1. Part 3 Integrating Mechanisms

2. Services and Integrating Mechanisms of the Continuum of Care
INTERENTITY
MANAGEMENT
& STRUCTURE
INTEGRATED
INFORMATION
SYSTEMS
CARE
COORDINATION
INTEGRATED
FINANCING
EXTENDED
ACUTE
AMBULATORY
SOURCE: Evashwick, C. (1987). Definition of the continuum of care. In C. Evashwick & L. Weiss (Eds.), Managing the continuum of care: A practical guide to organization and operations. Rockville, MD: Aspen Publishers
HOME
OUTREACH
WELLNESS
HOUSING
Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.

3. Chapter 11 Organization and Management

4. Benefits to Organizations of Integrating Services
Increased efficiency
Economies of scale
Wider distribution of risk
Greater bargaining power
Expanded market
Improved customer satisfaction
Enhanced quality and outcomes
Located in the Continuum of Long-Term Care, 3rd Edition : Chapter 11.
Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.

5. Barriers to Organizational Integration
Different service eligibility criteria
Separate financing streams
Conflicting regulations
Differing organization cultures
Client and staff loyalties
Geographic boundaries
Professional cultures and preferences
Located in the Continuum of Long-Term Care, 3rd Edition : Chapter 11.
Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.

6. Barriers to Organizational Integration (Cont.)
Communication patterns
Inadequate information systems
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7. General Management Techniques for Integrating
Educate board
Identify leaders
Centralize decision making
Unify marketing
Consolidate finances and budgeting
Centralize purchasing
Located in the Continuum of Long-Term Care, 3rd Edition : Chapter 11.
Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.

8. General Management Techniques for Integrating (Cont.)
Align human resource functions
Integrate information systems
Implement case management
Establish disease management programs
Coordinate clinical care
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9. Management Techniques for Integration Used by Providers
Share a vision
Create management team
Educate board
Identify leaders
Unify marketing
Located in The Continuum of Long-Term Care, 3rd Ed., pg. 191
Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.

10. Management Techniques for Integration Used by Providers (Cont.)
Centralize purchasing
Align human resource functions
Coordinate clinical care
Establish disease management
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11. Management Techniques for Integration Used by Payers
A single intake form
A single patient identification number
Case management
Pooled categorical funding
Single contracting of services to all clients regardless of source of coverage
Located in The Continuum of Long-Term Care, 3rd Ed., page 195
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12. Management Techniques for Integration Used by State Governments
A common intake form
Case managers with responsibility to the state program, not to the collaborating agencies
Located in The Continuum of Long-Term Care, 3rd Ed., pg. 196
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13. Management Techniques for Integration Used by State Governments (Cont
Team management (program managed by a team of managers for multiple collaborating agencies)
Pooled categorical funding
Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.