Action learning for health system governance: the reward and challenge of co-production

Health policy and systems research (HPSR) is centrally concerned with people, their relationships and the actions and practices they can implement towards better health systems. These concerns suggest that HPS researchers must work in direct engagement with the practitioners and practice central to the inquiry, acknowledging their tacit knowledge and drawing it into generating new insights into health system functioning. Social science perspectives are of particular importance in this field because health policies and health systems are themselves social and political constructs. However, how can social science methodologies such as action research and narrative and appreciative enquiry enable such research, and how can methodologies from different disciplines be woven together to construct and make meaning of evidence for 'this' field? This article seeks to present 'methodological musings' on these points, to prompt wider discussion on the practice of HPSR. It draws on one long-term collaborative action learning research project being ...

Behavioural health consultants in integrated primary care teams: a model for future care

Significant challenges exist within primary care services in the United Kingdom (UK). These include meeting current demand, financial pressures, an aging population and an increase in multi-morbidity. Psychological services also struggle to meet waiting time targets and to ensure increased access to psychological therapies. Innovative ways of delivering effective primary care and psychological services are needed to improve health outcomes.

The Practical Playbook: Helping Public Health and Primary Care Work Together to Improve Population Health

The Practical Playbook is a stepping stone in the next transformation of health, in which primary care and public health groups collaborate to achieve population health improvement and reduced health care costs. It supports increased collaborations between primary care and public health groups by guiding users through the stages of building partnerships. Throughout each stage, the Practical Playbook provides helpful resources such as success stories from across the country, lessons-learned from existing partnerships, and further guidance from industry experts.

We use the playbook metaphor because improving collaboration between public health and primary care takes a thoughtful game plan. Like a sports playbook, the Practical Playbook defines the role of each team member as well as actions for different situations. As a playbook, it’s neither a rulebook nor a set of peer-reviewed guidelines. It’s something more practical - because we need real-life, flexible guidance to help us apply the theoretical ...

The Practical Playbook: Helping Public Health and Primary Care Work Together to Improve Population Health

The Practical Playbook is a stepping stone in the next transformation of health, in which primary care and public health groups collaborate to achieve population health improvement and reduced health care costs. It supports increased collaborations between primary care and public health groups by guiding users through the stages of building partnerships. Throughout each stage, the Practical Playbook provides helpful resources such as success stories from across the country, lessons-learned from existing partnerships, and further guidance from industry experts.

We use the playbook metaphor because improving collaboration between public health and primary care takes a thoughtful game plan. Like a sports playbook, the Practical Playbook defines the role of each team member as well as actions for different situations. As a playbook, it’s neither a rulebook nor a set of peer-reviewed guidelines. It’s something more practical - because we need real-life, flexible guidance to help us apply the theoretical ...

Create Space & Place for Community Voice: East Denver Neighborhoods Build a Plan

Bringing Public Health and Primary Care Together: The Practical Playbook National Meeting was held in May 2016. The meeting was a milestone event towards advancing robust collaborations that improve population health.

One highlight of the meeting was interviewing community collaborations funded by The BUILD Health Challenge. The BUILD Health Challenge is a national awards program designed to support community collaborations that are working to give everyone a fair chance to be healthy.

Overview

We know that every young child and family in East Denver has the potential to thrive, but not every family has the same starting place. East5ide Unified is committed to establishing a community-driven, community-led effort to develop an East5ide Unified Action Plan designed to level the playing field for young children before they start school. We are focused on children in five neighborhoods in East Denver: Cole, Clayton, Five Points, Whittier and Skyland.

About the Practical Playbook ...

Create Space & Place for Community Voice: East Denver Neighborhoods Build a Plan

Bringing Public Health and Primary Care Together: The Practical Playbook National Meeting was held in May 2016. The meeting was a milestone event towards advancing robust collaborations that improve population health.

One highlight of the meeting was interviewing community collaborations funded by The BUILD Health Challenge. The BUILD Health Challenge is a national awards program designed to support community collaborations that are working to give everyone a fair chance to be healthy.

Overview

We know that every young child and family in East Denver has the potential to thrive, but not every family has the same starting place. East5ide Unified is committed to establishing a community-driven, community-led effort to develop an East5ide Unified Action Plan designed to level the playing field for young children before they start school. We are focused on children in five neighborhoods in East Denver: Cole, Clayton, Five Points, Whittier and Skyland.

