Using the Project INTEGRATE Framework in Practice in Central Coast, Australia

Area of Science:

• Healthcare Systems
• Health Services Research
• Integrated Care Models

Background:

• Integrated care involves complex system changes, with progress often non-linear and difficult to measure.
• The Central Coast integrated Care Program (CCICP) is a decade-long, place-based initiative.
• This study presents the initial two-year formative evaluation of the CCICP's implementation and progress.

Purpose of the Study:

• To describe the implementation of the CCICP after two years.
• To assess the progress towards integrated care within the CCICP.
• To identify facilitators and barriers to integrated care implementation.

Main Methods:

• A mixed-methods approach was employed, utilizing the Project INTEGRATE Framework.
• Data collection included semi-structured interviews (n=23) and surveys (n=27) with key stakeholders.
• Self-reported data from program participants and evaluators were analyzed.

Main Results:

• Progress in integrated care was mixed, with notable gains in clinical and professional integration (e.g., relationship building, collaboration).
• Systemic and functional integration showed the least improvement, significantly hampered by funding uncertainty.
• The Project INTEGRATE framework facilitated consistent language, progress indicators, and identification of key facilitators and barriers.

Conclusions:

• Key staff demonstrated willingness and commitment to integrated care.
• Effective leadership, communication, relationship building, and cultural transformation are crucial for successful integrated care.
• The evaluation underscores the importance of addressing systemic barriers like funding uncertainty.