Table 3 Cross-Case Analysis of Targeted Programs of Care for Adults with IDD
IDD Program of Care | Case 2 FHT | Case 5 CHC |
|---|---|---|
Main Purpose of Program | Provide Health Check | Care Coordination |
Age of Program | 5 Years (est. 2014) | 12 Years (est. 2007) |
Organizational Support | • Yes | • Yes |
Core Health Providers- Staff Currently Involved (Resources- Health Personnel) | • Physicians/ Residents • Nurses • Clinic Clerk (scheduling) | • Physician • IDD Community Nurse • Clinic Clerk (scheduling) |
Provider Remuneration (Resources – capital) | Physicians: Blended model Residents Nurses, Clinic Clerk: Salary | All providers: salaried Community IDD nurse salary funded by Ministry of Children, Community and Social Services |
Services Offered (Resources – health personnel, equipment, materials) | • Care Coordination • Health Check • Usual Primary Care • System Navigation • Advocacy | • Care Coordination • Usual Primary Care • Health Teaching • System Navigation • Advocacy |
Access to Program (Organization- Entry) | Rostered with physician associated with case 2. Patients may have suspected or known IDD | Open access to nurse if known or suspected IDD; typically roster with physician associated with IDD clinic if possible |
Availability (Organization- Entry) | Monday to Friday. On call services available after hours | Monday to Friday. Nurse offers emergency cell on-call services after hours |
Accessibility-Accommodation (Organization-structures) | Visits offered in clinic or group home/residence as required | Visits offered in clinic or group home/residence as required |
Opportunities for Collaboration (Organization-structures) | Yes, although not typical. Main providers physicians; however, can refer to all health providers as needed | Yes, collaboration between physician and nurse; however, can refer to all health providers as needed |
Opportunities for Coordination (Organization-structures) | • With Developmental Services Agency staff and specialist IDD health providers | • With Developmental Services Agency Staff |
Program Evaluated (Organizational -structures) | Yes, evaluation identified in quality improvement plan | Not at this time |