About the Practical Playbook ...

Generate a New Conversation: Healthy Homes in Iowa Shares Goals with Housing and Healthcare Providers

Bringing Public Health and Primary Care Together: The Practical Playbook National Meeting was held in May 2016. The meeting was a milestone event towards advancing robust collaborations that improve population health.

One highlight of the meeting was interviewing community collaborations funded by The BUILD Health Challenge. The BUILD Health Challenge is a national awards program designed to support community collaborations that are working to give everyone a fair chance to be healthy.

Video Overview

Healthy Homes Des Moines is working to prevent and manage pediatric asthma caused by deteriorating homes, below standard HVAC systems, and pests. In these case, the key health problem is the condition of the housing.

About the Practical Playbook National Meeting

Key stakeholders from across sectors – representing professional associations, community organizations, government agencies and academic institutions – and across the country came together at the Practical Playbook National Meeting to help catalyze a national movement, accelerate collaborations ...

Generate a New Conversation: Healthy Homes in Iowa Shares Goals with Housing and Healthcare Providers

Bringing Public Health and Primary Care Together: The Practical Playbook National Meeting was held in May 2016. The meeting was a milestone event towards advancing robust collaborations that improve population health.

One highlight of the meeting was interviewing community collaborations funded by The BUILD Health Challenge. The BUILD Health Challenge is a national awards program designed to support community collaborations that are working to give everyone a fair chance to be healthy.

Video Overview

Healthy Homes Des Moines is working to prevent and manage pediatric asthma caused by deteriorating homes, below standard HVAC systems, and pests. In these case, the key health problem is the condition of the housing.

About the Practical Playbook National Meeting

Key stakeholders from across sectors – representing professional associations, community organizations, government agencies and academic institutions – and across the country came together at the Practical Playbook National Meeting to help catalyze a national movement, accelerate collaborations ...

Think Big: A Los Angeles Initiative Sees Youth as Community Leaders

Bringing Public Health and Primary Care Together: The Practical Playbook National Meeting was held in May 2016. The meeting was a milestone event towards advancing robust collaborations that improve population health.

One highlight of the meeting was interviewing community collaborations funded by The BUILD Health Challenge. The BUILD Health Challenge is a national awards program designed to support community collaborations that are working to give everyone a fair chance to be healthy.

Video Overview

Youth-Driven Healthy South Los Angeles (YDHLA) focuses on the Los Angeles neighborhoods of Central Alameda and South Central. These neighborhoods have extremely limited access to healthy foods and are surrounded by polluted, vacant city land. Social, economic, and environmental factors have contributed to high levels of obesity, diabetes, and other cardiovascular complications. ?

About the Practical Playbook National Meeting

Key stakeholders from across sectors – representing professional associations, community organizations, government agencies and academic institutions – and across the ...

Think Big: A Los Angeles Initiative Sees Youth as Community Leaders

Bringing Public Health and Primary Care Together: The Practical Playbook National Meeting was held in May 2016. The meeting was a milestone event towards advancing robust collaborations that improve population health.

One highlight of the meeting was interviewing community collaborations funded by The BUILD Health Challenge. The BUILD Health Challenge is a national awards program designed to support community collaborations that are working to give everyone a fair chance to be healthy.

Video Overview

Youth-Driven Healthy South Los Angeles (YDHLA) focuses on the Los Angeles neighborhoods of Central Alameda and South Central. These neighborhoods have extremely limited access to healthy foods and are surrounded by polluted, vacant city land. Social, economic, and environmental factors have contributed to high levels of obesity, diabetes, and other cardiovascular complications. ?

About the Practical Playbook National Meeting

Key stakeholders from across sectors – representing professional associations, community organizations, government agencies and academic institutions – and across the ...

Global collaborative healthcare: assessing the resource requirements at a leading Academic Medical Center

Academic Medical Centers ("AMCs") have served as a hub of the United States ("US") health system and represented the state-of-the art in American health care for well over century. Currently, the AMCs have engaged in global collaborative healthcare, employing different models based on services offered, global distribution, and inclination to assume risk. Engaging in these collaborations requires significant effort from across the health system, and an understanding of the resources required is paramount for effective delivery and to avoid overextension and diversion from the primary mission of these organizations. 

