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Measure What Matters

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Integrated Behavioral Health in Primary Care

Abstract

This chapter assumes you will want to know how your integrated care efforts are affecting your practice. It demystifies measurement and provides principles and a framework for measuring, not everything, but what really matters to your practice and your patients. It provides guidance about what to measure, how to get started, how you can use measurement as a routine part of practice, and what challenges to anticipate.

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References

  1. Butler M, Kane RL, McAlpin D, et al. Integration of mental health/substance abuse and primary care no. 173. Rockville, MD: Agency for Healthcare Research and Quality; 2008.

    Google Scholar 

  2. Katon WJ, Unutzer J. Health reform and the Affordable Care Act: the importance of mental health treatment to achieving the triple aim. J Psychosom Res. 2013;74(6):533–7.

    Article  Google Scholar 

  3. Collins C, Hewson DL, Munger R, Wade T. Evolving models of behavioral health integration in primary care. In: Milbank Memorial Fund report; 2010.

    Google Scholar 

  4. Unutzer J, Katon WJ, Fan MY, et al. Long-term cost effects of collaborative care for late-life depression. Am J Manag Care. 2008;14(2):95–100.

    PubMed  PubMed Central  Google Scholar 

  5. Gallo JJ, Zubritsky C, Maxwell J, et al. Primary care clinicians evaluate integrated and referral models of behavioral health care for older adults: results from a multisite effectiveness trial (PRISM-e). Ann Fam Med. 2004;2(4):305–9.

    Article  Google Scholar 

  6. OED Online. 2017. http://www.oed.com/viewdictionaryentry/Entry/11125

  7. Davis M, Balasubramanian BA, Waller E, Miller BF, Green LA, Cohen DJ. Integrating behavioral and physical health care in the real world: early lessons from advancing care together. J Am Board Fam Med. 2013;26(5):588–602.

    Article  Google Scholar 

  8. University of Colorado Department of Family Medicine. Advancing care together. http://www.advancingcaretogether.org/. Updated 2018.

  9. Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001;16(9):606–13.

    Article  CAS  Google Scholar 

  10. Balasubramanian BA, Cohen DJ, Jetelina KK, et al. Outcomes of integrated behavioral health with primary care. J Am Board Fam Med. 2017;30(2):130–9.

    Article  Google Scholar 

  11. Fisher L, Glasgow RE, Mullan JT, Skaff MM, Polonsky WH. Development of a brief diabetes distress screening instrument. Ann Fam Med. 2008;6(3):246–52.

    Article  Google Scholar 

  12. Young-Hyman D, de Groot M, Hill-Briggs F, Gonzalez JS, Hood K, Peyrot M. Psychosocial care for people with diabetes: a position statement of the American Diabetes Association. Diabetes Care. 2016;39(12):2126–40.

    Article  CAS  Google Scholar 

  13. RE-AIM – Reach Effectiveness Adoption Implementation Maintenance. 2017. www.reaim.org.

  14. Glasgow RE, Vogt TM, Boles SM. Evaluating the public health impact of health promotion interventions: the RE-AIM framework. Am J Public Health. 1999;89(9):1322–7.

    Article  CAS  Google Scholar 

  15. Spitzer RL, Kroenke K, Williams JB, Lowe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006;166(10):1092–7.

    Article  Google Scholar 

  16. Saunders JB, Aasland OG, Babor TF, de la Fuente JR, Grant M. Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption—II. Addiction. 1993;88(6):791–804.

    Article  CAS  Google Scholar 

  17. Balasubramanian BA, Cohen DJ, Davis MM, et al. Learning evaluation: blending quality improvement and implementation research methods to study healthcare innovations. Implement Sci. 2015;10:31.

    Article  Google Scholar 

  18. Cohen DJ, Balasubramanian BA, Isaacson NF, Clark EC, Etz RS, Crabtree BF. Coordination of health behavior counseling in primary care. Ann Fam Med. 2011;9(5):406–15.

    Article  Google Scholar 

  19. Balasubramanian BA, Fernald D, Dickinson LM, et al. REACH of interventions integrating primary care and behavioral health. J Am Board Fam Med. 2015;28(Suppl 1):S73–85.

    Article  Google Scholar 

  20. Wandersman A, Alia K, Cook BS, Hsu LL, Ramaswamy R. Evidence-based interventions are necessary but not sufficient for achieving outcomes in each setting in a complex world: empowerment evaluation, getting to outcomes, and demonstrating accountability. Am J Eval. 2016;37(4):544–61.

    Article  Google Scholar 

  21. Davis MM, Balasubramanian BA, Cifuentes M, et al. Clinician staffing, scheduling, and engagement strategies among primary care practices delivering integrated care. J Am Board Fam Med. 2015;28(Suppl 1):S32–40.

    Article  Google Scholar 

  22. Cohen DJ, Balasubramanian BA, Davis M, et al. Understanding care integration from the ground up: five organizing constructs that shape integrated practices. J Am Board Fam Med. 2015;28(Suppl 1):S7–20.

    Article  Google Scholar 

  23. Gunn R, Davis MM, Hall J, et al. Designing clinical space for the delivery of integrated behavioral health and primary care. J Am Board Fam Med. 2015;28(Suppl 1):S52–62.

    Article  Google Scholar 

  24. Cohen DJ, Davis M, Balasubramanian BA, et al. Integrating behavioral health and primary care: consulting, coordinating and collaborating among professionals. J Am Board Fam Med. 2015;28(Suppl 1):S21–31.

    Article  Google Scholar 

  25. Bleser WK, Miller-Day M, Naughton D, Bricker PL, Cronholm PF, Gabbay RA. Strategies for achieving whole-practice engagement and buy-in to the patient-centered medical home. Ann Fam Med. 2014;12(1):37–45.

    Article  Google Scholar 

  26. Nutting PA, Crabtree BF, Miller WL, Stewart EE, Stange KC, Jaen CR. Journey to the patient-centered medical home: a qualitative analysis of the experiences of practices in the National Demonstration Project. Ann Fam Med. 2010;8(Suppl 1):S45–56; s92.

    Article  Google Scholar 

  27. Cifuentes M, Davis M, Fernald D, Gunn R, Dickinson P, Cohen DJ. Electronic health record challenges, workarounds, and solutions observed in practices integrating behavioral health and primary care. J Am Board Fam Med. 2015;28(Suppl 1):S63–72.

    Article  Google Scholar 

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Correspondence to Deborah J. Cohen .

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Cohen, D.J., Balasubramanian, B.A. (2019). Measure What Matters. In: Gold, S., Green, L. (eds) Integrated Behavioral Health in Primary Care. Springer, Cham. https://doi.org/10.1007/978-3-319-98587-9_7

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  • DOI: https://doi.org/10.1007/978-3-319-98587-9_7

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-98586-2

  • Online ISBN: 978-3-319-98587-9

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