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Table 1 Dimensions of practice according to the DMIC

From: Implementation of integrated services networks in Quebec and nursing practice transformation: convergence or divergence?

Dimensions Definitions
Patient-family centered care Care delivery tailored and adapted to the needs of patients and families and information about care exchanged between patients/families* and care providers.**
Delivery system Continuum of care organized for patients and families: coordination mechanisms and procedures to optimize all services; agreements and arrangements to provide care from admission to the end of the care episode.
Performance management Measurement and analysis of services provided in a care pathway, based on established performance objectives, use of standard indicators, financial performance, accident and incident reports, and feedback; takes into account evaluations done by patients and families.
Quality of care Evidence-based interdisciplinary care provided in response to patient-family needs and preferences.
Result-focused learning Culture of continuous improvement of outcomes; involves definition of collaboration objectives, identification of potential improvements to care, learning strategies and knowledge exchange, and incentives to encourage improvement.
Interprofessional teamwork Interdisciplinary work with a patient-family group defined by professionals who collaborate within organized and integrated teams.
Roles and tasks Clarification of the roles and responsibilities of all partners involved in the services; effective collaboration among them and tasks well coordinated.
Commitment Individual professionals’ commitment to defined objectives, intention to contribute, and knowledge regarding the nature of working within a care continuum.
Transparent entrepreneurship Innovation, experimentation, leadership in matters of performance, financial agreements among partners, and partner transparency.
  1. *Patient-family centered care: Expressed as ‘client-centered’ care in the DMIC, term adapted in the Quebec study to encompass patients and families.
  2. **Care providers refer to persons rendering nursing, medical, and professional care to patients and families across the entire care pathway.