Good collaborative practice: reforming capacity building governance of international health research partnerships

In line with the policy objectives of the United Nations sustainable Development Goals, this commentary seeks to examine to which provisions of international health research guidance promote capacity building and equitable partnerships in global health research. This evaluation finds that governance of collaborative research partnerships, and in particular capacity building, in resource-constrained settings is limited but has improved with the implementation guidance of the International Ethical Guidelines for Health-related Research Involving Humans by The Council for International Organizations of Medical Sciences (CIOMS) (2016). 

The King's Fund integrated care summit 2018

As the national rhetoric focuses on supporting the delivery of population health and integrated care, different models of care and new ways of working are being implemented across England. While integrated care systems (ICSs) are emerging to lead on planning and commissioning care for their populations, providers are also working together to deliver integrated care locally. 

Challenges in turning a great idea into great health policy: the case of integrated care

In the organization of health care and health care systems, there is an increasing trend towards integrated care. Policy-makers from different countries are creating policies intended to promote cooperation and collaboration between health care providers, while facilitating the integration of different health care services. Hopes are high, as such collaboration and integration of care are believed to save resources and improve quality. However, policy-makers are likely to encounter various challenges and limitations when attempting to turn these great ideas into effective policies. In this paper, we look into these challenges.

Collaboration for Impact: Co-creating a Workforce Development Toolkit Using an Arts-based Approach

The identification, communication and management of health risk is a core task of Community Health Workers who operate at the boundaries of community and primary care, often through not-for-profit community interest companies. However, there are few opportunities or resources for workforce development. Publicly funded researchers have an obligation to be useful to the public and furthermore, university funding is increasingly contingent on demonstrating the social impact of academic research. Collaborative work with participants and other stakeholders can have reciprocal benefits to all but may be daunting to some researchers, unused to such approaches.

Collaborative Experience Success Stories in Integrated Care of Older People: A Narrative Analysis

Inter-organisational collaboration is crucial in the care of older people, as is the development of integrated care. Storytelling in organisations is one way of understanding how to achieve successful collaboration. This article provides insights into the ways in which storytelling in collaborative experiences contributes to a collective identity instrumental in the successful collaborations involved in integrated care for older people.

Alcohol use disorder in primary cares: how to integrate brief interventions and continuous care?

In Belgium, 82% of the population consumes alcohol occasionally while 10% consume in a way that can be seen as problematic. On a European level, only 8% of the people who can be characterized as having Alcohol Use Disorder (AUD) would have consulted professional assistance in the past year. In this context, the KCE (Belgian Health Care Knowledge Centre) has addressed multiple recommendations to health professionals to reduce the “treatment gap” concerning the patients’ care: in fist place, the encourage screening and preventative interventions, second promote the acquirement of communicational and relational competences and third place develop collaborations between professionals. The objective of this article is to better understand their functioning.

Telemonitoring and continuity of care for older subjects: comparing experience an identifying common solutions

The COVID19 pandemic highlighted some structural – organizational and cultural – limitations of our dominant model of (health)care. One of these is the need to identify and adopt newer instruments for the continuity of care for the large number of patients with chronic disease who live in low-density population areas  (200 million or 27% of EU population) and experience inequality to access (health)care because of the distance between community and healthcare structures. Notably, the onset of multimorbidity occurs 10–15 years earlier in people living in the most deprived areas compared with the most a?uent.

The Workshop aims at facilitating knowledge acquisition (including existing Projects and adopted solutions) and at fostering collaboration and standardization of best practice, including health literacy and patients and caregivers empowerment, in order to impact on the adoption of innovative digital solutions able to boost people's health and quality of life and enable more ...

Identifying barriers in telemedicine-supported integrated care research: scoping reviews and qualitative content analysis

Integrated care is said to improve the way in which care is delivered. To support integrated care by ensuring close collaboration between involved stakeholders, information and communication technologies, especially telemedicine, are needed. Despite their potential, most telemedicine solutions never make it from pilot project stage to full implementation into usual care. Especially in integrated care scenarios, understanding of the barriers hampering successful telemedicine implementation and application is limited.

