Monitoring the degree of implementation of an integrated delivery system
نویسندگان
چکیده
INTRODUCTION The aim of the study was to develop a method to measure the implementation of specific components of an Integrated Service Delivery system for the frail elderly. The system includes six mechanisms and tools: (1) coordination of all organizations involved in delivering health and social services, (2) a single entry point, (3) case management, (4) a single assessment tool with a case-mix classification system, (5) an individualized service plan, and (6) a computerized clinical chart. METHOD Focus groups of researchers, clinicians, managers and policy-makers identified quantitative indicators for each component. The six components were weighted according to their relative importance in order to generate a total score. Data were collected every six months over 30 months to establish the implementation degree in the three experimental areas: Sherbrooke, Granit and Coaticook in the Province of Quebec, Canada. RESULTS After 30 months, coordination is the most developed component in the three experimental areas. Overall, in July 2003, the Integrated Service Delivery system was implemented at the rate of 73%, 71% and 70% in Sherbrooke, Granit and Coaticook, respectively. DISCUSSION This type of quantitative assessment provides data for managers and researchers to monitor the implementation. Moreover, when there is an outcome study, the results of the outcome study can be correlated with the degree of implementation, thus allowing for dose-response analyzes and helping to decrease the "black box" effect.
منابع مشابه
Evaluation of the Impact of Integrated Management System Implementation on Safety Performance Monitoring Indices in a Tile Industry
Introduction: Today, organizations need an integrated management system (IMS) to achieve global standards regarding the environment and employees. And one of the important goals of an integrated management system is to eliminate or reduce disasters to an acceptable level of organization. Therefore, in this study, we try to measure the efficiency of deployment of this system on safety performanc...
متن کاملDesign and Fabrication of an Improved Single-Column Chromatographic Separation Process
In this work, an improved single-column chromatographic (ISCC) separation process is proposed. The term `improved' refers to both conceptual and physical modifications compared to the available single-column processes, including a novel fraction collection scheme and allowing overlapped peaks from adjacent cycles. Also the fraction collection mechanism was modified in order to facilitate online...
متن کاملCommunicable Diseases Surveillance System in I.R.Iran: Strengths and Weaknesses of 30 years implementation
Background: Communicable diseases was one of the main problems in I.R.Iran. This study aimed to show the progress of communicable diseases management in more than 30 years of implementation and point out strengths and weaknesses as well. Methods: This study was carried out on an interview-based qualitative study using content analysis in 2014. Data was collected by deep interviews. Fifteen ...
متن کاملSome Issues in Implementation of a Voltage Stability Analysis Function in an Energy Management System Environment
Over the last few years, the problem of voltage stability has received a lot of attraction from the power system community. This type of stability is now a major concern for utilities in both planning and operating conditions. Both static and dynamic aspects of the problem have been discussed and investigated by the researchers. The present paper concentrates on a Voltage Stability Analysis fun...
متن کاملIntegrated model for pricing, delivery time setting, and scheduling in make-to-order environments
Usually, in make-to-order environments which work only in response to the customer’s orders, manufacturers for maximizing the profits should offer the best price and delivery time for an order considering the existing capacity and the customer’s sensitivity to both the factors. In this paper, an integrated approach for pricing, delivery time setting and scheduling of new arrival orders are prop...
متن کامل