Table 1.

Systems assessment tool components

Components of systems	Items for each component
1. Delivery system design (eight items)	1. Team structure and function
	2. Clinical leadership
	3. Appointments and scheduling
	4. Care planning
	5. Systematic approach to follow-up
	6. Continuity of care
	7. Client access/cultural competence
	8. Physical infrastructure, supplies and equipment
2. Information systems and decision support (three items)	1. Maintenance and use of electronic client lists
	2. Evidence-based guidelines
	3. Specialist-generalist collaborations
3. Self-management support (two items)	1. Assessment and documentation
	2. Self-management education and support, behavioural risk reduction and peer support
4. Links with the community, other health services and other services (four items)	1. Communication and cooperation on governance and operation of the health centre and other community based organisations and programs
	2. Linking health centre clients to outside resources
	3. Working in the community
	4. Communication and cooperation on regional health planning and development of health resources
5. Organisational influence and integration (three items)	1. Organisational commitment
	2. Quality improvement strategies
	3. Integration of health system components