Clinical Workflows and the Associated Tasks and Behaviors to Support Delivery of Integrated Behavioral Health and Primary Care

Melinda Davis, Rose Gunn, Maribel Cifuentes, Parinda Khatri, Jennifer Hall, Emma Gilchrist, C. J. Peek, Mindy Klowden, Jeremy A. Lazarus, Benjamin F. Miller, Deborah Cohen

Research output: Contribution to journalArticle

Abstract

Integrating primary care and behavioral health is an important focus of health system transformation. Cross-case comparative analysis of 19 practices in the United States describing integrated care clinical workflows. Surveys, observation visits, and key informant interviews analyzed using immersion-crystallization. Staff performed tasks and behaviors-guided by protocols or scripts-to support 4 workflow phases: (1) identifying; (2) engaging/transitioning; (3) providing treatment; and (4) monitoring/adjusting care. Shared electronic health records and accessible staffing/scheduling facilitated workflows. Stakeholders should consider these workflow phases, address structural features, and utilize a developmental approach as they operationalize integrated care delivery.

Original languageEnglish (US)
Pages (from-to)51-65
Number of pages15
JournalThe Journal of ambulatory care management
Volume42
Issue number1
DOIs
Publication statusPublished - Jan 1 2019

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ASJC Scopus subject areas

  • Health Policy

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