ESR 6- The role of managerial systems in promoting integrated care pathways

ESR 6- Kendall Jamieson Gilmore, MSc

The role of managerial systems in promoting integrated care pathways

Short video on the findings during HealthPros


Prof. Sabina Nuti / Dr. Anna Maria Murante

Scuola Superiore Sant’Anna

Istituto di Management, Laboratorio Management e Sanità

Pisa, Italy

Duration: 36 months

Kendall will work on managerial strategies and tools to boost professional networks to be accountable for the outcomes and results of their patients. 


The use of performance measurement and scientific evidence to steer value for money has become a priority for all governments. In the healthcare sector, value is delivered to patients through the collaboration of multiple organizations. Current performance measurement systems (PMSs) are mainly designed to measure financial sustainability and performance at the individual service level and therefore lack in assessing the value delivered to patients at the system level. The HealthPros Network aims suggest the introduction of new PMSs that allow healthcare policy makers and other stakeholders to assess the performance of horizontal networks of care providers according to a patient-based perspective. Building on the existing expertise with service-based and population-based performance measurement this project will develop managerial systems focusing on integrated care pathways.


Patient experience and outcomes should be the starting point to achieve high quality care. Consequently, healthcare performance evaluation systems, driving change in line with this main strategic goal, should be designed. At present most performance evaluation schemes take a specific service and/or the providers view as their focus. . Consequently, they reproduce a ‘silo-vision’ characterized by a responsibilities’ divide and limitation to a specific setting of care or to a single organization. The PhD candidate will work on solutions that approach the use of patient reported measures together with indicators based on administrative data, in order to evaluate cross-setting healthcare services through a healthcare multidimensional performance evaluation system. Moreover, the PhD candidate will be involved in designing specific policies (such as bundled payments) to create a common accountability system able to increase shared responsibilities regarding complex patients’ outcomes and tackling ineffective health spending and waste.