Index

How to Deliver Integrated Care

ISBN: 978-1-83867-530-1, eISBN: 978-1-83867-527-1

Publication date: 11 January 2021

This content is currently only available as a PDF

Citation

(2021), "Index", Kaehne, A. and Nies, H. (Ed.) How to Deliver Integrated Care (European Health Management in Transition), Emerald Publishing Limited, Leeds, pp. 183-192. https://doi.org/10.1108/978-1-83867-527-120211017

Publisher

:

Emerald Publishing Limited

Copyright © 2021 Axel Kaehne and Henk Nies. Published under exclusive licence by Emerald Publishing Limited.


INDEX

Accountability
, 101–102

Activation
, 47

Activity-based payments
, 24–26

Actors
, 82–83, 90

Adaptation
, 3

Adaptive approaches to leadership
, 53–54

Additional payment
, 19–20

Adoption
, 116–117, 120

Ageing Well in Digital World AAL programme
, 119

Agency
, 141

Alternative funding
, 23, 26, 29, 31

Alternative payment
, 19–20

Asset-based approaches
, 4

Base funding
, 20, 23–25

Base models
, 29–30

Base payment
, 19–20

Behaviour
, 44

prosocial
, 83–84

Beta test
, 121–122

Better Evaluation collaboration
, 176

Boundaries
, 78

Brainstorming
, 63–64, 68

Brainwriting
, 86

Budgets
, 19

capitated budgets
, 25

pooled budgets
, 28

Bundled payments. See Episode-based payments

Capitated budgets
, 25

Care

community care
, 13

hospital care
, 31, 168

nursing care
, 26

primary care
, 25, 65

social care
, 15, 18–19

Care integration
, 4, 13, 75

practice example
, 76, 80–81, 84, 87, 89

social dimension
, 76

Care organizations
, 79

Case management
, 95–96

Case rates
, 24–25

Centres of Excellence
, 30

Change
, 71

non-linear change
, 139

organisational change
, 138

Change programmes in health care organizations
, 139

Clinical nature of change
, 144

Co-design models
, 120

Co-ordination
, 99

Co-production
, 99

Collaboration
, 3, 45, 100, 105

Collaborative values session
, 107–109

Combined commissioning
, 31

Commissioner or payer model
, 18–19, 30, 33–34

Commissioning
, 15

Communication
, 150–151

Competence framework
, 78

Competencies
, 40, 42–43

Competitors
, 82

Complex adaptive systems
, 177

Complex intervention
, 161, 163

Complexity
, 177

emergence
, 69

feedback loop
, 152

Comprehensiveness
, 100

Conditional cash transfers
, 20–23

Context
, 95–96

Context and Capabilities for Integrating Care (CCIC)
, 165–166

Contingency
, 142

Continuity
, 99

of care
, 8

Convenor model
, 28–29

Coordinated networks
, 8

Core problems
, 63

Core values underpinning integrated care
, 98–101

Cost

and benefits across organizations
, 144

of care
, 174

savings
, 28

COVID-19

crisis
, 6–7

pandemics
, 3

Craft
, 138–139

skills
, 41–42

Critical thinking
, 89–90

Culture
, 50–52

Data capture
, 175

Decision making
, 79–80

shared decision making
, 7

Delphi methodology
, 98–99

Design thinking
, 59, 62–63, 70

example of using design thinking to involving patients in integrated care
, 64–69

