The Practice Integration Profile: Rationale, development, method, and research
Authors
Macchi, C. R.Kessler, Rodger
Auxier, Andrea
Hitt, Juvena R.
Mullin, Daniel J
van Eeghen, Constance
Littenberg, Benjamin
UMass Chan Affiliations
Department of Family Medicine and Community HealthCenter for Integrated Primary Care
Document Type
Journal ArticlePublication Date
2016-12-01Keywords
primary careintegration
quality improvement
measurement
behavioral health
Behavioral Medicine
Health Psychology
Health Services Administration
Integrative Medicine
Mental and Social Health
Primary Care
Psychiatry and Psychology
Metadata
Show full item recordAbstract
Insufficient knowledge exists regarding how to measure the presence and degree of integrated care. Prior estimates of integration levels are neither grounded in theory nor psychometrically validated. They provide scant guidance to inform improvement activities, compare integration efforts, discriminate among practices by degree of integration, measure the effect of integration on quadruple aim outcomes, or address the needs of clinicians, regulators, and policymakers seeking new models of health care delivery and funding. We describe the development of the Practice Integration Profile (PIP), a novel instrument designed to measure levels of integrated behavioral health care within a primary care clinic. The PIP draws upon the Agency for Health care Research and Quality's (AHRQ) Lexicon of Collaborative Care which provides theoretic justification for a paradigm case of collaborative care. We used the key clauses of the Lexicon to derive domains of integration and generate measures corresponding to those key clauses. After reviewing currently used methods for identifying collaborative care, or integration, and identifying the need to improve on them, we describe a national collaboration to describe and evaluate the PIP. We also describe its potential use in practice improvement, research, responsiveness to multiple stakeholder needs, and other future directions.Source
Fam Syst Health. 2016 Dec;34(4):334-341. doi: 10.1037/fsh0000235. Epub 2016 Oct 13. Link to article on publisher's site
DOI
10.1037/fsh0000235Permanent Link to this Item
http://hdl.handle.net/20.500.14038/26798PubMed ID
27736111Related Resources
ae974a485f413a2113503eed53cd6c53
10.1037/fsh0000235