Table 4 Example of a cross cutting theme - Role Clarity - informing intervention design

Interprofessional Primary Health Care Team

Health TAPESTRY champion

Identifies Health TAPESTRY Champion to act as system navigator (novel)

“(Nurse persona) becomes the TAPESTRY champion in the family health team, and now feels like he has the tools to make a difference for this family.” Primary Care Group 1

Discussion with clinical team about having point person to facilitate TAPESTRY

Volunteers

Procedures for volunteer visits

Policy outlining volunteer assisting patients with transportation (considered)

“(We) envision the volunteers doing more things like training on community literacy or friendly visiting or perhaps providing transportation for the patients” Community Clinician Group 2

“Maybe the volunteer could put them in contact with some other services like the DARTS (disabled and aged regional transportation system) bus or some sort of driving shuttle.” Volunteer Group 1

Incorporated policy into volunteer training and reference manual

Patient

Patient/Volunteer relations

Volunteer photo provided to patient in advance (novel)

“So we were worrying about the idea of scammers and things like that. So we said that the volunteer should be showing photo ID at the door, like through the peep hole or what not, before the senior actually lets them into the house” Patient Group 3

“And the volunteer that she knows is there to essentially to provide a sense of security. So TAPESTRY should be providing a picture of the volunteer who she doesn’t know to the patient prior to the volunteer showing up that way the patient can put it up on their fridge and kind of act as a reminder. And if they have dementia or something, it’s easy for them to see the picture and just quickly compare as opposed to having to remember what their face looks like. ”Patient Group 2

Clear identification, notification and security during volunteer visits.

Inter-professional Primary Health Care Team

Designated roles

List of users for each community agency (Novel)

“They could look for names of their clients, because again what we have seen in the community is that there are many times where it looks like the client does not have anybody involved, but when you actually start getting involved and/or making referrals, you find out people are actually hooked up to a number of services that, that don’t always, provide that information.”

Community Service Provider Group 2, July 4, 2013

Determined not feasible to implement