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
StatePublished - Jan 1 2019

Fingerprint

Integrated Delivery of Health Care
Workflow
Personnel Staffing and Scheduling
Electronic Health Records
Immersion
Crystallization
Primary Health Care
Observation
Interviews
Health

ASJC Scopus subject areas

  • Health Policy

Cite this

Clinical Workflows and the Associated Tasks and Behaviors to Support Delivery of Integrated Behavioral Health and Primary Care. / Davis, Melinda; Gunn, Rose; Cifuentes, Maribel; Khatri, Parinda; Hall, Jennifer; Gilchrist, Emma; Peek, C. J.; Klowden, Mindy; Lazarus, Jeremy A.; Miller, Benjamin F.; Cohen, Deborah.

In: The Journal of ambulatory care management, Vol. 42, No. 1, 01.01.2019, p. 51-65.

Research output: Contribution to journalArticle

Davis, Melinda ; Gunn, Rose ; Cifuentes, Maribel ; Khatri, Parinda ; Hall, Jennifer ; Gilchrist, Emma ; Peek, C. J. ; Klowden, Mindy ; Lazarus, Jeremy A. ; Miller, Benjamin F. ; Cohen, Deborah. / Clinical Workflows and the Associated Tasks and Behaviors to Support Delivery of Integrated Behavioral Health and Primary Care. In: The Journal of ambulatory care management. 2019 ; Vol. 42, No. 1. pp. 51-65.
@article{a5f56aa13d12497f96b65d957422b8eb,
title = "Clinical Workflows and the Associated Tasks and Behaviors to Support Delivery of Integrated Behavioral Health and Primary Care",
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.",
author = "Melinda Davis and Rose Gunn and Maribel Cifuentes and Parinda Khatri and Jennifer Hall and Emma Gilchrist and Peek, {C. J.} and Mindy Klowden and Lazarus, {Jeremy A.} and Miller, {Benjamin F.} and Deborah Cohen",
year = "2019",
month = "1",
day = "1",
doi = "10.1097/JAC.0000000000000257",
language = "English (US)",
volume = "42",
pages = "51--65",
journal = "Journal of Ambulatory Care Management",
issn = "0148-9917",
publisher = "Lippincott Williams and Wilkins",
number = "1",

}

TY - JOUR

T1 - Clinical Workflows and the Associated Tasks and Behaviors to Support Delivery of Integrated Behavioral Health and Primary Care

AU - Davis, Melinda

AU - Gunn, Rose

AU - Cifuentes, Maribel

AU - Khatri, Parinda

AU - Hall, Jennifer

AU - Gilchrist, Emma

AU - Peek, C. J.

AU - Klowden, Mindy

AU - Lazarus, Jeremy A.

AU - Miller, Benjamin F.

AU - Cohen, Deborah

PY - 2019/1/1

Y1 - 2019/1/1

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=85057526686&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85057526686&partnerID=8YFLogxK

U2 - 10.1097/JAC.0000000000000257

DO - 10.1097/JAC.0000000000000257

M3 - Article

VL - 42

SP - 51

EP - 65

JO - Journal of Ambulatory Care Management

JF - Journal of Ambulatory Care Management

SN - 0148-9917

IS - 1

ER -