Navigate Your Health: A Case Study of Organisational Learnings from an Integrated Care Pilot for Children and Young People in Care

Abstract

Introduction: Three peak organisations in Queensland, Australia partnered with consumers and other health and social sector partners to co-design and pilot the first known integrated, health navigation model to improve outcomes for children and young people in care in Australia.Description: An Organisational Learning theoretical lens has been used to present a narrative case study of findings structured as key learnings from the Navigate Your Health pilot to inform quality improvement, scalability and program sustainability. A developmental evaluation was completed whereby semi-structured interviews, focus groups, surveys, chart reviews, database excerpts and economic modelling was completed alongside project documentation analyses to create an evaluation framework.Discussion: Findings highlighted the agency partners' drive to foster a more integrated and person-centred approach to care. The pilot's aim of improving health outcomes for a vulnerable population were achieved through a co-designed process which provided additional insights regarding partnerships, improvement, scalability and sustainability. Conclusion:Inter-agency responses to system fragmentation provide significant organisational learning opportunities. System integration is achievable through strengthened partnerships that can be sustained beyond a pilot phase to improve health outcomes for vulnerable/priority populations.

From People-Centred to People-Driven Care: Can Integrated Care Achieve its Promise without it?

“…Our thinking is derived from the Special Collection on People-Driven Care: Co-Designing for Health and Wellbeing with Individuals and Communities that was commissioned to bring together knowledge and evidence of the potential impact of people-driven care, specifically to describe approaches focusing on empowering and engaging people and the role and impact of co-production and co-design. The call for papers yielded 18 papers, of which 14 have to-date been published comprising 8 research papers [ 3 4 5 6 7 8 9 10 ], 4 case studies [ 11 12 13 14 ], a perspective paper [ 15 ], and a research protocol paper [ 16 ].…”

“…Whilst our special issue cannot claim to offer more than a sparse reflection on the scope of this evidence, the majority of studies only examined the ‘potential’ importance of pursuing co-design principles and participatory activities in different contexts [e.g. 4 5 6 7 13 14 ]. Only two research studies provided evidence for more collaborative and people-centred practices resulting in outcomes such as higher satisfaction levels in service delivery and stronger user-professional collaboration [ 3 8 ].…”

What is known about Australian child protection practitioners’ participation in the health care of children living in out of home care: a scoping review

“…Of the nine papers selected, three were from Queensland (QLD) (Arora et al. , 2014; Kaltner and Rissel, 2011; Moss et al. , 2021), three were from Victoria (McLean et al.…”

“…Participants, or the study population, included six articles researching the CP or health records of children in OOHC (Arora et al. , 2014; Kaltner and Rissel, 2011; Moss et al. , 2021; Raman et al.…”

“…, 2014; Kaltner and Rissel, 2011; Vimpani et al. , 2012) and four used mixed methods including an evaluation, a narrative case study, focus groups and statistics on children’s outcomes (Moss et al. , 2021; Modderman et al.…”