Integrated People-Centred Care in Canada – Policies, Standards, and Implementation Tools to Improve Outcomes

Patricia Sullivan-Taylor; Esther Suter; Samantha Laxton; Nelly D. Oelke; Emma Park

doi:10.5334/ijic.5943

Figures & Tables

Methodology and timeline for co-designing the Integrated People-Centred Health Systems Standard (HSO 2021).

Summary of stakeholder input from initial IPCHS standard public review (HSO 2018).

Ten design principles for Integrated People-Centred Health Systems (HSO 2021).

Table 1

Ten Design Principles and Associated Components within the Integrated People-Centred Health Systems Standard (HSO 2021).

PRINCIPLE	COMPONENT
1. Define the population and identify desired health and well-being outcomes	Define the population served Define health and well-being outcomes Partner with people and communities Conduct population-based needs assessments
2. Coordinate a comprehensive continuum of services	Collaborate to design comprehensive and coordinated programs and services Include all services required to achieve the defined population’s desired health and well-being outcomes throughout the life course Coordinate care and services within and across health systems
3. Optimize access, flow, and transitions	Improve the experience of the people using and delivering services Design services that are timely, equitable, and physically, emotionally, economically, and culturally accessible Enhance access to primary health care Develop, support, and maintain processes that facilitate service transitions
4. Enable and support people-centred care teams	Use people-centred teams to deliver services Establish and maintain competencies to deliver team-based care and services Include people and communities as members of the care teams Evaluate team functioning
5. Develop and strengthen system leadership	Collaborate with people and communities to design a vision for health system integration Establish an evidence-informed leadership model Develop and strengthen leadership skills
6. Establish shared governance and clear accountabilities	Establish a shared governance and clear accountability structure Include people and communities, and relevant sectors, in shared governance structures Formalize accountability arrangements
7. Align funding and incentives	Establish a value-based health care approach Implement and evaluate payment, remuneration, and financial and non-financial incentives Implement and evaluate integrated health and social service budgets Recognize and reward collaborative and integrated behaviours Share responsibility for financial sustainability
8. Implement interoperable information systems	Identify a shared data and information governance framework Establish and maintain interconnected and interoperable digital and information technology environments Develop and maintain the policies, procedures, and infrastructure required throughout the information lifecycle
9. Measure and manage performance based on impact	Design and implement a performance management framework Collaborate with people and communities, providers, and sectors to identify performance outcomes Implement continuous quality improvement activities and initiatives
10. Embed an adaptive learning culture	Build an adaptive and dynamic learning culture Share innovation from the top down and bottom up Participate in knowledge-sharing activities Encourage learning and knowledge translation Involve people and communities in the learning culture

Integrated People-Centred Care in Canada – Policies, Standards, and Implementation Tools to Improve Outcomes

Figures & Tables

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Table 1

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