in health care
, 62–64

Developmental evaluations
, 162–163

Developmental Model of Integrated Care
, 165–166

Diagnosis Related Groups-based payments (DRGs-based payments)
, 24–25

Difference
, 54

Digital assets
, 120

Digital health

implementation challenges
, 123

in integrated care
, 116–118

solutions
, 115

technologies
, 117

technology
, 119–123

tools
, 116

‘users’ of
, 118–119

Diversity
, 54

‘Doing for’ patients
, 60

Dutch care organization
, 97

Effectiveness
, 101

Efficiency
, 100

Emergence. See Complexity

Empathy
, 63

mapping
, 67

Empowerment
, 100

Enablers and inhibitors of change
, 71–72

Episode-based payments
, 27

EuroQOL EQ-5D-5L scale
, 173

Evaluation
, 162–163

developmental
, 162–163

dynamic
, 162–163

formative
, 162–163

realist
, 163

summative
, 162–163

Evaluation design
, 163

Evidence
, 11–12

evidence based practice
, 39

Fee-for-service
, 24–25

Feedback loop. See Complexity

Financial incentives
, 18, 27

Fixed payments
, 24

Flexibility
, 99–100

Follow through
, 54

Formative evaluations
, 162–163

Framing
, 47

Full integration
, 8–9

Functional integration
, 7

Fund holding
, 28

Funding
, 15–16

models
, 17–18

Gainsharing
, 28

General practitioner
, 25, 98

Gold Coast Health
, 64–65

Gold Coast Primary Health Network
, 64–65

Governance
, 10, 101–102

shared governance
, 101–102

Health

impact bonds
, 31

plans
, 23

savings accounts
, 23

systems
, 2

Health care

organization
, 3

provider
, 17–18, 32–33

services
, 97–98

workers
, 3

Health maintenance organization (HMO)
, 30

Holism
, 99

Housing
, 98

Human service organizations
, 17–18

Humility, approach with
, 53–54

ICT
, 140–141

Impact
, 10, 59

Implementation
, 137–138, 140

characteristics
, 138

frameworks of change
, 145, 157

integrated care
, 142–144

key domains of implementing change
, 140–141

Kotter' framework for change
, 145–157

Incremental payment
, 19–20

Individual interviews
, 68

Informal care
, 7

Informal caregivers
, 173–174

Innovation
, 155–156

Institute of Medicine model (IOM model)
, 17

Insurance
, 18–19

health insurance
, 30

Integrated care (IC)
, 1, 4, 39, 95–96

analysis, feedback and reporting
, 175–176

approaches to evaluation
, 162–163, 168

approaches to summative evaluation
, 178–179

challenges and enablers in leading and managing in
, 40–42

comparative effectiveness
, 179–180

consortium
, 104–105

data capture
, 175

dealing with complexity
, 177

digital health in
, 116–118

dynamic evaluation
, 177

framework for
, 5

leadership competencies
, 44

logic model development
, 169–172

measurement
, 172–176

mechanisms
, 47–54

nuts and bolts of
, 8–9

person-oriented outcome measurement
, 173–175

personal characteristics of IC leaders
, 46

practice
, 6–7

programs
, 161

qualitative approaches to evaluation
, 177–178

settings
, 40

solutions
, 142

theory
, 165–166

Integrated Care Alliance (ICA)
, 64–65

Integration
, 105

framework
, 19

horizontal
, 4–5

model
, 105

theory
, 165

vertical
, 4–5

Integrators of care
, 17–19

base payment vs. alternative payment
, 19–20

commissioner or payer model
, 18–19

health care provider
, 17–18

patient
, 17

Joint decision-making
, 78

Kotter’s model
, 138, 145, 156–157

change
, 155–156

communicating vision
, 150–152

creating urgency
, 146–147

empowering action
, 152–154

frameworks of change
, 145–157

powerful coalition
, 147–149

quick wins
, 154–155

vision for change
, 149–150

Leadership
, 39–40, 101–102

competency frameworks
, 42–47

IC leadership competencies
, 44

shared
, 107

Learning
, 53

shared learning
, 156

Line-item budget
, 24

Linkage
, 8

Listening
, 53

Local authorities
, 95–96

Logic model

constituting
, 169–170

development
, 169–172

importance for evaluating integrated care
, 167–168

program activities/processes
, 171–172

program inputs and resources
, 172

program outcomes
, 170–171

program outputs
, 171

Lump-sum

or global budget
, 24

payment for professionals
, 24

Macro-Level mechanisms
, 5–6, 50

Management
, 39–40

competency frameworks
, 42–47

Managers
, 62

Maturation
, 179–180

Measurement
, 172–176

Measures
, 172–173

Medical Leadership Competency Framework
, 42–43

Meso-Level mechanisms
, 5–6, 50, 52

mHealth
, 118

Micro-Level mechanisms
, 5–6, 53–54

Mission statement of organizations
, 97

Mobilizing
, 47

Model of effect. See Logic model

Monetary cash transfers
, 20–23

Motivation, prosocial
, 79–80, 83–84

Multiagency interventions
, 1

Multidisciplinary teams
, 69–70

Multiprofessional

character of integrated care
, 143

episode-based payment
, 27

service
, 102–104

Municipalities
, 88

Needs assessment
, 17–18

Networks
, 29–30

Non-adoption, Abandonment, Scale-up, Spread and Sustainability framework (NASSS framework)
, 122–123

