This section describes the processes used to identify measures and map the measures to the Integration Framework. For the purposes of the IBHC Measures Atlas, measures are cited at the level of the instrument (e.g., questionnaire, checklist) to maintain the context and, in some cases, the validity of the measurement tool. When appropriate, specific submeasures that are relevant to integrated behavioral health care (e.g., specific questions or items) are listed as guidance for the reader.
Core measures align closely with the Integration Framework. Some of these measures (i.e., C2, C6-8) were designed specifically to assess integrated care, while others were designed to measure coordinated care in general and can be adapted to measure integrated care.
Measures in this category do not align with the Integration Framework as well as the core measures. These measures may have been designed for a specific population or condition or have a few items relevant to IBHC Measures Atlas within a lengthy instrument.
Clinical Measures Tools
A literature search was conducted to find peer reviewed articles and reports that focus on the quality of integration between behavioral and physical health care settings. The literature search was limited to prevalent physical and mental health conditions that are commonly comorbid such as diabetes, cardiovascular disease, depression, and anxiety. Clinical health outcomes were used as the primary markers of quality.
The measures from the literature search were evaluated based on sensitivity, specificity, validity, and reliability. In order to be selected for the final list of clinical outcome measures, the measure was required to have at least 2 good psychometric properties. An in-depth description of the methods of the Clinical Literature Search is available in the Methodological Details. Below is the final list of clinical outcome measurement tools from the literature search:
- T8. Patient Health Questionnaire-9 (PDF 168.81kb)
The PHQ-9 is emerging as a standard depression instrument. National measures are increasingly based upon the PHQ-9.
Physical Health Conditions
- T13. Comprehensive Diabetes Care: Blood Pressure Control (<140/90 mm Hg) (PDF 154.77kb)
- T14. Comprehensive Diabetes Care: Hemoglobin A1c (HbA1c) Control (<8.0%) (PDF 156.12kb)
- T15. Controlling High Blood Pressure (PDF 156.69kb)
- T17. Ischemic Vascular Disease (IVD): Blood Pressure Control (PDF 153.95kb)
Reproduced with permission from HEDIS 2015, Volume 2: Technical Specifications for Health Plans by the National Committee for Quality Assurance (NCQA). HEDIS® is a registered trademark of NCQA. Visit the NCQA Web site for additional resources and information.
- T18. Multi-Dimensional Health Assessment Questionnaire (MDHAQ) (PDF 185.82kb)
© by Health Report Services, 615-479-5303, email@example.com
Substance Use/Substance Abuse
- T21. Alcohol Use Disorders Identification Test (PDF 62.51kb)
Reproduced with permission of the publisher from Babor TF, Higgins-Biddle JC, Saunders JB, et al. The Alcohol Use Disorders Identification Test: guidelines for use in primary care, 2nd ed. Geneva, Switzerland: World Health Organization; 2013.
- T23. Drug Abuse Screening Test (DAST) (PDF 85.90kb)
© 1982 by Harvey A. Skinner, Ph.D., and the Centre for Addiction and Mental Health, Toronto, Canada. You may reproduce this instrument for noncommercial use (clinical, research, training purposes) as long as you credit the author, Dr. Harvey A. Skinner, York University, Toronto, Canada.