IFIC 9 Pillars of Integrated Care
Learning from results and impact
The integrated care system is a learning system, co-created with people and communities.
This learning system is based on people’s lived experience and what matters to them, that continuously adapts and improves based on evidence that includes real-time data and feedback embedded into everyday practice.
Care is delivered; data is collected, analysed, and transformed into actionable insights that drive continuous improvement in real-time.
It uses qualitative and quantitative evidence from all relevant partners and initiatives to ensure that measures of results and impact are comprehensive and understandable. Feedback processes ensure partners can continue evolving and improving together.
For people and communities
People and communities are central to the learning and improvement of integrated care services. They should be involved in the evaluation and monitoring of service integration from design through continuous monitoring and improvement. Individuals also play an essential role in the evaluation and monitoring of their own care integration and that of those they care for. This includes access to accurate and timely information.
For care providers
Care providers have access to accurate and timely information on individual care, and at the population level, they have information on progress against expected outcomes for the population. Care providers can use this information to support their decision-making, and it helps them understand how their efforts contribute to population-level health improvement.
Provider and team leaders support a learning organisational culture, promoting continuous quality improvement at all levels. Learning and improvement are central to the practice of interdisciplinary integrated care teams at all levels.
For system-level decision-makers
System-level decision-makers create a framework, resourcing and mechanisms for monitoring and evaluation including measuring key performance indicators, ensuring the integrated care system tracks progress towards the shared purpose and agreed population health outcomes. This may or may not be linked to the quintuple aim (better value, better experience of care, better workforce experience, greater health equity and better population health). Leaders also encourage local experimentation and learning, creating a less risk-averse environment where innovation can thrive. Additionally, they prioritise transparency, ensuring that relevant information and evidence are accessible to the public.