Abstract
There is agreement that governance is essential for successful reform of integrated care systems. As the roles of patients, communities and diverse organizations as partners for health evolve, we require new tools and processes that create clear and transparent accountability relationships. The first two sections of this chapter cover theoretical aspects, including how governance and accountability are conceptualized and specific considerations of governance and accountability in integrated health systems. The latter two sections focus on the practical aspects of implementing governance and accountability into integrated health systems and the tools needed to support its implementation. The multiple models of integrated care evolving globally offer a unique opportunity for governance innovations to manage the complex partnerships in integrated health systems.
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References
Abelson, J., & Gauvin, F. (2004). Engaging citizens: One route to health care accountability. Health Care Accountability Papers No. 2. Canadian Policy Research Networks Inc. (CPRN), Ottawa, ON.
Baez-Carmago, C. (2011). Accountability for better healthcare provision: A framework and guidelines to define understand and assess accountability in health systems. Working Paper Series no. 10. Basel Institute on Governance, Basel, Switzerland.
Barbazza, E., & Tello, J. E. (2014). A review of health governance: Definitions, dimensions and tools to govern. Health Policy, 116(1), 1–11.
Blagescu, M., de Las Casa, L., & Lloyd, R. (2005). Pathways to accountability: The GAP framework. London: One World Trust. Retrieved from www.oneworldtrust.org.
Brinkerhoff, D. (2003). Accountability and health systems: Overview, framework and strategies, partners for health reformplus. Bethesda, MD: Abt Associates.
Brinkerhoff, D. (2004). Accountability and health systems: Toward conceptual clarity and policy reference. Health Policy and Planning, 19(6), 371–379.
Brinkerhoff, D. W., & Bossert, T. J. (2008). Health governance: Concepts, experience, and programming options. Washington, DC: U.S. Agency for International Development, Health Systems 20/20.
Bullivant, J., & Corbett-Nolan, A. (2012). Risk appetite for NHS organisations. A matrix to support better risk sensitivity in decision taking. GGI Ltd. Retrieved from http://www.good-governance.org.uk/risk-appetite-for-nhs-organisations-a-matrix-to-support-better-risk-sensitivity-in-decision-taking/
Canadian Institutes for Health Research (CIHR). (2012). CIHR’s Citizen engagement handbook. Ottawa, ON: CIHR.
Chhotray, V., & Stoker, G. (2009). Governance theory and practice: A cross-disciplinary approach. Hampshire: Palgrave-Macmillan.
Corbett-Nolan, A., Bullivant, J., Godfrey, K., Merret, H., Sutton, D., & Baltruks, D. (2015). Good governance handbook. London: Good Governance Institute and Healthcare Quality Improvement Partnership. Retrieved from http://www.good-governance.org.uk/wp-content/uploads/2015/01/GGH-Main-.pdf.
Dalton, D. (2014). Examining new options and opportunities for providers of NHS care: The Dalton Review. Salford: Salford Royal NHS Foundation Trust. Retrieved from https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/384126/Dalton_Review.pdf.
Deber, R. B. (2014). Thinking about accountability. Healthcare Policy/Politiques de Santé, 10(Special Issue), 12–24.
Delaney, L. (2015). The challenges of an integrated governance process in healthcare. Clinical Governance: An International Journal, 20(2), 74–81.
Department of Health. (2012). Health and Social Care Act 2012. London: HMSO. Retrieved from http://www.legislation.gov.uk/ukpga/2012/7/pdfs/ukpga_20120007_en.pdf.
Evans, J. M., Baker, G. R., Berta, W. B., & Barnsley, J. (2013). The evolution of integrated healthcare strategies. Advances in Health Care Management, 15, 125–161.
Fierlbeck, K. (2014). The changing contours of experimental governance in European health care. Social Science & Medicine, 108, 89–96.
Flood, C., & Archibald, T. (2005). Hamstrung and hogtied: Cascading constraints on citizen governors in medicare. Health Care Accountability Papers No. 6. Canadian Policy Research Networks Inc. (CPRN), Ottawa, ON.
Fooks, C., & Maslove, L. (2004). Rhetoric, fallacy or dream? Examining the accountability of Canadian health care to citizens. Health Care Accountability Papers No. 1. Canadian Policy Research Networks Inc. (CPRN), Ottawa, ON.
Freake, D. (2013). Report to the Board of Directors – Trust integrated care plan. Alnwick: Northumbria Healthcare NHS Foundation Trust. Retrieved from https://www.northumbria.nhs.uk/sites/all/themes/northumbria_nhs/pdfs/enc-8a-integrated-care-plan.original.pdf.
