{"id":"https://openalex.org/W7140293103","doi":"https://doi.org/10.5334/ijic.icic25606","title":"A Playbook for Building Integrated Care Teams: Lessons for System Transformation","display_name":"A Playbook for Building Integrated Care Teams: Lessons for System Transformation","publication_year":2026,"publication_date":"2026-03-24","ids":{"openalex":"https://openalex.org/W7140293103","doi":"https://doi.org/10.5334/ijic.icic25606"},"language":"en","primary_location":{"id":"doi:10.5334/ijic.icic25606","doi":"https://doi.org/10.5334/ijic.icic25606","is_oa":true,"landing_page_url":"https://doi.org/10.5334/ijic.icic25606","pdf_url":null,"source":{"id":"https://openalex.org/S2488126895","display_name":"International Journal of Integrated Care","issn_l":"1568-4156","issn":["1568-4156"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-c","jufo-2","ki-jl-1","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320511","host_organization_name":"Ubiquity Press","host_organization_lineage":["https://openalex.org/P4310320511"],"host_organization_lineage_names":["Ubiquity Press"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Integrated Care","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.5334/ijic.icic25606","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5159827661","display_name":"Steve Tierney","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Steve Tierney","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159876182","display_name":"Melissa Merrick","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Melissa Merrick","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5114084048","display_name":"Olivia Lorenzo","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Olivia Lorenzo","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":1500,"currency":"GBP","value_usd":1839},"apc_paid":{"value":1500,"currency":"GBP","value_usd":1839},"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"26","issue":"S1","first_page":"606","last_page":"606"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11497","display_name":"Interprofessional Education and Collaboration","score":0.44020000100135803,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11497","display_name":"Interprofessional Education and Collaboration","score":0.44020000100135803,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.323199987411499,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11816","display_name":"Nursing Roles and Practices","score":0.09030000120401382,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/integrated-care-teams","display_name":"integrated care teams","score":0.7649999856948853},{"id":"https://openalex.org/keywords/integrated-care","display_name":"integrated care","score":0.4860000014305115},{"id":"https://openalex.org/keywords/health-system-transformation","display_name":"health system transformation","score":0.6349999904632568},{"id":"https://openalex.org/keywords/alaska-native-health","display_name":"Alaska Native health","score":0.7620000243186951},{"id":"https://openalex.org/keywords/primary-care","display_name":"primary care","score":0.6579999923706055},{"id":"https://openalex.org/keywords/nurse-case-management","display_name":"nurse case management","score":0.8579999804496765},{"id":"https://openalex.org/keywords/patient-choice-of-provider","display_name":"patient choice of provider","score":0.5299999713897705},{"id":"https://openalex.org/keywords/relationship-centered-care","display_name":"relationship-centered care","score":0.8299999833106995},{"id":"https://openalex.org/keywords/health-outcomes","display_name":"health outcomes","score":0.4410000145435333},{"id":"https://openalex.org/keywords/patient-satisfaction","display_name":"patient satisfaction","score":0.7070000171661377},{"id":"https://openalex.org/keywords/hedis","display_name":"HEDIS","score":0.7170000076293945},{"id":"https://openalex.org/keywords/job-satisfaction","display_name":"job satisfaction","score":0.45500001311302185}],"concepts":[{"id":"https://openalex.org/C2779541514","wikidata":"https://www.wikidata.org/wiki/Q1477478","display_name":"Integrated care","level":3,"score":0.8270999789237976},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5899999737739563},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.4860999882221222},{"id":"https://openalex.org/C46304622","wikidata":"https://www.wikidata.org/wiki/Q374814","display_name":"Certification","level":2,"score":0.46799999475479126},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.44510000944137573},{"id":"https://openalex.org/C121246419","wikidata":"https://www.wikidata.org/wiki/Q1078096","display_name":"Unlicensed