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Organizational Context and Capabilities for Integrating Care: A Framework for Improvement
Jenna M Evans1, Agnes Grudniewicz2, G Ross Baker3
1Institute of Health Policy, Management & Evaluation, University of Toronto, CA; Staff Scientist, Cancer Care Ontario, CA.
International Journal of Integrated Care
|April 18, 2017
Summary
Healthcare organizations can improve integrated care success by understanding organizational capabilities. Key factors include leadership, clinician engagement, and readiness for change, as outlined in the Context and Capabilities for Integrating Care (CCIC) Framework.
Area of Science:
- Healthcare Management
- Organizational Science
- Health Services Research
Background:
- Integrated care interventions are widespread but show variable success.
- Organizational context and capabilities are potential drivers of this variability.
Purpose of the Study:
- Develop and validate a conceptual framework for organizational capabilities in integrated care.
- Identify critical capabilities for successful integrated care.
- Explore the mechanisms through which these capabilities influence integrated care efforts.
Main Methods:
- Developed the Context and Capabilities for Integrating Care (CCIC) Framework via literature review.
- Validated the framework through interviews with integrated care leaders and providers in Ontario, Canada.
- Employed quantitative content analysis to summarize interview data.
Main Results:
- The CCIC Framework comprises 18 organizational factors across Basic Structures, People and Values, and Key Processes.
- Leadership Approach, Clinician Engagement and Leadership, and Readiness for Change are the most crucial capabilities.
- Readiness for Change and Partnering demonstrated significant interrelationships, highlighting their importance.
Conclusions:
- The CCIC Framework can guide leaders in assessing readiness, developing strategies, and selecting partners.
- Researchers can utilize the framework for further testing and refinement, focusing on capability relationships and performance outcomes.