Most Integrated Delivery Systems (IDSs) comprise multiple facilities that can provide care along the continuum. They include all of the following, except:

• A. Physician's offices
• B. Ambulatory surgical centers
• C. Outpatient clinics
• D. Homecare agencies

Answer: (D)

Integrated Delivery Systems bring together multiple facilities that deliver care across the full continuum, from primary care to more specialized services. In this setup, facilities like physician offices, ambulatory surgical centers, and outpatient clinics are classic parts of the network because they are physical locations where care is delivered and coordinated.

Homecare agencies, while they are an important part of the patient care continuum (providing in-home services), are not facilities in the same sense—they operate as service providers delivering care in the patient’s home rather than as physical sites within the IDS network. Some IDSs may contract with or integrate home health services, but the core “facility” components listed are the office-based and clinic/center-type locations. That’s why homecare agencies are the exception.