assistive personnel","level":5,"score":0.42410001158714294},{"id":"https://openalex.org/C2780265253","wikidata":"https://www.wikidata.org/wiki/Q1416012","display_name":"Managed care","level":3,"score":0.40230000019073486},{"id":"https://openalex.org/C140187875","wikidata":"https://www.wikidata.org/wiki/Q1665345","display_name":"Integrated services","level":2,"score":0.36800000071525574},{"id":"https://openalex.org/C39549134","wikidata":"https://www.wikidata.org/wiki/Q133080","display_name":"Public relations","level":1,"score":0.35260000824928284},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.33489999175071716},{"id":"https://openalex.org/C98045186","wikidata":"https://www.wikidata.org/wiki/Q205663","display_name":"Process (computing)","level":2,"score":0.33180001378059387},{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.32269999384880066},{"id":"https://openalex.org/C195094911","wikidata":"https://www.wikidata.org/wiki/Q14167904","display_name":"Process management","level":1,"score":0.31869998574256897},{"id":"https://openalex.org/C2777838021","wikidata":"https://www.wikidata.org/wiki/Q5008802","display_name":"CARE Act","level":3,"score":0.31220000982284546},{"id":"https://openalex.org/C2778804116","wikidata":"https://www.wikidata.org/wiki/Q6806546","display_name":"Medical home","level":3,"score":0.30399999022483826},{"id":"https://openalex.org/C2778746772","wikidata":"https://www.wikidata.org/wiki/Q16251440","display_name":"Coproduction","level":2,"score":0.2994000017642975},{"id":"https://openalex.org/C19527686","wikidata":"https://www.wikidata.org/wiki/Q1665453","display_name":"System integration","level":2,"score":0.29269999265670776},{"id":"https://openalex.org/C147268084","wikidata":"https://www.wikidata.org/wiki/Q5635796","display_name":"HRHIS","level":4,"score":0.2766000032424927},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.26489999890327454},{"id":"https://openalex.org/C2780233487","wikidata":"https://www.wikidata.org/wiki/Q6672123","display_name":"Long-term care","level":2,"score":0.2590999901294708}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.5334/ijic.icic25606","doi":"https://doi.org/10.5334/ijic.icic25606","is_oa":true,"landing_page_url":"https://doi.org/10.5334/ijic.icic25606","pdf_url":null,"source":{"id":"https://openalex.org/S2488126895","display_name":"International Journal of Integrated Care","issn_l":"1568-4156","issn":["1568-4156"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-c","jufo-2","ki-jl-1","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320511","host_organization_name":"Ubiquity Press","host_organization_lineage":["https://openalex.org/P4310320511"],"host_organization_lineage_names":["Ubiquity Press"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Integrated Care","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.5334/ijic.icic25606","doi":"https://doi.org/10.5334/ijic.icic25606","is_oa":true,"landing_page_url":"https://doi.org/10.5334/ijic.icic25606","pdf_url":null,"source":{"id":"https://openalex.org/S2488126895","display_name":"International Journal of Integrated Care","issn_l":"1568-4156","issn":["1568-4156"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-c","jufo-2","ki-jl-1","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320511","host_organization_name":"Ubiquity Press","host_organization_lineage":["https://openalex.org/P4310320511"],"host_organization_lineage_names":["Ubiquity Press"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Integrated Care","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9537000060081482,"id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4404895212","https://openalex.org/W2606438197","https://openalex.org/W2897770645","https://openalex.org/W2992531483","https://openalex.org/W2091131889","https://openalex.org/W7096694270","https://openalex.org/W4280550079","https://openalex.org/W4280609440","https://openalex.org/W2593414074","https://openalex.org/W2063591462"],"abstract_inverted_index":{"In":[0,304],"the":[1,17,76,82,95,99,103,126,198,208,258,323,327,347,359,373,449,453,457,464],"1990s,":[2],"Alaska":[3,43,58,116],"Native":[4,59,77,117],"people":[5,63,118],"chose":[6],"to":[7,19,57,79,110,123,132,157,197,222,246,270,298,307,417,419,451,463,493,496],"assume":[8],"responsibility":[9,49],"for":[10,50,102,217,266,354,414,448],"their":[11,37,88,92,112,134,145,272,421,497],"own":[12,113,273,422,498],"health":[13,83,104,192,267,352,397],"care":[14,22,53,84,105,146,160,171,184,199,209,268,285,312,374],"and":[15,45,54,60,90,141,179,190,228,245,252,291,301,363,378,399,456],"transform":[16],"system":[18,32,85,106