What is Integration?
| Function |
Minimal Collaboration |
Basic Collaboration from a Distance |
Basic Collaboration On-Site |
Close Collaboration/ Partly Integrated |
Fully Integrated/Merged |
| The Consumer Perspective/Experience |
| Access |
Two front doors; consumers go to separate sites and organizations for services |
Two front doors; cross system conversations on individual cases with signed releases of information |
Separate reception, but accessible at same site; easier collaboration at time of service |
Same reception; some joint service provided with two providers with some overlap |
One reception area where appointments are scheduled; usually one health record, one visit to address all needs; integrated provider model |
| Services |
Separate and distinct services and treatment plans; two physicians prescribing |
Separate and distinct services with occasional sharing of treatment plans for Q4 consumers |
Two physicians prescribing with consultation; two treatment plans but routine sharing on individual plans, probably in all quadrants; |
Q1 and Q3 one physician prescribing, with consultation; Q2 & 4 two physicians prescribing some treatment plan integration, but not consistently with all consumers |
One treatment plan with all consumers, one site for all services; ongoing consultation and involvement in services; one physician prescribing for Q1, 2, 3, and some 4; two physicians for some Q4: one set of lab work |
| The Staff Perspective/Experience |
| Funding |
Separate systems and funding sources, no sharing of resources |
Separate funding systems; both may contribute to one project |
Separate funding, but sharing of some on-site expenses |
Separate funding with shared on-site expenses, shared staffing costs and infrastructure |
Integrated funding, with resources shared across needs; maximization of billing and support staff; potential new flexibility |
| Governance |
Separate systems with little of no collaboration; consumer is left to navigate the chasm |
Two governing Boards; line staff work together on individual cases |
Two governing Boards with Executive Director collaboration on services for groups of consumers, probably Q4 |
Two governing Boards that meet together periodically to discuss mutual issues |
One Board with equal representation from each partner |
| EBP |
Individual EBP’s implemented in each system; |
Two providers, some sharing of information but responsibility for care cited in one clinic or the other |
Some sharing of EBP’s around high utilizers (Q4) ; some sharing of knowledge across disciplines |
Sharing of EBP’s across systems; joint monitoring of health conditions for more quadrants |
EBP’s like PHQ9; IDDT, diabetes management; cardiac care provider across populations in all quadrants |
| Data |
Separate systems, often paper based, little if any sharing of data |
Separate data sets, some discussion with each other of what data shares |
Separate data sets; some collaboration on individual cases |
Separate data sets, some collaboration around some individual cases; maybe some aggregate data sharing on population groups |
Fully integrated, (electronic) health record with information available to all practitioners on need to know basis; data collection from one source |
