Regional and National Strategic Challenges

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What key resource is recommended for an integrated care pioneer to access?

International Foundation for Integrated Care website

What type of medications might increase the risk of falling in older people?

Anti-hypertensives, anti-coagulants, and psychotropics

What barriers might healthcare workers perceive in the comprehensive nature of integrated care and CGA?

Time-consuming nature of the process

What should be considered when making decisions about treatment for older people with co-morbidities?

Potential risks of treatment and patient's preferences and goals

Which organization acts as a repository of knowledge and sharing of knowledge around integrated care internationally?

International Foundation for Integrated Care

What type of disorders may increase the risk of falls in older people?

Neurological disorders and musculoskeletal disorders

What should be used when managing polypharmacy in older people?

STOPP/START criteria

What is implied by the phrase 'comprehensive nature of integrated care and CGA'?

The holistic approach to healthcare provision in aging populations

What does PJ Harnett deliberately do when receiving calls from random individuals?

Deliberately fields those calls to understand people's thinking and issues they encounter

What does Isweri Pillay express about the accessibility of PJ Harnett?

He is very accessible, which is a lesson to all of us

What sentiment does Isweri Pillay concur with regarding PJ Harnett's work?

It is one of the best pieces of work she has experienced

What does PJ Harnett express about speaking about integrated care?

It has been a mission and a joy for him to speak about it

What is the main focus of the national clinical program?

Improving healthcare for older people

According to PJ Harnett, what would be the biggest single change they would make if they were to do it all again?

Engagement with older people in redesigning services

What is the central theme of the work that the program is entering into?

Engagement with older people

What kind of data was gathered through the 'your voice matters' project?

Patient data related to involvement in care, coordination, and understanding of their care plan

What does the feedback from individual families and others highlight about the integrated care pathways?

The extent of family involvement in the process

According to Isweri Pillay, what is at the core of integrated care pathways?

Patient-centered care

What does PJ Harnett mention as a significant aspect of the new phase of work?

Ramped-up engagement with older people

What example does PJ Harnett give to support the idea of rebooting what it means to be a public service?

'Your voice matters' project in Canada

What does PJ Harnett highlight as a key factor in rebooting what it means to be a public service?

'Your voice matters' project feedback

What feature does PJ Harnett mention as really making a difference to a family during their experience with integrated care pathways?

Involvement in the process for developing care plans

What did Isweri Pillay ask if they knew about patients' perspective on integrated care systems?

Patient data related to involvement in care, coordination, and understanding of their care plan

What perspective did a leader from the patient group deliver during the most recent networking event?

Perspective on patient-centered care

What is one of the strategic challenges at a regional level?

Competing demands on people's time

Why is committing to a strategic change difficult for people in an acute hospital?

Multiplicity of competing demands

What are some challenges at a national level according to the text?

Recruiting sufficient numbers of staff

Why is working in a health system not always attractive to potential recruits?

Inevitability of day-to-day crises

What does the speaker mention as distinct about the current focus on older people compared to six or seven years ago?

Transformational effort focused on older people

Why is giving time to a strategic change difficult for people in an institution like an acute hospital?

Inevitability of day-to-day crises

What has gained prominence compared to five or six years ago according to the text?

Older people as a distinct group

What might be a challenge around getting people to work in a health system?

Inevitability of day-to-day crises

What does the speaker believe depends on where you sit in the organization?

Strategic challenges' priority

Why is it challenging to attend to competing demands at a regional level?

Time-critical activities

What might hinder the ability to give time to strategic changes according to the text?

Time-critical activities

What has gained momentum recently according to the text?

Older people as a distinct group

Explore the strategic challenges at regional and national levels, including competing demands on people's time, time-critical activities in institutions, and committing to long-term strategic changes. Understand the complexities of managing strategic change in different contexts.

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