establishing an international research group that will collaborate on how the Community ASAP model may eventually traverse boundaries between countries."
Quotes
  • " Liverpool City Council worked with the 20 care homes who have had the most serious safeguarding incidents around medicine management to reduce medication errors and free up care home staff time."
  • "The project originally planned to introduce an Electronic Medicines Adherence Record (eMAR). This would have allowed medicines to be scanned and logged into a system, allowing for an automated reordering process. "
  • "CHALLENGES AND LEARNING Engaging with care homes and signing them up to the eMar approach was more challenging than originally envisaged with operational challenges described below. The decision was taken not to enforce a choice of solution but to let the homes decide for themselves which eMar solutions to adopt via the Liverpool Care Homes Partnership, a Community Interest Company to empower care homes to make their own decisions, rather than the council dictating the solution."
  • "The result was that nine homes decided on the Cura medication module and four chose PASSsystem, a product from from Everylife Solutions. "
  • "OUTCOMES The project has catalysed change and built confidence in the use of eMeds systems. The approach is aligned with the renewed push to provide better community support."
  • "FUTURE SCOPE The goal is still to address 90 homes in the long term and further funding is being secured to achieve this. "