Anticipatory Care

Anticipatory Care [AC]:   Actions 2022:

• Workplan established
• Baseline mapping for current AC delivery in ICP and places – to continue
• Establishing working groups around finding (Ageing Well PHM tool linking to HI toolkit), supporting (PCSP tools) and measuring what matter (ICARE outcomes framework).
• Set up a PCN reference group
• Test out AC ‘enabling’ tools for population segmentation
• Test out AC outcomes framework
• Test out PCSP with UPC colleagues via Year of Care pilots
• Explore and test out digitalized PCSP across the region via GNCR/HIE focusing on EoL and palliative care
• Establish an ICS Anticipatory Care plan for Q3 2022

See diagram structure.