From: A cognitive perspective on health systems integration: results of a Canadian Delphi study
Term | Definition |
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Strategy Mental Model – Knowledge Content | |
Targets | functions, services, organizations and/or systems identified for integration |
External clients | characteristics and needs of the populations, patients and/or caregivers who will benefit from integration, and the nature of that benefit |
Goals | primary aims of integration, which may be related to costs, efficiency, productivity, quality of care, patient safety and/or patient outcomes |
Long-term vision | how the services, programs or functions, organizations and/or systems will “look” or operate when fully integrated |
Methods | approaches and enablers for achieving integration – which may be clinical, technological, patient or caregiver-centered, administrative, financial, organizational, governance and/or policy-related – and timeline for implementation |
Evaluation | key performance dimensions and indicators for assessment of the integration initiative |
Strategy Mental Model – Beliefs\Perceptions Content | |
Consequences of integrating | the expected outcomes (positive and/or negative) of integration for one’s self, for other participating individuals and organizations, for external clients, and for the healthcare system |
Appropriateness of selected strategy | the extent of agreement with the selected targets, clients, goals, long-term vision, methods and evaluation approach for an integration initiative |
Integrity of decision-making processes | the extent to which decisions regarding integration are made in a manner that is equitable and transparent |
Readiness for change | the ability and willingness to implement the desired integration initiative |
Relationships Mental Model – Knowledge Content | |
Competencies | the knowledge and skill sets of each team member1 |
Contributions | how each team member contributes to patient health and well-being |
Accountabilities | the activities and results that team members are individually or jointly responsible for |
Interdependencies | how and to what extent the work of each team member depends on or is influenced by another |
Communication | sources of information and how information flows between team members, including frequency and methods for contact |
Relationships Mental Model – Beliefs\Perceptions Content | |
Appropriateness of role structure | the extent of agreement with the content and distribution of roles, including relative accountabilities and communication methods |
Identification with the integration initiative | the extent of self-association with the integration initiative (i.e. the team, partnership, network, etc.) in addition to one’s professional group and organization |
Recognition of shared responsibility | a willingness to share the burden of work and act as a team to contribute to the integration process and/or to the delivery of integrated care |
Importance of client involvement | the extent to which the involvement of patients and their caregivers is considered necessary and beneficial to integration efforts |