Friedman, M. (2015). Trying hard is not good enough 10th anniversary edition: Measurable improvements for customers and communities. Santa Fe: PARSE Publishing.
George, A. (2003). Accountability in health services: Transforming relationships and contexts. Harvard Center for Population and Development Studies Working Paper Series, vol. 13, no. 1, Boston, MA.
Goodwin, N. (2002). Creating an integrated public sector? Labour’s plans for the modernisation of the English health care system. International Journal Integrated Care, 2, e05.
Grant-Thornton UK. (2015). NHS governance review 2015. Uncharted waters, Grant Thornton, United Kingdom. Retrieved from http://www.grantthornton.co.uk/en/insights/nhs-governance-review-2015-uncharted-waters/
Hammer, M., Lloyd, R., Cumming, L., & Obrecht, A. (2011). Pathways to accountability II: The 2011 revised global accountability framework. London: One World Trust. Retrieved from www.oneworldtrust.org.
Hatton, C., & Waters, J. (2015). Personal health budget holders and family carers. The POET surveys 2015, In-Control and Lancaster University, UK. Retrieved from http://www.in-control.org.uk/what-we-do/poet-%C2%A9-personal-outcomes-evaluation-tool.aspx
Hofmarcher, M., & Smith, C. (Eds.). (2013). Health data navigator. Your toolkit for comparative performance analysis. A EuroREACH product. Vienna: Centre for Social Welfare Policy & Research. Retrieved from http://www.healthdatanavigator.eu/HDN_Toolkit_Final.pdf.
Horne, M., Kahn, H., & Corrigan, P. (2013). People powered health: Health for people, by people and with people. London: Nesta. Retrieved from https://www.nesta.org.uk/sites/default/files/health_for_people_by_people_and_with_people.pdf.
Jackson, C. L., Nicholson, C., Doust, J., Cheung, L., & O’Donnell, J. (2008). Seriously working together: Integrated governance models to achieve sustainable partnerships between health care organizations. Medical Journal of Australia, 188(8), S57–S60.
Jupp, B. (2015). Reconsidering accountability in an age of integrated care-viewpoint. London: Nuffield Trust. Retrieved from http://www.nuffieldtrust.org.uk/publications/reconsidering-accountability-integrated-care.
Kelley, E., & Hurst, J. (2006). OECD working paper 23 -Health care quality indicators project conceptual framework. Paris: OECD.
Kickbusch, I., & Behrendt, T. (2013). Implementing a health 2020 vision: Governance for health in the 21st century. Making it happen. WHO Regional Office for Europe: Copenhagen.
Kickbusch, I., & Gleicher, D. (2012). Governance for health in the 21st century. Copenhagen: WHO Regional Office for Europe.
Kickbusch, I., & Gleicher, D. (Eds.). (2014). Smart governance for health and well-being: The evidence. Copenhagen: WHO Regional Office for Europe.
Lewis, M., & Pettersson, G. (2009). Governance in health care delivery: Raising Performance. Policy Research Working Paper no. 5074. The World Bank, Washington, DC. Retrieved from http://www-wds.worldbank.org/servlet/WDSContentServer/WDSP/IB/2009/10/13/000158349_20091013151915/Rendered/PDF/WPS5074.pdf
Maslin-Prothero, S. E., & Bennion, A. E. (2010). Integrated team working: A literature review. International Journal of Integrated Care, 10, e043.
Maybin, J., Addicott, R., & Dixon, A. (2011). Accountability in the NHS: Implications of the government’s reform programme. London: The King’s Fund. Retrieved from http://www.kingsfund.org.uk/sites/files/kf/Accountability-in-the-NHS-June-Kings-Fund-2011.pdf.
Michels, A., & Meijer, A. (2008). Safeguarding public accountability in horizontal government. Public Management Review, 10(2), 165–173.
Mikkelsen-Lopez, I., Wyss, K., & de Savigny, D. (2011). An approach to addressing governance from a health system framework perspective. BMC International Health and Human Rights, 11(13), 1–11.
Monitor, Care Quality Commission, & NHS Trust Development Authority. (2014). Well-led framework for governance reviews. Government of UK. Retrieved from https://www.gov.uk/government/publications/well-led-nhs-foundation-trusts-a-framework-for-structuring-governance-reviews#history
Nesta. (2013). People powered health co-production catalogue. London: Nesta. Retrieved from http://www.nesta.org.uk/sites/default/files/co-production_catalogue.pdf.
