The development of integrated care marks a seminal moment in healthcare delivery. As with any innovation, there remain significant obstacles needing creativity and additional innovation. These require strong and sophisticated leadership throughout an organization. Vision (transformational leadership) and day-to-day operational skill (transactional leadership) are essential, and it is often the balance of these two skill sets in leadership that allows the clinical model to flourish. Integrated care requires changes in culture and practice, whether from the clinical providers or from the leadership setting the mission. The development of this leadership workforce is central to the future of effective and efficient healthcare.
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The core competencies focus primarily on provider skill sets for delivering integrated care. However, all nine of these competencies could be applied to the leadership of integrated care organizations. In addition, the competencies highlight the importance of leadership among professionals in the day-to-day operation of integrated care. Leaders need to understand these competencies to model the skills and to create the vision for the expectation of the ideal integrated care provider.
The Culture of Wellness Organizational Self-Assessment (COW-OSA) was designed as a performance improvement resource to increase an organization’s awareness of the key components of a wellness-focused culture, and to engage in a self-reflective process that assists in identifying what to keep doing, stop doing, and start doing. (This resource was developed by the SAMHSA-HRSA Center for Integrated Health Solutions to disseminate to SAMHSA-funded Primary and Behavioral Health Care Integration grantees.)
- Culture of Wellness Organizational Self-Assessment (COW-OSA)
- Culture of Wellness Organizational Self-Assessment Scoring Guide
- The Organizational Culture of Wellness Alignment Graph
- The resource library by Healthcare Communities’ Resource Center, a publicly-accessible repository for documentation, tools, and resources related to healthcare quality improvement. The Resource Center assists service delivery organizations, educational institutions, local/Tribal/state based community leaders, and members of the general public by making available information about and resources related to community-based quality improvement initiatives.
- The TeamSTEPPS® training module for primary care practices is a training curriculum to improve patient safety by teaching health care providers and staff how to communicate better, work more effectively, and make a greater commitment to teamwork. TeamSTEPPS is an evidence-based learning approach jointly developed by AHRQ and the Department of Defense (DoD).
- Customized courses and learning management systems on healthcare, behavioral health, and corporate compliance for behavioral health centers and health centers are available through the National Council for Behavioral Health. All of these online courses meet Joint Commission standards and offer continuing education for nurses and other clinical staff.
AHRQ’s Care Coordination Measures Atlas lists existing measures of care coordination, with a focus on ambulatory care, and presents a framework for understanding care coordination measurement. The Atlas is useful for evaluators of projects aimed at improving care coordination and for quality improvement practitioners and researchers studying care coordination.
As health reform moves forward, accountable care organizations evolve, health and medical homes proliferate, and new payment methodologies that reward value versus volume become more prevalent, leadership practices of the past will be revisited and new practices presented. Collaborative Leadership: A Foundation for Success, a webinar by ACMHA in collaboration with OptumHealth, reviews initiatives that illustrate how collaborative leadership is successfully practiced today.
The Boundary Spanning Leadership: Mission Critical Perspectives from the Executive Suite, prepared by the Center for Creative Leadership, outlines perspectives of senior executives on the pressing trends and challenges affecting their organizations; and the role of leadership in spanning vertical, horizontal, stakeholder, demographic, and geographic boundaries.
- Integrating Behavioral Health and Primary Care Services: Opportunities and Challenges for State Mental Health Authorities integrates two conceptual models that assist in thinking about population-based and systemic responses. The report also references the Care Model, which summarizes the basic elements for improving care in health systems at the community, organization, practice and client levels.