Table 4.
Summary of CCM element activities supported by ICT identified in nine cases
| CCM element | Activity | ON case 1 | ON case 2 | ON case 3 | QC cases 1–3 | NZ case 1 | NZ case 2 | NZ case 3 |
|---|---|---|---|---|---|---|---|---|
| Community resources and policies | Information sharing (health to social care) | • | • | • | • | • | ||
| Health system | Informed management decisions | • | • | • | ||||
| Quality improvement | • | • | • | • | • | |||
| Case finding | • | • | • | • | • | |||
| Action planning | • | • | • | • | ||||
| Delivery system design | Care coordination | • | • | • | • | • | • | • |
| Assessment | • | • | • | |||||
| Electronic referral | • | • | • | |||||
| Remote monitoring | • | • | • | • | ||||
| Prevention activities | • | • | • | • | • | |||
| Self-management support | Part of care planning | • | • | • | • | |||
| Collaborative decision-making | • | • | • | |||||
| Provide access to resources | • | • | • | |||||
| Decision supports | Clinical guidelines | • | • | • | ||||
| Referral pathways | • | • | ||||||
| Peer support | • | • | ||||||
| Clinical information systems | Documentation | • | • | • | • | • | • | • |
| Clinical level | • | • | • | • | • | • | • | |
| Regional level | • | • | • | • |
Activities supported by ICT as identified by participants. This may not be a complete list of all activities conducted by cases, or across their respective jurisdictions, in relation to these elements of the CCM. The table is intended to summarize the findings discussed in the following section
ON case 1—community agency lead; ON case 2—primary care and home care partnership; ON case 3—community health center; NZ case 1—network model; NZ case 2—Maori NGO; NZ case 3—PHO home visiting program