BUILDING INTEGRATED HEALTH SERVICE DELIVERY NETWORKS COORDINATION MECHANISMS

BUILDING INTEGRATED HEALTH SERVICE DELIVERY NETWORKS COORDINATION MECHANISMS (IHSDNs Attribute # 5) July 28 - 30, 2015 Belize REYNALDO HOLDER Health Services and Access Unit Department of Health Systems and Services

Overview • Definitions: – Coordination mechanisms • Standardization of Processes/Results • Mutual Adaptation • Referral Systems

Integrated Health Services Delivery Networks

Coordination Mechanisms Attribute 5 • Existence of mechanisms to coordinate health care throughout the health service continuum.

Coordination Mechanisms • Definitions – Continuity of care: the extent to which people experience a series of discrete health care events as coherent and interconnected as congruent with their health needs and preferences. – Coordination of care: coordination of means and efforts to attain continuity of care. Refers to structured relationships between different health specialties, or organizational levels that act in a single care process. – Coordination Mechanisms: systems used to organize and ensure the coordination of care.

Coordination Mechanisms • Types: • Standardization of processes/results – Clinical Guidelines – Treatment Protocols – Referral System • Mutual adaptation Interdisciplinary working groups Dedicated e-mail Case Management Vertical Information Systems » Intranet » Consolidated Electronic Health Records » Digital imaging – Integration Manager – –

Coordination Mechanisms • Standardization of processes/results – Clinical Guidelines: in IHSDNs, clinical guidelines define how specific health situation or program will be cared for at every level of the network – Treatment Protocols: defines how a specific disease or health condition will be treated at a specific health establishment, usually a hospital. – Referral System: defines the mechanisms and procedures for the transfer of a patient from one institution to another. • When the person is sent to another provider for care that cannot be provided by the originating facility, the process is called Referral. • When the person is returned to the originating provider, it is called Counter-referral or Return.

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