TY - JOUR
KW - Academic Medical Centers/organization & administration
KW - behavioral health
KW - Female
KW - Humans
KW - Inservice Training
KW - integration
KW - Leadership
KW - Male
KW - Mental Health Services/organization & administration
KW - Perception
KW - primary care
KW - Primary Health Care/organization & administration
KW - Quality Improvement
KW - Quality Improvement/organization & administration
KW - Systems Integration
KW - Urban Health Services/organization & administration
KW - Work Engagement
AU - E. M. Staab
AU - M. Terras
AU - P. Dave
AU - N. Beckman
AU - S. Shah
AU - L. M. Vinci
AU - D. Yohanna
AU - N. Laiteerapong
A1 - 
AB - Provider- and staff-perceived levels of integration were measured during implementation of a primary care behavioral health clinic; these data were used to tailor and evaluate quality improvement strategies. Providers and staff at an urban, academic, adult primary care clinic completed the 32-item Level of Integration Measure (LIM) at baseline and 7 months. The LIM assesses 6 domains of integrated care. Overall and domain scores were calibrated from 0 to 100, with >/=80 representing a highly integrated clinic. Response rate was 79% (N = 46/58) at baseline and 83% (N = 52/63) at follow-up. Overall, LIM score increased from 64.5 to 70.1, P = .001. The lowest scoring domains at baseline were targeted for quality improvement and increased significantly: integrated clinical practice, 60.0 versus 68.4, P < .001; systems integration, 57.0 versus 63.8, P = .001; and training, 56.7 versus 65.3, P = .001. Ongoing quality improvement, including organizational and financial strategies, is needed to achieve higher levels of integration.
BT - American Journal of Medical Quality : The Official Journal of the American College of Medical Quality
C5 - Financing & Sustainability
CP - 3
CY - United States
DO - 10.1177/1062860617736607
IS - 3
JF - American Journal of Medical Quality : The Official Journal of the American College of Medical Quality
N2 - Provider- and staff-perceived levels of integration were measured during implementation of a primary care behavioral health clinic; these data were used to tailor and evaluate quality improvement strategies. Providers and staff at an urban, academic, adult primary care clinic completed the 32-item Level of Integration Measure (LIM) at baseline and 7 months. The LIM assesses 6 domains of integrated care. Overall and domain scores were calibrated from 0 to 100, with >/=80 representing a highly integrated clinic. Response rate was 79% (N = 46/58) at baseline and 83% (N = 52/63) at follow-up. Overall, LIM score increased from 64.5 to 70.1, P = .001. The lowest scoring domains at baseline were targeted for quality improvement and increased significantly: integrated clinical practice, 60.0 versus 68.4, P < .001; systems integration, 57.0 versus 63.8, P = .001; and training, 56.7 versus 65.3, P = .001. Ongoing quality improvement, including organizational and financial strategies, is needed to achieve higher levels of integration.
PP - United States
PY - 2018
SN - 1555-824X; 1062-8606
SP - 253
EP - 261
EP - 
T1 - Measuring Perceived Level of Integration During the Process of Primary Care Behavioral Health Implementation
T2 - American Journal of Medical Quality : The Official Journal of the American College of Medical Quality
TI - Measuring Perceived Level of Integration During the Process of Primary Care Behavioral Health Implementation
U1 - Financing & Sustainability
U2 - 29072487
U3 - 10.1177/1062860617736607
VL - 33
VO - 1555-824X; 1062-8606
Y1 - 2018
ER -