Implementing Information and Communication Technology to Support Community Aged Care Service Integration: Lessons from an Australian Aged Care Provider

Abstract

Introduction: There is limited evidence of the benefits of information and communication technology (ICT) to support integrated aged care services.

Objectives: We undertook a case study to describe carelink+, a centralised client service management ICT system implemented by a large aged and community care service provider, Uniting. We sought to explicate the care-related information exchange processes associated with carelink+ and identify lessons for organisations attempting to use ICT to support service integration.

Methods: Our case study included seventeen interviews and eleven observation sessions with a purposive sample of staff within the organisation. Inductive analysis was used to develop a model of ICT-supported information exchange.

Results: Management staff described the integrated care model designed to underpin carelink+. Frontline staff described complex information exchange processes supporting coordination of client services. Mismatches between the data quality and the functions carelink+ was designed to support necessitated the evolution of new work processes associated with the system.

Conclusions: There is value in explicitly modelling the work processes that emerge as a consequence of ICT. Continuous evaluation of the match between ICT and work processes will help aged care organisations to achieve higher levels of ICT maturity that support their efforts to provide integrated care to clients.

Keywords: Case Study; Home care services; Information Exchange; Information and Communication Technology; Integrated Care.

Figure 1

A snapshot of a mock carelink+ roster. Note: Funding body has been removed to maintain individual service centre anonymity. Client and employee names were fictional in the carelink+ staff training environment.

Figure 2

A model of the information exchange process through the key information dimensions of carelink+, frontline staff (Customer Service Officers, Case Managers, and Care Workers), and their relationships.