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

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

doi:10.1097/JAC.0000000000000257

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

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

Research output: Contribution to journal › Article › peer-review

9 Scopus citations

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 language	English (US)
Pages (from-to)	51-65
Number of pages	15
Journal	Journal of Ambulatory Care Management
Volume	42
Issue number	1
DOIs	https://doi.org/10.1097/JAC.0000000000000257
State	Published - Jan 1 2019

Keywords

behavioral medicine
case study
longitudinal
medical home/patient-centered medical home
mental health
practice management
primary care
qualitative research/study

ASJC Scopus subject areas

Health Policy

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10.1097/JAC.0000000000000257

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Davis, M. M., Gunn, R., Cifuentes, M., Khatri, P., Hall, J., Gilchrist, E., Peek, C. J., Klowden, M., Lazarus, J. A., Miller, B. F., & Cohen, D. J. (2019). Clinical Workflows and the Associated Tasks and Behaviors to Support Delivery of Integrated Behavioral Health and Primary Care. Journal of Ambulatory Care Management, 42(1), 51-65. https://doi.org/10.1097/JAC.0000000000000257

Davis, MM, Gunn, R, Cifuentes, M, Khatri, P, Hall, J, Gilchrist, E, Peek, CJ, Klowden, M, Lazarus, JA, Miller, BF & Cohen, DJ 2019, 'Clinical Workflows and the Associated Tasks and Behaviors to Support Delivery of Integrated Behavioral Health and Primary Care', Journal of Ambulatory Care Management, vol. 42, no. 1, pp. 51-65. https://doi.org/10.1097/JAC.0000000000000257

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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.",

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AU - Hall, Jennifer

AU - Gilchrist, Emma

AU - Peek, C. J.

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

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