Table 2.

Sustainability Domain

Components	Reason for selection	Sentinel indicator items	Data source	References
Workforce	The importance of having a workforce that is appropriate in number, volume and distribution and is responsive to emerging needs.	• Staff profile- Numbers and FTE. • Staff length of stay • Succession planning • CPD activities	Audit Interview Audit	AIHW [21] Wakerman[22] RACGP [20]
Linkages	Efficient and effective co-ordination between providers and between services is essential for continuity of care and service sustainability.	• Centralised electronic medical records • Care integrated with external agencies and mainstream programs	Audit/Interview	Wakerman et al [22]; CIHI[18];
Infrastructure	Infrastructure and ICT needs to be appropriate to the service, its catchment population and monitoring and reporting requirements.	• Uptake of Information and Communication Technology (ICT)	Audit	CIHI [18]; Wakerman et al [22]
Funding	Financing and provider remuneration should be appropriate, sustainable and clearly identified within program budgets to maximise service efficiencies and adequate to meet identified community health needs.	• Funding sources: public, private, other • Service providers' remuneration methods	Audit Audit	Wakerman et al [22] CIHI [18]
Governance, management and leadership	Good governance and leadership have been identified to be integral to service sustainability	• Governance structure and processes and a risk management plan in relation to service sustainability need to be clearly defined, implemented and reviewed.	Interview/documentation	RACGP [20], Wakerman et al [22]
		• Level of accreditation	Audit	NHPC [19]