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Table 3 Cross-Case Analysis of Targeted Programs of Care for Adults with IDD

From: Organizational attributes of interprofessional primary care for adults with intellectual and developmental disabilities in ontario, Canada: a multiple case study

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