Table 3 Framework Process evaluation

• Characteristics of the projects in the Blue Care ICA

- What are the characteristics of the projects developed ‘on the go’ in terms of the targeted audience and topic? And how do they contribute to the Quadruple Aim?

Observations, existing data sets, and semi-structured interviews with policymakers, health and social care professionals, citizens

T0, T1, T2, T3 (ongoing between 2017 and 2020)

• Citizen needs of the people living in the intervention neighbourhoods,

• The influence of external policies on the Blue Care ICA

- Does the ICA meet the needs of the citizens and professionals living and working in the neighbourhoods?

- Are there other contextual or environmental features which play a role in the experienced quality of life of citizens living in the neighborhood?

- How do external strategies (policy and regulations / government) influence the pilot and the implementation?

Citizens: Citizen panel n = 10 × 2 (1 panel per two neighbourhoods)

Policy: observations during existing board and financial sponsor meetings

Citizen Panel: T1, T2, T3 (meet 2 times a year)

Policy: T0, T1, T2, T3

(ongoing between 2017 and 2020)

• Governance structure of the Blue Care ICA

- How is the governance model structured, how does this develop in these four years and what are the different roles in this structure (leadership, champions etc.)?

Observations during existing board and financial sponsor meetings, semi-structured interviews

T0, T1, T2, T3

(ongoing between 2017 and 2020)

• Implementation of the bottom up approach,

• Collaboration, interaction and communication on macro, meso and micro level,

• Use and implementation of Positive Health by health and social care professionals

- How are citizens and professionals actively involved and attracted in the pilot process (goal is bottom – up approach)?

- How do healthcare and social service providers collaborate in the social domain at macro, meso and micro level and to what extent are they able to prioritize mutual interests above their own organisational interests?

- How do professionals deliver person-centred care and support from a generalist perspective according to the principles of Positive Health, how do they implement Positive Health into their daily routine, and what is the influence on the type of care and support provided to citizens?

Participant observations at all levels, analyzing meeting notes, semi-structured interviews, focus groups with health and social care professionals, citizen panel

T0, T1, T2, T3

(ongoing between 2017 and 2020)