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Case Reports
. 2019 Aug 27;19(3):15.
doi: 10.5334/ijic.4633.

Formative Evaluation of the Central Coast Integrated Care Program (CCICP), NSW Australia

Hazel Dalton  1 , Donna M Y Read  1 , Angela Booth  1 , David Perkins  1 , Nick Goodwin  2 , Anne Hendry  3 , Tonelle Handley  1 , Kate Davies  2 , Michael Bishop  4 , Rachael Sheather-Reid  4 , Sarah Bradfield  4 , Peter Lewis  4 , Taryn Gazzard  4 , Anthony Critchley  4 , Sarah Wilcox  4
Affiliations
Case Reports

Formative Evaluation of the Central Coast Integrated Care Program (CCICP), NSW Australia

Hazel Dalton et al. Int J Integr Care. .

Abstract

Introduction: Integrated care has been posited as an important strategy for overcoming service fragmentation problems and achieving the Quadruple Aim of health care. This paper describes the Central Coast Integrative Care Program (CCICP) a complex, multi-component intervention addressing 3 target populations and more than 40 sub-projects of different scale, priority and maturity. Details are provided of the implementation including activities undertaken for each target population, in the context of the Central Coast Local Health District (CCLHD) strategies and priorities. Key lessons are drawn from the formative evaluation.

Methods: A mixed methods approach to the formative evaluation was taken. Key stakeholders, professional staff with an in-depth knowledge of the program, were invited to complete surveys (n = 27) and semi-structured interviews (n = 23). The evaluation employed co-design principles with dialogue between CCICP partners and researchers throughout the process and sought to achieve a shared understanding of the dynamic context of the program, and the barriers and enablers for the various interventions.

Key lessons and conclusion: Seven interdependent key lessons have been identified. These distil down to the setting of clear objectives aligning with all the goals of partners, developing strong relationships, leadership at multiple levels and communication and the building of a common language.

Keywords: Australia; case study; communication; formative evaluation; integrated care; leadership.

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Conflict of interest statement

The authors declare no competing interests at the time of submission in November 2018. In July 2019, NG was appointed as inaugural Director of the forthcoming Central Coast Research Institute and Professor, Faculty of Health and Medicine, University of Newcastle.

Figures

Figure 1
Figure 1
Map of Central Coast (red dashed circle), within New South Wales Australia (A), within the Hunter New England Central Coast Primary Health Network jurisdiction (B, grey shaded area) and the Central Coast Local Health District (C, grey shaded area).
Figure 2
Figure 2
Central Coast Integrated Care Program Overview.
Figure 3
Figure 3
Key events and changes over the CCICP planning and implementation period.
See this image and copyright information in PMC

References

    1. Schneider, E, Sarnak, D, Squires, D, Shah, A and Doty, M. Mirror, mirror 2017: International comparison reflects flaws and opportunities for better US health care. 2017 [cited August 2018]. Available from: https://www.commonwealthfund.org/publications/fund-reports/2017/jul/mirr....
    1. Cashin, C, Chi, Y-L, Smith, PC, Borowitz, M and Thomson, S. Health provider P4P and strategic health purchasing In: Cashin, C, Chi, Y-L, Smith, P, Borowitz, M and Thomson, S (eds.), Paying for performance in health care: Implications for health system performance and accountability. Maidenhead, UK: Open University Press, Mc-Graw-Hill Education; 2014.
    1. Goodwin, N. Understanding integrated care. International Journal of Integrated Care, 2016; 16(4). DOI: 10.5334/ijic.2530 - DOI - PMC - PubMed
    1. Bodenheimer, T and Sinsky, C. From triple to quadruple aim: care of the patient requires care of the provider. The Annals of Family Medicine, 2014; 12(6): 573–576. DOI: 10.1370/afm.1713 - DOI - PMC - PubMed
    1. NSW Health. NSW State Health Plan: towards 2021 North Sydney: NSW Ministry of Health; 2014. [cited August 2018]. Available from: http://www.health.nsw.gov.au/statehealthplan/Publications/NSW-state-heal....

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