Normative integration
, 6–7

Norms
, 6–7, 97

Nuka System of Care
, 60–61

Nursing
, 65

community
, 137–138

district
, 88

Off-the-shelf technology, adopting and adapting
, 122–123

One sided risk model
, 28

‘One-size-fits-all’ model
, 2

Organizational

changes
, 138, 144

level
, 5

Outcome accountability
, 90–91

‘Outside the box’ approach
, 72

Parallel governance
, 143–144

Partial capitation
, 25

Partners
, 82

Partnership
, 86–87

Patient
, 17, 31–32

patient engagement
, 59, 62

patient involvement
, 10

patient participation
, 60

workshops
, 68

Patient engagement
, 59, 62

design thinking in health care
, 62–64

enablers and inhibitors of change
, 71–72

example of using design thinking to involving patients in integrated care
, 64–69

existing models and approaches to
, 61

findings and reflections
, 70–71

with lived experiences in service design
, 60–61

outcomes
, 69–70

value of
, 59

Pay for performance
, 27

Payer
, 18–19, 33–34

Payment models
, 16, 20

activity base payment
, 20

actor specific limitations to integrating care
, 31–34

alternative payment
, 19–20

base payment
, 19–20

with commissioner or payer as integrator
, 29–31

incremental payment
, 19–20

key elements of framework
, 16–20

with patient as integrator
, 20–23

pay for performance
, 27

with provider as integrator
, 24–29

top up payment
, 19–20

value based payment
, 27

Person-centred care
, 4

Person-centredness
, 100

person centred services
, 3

Person-oriented outcome measurement
, 173–175

Personal budgets
, 20–23

Personal or clinical level
, 4–5

Personal values session
, 109–111

Personal vouchers
, 20–23

Plan-Do-Study-Act framework (Deming)
, 138

Planned implementation
, 139

Planning
, 12

Pooled commissioning
, 31

Population-based payments
, 25–26

Post-Study System Usability Questionnaire
, 121–122

Power imbalances
, 86–87

Prerequisites
, 78–79, 83–84, 87

Prevention
, 100

Primary care budget
, 25

Prime contractor model
, 28–29

Principal agent problem
, 18

Principles
, 10

Private funding of care
, 20–23

Problem solving behaviour
, 81

Process accountability
, 90–91

Professional level
, 5

Program

activities/processes
, 171–172

inputs and resources
, 172

outcomes
, 170–171

outputs
, 171

theory
, 165–166

Programme theory
, 153

Proself motivation
, 79–80

Prosocial motivation
, 79–80, 83–84

increasing actors
, 81–84

Protocols
, 6

assessment protocols
, 7

care protocols
, 7

Prototyping
, 64, 68

Provider
, 15, 17–18

‘Quadruple-Aim’ set of outcomes
, 170–171, 174–175

Qualitative approaches to evaluation
, 177–178

Quality of care
, 17

Rainbow Model of Integrated Care (RMIC)
, 60, 98, 105, 109, 133, 166

Readiness
, 140

readiness for change
, 153

Realistic evaluations
, 163

Reciprocity
, 100–101

Regional stakeholders
, 107–108

Resilience
, 3–4

Respect
, 100

Retainer fee
, 25

Risk
, 18–19

pooling of risk
, 18–19

Roles
, 3

Scale
, 122

Self-management
, 3–4, 169

Service commissioning
, 16

Service design
, 60–61

Shared governance
, 101–102

Shared responsibility and accountability
, 99

Shared risk
, 28

Shared savings
, 28

Short window of opportunity
, 144

Skills
, 7

Social dimension of care
, 76

Social motivation
, 79

Social motives
, 81

Social services
, 4

Social stakeholder alignment
, 76–78

Specific, measurable, assignable, realistic and time-related measurement approach (SMART measurement approach)
, 172–173

Staff

development
, 152–153

training
, 154

Stakeholders
, 97–98

Standards
, 6

standards of behaviour
, 96

Status
, 2

Strategy
, 102

Structural elements
, 75–76

Summative evaluations
, 162–163, 178–179

Supervision
, 101–102

Sustainability
, 138

Sustaining
, 48

SWOT analysis
, 141, 146–147

Synthesizing
, 47–48

System level
, 5

System Usability Questionnaire
, 121–122

Technology
, 11

Testing phase
, 64

Theory of change
, 169

Third-party funding
, 31

‘Tick the box’ method
, 173–174

Tokenism
, 60–61

Tool
, 7

tool development
, 121

Top up payment
, 19–20

Transformation
, 12

Transparency
, 101

‘Triple-Aim’ set of outcomes
, 170–171

Trust
, 99

Two-sided model
, 28

Usability testing
, 121–122

User

service user
, 13

user-centred co-design approach
, 120

Validation
, 65

Value-based payment
, 27

Values
, 96–98

core values underpinning integrated care
, 98–101

dealing with value conflict as manager
, 105–111

in integrated care governance
, 101–105

mapping exercise
, 106–107

Variation
, 24–25

Veterans Rand VR-12 scale
, 173

Vision

programme vision
, 152

statement of organizations
, 97

Voice behaviour, engaging in
, 84

Voucher
, 20

WHO-QOL-BREF scale
, 173

Whole-systems thinking
, 100

Willingness

and ability to speaking
, 85–87

increasing actors
, 85–87

to understanding
, 89–91

‘Win-win’ agreements
, 81