,328],"provide":[20,158,247],"better":[21],"than":[23],"they":[24,72,138,202],"had":[25,119],"received":[26],"as":[27,187,201,330,332,356],"\u201cbeneficiaries\u201d":[28],"of":[29,168,207,283,294,310,368,393,471,478,487],"a":[30,169,263,316,333,412,469,483],"government-run":[31,128],"that":[33,81,340,389,468],"did":[34],"not":[35,120],"meet":[36],"needs.":[38],"Southcentral":[39],"Foundation":[40],"(SCF),":[41],"an":[42,432],"Native-owned":[44],"managed":[46],"organization,":[47],"took":[48],"providing":[51],"primary":[52,159,170],"related":[55],"services":[56],"American":[61],"Indian":[62],"in":[64,233,319,322,336,350,431],"Alaska\u2019s":[65],"Cook":[66],"Inlet":[67],"region.":[68],"Upon":[69],"doing":[70],"so,":[71],"worked":[73],"directly":[74],"with":[75,213,372,436],"community":[78,100],"ensure":[80],"would":[86],"address":[87],"needs":[89],"reflect":[91],"values.":[93],"Among":[94],"most":[96],"important":[97],"things":[98],"identified":[101],"was":[107],"being":[108,130],"able":[109,122,131],"choose":[111],"provider":[114,136],"(something":[115],"been":[121],"do":[124],"under":[125],"previous":[127],"system),":[129],"see":[133],"chosen":[135],"whenever":[137],"needed":[139],"to,":[140],"having":[142],"input":[143],"into":[144,439],"decisions.":[147],"To":[148,236],"support":[149,231],"these":[150],"goals,":[151],"SCF":[152,255,314,344,379],"established":[153],"Integrated":[154,164,242,259,274,407,423,489],"Care":[155,165,243,260,275,408,424,490],"Teams":[156,261,409,491],"services.":[161],"The":[162,277,442],"core":[163],"Team":[166],"consists":[167],"provider,":[172],"nurse":[173],"case":[174,180],"manager,":[175],"certified":[176],"medical":[177],"assistant,":[178],"management":[181],"support.":[182],"Additional":[183],"workers":[185],"such":[186],"dieticians,":[188],"pharmacists,":[189],"behavioral":[191],"consultants":[193],"can":[194,402,473],"be":[195,403,429,474],"added":[196],"team":[200,210,288],"are":[203,370],"needed.":[204],"All":[205],"members":[206],"form":[211],"relationships":[212],"customer-owners":[214,355,369],"(SCF\u2019s":[215],"term":[216],"patients),":[218],"which":[219],"enables":[220],"them":[221,232],"understand":[223],"each":[224],"customer-owner\u2019s":[225],"unique":[226],"story":[227],"more":[229],"effectively":[230],"achieving":[234],"wellness.":[235],"chronicle":[237],"SCF\u2019s":[238,250,284,308,386,406,488],"efforts":[239],"at":[240],"building":[241,391],"Teams,":[244],"insight":[248],"on":[249],"successes":[251],"lessons":[253],"learned,":[254],"has":[256,380],"created":[257],"Playbook,":[262],"step-by-step":[264],"guide":[265],"organizations":[269,416],"build":[271],"Teams.":[276,425],"playbook":[278],"documents":[279],"many":[280,351],"different":[281],"aspects":[282],"teams,":[286,313],"including":[287],"composition,":[289],"roles":[290],"responsibilities,":[292],"empanelment":[293],"customer-owners,":[295],"access,":[296],"referrals":[297],"specialty":[299],"care,":[300,396],"much":[302],"more.":[303],"part":[305],"due":[306],"implementation":[309],"integrated":[311,394],"saw":[315],"44%":[317],"decrease":[318,335],"ER":[320],"visits":[321],"five":[324],"years":[325],"after":[326],"transformation,":[329],"well":[331],"63%":[334],"hospital":[337],"discharges":[338],"during":[339],"same":[341],"time":[342],"period.":[343],"ranks":[345],"above":[346],"75th":[348],"percentile":[349],"outcomes":[353,398],"measured":[357],"by":[358,376,390],"Healthcare":[360],"Effectiveness":[361],"Data":[362],"Information":[364],"Set":[365],"(HEDIS).":[366],"97%":[367],"satisfied":[371],"provided":[375],"SCF,":[377],"also":[381],"achieved":[382],"91%":[383],"employee":[384],"satisfaction.":[385],"experience":[387],"shows":[388],"systems":[392],"relationship-based":[395],"satisfaction":[400],"rates":[401],"improved.":[404],"And":[405],"Playbook":[410,492],"provides":[411],"blueprint":[413],"other":[415],"use":[418],"implement":[420],"This":[426],"session":[427,466,480],"will":[428,444,460,481],"held":[430],"interactive":[433],"lecture":[434],"format,":[435],"participants":[437],"divided":[438],"small":[440],"groups.":[441],"presenters":[443],"periodically":[445],"include":[446],"breaks":[447],"groups":[450,459],"discuss":[452],"material":[454],"presented,":[455],"smaller":[458],"report":[461],"out":[462],"full":[465],"so":[467],"variety":[470],"perspectives":[472],"shared.":[475],"Every":[476],"attendee":[477],"this":[479],"receive":[482],"free":[484],"digital":[485],"copy":[486],"take":[494],"back":[495],"organizations.":[499]},"counts_by_year":[],"updated_date":"2026-10-28T10:33:24.094632","created_date":"2026-03-26T00:00:00"}
