1. ANALYSIS AND DESIGN Case Study Work Session 2 From Concept to Reality
International Summer School Integrated Care
Pepper’s Salt Resort, Kingscliff, NSW, March 27th, 2018

2. The Implementation Model for Integrated Care
Change Management Steps
Relationship Building Activities
Needs Assessment
Establishing a guiding coalition
Diagnosis
Situational Analysis
Building support for change
Value Case Development
Vison and mission statement
Analysis
and Design
Feedback Loop
Cycle of Learning
Strategic plan
Developing collaborative
capacity
Establishing mutual gain
Communication
Implementation
Support
Implementation and
institutionalisation
Monitoring and
evaluation
Evaluation
Goodwin, 2015, 2017; Lewis and Goodwin, 2017

3. This Value Case
An approach that attempts to understand the level of investment required, and the return on that investment
Essential to release resources from funders
Focus on ‘value’ created rather than costs contained – so focus on patient and staff experiences (inclusive of patient views)
Establish ‘added value’ resulting from combing resources and expertise
Establishes compelling case for change
Examples and tools:
Integrated care ‘value based tool-kit’ in England developed by the Local Government Association;
Simulations and modelling;
Xcelere8 & Collabor8 initiatives in Canterbury DHB, NZ
Logic Models

4. Value Case: Using Logic Models
Logic modelling, or programme logic, is an approach for representing the way a programme’s various components are expected to fit together to achieve its outcomes.
Logic modelling has been one of the tools that has been used widely by localities in England for helping shape how they evaluate impact on outcomes.
A logic model creates a diagrammatic representation of the key components of a programme and the way that actions are intended to lead to outcomes.
The underlying emphasis on logic underlines the potential for a model of this type to challenge assumptions and prompt a reality check about whether or not the programme’s actions are adequate to achieve its intended outcomes.

5. Value Case: Use Logic!
Logic modelling, or programme logic, is an approach for representing the way a programme’s various components are expected to fit together to achieve its outcomes. It is widely used, for example in England, to shape integrated care strategies
The approach requires in-depth thinking about what outcomes are being sought, over what time-scale, for whose benefit, with what resources and investments. It crucially requests evidence behind the logic of why integrated care models might provide a solution
Workforce
INPUTS
OUTPUTS
WHOLE SYSTEM OUTCOMES
Improving service
user experience
Achieving health and well being outcomes
Using resources effectively
Delivering person centred coordinated care through
Patient experience
Performance
Finance
Funding
Facilities
Technology
Trained staff
New care Models
Co-location
Data sharing
BENEFITS
Develop and deliver training
ACTIVITIES
Design
operating model
Coordinate the office move
Implement
new systems

6. Sample

7. Developing a Logic ‘Map’
what activities are required to achieve the outputs
what you expect / intend the outcomes to be
what off the peg resources are available.
what improvements result from and are enabled by the outcomes.
To create a logic map – be clear about:
where you are starting from (context/baseline)
how you intend to do deliver your work (inputs)
what you expect / intend the outputs to be

8. Getting the logic right? Key tips

9. Group Work – Instructions 1
In your group:
Examine the situational analysis that you undertook in the diagnosis phase
INPUTS: Outline the list of resources that may be needed (e.g. staff, volunteers, equipment, technology, finances, ICT, infrastructure etc)
OUTPUTS: What are the core outputs of these interventions – what do they influence?
OUTCOMES: What are the changes we would expect as a result of these activities in the short-, medium- and long-term? What will improve in terms of care experiences, care outcomes, utilization of services and/or costs of care?
Using flip-chart paper, construct a simple diagrammatical ‘logic model’ for your case scenario

10. Group Work: Instructions 2