Integrated care services: Going beyond "Take two aspirin and call in the morning"

2013 ◽  
Author(s):  
Linzi Cody ◽  
Robert Horn
2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Carme Hernandez ◽  
Albert Alonso ◽  
Judith Garcia-Aymerich ◽  
Anders Grimsmo ◽  
Theodore Vontetsianos ◽  
...  

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  

Abstract Integrated care is seen as a solution for addressing Europe’s changing demographics and dealing with the fragmented delivery of health and care services affecting numerous healthcare systems. The SCIROCCO tool is an online participatory tool which helps to facilitate multi-stakeholder dialogues on progress towards integrated care. It does so by: Defining maturity to adopt integrated care in terms of the Maturity Model developed by the European Innovation Partnership on Active and Healthy Ageing (B3 Action Group on Integrated Care).Assessing the maturity of healthcare systems.Assessing the maturity requirements of good practices.Supporting twinning and coaching for “knowledge transfer” to facilitate the adoption of integrated care and exchange of good practices. Knowledge transfer is seen as mutually beneficial for involved regions to access evidence and learn about integrated care. In SCIROCCO, there are two variants of twinning: the first has the aim of transferring a good practice to the healthcare system, while the second is about the improvement of a particular aspect of a healthcare system in order to improve integrated care maturity. Twinning is becoming ever more popular as an approach, and - in 2019/2020 - is being used in a number of European projects. The SCIROCCO tool was evaluated both quantitatively and qualitatively. Validity and reliability were evaluated using quantitative analyses while usability and perceptions on impact were assessed using questionnaires and focus groups. It was used by more than 60 healthcare organisations in Europe and beyond during 2016-2018. Most recently, it was tested in twinning and coaching activities, which resulted in the development of local Action Plans outlining steps forward on integrated care for the receiving regions. As part of the SCIROCCO Exchange project, an enhanced SCIROCCO tool is developed. This tool will improve existing knowledge transfer activities by allowing for the easy searching of assets on integrated care from a variety of sources, supporting improvement planning and checking evolution towards plans. The objectives of this workshop are: Presenting the main functionalities of the SCIROCCO toolOutlining the results of its overall evaluationDiscussing the experiences that 2 regions have had with using the SCIROCCO tool for knowledge transferPresenting progress and next steps during SCIROCCO Exchange for an enhanced SCIROCCO toolPresenting plans for evaluating the enhanced SCIROCCO toolGathering input from workshop participants on how the enhanced SCIROCCO tool could even better support knowledge transfer in different regions. Key messages The experience of regions and evaluation results demonstrate the benefits of the SCIROCCO tool for facilitating multi-stakeholder collaboration and learning towards improving integrated care. The progress and plans for the SCIROCCO Exchange tool, enhanced with the feedback and suggestions of workshop participants, offer promise for even better support for knowledge transfer.


2019 ◽  
Vol 33 (3) ◽  
pp. 122-129
Author(s):  
Axel Kaehne

Integrating health and social care services remains one of the most difficult undertakings in the field of care delivery. One of the key requirements for success in integration programmes is a shared vision amongst care providers. Shared visions may contain views as to what the new services should look like, how it should operate and what it should be able to achieve. The paper reports findings of an evaluation of a service integration programme in the North of England. It confirms that a programme consensus on issues such as aims and objectives and programme logics is seen by participants as a key to success. Yet, the study also found that there is a specific window of opportunity in integration programmes when participating organisations start on relatively high levels of commitment and enthusiasm which tend to tail off relatively quickly. The paper closes with a discussion about the implications of the findings for programme designers and service planners.


2015 ◽  
Vol 55 ◽  
pp. 11-22 ◽  
Author(s):  
Isaac Cano ◽  
Albert Alonso ◽  
Carme Hernandez ◽  
Felip Burgos ◽  
Anael Barberan-Garcia ◽  
...  

2016 ◽  
Vol 16 (6) ◽  
pp. 353
Author(s):  
Anastasios Rentoumis ◽  
Pantelis Angelidis ◽  
Loannis Fostiropoulos ◽  
Anastasia Ntikoudi ◽  
Georgios Landis ◽  
...  

2018 ◽  
Author(s):  
Michael McCreary ◽  
Armen C Arevian ◽  
Madeline Brady ◽  
Ana E Mosqueda Chichits ◽  
Lily Zhang ◽  
...  

BACKGROUND National recommendations for pediatric integrated care models include improved capacity for care coordination and communication across primary care and specialty mental health providers using technology, yet few practical, short-term solutions are available for low-resource, community-based pediatric integrated care clinics. OBJECTIVE The goal of the paper is to describe the development and features of a Web-based tool designed for program evaluation and clinician monitoring of embedded pediatric mental health care using a community-partnered approach. In addition, a longitudinal study design was used to assess the implementation of the tool in program evaluation, including clinical monitoring and data collection. METHODS Biweekly meetings of the partnered evaluation team (clinic, academic, and funding partners) were convened over the course of 12 months to specify tool features using a participatory framework, followed by usability testing and further refinement during implementation. RESULTS A data collection tool was developed to collect clinic population characteristics as well as collect and display patient mental health outcomes and clinical care services from 277 eligible caregiver/child participants. Despite outreach, there was little uptake of the tool by either the behavioral health team or primary care provider. CONCLUSIONS Development of the H3 Tracker (Healthy Minds, Healthy Children, Healthy Chicago Tracker) in two community-based pediatric clinics with embedded mental health teams serving predominantly minority children is feasible and promising for on-site program evaluation data collection. Future research is needed to understand ways to improve clinic integration and examine whether promotion of primary care/mental health communication drives sustained use. CLINICALTRIAL ClinicalTrials.gov NCT02699814; https://clinicaltrials.gov/ct2/show/NCT02699814 (Archived by WebCite at http://www.webcitation.org/772pV5rWW)


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