BRIDGES projects
| Intervention | Project | Description | Patient interviews | Caregiver interviews |
|---|---|---|---|---|
| 1 | IHBPC | Designed to integrate care by providing home-based primary care to homebound patients through a Community Support Agency (House Calls model) or a FHT | 12 | 14 |
| 2 | IMPACT+ | Designed to integrate care by simultaneously bringing patients, families/caregivers, the primary care team, community care providers and hospital-based specialists together in real time and space to assess the medical, functional and psychosocial needs of the patient | 3 | 1 |
| 3 | Afib | Designed to integrate care by redesigning and optimising processes of care for patients with AF in the ED and the way in which follow-up care is provided as they transition from the ED to primary care | 7 | NA |
| 4 | PIC-COPD and other comorbidities () | Designed to integrate care by engaging in care coordination and management activities that includes case management, individualised action plans and COPD patient education | 11 | 3 |
| 5 | CATCH-ED | Designed to integrate care for individuals with mental health and addictions disorders by identifying these patients and connecting them to primary care and a range of community support options from which creative, individualised and integrated responses can be developed | 11 | NA |
| 44 | 18 | |||
| Total | 62 | |||
AF, atrial fibrillation; Afib, Innovate Atrial Fibrillation; CATCH-ED, Coordinated Access to Care from Hospital Emergency Departments; ED, emergency department; FHT, Family Health Team; IHBPC, Integrated Home-Based Primary Care; NA, not available; PIC-COPD, Program of Integrated Care for Patients with Chronic Obstructive Pulmonary Disease.