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

Family Medicine and Community Health (Twin Cities)

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

22 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

Bibliographical note

Publisher Copyright:
© 2019 Wolters Kluwer Health, Inc.

Keywords

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

Publisher link

10.1097/JAC.0000000000000257

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6278604

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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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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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