Table 3 Illustrative quotations for final quality indicators for CCNs for PSS/FD
Quality Indicator | Structure/ Process/ Outcome | Ideas |
|---|---|---|
Shared vision of care for PSS/FD | Structure | “Client experiences network of care rather than separate caregivers who seem to contradict each other” |
“Shared vision” | ||
“It is important that the disciplines within the network deal with the client’s complaints in the same way, i.e. all being on the same page and coming across as one to the client” | ||
Pathways tailored to the individual patient | Process | “Presence of care plan or care map” |
“Is customization possible or only standard care pathways etc.” | ||
“There is room to make adjustments to treatment goals during treatment.” | ||
Sufficiently-experienced caregivers for PSS/FD | Structure | “Knowledge and experience in the field of PSS” |
“Caregivers are competent” | ||
“Expertise” | ||
Shared decision-making with patients | Process | “Is the ‘Deciding Together’ model being used?” |
“Information exchange regarding treatment methods, but also reactions of clients” | ||
Open communication between healthcare providers | Process | “Sincerity” |
“Open culture so that questions dare to be asked and this is encouraged that repeated consultation/questioning is okay and allowed” | ||
“Referrals and feedback to each other” | ||
“Sharing knowledge and experiences” | ||
“Way of communicating is established” | ||
“Short lines” | ||
Awareness of the expertise of other disciplines | Structure | “If a healthcare network knows very well what they can and cannot treat” |
“Knowing each other allowing you to coordinate care in advance in a care pathway” | ||
“Easy transfer of patients if another treating colleague can do it better” | ||
“Being well-versed in the expertise of colleagues in the network” | ||
Multidisciplinary consultation | Process | “Joint treatment evaluation” |
“Multi- / interdisciplinary patient consultation” | ||
“Being able to work in a multidisciplinary way also in the first line with colleagues who also have knowledge of PSS. Because there is more knowledge, treatment can get off the ground faster and healthcare providers work together more efficiently.” | ||
Acceptable waiting times for intake, diagnosis and treatment | Process | “Decrease wait time to intake, wait time to diagnosis and advice and wait time to initial treatment” |
“Waiting lists for the various links in the care chain” | ||
“Pathway of diagnostics takes shorter time” | ||
“Rapid start of treatment after diagnosis of PSS” | ||
Multidisciplinary involvement in diagnostics | Process | “Interdisciplinary diagnostics” |
“A multidisciplinary intake with physiotherapists, occupational therapist, medical social worker and a psychologist - and on indication a speech therapist, a dietician, etc.” | ||
“Deploy a rapid broad intake and help in multiple areas simultaneously” | ||
Active collaboration with somatic specialists | Process | “Connecting to treatment in specific PSS clinics/teams” |
“Neurologist who is easily approachable” |