Table 2 Description of cases and distinctive elements
| Â | Community A | Community B | Community C | Community D | Community E | Community F |
|---|---|---|---|---|---|---|
Community Descriptors: Context Differences | ||||||
Community type/sizea Approximate population | County of multiple small towns 62,000 | Large city 748,000 | Small town 2700 | Small town 18,000 | Small city 78,000 | Medium city 330,000 |
FHT size | 36 family doctors; 47,000 patients | 21 FTE family doctors; 35,000 patients | 6 family doctors; 6400 patients | 11 family doctors; 15,000 patients | 6 family doctors; 7300 patients | 5 family doctors; 6300 patients |
Availability of programs and servicesb | Many programs and services available although may have to travel to other communities. | A wide range of program and services available within community. | Some programs and services available, although may have to travel to other communities. | Some programs and services available, although may have to travel to other communities. | Many programs and services available within the community. | Many program and services available within the community. |
Huddle Elements: Adaptation Characteristics | ||||||
Huddle size (n; of n disciplines) | 5; of 5 disciplines | Site 1: 8; of 8 disciplines Site 2: 5; of 5 disciplines | 4; of 3 disciplines | 6; of 5 disciplines | 5; of 4 disciplines | 6; of 5 disciplines |
Huddle lead characteristics | Registered Nurse; Existing team member | Site 1: Pharmacist; Existing team member Site 2: Registered Practical Nurse; Newly hired | Physician Assistant; Newly hired | Registered Nurse; Newly hired | Administrative Assistant; Existing team member | Registered Nurse; Newly hired |
Physicians in the huddle | Physician champion often attended. Huddle lead contacted patients’ MRP separately. | Physician champion often attended. Huddle lead contacted patients’ MRP separately. | Physician champion always attended. Most often it was the patients’ MRP. | Physician champion always attended. Huddle lead contacted patients’ MRP separately. | Physician champion always attended. Most often it was the patients’ MRP. | Physician champion sometimes attended. Huddle lead contacted patients’ MRP separately. |
Inclusion of a System Navigator in the huddle | No | Yes | No | Had an outreach nurse. | No | No |
VC attendance in the huddle | Attended regularly | Attended when invited | Attended regularly | Attended when invited | Attended regularly | Attended regularly |
Length of time in Health TAPESTRY | Less than 3 years | More than 3 years | Less than 3 years | Less than 3 years | Less than 3 years | Less than 3 years |
Volunteer Program Elements: Adaptation Characteristics | ||||||
VC’s location | Neighbouring community | Same community | Neighbouring community | Neighbouring community | Same community | Same community |
VC’s connection to the huddle | Integrated into the huddle, often contributed to care planning. | Invited to a weekly meeting outside of the huddle with the huddle leads to discuss specific cases. | Integrated into the huddle, often contributed to care planning. | Invited to participate in some (not all) huddles, connected with the huddle lead as needed. | Integrated into the huddle, often contributed to care planning. | Integrated into the huddle, often contributed to care planning. |
Continued education for volunteers (i.e., Lunch ‘n’ Learns) | Topics: Elder abuse, Dementia, Goal setting, interview/note taking skills, emergency preparedness, Advanced care planning. Also allowed volunteers to share experiences and problem-solve. | Topics: Dementia, System navigation, goal setting, advanced care planning. Also provided program updates and had group discussions. | Topics: TAP-App, Goal setting, Advanced care planning. Also allowed volunteers to share experiences and problem-solve. | Topics: Dementia, COPD, Goal setting Also provided program updates and had group discussion. | No lunch ‘n’ learns. Initial classroom training had extra module on community programs and services. Volunteers were invited to debrief with VC after visits. | Topics: TAP-App, goal setting Also allowed volunteers to share experiences and problem-solve. |
Volunteer role in community connections | Volunteers helped make connections to programs. | Volunteers did not help make many connections to programs. | Volunteers helped make connections to programs. | Volunteers did not help make many connections to programs | VC helped make connections to programs. | Huddle lead provided detailed instructions for volunteers to help make connections to programs. |
Client Experience Elements: Adaptation Characteristics | ||||||
Mode of client recruitment | Invitation mailed to eligible patients. Follow-up phone call to those identified by MRP. | Invitation mailed to eligible patients. Follow-up phone call to those identified by MRP. | Phone call invitation to eligible patients. Mailed invitation package to interested individuals. | Phone call invitation to eligible patients. Mailed invitation package to interested individuals. | Phone call invitation to eligible patients. Mailed invitation package to interested individuals. | Invitation mailed to eligible patients. Follow-up phone call to all. |
Client-friendly TAP-Report sent to each participant | Yes | Yes | Started partway through implementation. | No, contacted client by phone. | Yes | Started partway through implementation. |