School for Social Care Research Annual Conference 2016
Date: Tuesday 12 April 2016
Time: 9:45 - 16:30
Venue: London School of Economics (exact venue TBC)
Speakers: Dame Sally Davies (Chief Medical Officer, UK), Dr Josh Wiener (RTI International), Professor Geraldine McDonald (University of Bristol), Professor Jon Glasby (University of Birmingham).
SSCR's Annual Conference will bring together researchers, policy-makers, managers, commissioners, providers, people who use services, carers and practitioners, among others and provide an opportunity to hear about our commissioned studies and implications for adult social care practice.
This event is free to attend. Places are limited so book early to avoid disappointment.
Register now at https://sscr2016.eventbrite.co.uk
Any cancellations should be received by 9 March 2016 by email to email@example.com. Cancellations received after this date - and no-shows - will be subject to a £25 charge.
Improving outcomes following hospital discharge: An RCT examining two patient-centered intervention models for acute stroke patients
Date: Thursday 10 December 2015
Time: 12:30 - 13:30 (lunch from 12pm)
Venue: Tower 2 9.04
Speaker: Professor Paul Freddolino (PSSRU visiting professor/Michigan State University)
Stroke is the fourth leading cause of death in the US and in the UK, and the second leading cause of death worldwide.Almost 1 million acute stroke patients are discharged from U.S. hospitals every year, with the majority returning home. For many stroke patients and caregivers, navigating the transition between hospital discharge and home is associated with substantial psychosocial and health-related challenges. Complex transitions are characterized by hospital readmissions, slow recovery, poor quality of life, unmet informational needs, dissatisfaction with care, and high caregiver burden.
Social workers play a vital role in healthcare systems by providing advocacy, counseling, and coordination of services. Home visits conducted by social workers provide valuable information about the complex social and medical needs of patients in the environment in which they actually live, resulting in greater opportunities to improve their transitional care experience. Thus one intervention aims to improve the transition experience of stroke patients and caregivers through the development of a patient and caregiver-centered social work case management program.
This seminar will discuss a study to test the efficacy of two complementary interventions using a pragmatic, open, randomized clinical trial of 480 acute stroke patients discharged from 4 Michigan hospitals: the personalized case management program (delivered by Social Work Bridge Coordinators) mentioned above which will reduce patient and caregiver needs, improve quality of life, and decrease caregiver burden; and a patient-centered online communication, information and support resource - termed a Virtual Stroke Support Portal (VSSP) - developed through a comprehensive assessment of the information needs of the stroke patient and caregiver stakeholders within the study. The project is now in its second year and is about to begin the pilot phase of the interventions. The presentation will include an overview of the intended sample (inclusion and exclusion criteria), measures, methods and results of the preliminary study of patient and caregiver information needs, and content of the Virtual Stroke Support Portal. Plans for the remainder of the project will also be described.
About the speaker
Paul P. Freddolino, M.Div., Ph.D.,is Professor of Social Work at Michigan State University and Visiting Professor in the Personal Social Services Research Unit at the London School of Economics. He has been involved in evaluation research activities for over 30 years in fields ranging from mental health to geriatric services to community health interventions.
Professor Freddolino earned his academic degrees in the field of sociology – his bachelor’s degree at Notre Dame (1967), master’s degree at Cornell (1970), and Ph.D. at Michigan (1977). Prior to coming to MSU he completed a two-year, NIMH-funded postdoctoral program in mental health evaluation research at UCLA. During his career at MSU he has taught courses in quantitative and qualitative research methods, evaluation practice, administrative practice, and an elective course on technology in social work.
Professor Freddolino has conducted externally funded research in community health, mental health, substance abuse, child welfare, and services for older adults. Recent projects have included an assessment of the effectiveness of a program serving children in foster care who have experienced trauma, and several studies involving technology-based services for low-income older adults. He is currently working on a project at the LSE related to technology tools and technology-supported services for people with dementia and their carers, as well as a randomized controlled trial at MSU of a technology tool for stroke patients and their carers in transition home after hospital discharge.
