Abstract
Introduction:The variable success of integrated care initiatives has led experts to recommend tailoring design and implementation to the organizational context. Yet, organizational contexts are rarely described, understood, or measured with sufficient depth and breadth in empirical studies or in practice. We thus lack knowledge of when and specifically how organizational contexts matter. To facilitate the accumulation of evidence, we developed a research toolkit for conducting case studies using standardized measures of the (inter-)organizational context for integrating care.Theory and Methods:We used a multi-method approach to develop the research toolkit: (1) development and validation of the Context and Capabilities for Integrating Care (CCIC) Framework, (2) identification, assessment, and selection of survey instruments, (3) development of document review methods, (4) development of interview guide resources, and (5) pilot testing of the document review guidelines, consolidated survey, and interview guide.Results:The toolkit provides a framework and measurement tools that examine 18 organizational and inter-organizational factors that affect the implementation and success of integrated care initiatives.Discussion and Conclusion:The toolkit can be used to characterize and compare organizational contexts across cases and enable comparison of results across studies. This information can enhance our understanding of the influence of organizational contexts, support the transfer of best practices, and help explain why some integrated care initiatives succeed and some fail.
Highlights
The variable success of integrated care initiatives has led experts to recommend tailoring design and implementation to the organizational context
Stage 1: Framework Development and Validation We developed the Context and Capabilities for Integrating Care (CCIC) Framework (Figure 1) to collate and organize a comprehensive list of organizational factors that influence integrated care, and to capture the highlevel mechanisms by which they influence integrated care initiatives [13]
Based on the assessment criteria and team discussion, six surveys were selected for inclusion: 1. Partnership Self-Assessment Tool (PSAT) [18] 2
Summary
The variable success of integrated care initiatives has led experts to recommend tailoring design and implementation to the organizational context. Results: The toolkit provides a framework and measurement tools that examine 18 organizational and inter-organizational factors that affect the implementation and success of integrated care initiatives. Discussion and Conclusion: The toolkit can be used to characterize and compare organizational contexts across cases and enable comparison of results across studies This information can enhance our understanding of the influence of organizational contexts, support the transfer of best practices, and help explain why some integrated care initiatives succeed and some fail. The variable success of integrated care initiatives has led experts to recommend tailoring their design and implementation to the local context [2,3,4]. We lack knowledge of which o rganizational factors matter, and when and how they matter
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