Background
Organizational development
Network organizations
Quality improvement models
Methods
Elements of integrated care (part one)
Development process of integrated care (part two)
Expert session
Questionnaire
Results
Expert session
Characteristics | Category | Expert group N = 29 |
---|---|---|
Gender | Male | 41% |
Female | 59% | |
Age (years) | Min – Max | 27 – 63 |
Average (sd) | 44.69 (9.39) | |
< 40 | 28% | |
40 – 50 | 48% | |
> 50 | 24% | |
Years of experience | Min – Max | 2 – 22 |
Average (sd) | 8.36 (4.80) | |
< 5 | 21% | |
5 – 10 | 55% | |
> 10 | 24% | |
Source of expertise | Research | 14% |
Research & practice | 3% | |
Implementation programs | 28% | |
Research & impl. programs | 28% | |
Practice & impl. programs | 28% | |
Dominant background | Professional | 52% |
Organizational/health sciences | 48% |
Questionnaire: Phase descriptions
PHASE 1 Initiative and design phase
PHASE 2 Experimental and execution phase
PHASE 3 Expansion and monitoring phase
PHASE 4 Consolidation and transformation phase
Questionnaire: Elements of integrated care
Rank
|
Weight*
|
Element description
|
---|---|---|
1 | 65.83% | Defining the ambitions and aims of the collaboration in the care chain |
2 | 65.49% | Defining the targeted client group |
3 | 52.46% | Defining and assessing the characteristics of the collaboratively delivered care |
4 | 46.15% | Assuring the leadership commitment of the partners involved in the care chain |
5 | 45.08% | Committing to a joint responsibility for the final goals and results to be achieved |
6 | 42.37% | Establishing dependencies among care partners |
7 | 41.13% | Describing the tasks and authorities of leaders, coordinators and advisory boards in the care chain |
8 | 40.87% | Reaching agreements on referrals and transfer of clients through the care chain |
9 | 40.83% | Signing collaboration agreements among care partners |
10 | 40.34% | Reaching agreements on procedures for the exchange of client information |
Rank
|
Weight*
|
Element description
|
---|---|---|
1 | 52.76% | Realizing direct contact among professionals in the care chain |
2 | 48.36% | Using shared client treatment and care plans |
3 | 47.90% | Bringing specialized nurses into action through the care chain |
4 | 46.92% | Achieving adjustments among care partners by means of direct contact |
5 | 45.11% | Using evidence-based guidelines and standards |
6 | 44.80% | Monitoring successes and results during the development of the integrated care chain |
7 | 44.35% | Reaching agreements among care partners on discharge planning |
8 | 43.85% | Working in multidisciplinary teams |
9 | 42.86% | Ensuring that professionals in the care chain are informed of each other's expertise and tasks |
10 | 42.52% | Gathering data on client logistics (e.g. volumes, waiting periods and throughput times) in the care chain |
Rank
|
Weight*
|
Element description
|
---|---|---|
1 | 50.41% | Using a systematic procedure for the evaluation of agreements, approaches and results |
2 | 49.14% | Flexible adjustment of integrated care corresponding to individual clients' needs |
3 | 47.20% | Monitoring and analyzing mistakes/near mistakes in the care chain |
4 | 46.67% | Reaching agreements on introducing and integrating new partners in the care chain |
5 | 46.40% | Using collaborative education programs and learning environments for the professionals of care partners |
6 | 45.38% | Involving client representatives in improvement projects in the care chain |
7 | 45.30% | Designing care for clients with multi- or co-morbidities |
8 | 44.35% | Collaborative learning in the care chain in order to innovate integrated care |
9 | 43.97% | Developing connections between databases of partners in the care chain |
10 | 43.90% | Making transparent the effects of the collaboration on the production of the care partners |
Rank
|
Weight*
|
Element description
|
---|---|---|
1 | 40.18% | Offering a single collaborative financial contract to financing parties by the collective of care partners |
2 | 39.17% | Linking consequences to the achievement of agreed goals |
3 | 39.02% | Integrating incentives for rewarding the achievement of quality targets |
4 | 29.77% | Structural meetings with external parties such as insurers, local governments and inspectorates |
5 | 29.69% | Sharing knowledge among care partners about effectively organizing sustainable integrated care |
6 | 28.80% | Using collaborative education programs and learning environments for the professionals of care partners |
7 | 28.00% | Monitoring and analyzing mistakes/near mistakes in the care chain |
8 | 27.27% | Developing care programs for relevant client subgroups |
9 | 27.27% | Reaching agreements about letting go care partner domains |
10 | 27.20% | Reaching agreements on the financial budget for integrated care |