Designing Integrated Care Ecosystems

This book brings together research and theory about integrated care ecosystems with modern Socio-Technical Systems Design. It provides a practical framework for collaborative action and the potential for better care in every sense. By combining the aspirations, information, resources, activities, and the skills of public and private organizations, independent care providers, informal care givers, patients and other ecosystem actors, this framework makes possible results that none of the parties concerned can achieve independently It is both a design challenge and a call for innovation in how we think about health care co-creation. Illustrative stories from many countries highlight different aspects of integrated care ecosystems, their design and their functioning in ways that allow us to push the operating frontiers of what we today call our health care system. It explains what it means to design higher levels of coordination and collaboration into fragmented care ecosystems and explores who the participants should and can be in that process. Written for a broad audience including researchers, professionals, and policy makers, this book offers readers new thinking about what outcomes are possible and ways to achieve them.

Auteur
Bernard Mohr is past Dean of Complex Systems Change at the Institute for Applied Behavioral Science, and adjunct faculty in organizational innovation at Concordia University. He works throughout the USA, Central America, the Caribbean, Western Europe, Canada and the Middle East on relational and strength based innovation of professional service practices in health care, education and R&D. Representative clients include Baystate Health, British Petroleum, Canadian Broadcasting Corp., Elliott Health System, Faxton-St. Luke's Healthcare, GSK, Newark Beth Israel Medical Center, Novartis, Novo Nordisk, NYU Langone Medical Center, Tennessee Hospital Association, Tufts Medical Center, University of Maine System and the World Health Organization. He has authored/co-authored five books and numerous articles dealing with co-creating more humane and effective organizations.

Ezra Dessers is research manager at HIVA - Research Institute for Labor and Society, and assistant professor at the Centre for Sociological Research, KU Leuven, Belgium. Ezra has extensive experience in research, teaching, consultancy and project management in the field of organizational design, inter-organizational networks and information technology. Ezra has done research on workplace innovation in health and social care, public administration, and various industrial sectors. Ezra coordinated a four-year project on integrated care in Belgium, where he was also part of the Care Living Labs program. Ezra has published on organizational challenges related to integrated care both in scientific and specialist journals, and is an editorial board member of the International Journal of Care Coordination.

Contenu

Part I: FOUNDATIONS.- Chapter 1. Introduction (Ezra Dessers, Bernard J. Mohr).- Chapter 2. Why do we need integrated care? (Ezra Dessers, Bernard J. Mohr).- Chapter 3. Integrated Care Ecosystems (Ezra Dessers, Bernard J. Mohr).- Chapter 4. Designing from a SocioTechnical Systems perspective (Bernard J. Mohr, Ezra Dessers).- PART II: CASE STORIES.- Chapter 5. The development and implementation of an Integrated Care Ecosystem within the United Kingdom (Anna Thomson).- Chapter 6. Primary Care Plus in the Netherlands: Care integration at the ecosystem level from a SocioTechnical perspective (Peggy Goris).- Chapter 7. Starting small, Learning as you grow (Ellen Raboin, Jake Jennings).- Chapter 8. Designing Primary Care Ecosystems in the Flemish Community (Belgium) (Ezra Dessers, Mieke Van Gramberen).- Chapter 9. Getting started with the design of smart networks: Identifying and supporting caregivers for people living at home (Frank O. Verschuur).- Chapter 10. Designing Care Innovation Ecosystems: The Care Living Labs in Flanders (Belgium) (Sam Pless, Yennef Vereycken, Ezra Dessers).- Chapter 11. Integrated Care Ecosystem: a case of Singapore (Milawaty Nurjono, Hubertus J. M. Vrijhoef).- Chapter 12. Building an Accountable Health Community in Baltimore City: early steps (Sonia Sarkar, Mike Fried).- Chapter 13. Thinking, acting and organizing differently: the Ruwaard Experiment (Sandra de Loos, Susanne Smits).- Chapter 14. Designing networks for integrated care within the Belgian mental health care ecosystem (Christiane Sels, Geert Van Hootegem).- Chapter 15. Cocreating value in the Diabetic Foot Care Ecosystem (Chris Lawer).- Chapter 16. Hospitals within ecosystems: designing a university hospital as part of an Integrated Care Ecosystem (Arie Versluis).- Chapter 17. Designing a Cardiac Surgery Patient Pathway: a step towards an Integrated Care Ecosystem (Todorka Kostadinova, Plamen Panayotov, Daniela Panayotova, Liya Panayotova).- Chapter 18. Possibilities from stakeholder dialogues and cross disciplinary collaboration: might an architect and organization designer have nudged ecosystem integration? (Ron Smith, Bernard Mohr).- Chapter 19. Blockchain: a necessary building block for Integrated Care Ecosystems? (Steven Dhondt).- PART III:INTO THE FUTURE().- Chapter 20. Towards a Socio-Technical Framework for designing Integrated Care Ecosystems (Bernard J. Mohr, Ezra Dessers).- Chapter 21. Conclusion (Ezra Dessers, Bernard J. Mohr).