Title

The Practice Integration Profile: Rationale, development, method, and research

UMMS Affiliation

Center for Integrated Primary Care; Department of Family Medicine and Community Health

Publication Date

12-2016

Document Type

Article

Disciplines

Behavioral Medicine | Health Psychology | Health Services Administration | Integrative Medicine | Mental and Social Health | Primary Care | Psychiatry and Psychology

Abstract

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.

Keywords

primary care, integration, quality improvement, measurement, behavioral health

DOI of Published Version

10.1037/fsh0000235

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

Journal/Book/Conference Title

Families, systems and health : the journal of collaborative family healthcare

Related Resources

Link to Article in PubMed

PubMed ID

27736111

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