Gutmanis Iris, Speziale Jennifer, Hillier Loretta M, van Bussel Elisabeth, Girard Julie, Simpson Kelly
Lawson Health Research Institute, London, ON, Canada.
Specialty Mental Health Care, St. Joseph's Health Care London, London, ON, Canada.
Neurodegener Dis Manag. 2017 Aug;7(4):261-270. doi: 10.2217/nmt-2017-0015. Epub 2017 Aug 30.
This paper describes how the Collective Impact framework facilitated the design, implementation and development of a quality improvement initiative aimed at changing the way healthcare is provided to older adults living with mental health, addictions, neurocognitive and behavioral issues in southwestern Ontario. By promoting a common agenda, shared measurement systems, mutually reinforcing activities, continuous communication and with leadership from a backbone organization, system-wide change occurred. Outcomes, operational/strategic, clinical, capacity enhancement and community support structures as well as challenges are discussed. Improved coordination with primary care will further support enhanced clinical activities and capacity development strategies. Large-scale, multisectoral change is possible when aligned with a collaborative, problem-solving framework that promotes the commitment of many service providers/agencies to a common agenda.
本文描述了集体影响框架如何推动一项质量改进计划的设计、实施和发展，该计划旨在改变安大略省西南部为患有心理健康、成瘾、神经认知和行为问题的老年人提供医疗服务的方式。通过推动共同议程、共享测量系统、相互强化的活动、持续沟通以及骨干组织的引领，实现了全系统的变革。文中讨论了成果、运营/战略、临床、能力提升和社区支持结构以及挑战。与初级保健的更好协调将进一步支持强化临床活动和能力发展战略。当与促进众多服务提供者/机构致力于共同议程的协作式问题解决框架保持一致时，大规模的多部门变革是可行的。
