G. Baker

TL;DR: Parsons' social system action theory is used to develop a comprehensive theoretically grounded framework by which to overcome the current fragmented approach to HCO performance management.

TL;DR: The roles and impact of OPA models in use in health care are reviewed, and areas of potential abuse, such as myopia, tunnel vision and gaming, are identified, and the establishment of principles for the development, implementation and prevention of abuse of Opa specific to health care is enabled.

TL;DR: It is concluded that participation on QI teams can lead to organizational learning, resulting in the inculcation of positive ‘extra-role’ and ‘in- role’ job behaviour.

TL;DR: Initial findings on health care provider engagement in efforts to implement integrated community-based primary health care from the iCOACH project suggest that managers within health care organizations can act as either barriers or facilitators to implementing integrated care.

TL;DR: The findings suggest that strong leadership is needed to navigate the tensions of integrating care and that investment is needed in strategies to more systematically support and develop leadership capabilities for building collaboration and integration throughout the health system.