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Table 6 Integrative activities representing development phases

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

  ASE MHS POS COPD The integrative activities determining the phases of development
Phase 1 X X X   2a: Reaching agreements on referrals and the transfer of clients through the care chain
X X X   2d: Reaching agreements on procedures for the exchange of client information
X   X   5b: Evaluating the services provided in collaboration with care partners
X X X X 6a: Defining with the care partners the patient-family group targeted by the care continuum
X   X   8a: Defining the collaboration objectives in the care continuum
X   X   8c: Ensuring leadership commitment from the care partners in the care continuum
X   X   8d: Describing the roles and responsibilities of the leaders and coordinators in the care continuum
   X   8e: Formalizing the interdependency links between care partners and healthcare establishments
X   X   9a: Committing together to achieving the clinical objectives targeted by the care continuum
     8b: Signing collaboration agreements between care partners
Phase 2    X   2 h: Using common care and treatments plans across the entire care continuum
  X X X 2p: Using one or more specialized nurses to provide services in the care continuum
X X X X 4d: Respecting evidence-based practice standards
X X X X 6b: Working in interdisciplinary teams
X   X   7b: Making adjustments as needed to the roles of the various care partners
X   X   7c: Ensuring care partners know each others’roles and responsibilities
     7f: Encouraging partner meetings on the whole care continuum
     3 g: Following up on results obtained while developing the care continuum
     2 m: Agreeing on leave plans among care partners
     3d: Gathering information on continuum logistics (e.g. patient traffic, wait times, delays) within the continuum
Phase 3 X X X   1c: Determining the client-family’s required care plan (ITP and IIP) with the care partners
X X X X 1f: Adjusting services throughout the care continuum to respond to specific patient-family needs
X   X   2e: Accessing the databases of all care partners in the care continuum
X   X   3i: Ensuring follow-up of all accident/incident reports related to the care continuum
X X X X 5j: Accessing training programs and learning opportunities for care partners
   X   5 l: Promoting exchanges among care partners to make innovations in services provided in the care continuum
     3j: Applying a systematic method to evaluate approaches used (e.g. care delivery) and results obtained
     7 g: Agreeing on how to introduce and incorporate new care partners into the care continuum
     4e: Ensuring that client representatives participate in care continuum performance evaluations
     3 m: Demonstrating to care partners the effect of the continuum on the care provided
Phase 4 X   X   3i: Ensuring follow-up of all accident/incident reports related to the care continuum
X   X   5e: Sharing knowledge among care partners on effective organization of services in the care continuum
   X   5 h: Offering incentives to care partners to encourage them to achieve quality objectives
X X X X 5j: Accessing training programs and learning opportunities for care partners
X   X   8 h: Reaching agreements on each care partner’s specific areas of care (who does what)
     9 g: Having a single block of funding to distribute across the continuum of care
     5 k: Sharing with care partners the results of achieving continuum objectives
     8 k: Meeting external stakeholders: government agencies, community organizations, etc.
     1i: Using standardized care protocols (e.g. systematic follow-up) adapted to client groups with specific needs
     9c: Agreeing on setting up a financial budget for the care continuum