Table 4 Crucial elements for phase transitions
From: A survey study to validate a four phases development model for integrated care in the Netherlands
Element | N = 30 | N = 30 | N = 8 |
|---|---|---|---|
1- > 2 | 2- > 3 | 3 - > 4 | |
Assuring the leadership commitment of the partners involved in the care chain | ++ | ++ | + |
Allocating financial budgets for the implementation and maintenance of integrated care | ++ | ++ | + |
Installing a coordinator working at chain-care level | + | ++ | |
Reaching agreements among care partners on tasks, responsibilities and authorizations | + | ++ | |
Developing a multi-disciplinary care-pathway | + | + | |
Offering case management for clients with complex needs | + | + | |
Defining the ambitions and aims of the collaboration in the care chain | + | ++ | |
Installing improvement teams at care chain level | + | ||
Guiding the care chain by emphasizing a collaborative commitment | + | ||
Achieving adjustments among care partners by means of direct contact | ++ | ||
Creating an open environment that encourages experiments and pilot projects | ++ | ||
Using a systematic procedure for the evaluation of agreements, approaches and results | + | ||
Stimulating a learning culture and continuous improvement in the care chain | + |