In this episode of the International Foundation for Integrated Care's podcast series, 'Measuring the Impact of Integrated Care,' Niamh Lennox-Chhugani, is joined by Dr Jason Cheah, Deputy Group CEO (Strategy, Planning and Resourcing) of the National Healthcare Group (NHG) and the CEO of Woodlands Health (WH). He is also Adjunct Professor at the LKC School of Medicine.
Dr Cheah oversees cluster-wide strategy, finance, communications, resourcing and planning functions in NHG. These include driving financial and systemic changes within the Group towards accountable care, implementing capitation design, cost management, and workforce transformation. He also oversees and drives the organisational transformation roadmap and implementation plans for NHG, while also working to strengthen the organization's culture and identity.
07/4/2025
32:13
Measurement Through Teamwork with David Harrison
In this episode of the International Foundation for Integrated Care's podcast series, 'Measuring the Impact of Integrated Care,' Niamh Lennox-Chhugani, is joined by David Harrison, an experienced accountant in the UK's health and social care system and Treasurer of IFIC's board.
David has a public-sector management, economics and commercial background. He is a qualified chartered accountant and MBA who, since qualifying, has worked extensively in the public and private sectors.
David’s advisory work on integrated care dates back to 2016. He is designated as one of NHS England’s integrated care “subject matter experts”, having been deployed in several roles, from policy developer to implementor, by NHS England to support and accelerate the adoption of integrated care in England.
Most recently, David spent four years as chair of a substantial, employee-owned social enterprise, delivering a mix of community health services and primary care services.
Key Moments
In this podcast episode hosted by the International Foundation for Integrated Care, Neve Cahill converses with David Harrison, covering key discussions on measuring the impact of integrated care.
[02:35]They explore the transition to integrated care in England, the collaboration challenges between various health and social care organizations, and the importance of developing impact and outcome frameworks.
[08.33] Harrison highlights the necessity of senior leadership engagement, planning collaboratively to align institutional performance with system-level goals, and fostering trust among partners.
[14:10] How can integrated care systems isolate what improvements are necessary.
[21:40] The importance of collaborative planning so action can be taken early, instead of trying to understand problems when reviewing measurements after the fact.
01/4/2025
29:19
15 Million Years of Healthy Life with Ng Yeuk Fan
In this episode of the International Foundation for Integrated Care's podcast series, 'Measuring the Impact of Integrated Care,' Niamh Lennox-Chhugani, is joined by Dr Ng Yeuk fan, Director of Corporate Development in Yishun Health and Khoo Teck Puat Hospital, Singapore.
Yeuk Fan is a consultant public health physician experienced in health systems and services planning and development. At Yishun Health and Khoo Teck Puat Hospital, he is responsible for Health Systems and Services Planning and Evaluation, Insights and Analytics, Corporate Planning, and Organization Development. He is also Associate Professor in Saw Swee Hock School of Public Health and Duke-NUS Medical School. His interests include integrated and value based care, systems thinking and health systems transformation.
Key Discussion Points
[05:12] – Discussion on real-world examples of integrated care implementation.
[10:45] – Challenges faced by healthcare professionals in adopting integrated care models.
[15:30] – Yeuk Fan shares insights on the importance of patient-centered approaches.
[20:20] – Discussion on how to evaluate the impact of integrated care on patient outcomes.
24/3/2025
27:43
Innovation and Evaluation with Ellen Nolte
In this episode of the International Foundation for Integrated Care's podcast series, 'Measuring the Impact of Integrated Care,' Niamh Lennox-Chhugani, is joined by Ellen Nolte Director of the NIHR Policy Research Unit in Policy Innovation and Evaluation, a collaboration between the LSHTM, the Care Policy Evaluation Centre at the London School of Economics and Political Science, and University of Glasgow
Ellen Nolte is an expert in public health and her research primarily focuses on health services, international healthcare comparisons, and performance assessment, particularly addressing the needs of people with complex and long-term health issues.
Her work also explores person-centred health systems and the role of health system factors in improving care coordination and integration across sectors.
Key Discussion Points
[5:30-9:00] Defining impact in the context of integrated care, including the OECD's broad definition of impact and the nuances of treating integrated care as an intervention.
[9:00-12:00] Discussion on the difference between evaluation impact and the beneficiaries' perception of impact, stressing the need to clarify these differences.
[12:00-15:00] Examination of the policy perspective on integrated care, focusing on cost reduction and the importance of considering the broader impacts beyond just cost savings.
[15:00-18:00] Ellen emphasises the need for context-specific evaluation and the challenges of measuring integrated care across different settings and baselines.
[18:00-21:30] The importance of understanding patient and staff experiences and the relational aspects of care in evaluating integrated care.
[21:30-24:00] Discussion on the significance of allowing space and time for learning and making mistakes in integrated care implementation and evaluation.
[24:00-27:00] Highlighting the shift towards longer-term contracts in integrated care to provide stability and enable local systems to evolve.
18/3/2025
27:04
The Family Caregiver Measurement Gap with Sharon Anderson
In this episode of the International Foundation for Integrated Care's podcast series, 'Measuring the Impact of Integrated Care,' Niamh Lennox-Chhugani, is joined by Sharon Anderson, Research Coordinator at the University of Alberta, Canada.
Sharon is passionate about ensuring that health care providers recognize family caregivers and ask them what they need to care and to maintain their own wellbeing.
Her goal is to increase health equity and improve access of care for all through Analytical Skills methods such as evaluation design (using evidence based approaches) in health services management and research methods using big data.
Key Discussion Points
[3:40] Sharon explains how her experience as a caregiver led her to further studies and research in community rehabilitation, disability studies, and aging family gerontology.
[7:20] A discussion of the difficulties in collecting data on family caregivers, with Sharon noting how electronic medical records often fail to include caregiver information.
[9:45] How current systems collect data more oriented toward what gets financially billed rather than true impact metrics, and the need for better integration of data from different public systems.
[17:00] Sharon argues that if caregiver contributions aren’t measured, they won’t get the necessary attention, and recounts systemic failures where caregiver needs are overlooked.
The International Foundation for Integrated Care has defined nine pillars of integrated care based on the evidence accumulated over the last 2 decades. One of those pillars is Aligned Payments that Promote Integration. This is a difficult subject to understand particularly for policymakers, service managers and health and care professionals working in systems trying to implement integrated care who are not financing and payment experts. This short podcast series features our Chief Executive Dr Niamh Lennox-Chhugani in conversation with four leading practitioners who have been researching and designing new payment models around the world. They demystify the language of payment models and the different models we see emerging in different countries.
Ireland