Designing Integrated Care Ecosystems

1. Front Matter

   Pages i-xviii

   PDF

2. Foundations

   1. Front Matter

      Pages 1-1

      PDF

   2. Introduction

      • Ezra Dessers, Bernard J. Mohr

      Pages 3-5

   3. Why Do We Need Integrated Care?

      • Ezra Dessers, Bernard J. Mohr

      Pages 7-12

   4. Integrated Care Ecosystems

      • Ezra Dessers, Bernard J. Mohr

      Pages 13-23

   5. Designing from a Socio-Technical Systems Perspective

      • Bernard J. Mohr, Ezra Dessers

      Pages 25-48

3. Case Stories

   1. Front Matter

      Pages 49-49

      PDF

   2. Connected Relationships: Development and Implementation of an Integrated Care Ecosystem Within the United Kingdom

      • Anna Thomson

      Pages 51-65

   3. “Primary Care Plus” in the Netherlands: Ecosystem Care Integration from a Socio-Technical Perspective

      • Peggy Goris

      Pages 67-81

   4. Starting Small, Learning as You Grow: Relational-Emergent Health Service Ecosystem Design

      • Jake Jennings, Ellen W. Raboin

      Pages 83-94

   5. Designing Primary Care Ecosystems in Belgium: Early Reflections

      • Ezra Dessers, Mieke Van Gramberen

      Pages 95-106

   6. Designing Smart Network Teams: Supporting Caregivers for People Living at Home

      • Frank O. Verschuur

      Pages 107-123

   7. Designing Care Innovation Ecosystems: The Care Living Labs in Flanders (Belgium)

      • Sam Pless, Yennef Vereycken, Ezra Dessers

      Pages 125-135

   8. Integrated Care Ecosystems in Singapore

      • Milawaty Nurjono, Hubertus J. M. Vrijhoef

      Pages 137-150

   9. Building an Accountable Health Community in Baltimore City: Early Steps

      • Sonia Sarkar, Mike Fried

      Pages 151-160

   10. Thinking, Acting and Organizing Differently: The Ruwaard Experiment

       • Sandra de Loos, Susanne Smits

       Pages 161-172

   11. Designing Networks for Integrated Care Within the Belgian Mental Health Care Ecosystem

       • Christiane Sels, Geert Van Hootegem

       Pages 173-187

   12. Co-creating Value in the Diabetic Foot Care Ecosystem

       • Chris Lawer

       Pages 189-200

   13. Hospitals Within Ecosystems: Designing a University Hospital as Part of an Integrated Care Ecosystem

       • Arie Versluis

       Pages 201-214

   14. Designing a Cardiac Surgery Patient Pathway: One Step Towards an Integrated Care Ecosystem

       • Todorka Kostadinova, Plamen Panayotov, Daniela Panayotova, Liya Panayotova

       Pages 215-227

This book brings together research and theory about integrated care ecosystems with modern Socio-Technical Systems Design. It provides a practical framework for collaborative action and the potential for better care in every sense. By combining the aspirations, information, resources, activities, and the skills of public and private organizations, independent care providers, informal care givers, patients and other ecosystem actors, this framework makes possible results that none of the parties concerned can achieve independently It is both a design challenge and a call for innovation in how we think about health care co-creation. Illustrative stories from many countries highlight different aspects of integrated care ecosystems, their design and their functioning in ways that allow us to push the operating frontiers of what we today call our health care system. It explains what it means to design higher levels of coordination and collaboration into fragmented care ecosystems and explores who the participants should and can be in that process. Written for a broad audience including researchers, professionals, and policy makers, this book offers readers new thinking about what outcomes are possible and ways to achieve them.

• Integrated Care
• Business Ecosystems
• Health Systems
• Socio-Technical Systems
• Organization Design
• New Models of Care
• Multi-Organisational Networks
• Integrated Care Systems
• Health Services Research
• Employee Health and Wellbeing

• People Powered Innovation Labs, Portland, USA

  Bernard J. Mohr

• Centre for Sociological Research, KU Leuven, Leuven, Belgium

  Ezra Dessers

Bernard Mohr is past Dean of Complex Systems Change at the Institute for Applied Behavioral Science, and adjunct faculty in organizational innovation at Concordia University. He works throughout the USA, Central America, the Caribbean, Western Europe, Canada and the Middle East on relational and strength based innovation of professional service practices in health care, education and R&D. Representative clients include Baystate Health, British Petroleum, Canadian Broadcasting Corp., Elliott Health System, Faxton-St. Luke’s Healthcare, GSK, Newark Beth Israel Medical Center, Novartis, Novo Nordisk, NYU Langone Medical Center, Tennessee Hospital Association, Tufts Medical Center, University of Maine System and the World Health Organization. He has authored/co-authored five books and numerous articles dealing with co-creating more humane and effective organizations.



Ezra Dessers is research manager at HIVA - Research Institute for Labor and Society, and assistant professor at the Centre for Sociological Research, KU Leuven, Belgium. Ezra has extensive experience in research, teaching, consultancy and project management in the field of organizational design, inter-organizational networks and information technology. Ezra has done research on workplace innovation in health and social care, public administration, and various industrial sectors. Ezra coordinated a four-year project on integrated care in Belgium, where he was also part of the Care Living Labs program. Ezra has published on organizational challenges related to integrated care both in scientific and specialist journals, and is an editorial board member of the International Journal of Care Coordination.

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