IFIC Scotland Webinar: Digitally enabled Care Pathways. Integrated Care Matters

The International Foundation for Integrated Care’s report, Realising the true value of integrated care describes the steps we must take to create a radically different future beyond COVID-19. The report is a powerful call to reset our compass to a new reality based on solidarity and collaboration for population health.

IFIC Scotland and partners explore this new future in series 5 of their Integrated Care Matters webinars. Guest panelists, members of IFICs international Special Interest Groups, will share their experiences and insights and challenge us to design a better future that improves lives and opportunities for all. 

The final webinar of 2020 in the Integrated Care Matters series 5 will discuss digitally enabled care pathways. All who register will receive links to the recordings and topic resources.

Additional information and guest panelists

A multilevel study of patient-centered care perceptions in mental health teams

The successful combination of interprofessional collaboration in multidisciplinary teams with patient-centered care is necessary when it comes to delivering complex mental health services. Yet collaboration is challenging and patient-centered care is intricate to manage. This study examines correlates of patient-centered care such as team adaptivity and proactivity, collaboration, belief in interprofessional collaboration and informational role self-efficacy in multidisciplinary mental health teams.

Let's Get Real: Patient Partnership to Advance Integrated Care

Integrated Care is about bringing together a collaboration of organizations and their staff to coordinate services around patients in order to improve health and well-being outcomes and overall satisfaction with services. Integration is context driven; it requires shared vision, trusting relationships, resources and alignment across health and social service ecosystems.

This webinar will bring together patient partners and health leaders who attended the first-ever North American Conference on Integrated Care and are advancing integrated people-centred health systems (#NACIC2021).

Join this patient and family advisor-led panel to learn:

1. Insights from the recent NACIC conference: what worked, how to continue to spark engagement

2. The importance of building trust and creating safer spaces-examples that worked from your experience, and

3. How patient and family advisors can partner to advance integrated care systems.

Teamwork: A Multidisciplinary Review

Promoting integrated care initiatives is an important approach to addressing growing gaps in access to mental health. This article presents a multidisciplinary review of essential team elements and how to optimize team performance. Fostering a collaborative team approach can produce more effective and efficient mental health ca

Global Competency and Outcomes Framework for Universal Health Coverage

The goal of this Global Competency and Outcomes Framework for UHC is to advance improvements in health and progress towards UHC through aligning health worker education approaches with population health needs and health system demands. More specifically, the primary objective of this document is to provide guidance for the specification of pre-service and in-service competency-based education outcomes for health workers, which in turn inform the development of relevant curricula, learning activities and assessment approaches. Its main target audience is health workforce educators, but it can be of relevance also for licensing and regulatory authorities and health service and facility managers. With this framework, WHO sets out its recommended approach to competency-based health worker education outcomes; in so doing, it also provides conceptual and terminological clarity.

The Global Competency and Outcomes Framework for Universal Health Coverage identifies the health worker competencies towards the achievement of UHC organized within six domains: people-centredness ...

Barriers for Inter-Organisational Collaboration: What Matters for an Integrated Care Programme?

Inter-organisational collaboration is challenging but essential in managing the complex and comprehensive needs of frail older people. Therefore, there is a need to investigate the influence of different barriers to inter-organisational collaboration when implementing an integrated care programme. The aim of this study was to investigate both inpatient and outpatient staff views on the factors they deemed to be influential to inter-organisational collaboration for an integrated care programme.

Strong Integrated Care Systems Everywhere

One of the lessons learned from the COVID-19 pandemic is that people need support which is joined up across local councils, the NHS and voluntary and community organisations. This video explains how Integrated Care Systems (ICSs) embed this collaboration, helping local services to respond to the challenges of the pandemic and beyond. We want to make ICSs as strong and effective as possible in every part of England, with partnership working with the ambition to tackle health inequalities, help communities thrive and achieve the very best for everyone. For more information visit: www.england.nhs.uk/integratedcare/

Nurses' experiences of person-centred care planning using video-conferencing

The aim was to illuminate how nurses experience person-centred care planning using video conferencing upon hospital discharge of frail older persons. This study provides valuable insights into challenges associated with care planning via video conferencing. The meeting format, that is video conferencing, is perceived as a barrier that makes the interaction challenging. Shortcomings in video technology make a person-centred approach difficult. The person-centred approach is also difficult for nurses to maintain when the older person or relatives are not involved in the planning.