To register for free, please see https://lsehscformalfreddolino.eventbrite.co.uk.
LSEHSC Formal seminar presented by Rudi Westendorp
Date: Monday 16 November 2015
Time: 12:30 - 13:30 (lunch from 12:00)
Venue: NAB 1.04 (lunch will be in NAB 1.07)
Speaker: Rudi Westendorp, Professor of Old-Age Medicine at the University of Copenhagen and author of the forthcoming book Growing Older Without Feeling Old.
“His book explores key issues arising from our increasing lifespans, and helps to answer some of the burning questions of out time, such as; What do longer life spans mean for the way we organise our societies? How can people best prepare themselves for living considerably longer? Does it help to eat less, or to take hormones, vitamins, or minerals? And what can we learn from old people who remain full of vitality, despite illness and infirmity?”
Care Trajectories for Newly Admitted Skilled Nursing Facility Patients
Date: Thursday 4 June 2015
Time: 12:00 - 13:00
Venue: Wolfson Theatre, NAB LG.01, New Academic Building, LSE
Speaker: Professor Edward Norton
Although it is well established that larger skilled nursing facilities have lower per-patient costs due to economies of scale, it is not known if they also achieve higher quality outcomes. Knowing this would be important both for patients choosing high quality nursing homes, and for regulators who use certificate-of-need (CON) regulations to limit the number of nursing facilities, indirectly resulting in larger nursing homes in states with CON regulations (by 20 beds, on average). Because unobserved characteristics may be correlated with both an individual’s choice of a large nursing home and the quality of that nursing home care, we control for endogeneity of number of beds. We apply a novel instrument by exploiting the average size of SNFs selected by previous patients from the originating hospital. With this instrument, we mimic randomization of residents into more or less "exposure" to larger nursing homes when estimating the effects of size on the quality of care for the post-acute nursing home population. Using national Minimum Data Set assessments linked with Medicare claims, we use a national cohort of residents who were newly admitted to nursing homes in 2009. The instrumental variables analyses examine the effect of facility size on competing risk-adjusted, person-level short-stay measures of quality over the 180 days following admission. After instrumenting for facility size, we found that size is unrelated to mortality.
Professor Norton is a leading expert on long-term care and has significant research experience in this field. Professor Norton joined the University of Michigan in 2008 as Professor in both the SPH Department of Health Management and Policy and in the Department of Economics. He is the Director of the Robert Wood Johnson Foundation Scholars in Health Policy Research at the University of Michigan, and a Research Affiliate of the Population Studies Center. In addition to his affiliations with the University of Michigan, Edward is a Research Associate of the National Bureau of Economic Research in the Health Economics Program.
International perspectives on integration and care coordination
Date: Friday 20 March 2015
Time: 12:30 - 13:30
Venue: 32L LG.04
Speaker: Ellen Nolte, European Observatory of Health Systems and Policy, LSE
The rising burden of chronic illness, in particular the rapid increase in the number of people with multiple health problems, is a challenge to health systems globally. Associated premature mortality and reduced physical functioning, along with higher use of health services and related costs, are among the key concerns faced by policy-makers and practitioners.
There is a clear need to redesign delivery systems in order to better meet the needs created by chronic conditions, moving from the traditional, acute and episodic model of care to one that better coordinates professionals and institutions and actively engages service users and their carers. Many countries have begun this process but it has been difficult to reach conclusions about the best approach to take: care models are highly context-dependent and scientifically rigorous evaluations have been lacking.
This seminar explores some of the key issues, ranging from interpreting the evidence base to assessing the policy context for, and approaches to, chronic disease management across Europe. Drawing on a study of chronic disease management in Europe, the presentation provides insights into the range of care models and the people involved in delivering these; payment mechanisms and service user access; and challenges faced by countries in the implementation and evaluation of these novel approaches.
The video of this seminar can be viewed here.