Action method to integrate support services and care in the area of independence: Developing protocols and tools for information sharing

Background

Name of your initiative:

Short name (acronym):

MAIA

Website title and address:

Which organization is submitting this initiative?:

National Solidarity Fund for Independence (CNSA)

Please specify in which regions/provinces:

FRANCE›CENTRE-EST›Rhône-Alpes›Isère

City:

Where is this organization located?:

France

Please enter the name of the contact person for this initiative:

Sarah Hustache-Attiyoub

Please enter the email of the contact for this initiative:

Sarah.hustache-attiyoub@cg38.fr

Part of larger strategy or programme:

Regional

If you answered "other", please specify:

Please provide us with more details of this programme or strategy:

The status of the initiative:

Completed

Please give a summary of your initiative (in English):

The MAIA project aims to set up governing bodies and common tools in order to bring together services in geographical areas and to develop joint responsibility for individual needs of health care and social care. The goal is to bring together the right stakeholders to make a diagnosis of care needs, facilitate the right care and to appoint case managers to bring services to the service user. At the first stage of the project, 17 pilot projects where carried out at different local levels with national supervision by the CNSA (National Solidarity Fund for Independence). At the second stage the pilot was rolled out to several areas in France and managed by the regional health agencies. A coordinator is responsible for pilot in certain geographical areas in which case managers work with service users and different services (40 cases followed by the equivalent of a full-time coordinator). Information is shared by protocols between health care and social care professionals.

The geographical scope:

Type of initiative:

Public

Environment or setting of the initiative:

Urban

The economic environment or setting of the initiative:

Moderate

The most important source of funding for your initiative:

Regional funding

If other, please specify your source of funding:

What triggered this initiative?:

The project was developed in order to address fragmentation between health and social care. It addresses the need to improve care co-ordination by better information sharing and communication. It also aims for a better use of resources/cost reduction, health improvement for service users and informal carers, to improve quality of care, co-ordination and continuity of health and social care, and knowledge and understanding.

Objectives

What are the main objectives of your initiative? Choose a maximum of 3 objectives.:

Civic participation: increase in possibilities for active civic participation of older peopleCommunication and information: increase in communication and information suitable for targeted at older peopleCommunity support and health services: increase in client-oriented and -centered made to measure health and social care and services

Please describe any subgoals of your initiative:

Target group

Does your initiative target people with a specific impairment or disease?:

How many people have you reached or do you expect to reach with your initiative?:

Does your initiative target a specific age group?:

65 - 7980+

Does your initiative target men or women?:

Irrelevant

Approach

Please indicate what best describes your initiative:

What type of intervention strategy is used in your initiative?:

Living lab/pilot

Please indicate the Technology Readiness Level (TRL) of your initiative:

Not applicable

Who executes the initiative:

HospitalPrimary health care providers›General practitionerPrimary health care providers›NursePrimary health care providers›OtherProvider of ambulatory health careProvider of social service

What is the relevant physical scale of your initiative?:

Please indicate how you think your initiative could be scaled up (made to reach more people):

There are currently 205 MAIA projects deployed in France on different scales (town, specific parts within County Councils) and promoted by different bodies (general councils, health networks, hospital, etc.).

Please indicate the type of stakeholders concerned with your initiative.:

Health service contracters›OtherHealth service contracters›Public authorityHospitalPrimary health care providers›General practitionerPrimary health care providers›NurseProvider of social service

Please describe how you think your initiative could be transferred to other regions or contexts:

This national project highlights some important considerations for transferability: The MAIA project is already at national level and is dependent upon three areas of set-up: one governing body, one-stop service that provides access to information to all services and the use of case managers. Therefore, the project can only be applied in areas jointly co-ordinated by health and social care.

Is your initiative economically sustainable and does it contribute to economic development?:

If you selected "other" neighbourhood, please specify::

Impact & outcome

Will you collect or have you collected outcome data for this initiative?:

Yes

What do you consider the key success factors of your initiative? If your initiative has not yet started, please indicate what you expect the key success factors to be:

Complex methodology developed in the framework of the project. The practice developed a record sharing procedure. Protocols between health and social care services have been established to share and evaluate information between professionals. Tools have been merged in order to make information sharing easier (tools for needs analysis, referral to other services, awareness of services). Information sharing with service users led to an an easier access and understanding of existing services in the area and the way they complement each other.

What do you consider the main barriers to overcome in your initiative? If your initiative has not yet started, please indicate what you expect the main barriers to be.:

Representation of stakeholders: because of the fragmentation of structures and professionals, it is challenging to identify relevant stakeholders. Project's ownership: requires strong support from the implementation team as the coordinator can not manage the methodology alone. Need for legal framework to share information and efficient IT-system. Agreements between municipalities are not necessary allowed to give access to information of users from neighbouring areas. Impact on service providers: the methodology implements concrete changes for professionals which can lead to a certain level of resistance from the workers (reluctance towards changes). Small organisations do not always have the relevant resources to set up a professional network to orient users.

What instruments will you use/have used to collect data?:

Other, namely

If you selected "other" instrument to collect data, please specify:

If yes, how will you/have you collected those data?:

Will you collect or have collected socio-economic impact data for this initiative?:

Will or are the collected data in the initiative publicly available?: