1. BUILDING INTEGRATED HEALTH SERVICE DELIVERY NETWORKS
COORDINATION MECHANISMS
(IHSDNs Attribute # 5)
July , 2015
Belize
REYNALDO HOLDER
Health Services and Access Unit
Department of Health Systems and Services

2. Overview Definitions: Standardization of Processes/Results
Coordination mechanisms
Standardization of Processes/Results
Mutual Adaptation
Referral Systems

3. Integrated Health Services Delivery Networks

4. Coordination Mechanisms
Attribute 5
Existence of mechanisms to coordinate health care throughout the health service continuum.

5. Coordination Mechanisms
Definitions
Continuity of care: the extent to which people experience a series of discrete health care events as coherent and interconnected as congruent with their health needs and preferences.
Coordination of care: coordination of means and efforts to attain continuity of care. Refers to structured relationships between different health specialties, or organizational levels that act in a single care process.
Coordination Mechanisms: systems used to organize and ensure the coordination of care.

6. Coordination Mechanisms
Types:
Standardization of processes/results
Clinical Guidelines
Treatment Protocols
Referral System
Mutual adaptation
Interdisciplinary working groups
Dedicated
Case Management
Vertical Information Systems
Intranet
Consolidated Electronic Health Records
Digital imaging
Integration Manager

7. Coordination Mechanisms
Standardization of processes/results
Clinical Guidelines: in IHSDNs, clinical guidelines define how specific health situation or program will be cared for at every level of the network
Treatment Protocols: defines how a specific disease or health condition will be treated at a specific health establishment, usually a hospital.
Referral System: defines the mechanisms and procedures for the transfer of a patient from one institution to another.
When the person is sent to another provider for care that cannot be provided by the originating facility, the process is called Referral.
When the person is returned to the originating provider, it is called Counter-referral or Return.

8. Thank you!