1. Measuring Perceived Level of Integration During the Process of Primary Care Behavioral Health Implementation
- Author
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Neda Laiteerapong, Mara Terras, Pooja Dave, Daniel Yohanna, Erin M. Staab, Nancy Beckman, Sachin D. Shah, and Lisa M. Vinci
- Subjects
Male ,Mental Health Services ,medicine.medical_specialty ,Inservice Training ,Quality management ,Process (engineering) ,Primary Care Behavioral health ,03 medical and health sciences ,0302 clinical medicine ,Urban Health Services ,medicine ,Humans ,030212 general & internal medicine ,Baseline (configuration management) ,Response rate (survey) ,Academic Medical Centers ,Primary Health Care ,business.industry ,Health Policy ,Work engagement ,Work Engagement ,Quality Improvement ,030227 psychiatry ,Integrated care ,Systems Integration ,Leadership ,Family medicine ,Physical therapy ,System integration ,Female ,Perception ,business - Abstract
Provider- and staff-perceived levels of integration were measured during implementation of a primary care behavioral health clinic; these data were used to tailor and evaluate quality improvement strategies. Providers and staff at an urban, academic, adult primary care clinic completed the 32-item Level of Integration Measure (LIM) at baseline and 7 months. The LIM assesses 6 domains of integrated care. Overall and domain scores were calibrated from 0 to 100, with ≥80 representing a highly integrated clinic. Response rate was 79% (N = 46/58) at baseline and 83% (N = 52/63) at follow-up. Overall, LIM score increased from 64.5 to 70.1, P = .001. The lowest scoring domains at baseline were targeted for quality improvement and increased significantly: integrated clinical practice, 60.0 versus 68.4, P < .001; systems integration, 57.0 versus 63.8, P = .001; and training, 56.7 versus 65.3, P = .001. Ongoing quality improvement, including organizational and financial strategies, is needed to achieve higher levels of integration.
- Published
- 2017
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