New Zealand Ministry of Health. (2015). Results based accountability – A quick guide. Wellington: Ministry of Health. Retrieved from http://www.health.govt.nz/about-ministry/what-we-do/streamlined-contracting/results-based-accountability.
England, N. H. S. (2014). Five year forward view into action: Planning for 2015–16. London: NHS England. Retrieved from www.england.nhs.uk/wp-content/uploads/2014/12/forward-view-plning.pdf.
England, N. H. S. (2015). The forward view into action – new care models: Update and initial support. London: NHS England. Retrieved from https://www.england.nhs.uk/wp-content/uploads/2015/07/ncm-support-package.pdf.
NHS England, Care Quality Commission, Health Education England, Monitor, Public Health England, & Trust Development Authority. (2014). NHS five year forward view. London: NHS England. Retrieved from https://www.england.nhs.uk/ourwork/futurenhs/.
Nicholson, C., Jackson, C. L., & Marley, J. E. (2014). Best-practice integrated health care governance — applying evidence to Australia’s health reform agenda. The Medical Journal of Australia, 201(Suppl. 3), S64–S66.
Singh, J., & Shah, P. (2007). Community score card process—a short note on the general methodology for implementation. Washington, DC: The World Bank. Retrieved from http://siteresources.worldbank.org/INTPCENG/1143333-1116505690049/20509286/comscorecardsnote.pdf.
Smith, P., Anell, A., Busse, R., Crivello, L., Healy, J., Lindahl, A. K., Westert, G., & Kene, T. (2012). Leadership and governance in seven developed health systems. Health Policy, 106(1), 37–49. doi:10.1016/j.healthpol.2011.12.009.
Suter, E., & Mallinson, S. (2015). Accountability for coordinated/integrated health services delivery. Working Paper. WHO Regional Office for Europe, Copenhagen. Retrieved from http://www.euro.who.int/__data/assets/pdf_file/0003/286149/Accountability_for_coordinated_integrated_health_services_delivery.pdf
Suter, E., Oelke, N. D., Adair, C. E., & Armitage, G. D. (2009). Ten key principles for successful health systems integration. Healthcare Quarterly, 13, 6–23.
Task Team. (2013). Health in the post-2015 agenda. Report of the Global Thematic Consultation on Health.
Van Kersbergen, K., & Van Waarden, F. (2004). “Governance” as a bridge between disciplines: Cross-disciplinary inspiration regarding shifts in governance and problems of governability, accountability and legitimacy. European Journal of Political Research, 43(2), 143–171.
Van Olmen, J., Marchal, B., Van Damme, W., Kegels, G., & Hill, P. S. (2012). Health systems frameworks in their political context: Framing divergent agendas. BMC Public Health, 12(774), 1–13. Retrieved from http://www.biomedcentral.com/1471-2458/12/774.
Washington County Mental Health Services. (2015). Outcomes report 2014. Montpellier, VT: WCMHS. Retrieved from https://www.wcmhs.org/assets/files/docs/WCMHS%20FY14%20Outcomes%20Report%20Compressed.pdf.
Willke, H. (2007). Smart governance – governing the global knowledge society. Chicago: University of Chicago Press.
Williams, P., & Sullivan, H. (2009). Faces of integration. International Journal of Care, 9, e100. Retrieved from http://www.ijic.org/index.php/ijic/article/view/509/1016.
World Bank. (2013). Local governance and innovation: The role of ‘horizontal associations’. The World Bank Group. Retrieved from http://web.worldbank.org/WBSITE/EXTERNAL/COUNTRIES/EASTASIAPACIFICEXT/0,,contentMDK:22499278~pagePK:146736~piPK:146830~theSitePK:226301,00.html
World Health Organization. (2000). The world health report 2000 – Health systems: Improving performance. Geneva: WHO.
World Health Organization. (2007). Everybody’s business: Strengthening health systems to improve health outcomes. Geneva: WHO.
World Health Organization. (2008). Toolkit on monitoring health systems strengthening: Health systems governance. Geneva: WHO.
World Health Organization. (2013). Health 2020: A European policy framework and strategy for the 21st century. Copenhagen: WHO Regional Office for Europe.
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Mallinson, S., Suter, E. (2017). Governance and Accountability. In: Amelung, V., Stein, V., Goodwin, N., Balicer, R., Nolte, E., Suter, E. (eds) Handbook Integrated Care. Springer, Cham. https://doi.org/10.1007/978-3-319-56103-5_10
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