Table 5 Identified interfaces

Substitution interfaces

Information guiding interfaces

Barely present; only overview of day care modules

• Meetings with every change of shifts

• Care provider meetings three times/week

• Six-weekly care team meetings

• Six-weekly general policy meetings

 • Care package evaluation conversations

 • Regular conversations with patients

Arrangement interfaces

Information rationalising interfaces

 • Strict planning rules regarding medication and some physical screenings

 • Electronic patient file

 • Agenda used for all appointments

 • Residential care plan

 • Work schedule for some care modules

 • Work division

• Clear lines of communication