Ten Key Principles for Successful Health Systems Integration. Results from a National Survey." 2003). This means that the system takes responsibility for an identified population in a geographic area, with clients having the right to exit if they wish to seek services from other providers (Leatt et al. "General Practice Integration in Australia. "Physician-System Relationships: Stumbling Blocks and Promising Practices." Ongoing measurement of care outcomes and reporting are important parts of the quality improvement process. Staff shortages, continuing cost inflation and service demand have intensified the call for more effective and efficient use of scarce resources through integrated service delivery models (Fleury 2006; Powell Davies 1996). Lee, M. 2007. Patient Focus. "Integrated Delivery Systems Now Or…??" British Journal of Healthcare Computing & Information Management 21: 19-20. 2000. 2003). Another cultural barrier to integration is an acute care mindset, which places the hospital at the centre of the integration process (Shortell et al. Adair, C.E., L. Simpson, J.M. Pauly. "Integrated health systems are considered part of the solution to the challenge of sustaining Canada's healthcare system. Ottawa ON: Author. Health Care Management Review 32: 226-35. Nelly D. Oelke, RN, MN, PhD (Candidate), is a Research and Evaluation Consultant with the Health Systems and Workforce Research Unit, Alberta Health Services, Calgary Health Region. Alberta Health. Physicians need to be effectively integrated at all levels of the system and play leadership roles in the design, implementation and operation of an integrated health system (Appleby et al. and M. Rovere. Auer AM, Hanson P, Brady-Fryer B, Alati-It J, Johnson AL. and M.B. 2007. 2001d; Hunter 1999; Leatt et al. 1998. "How Healthcare Organizations Can Achieve True Integration." 2020 Oct 5;10(10):e039017. Gillies and D.A. Brown. Bringing different cultures together demands committed and visible leadership with clear communication processes (Hunter 1999; Wilson et al. No unified or commonly agreed upon conceptual model for health systems integration was found in the literature reviewed. 1999; Burns 1999; Coddington et al. Moore. Chenok, S.M. Implementation and operation of an integrated health system requires leadership with vision, as well as an organizational culture that is congruent with the vision. Cookson, R. 2005. These principles were independent of type of integration model, healthcare context or patient population served. 1999). Leaders need to promote the new vision and mission of integration among their staff to help them take ownership of the process (Drazen et al.  |  Esther Suter, Nelly D. Oelke, Carol E. Adair and Gail D. Armitage. "Integrated Care." 2000. Gillies, D.A. Organization size: Large Powell Davies, G.P. This systematic literature review was undertaken to guide decision-makers and others to plan for and implement integrated health systems. Wilczynski, N.L., R.B. The focus is often on cost-effectiveness. Integrated health systems are considered part of the solution to the challenge of sustaining Canada's healthcare system. "Do Integrated Healthcare Strategies Enhance Quality?" Rogers, A. and R. Sheaff. A flatter, more responsive organizational structure (Hurst et al. Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. The initiative focuses on improving health outcomes of a geographic service area in East Calgary by customizing services to meet the needs of the community and by partnering with agencies and organizations that work outside the health sector. 2000: 36). 1998. "Measuring Key Integration Outcomes: A Case Study of a Large Urban Health Centre." This review identified 10 universal principles of successfully integrated healthcare systems which 2001: 100). Andersen, P.R. 2000). Please check your e-mail and follow the instructions to reset your password. This systematic literature review was undertaken to guide decision-makers and others to plan for and implement integrated health systems.This review identified 10 universal principles of successfully integrated healthcare systems that may be used by decision … Hospital Quarterly 1: 59-61. Making integration work requires more than goodwill. Please enable JavaScript of your browser. Many authors claim, however, that integration processes may result in increased costs before they provide savings (Coburn 2001). Get the latest public health information from CDC: https://www.coronavirus.gov. Mur-Veeman, I., A. van Raak and A. Paulus.1999. "Community Health Center-Led Networks: Cooperating to Compete." Integrated health systems are considered part of the solution to the challenge of sustaining Canada’s healthcare system. Healthcare Leadership & Management Report 8: 5-15. Healthcare Papers 1: 13-35. NHS Centre for Reviews and Dissemination, University of York. Source: Other non-governmental. Canada’s healthcare system. Moynihan, R. 2004. This includes services from primary through tertiary care, as well as cooperation between health and social care organizations (Simoens and Scott 2005). Communities of practice in Alberta Health Services: advancing a learning organisation. It is important to emphasize that the literature does not contain a one-size-fits-all model or process for successful integration, nor is there a firm empirical foundation for specific integration strategies and processes. "Why Integrated Health Networks Have Failed." Higgins, J.P.T. From the many principles described, 10 were frequently and consistently presented (Table 1) and are discussed below. The 10 principles define the key areas for restructuring while at the same time allowing for organizational flexibility and adaptation to local context (Marriott et al. This yielded 3,234 health sciences abstracts and 1,135 business abstracts that were reviewed and rated for relevancy by three investigators; from those abstracts, 266 health sciences articles and 60 business articles were selected for full review. 2000; Marriott and Mable 1998, 2000). Posada, A. Haines and E. Osei. Please check your e-mail and follow the instructions to activate your account. 2009;13 Spec No:37-42. doi: 10.12927/hcq.2009.21095. Standardized care delivered by interprofessional teams promotes continuity of the care process. Enter your email address to subscribe via Feedburner: Integration Resources is a Healthy Communities Collaboration, Ten Key Principles for Successful Health Systems Integration, Public Expectation and Patient Experience of Integration of Health Care: A Literature Review. The literature does not contain a one-size-fits-all model or process for successful integration, nor is there a firm empirical foundation for specific integration strategies and processes. "Polarity Management: The Key Challenge for Integrated Health Systems." Shortell, J.A. Alexander, P.P. The amount of money per enrollee is set prospectively and is adjusted to ensure an equitable distribution of funds using factors such as gender, age or geography. 1999; Stewart et al. Recent reports on healthcare reform have reinforced the view that Canada's current healthcare system is not sustainable in its present form (Canadian Health Services Research Foundation 2007; Commission on the Future of Health Care in Canada 2002; Lee 2007; Premier's Advisory Council on Health 2001; Skinner et al. The perceived loss of power, prestige, income or change in practice style can result in physician discontent, resentment and resistance to change (Anderson 1998; Appleby et al. Health Affairs 21: 128-43. Miller, J.L. Many of the processes previously discussed are only possible with the support of state-of-the-art, system-wide computerized information systems that allow data management and effective tracking of utilization and outcomes. Waters, J.A. These principles define key areas for restructuring and allow organizational flexibility and adaptation to local context. McKinney. Healthcare Financial Management 52: 31-34. Southern and D.Young. Hospital Topics 74: 16-21. Fischer and K.D Moore. 2005. "Strategies for Integrated Health Care Systems." Journal of Evaluation in Clinical Practice 7: 71-9. Casebeer, H.P. This article will highlight the principles that were frequently and consistently presented as key elements for successful integration in the reviewed literature. Before initiating the search, draft research questions were validated by 21 decision-makers in Alberta to ensure practice relevancy. 1994. Goes. Thank-you for creating an account on Longwoods.com. 1999. "Models for Integrating and Managing Acute and Long-Term Care Services in Rural Areas." Patient focus is reflected by population-based needs assessments that drive service planning and information management and the desire to redesign internal processes to improve patient satisfaction and outcomes.