From: How personal and standardized coordination impact implementation of integrated care
Organizational Concept | Definition | Potential Impact on Integrated Care |
---|---|---|
Physical proximity | Distance between the offices of primary care and mental health providers | Promote staff engagement and curbside consults by increasing familiarity |
Interaction history | The degree to which primary care and mental health providers have established cooperative relationships | Facilitate curbside consults and same-day access when physical proximity is not present. |
Formal meetings | Inclusion of mental health providers in regularly scheduled primary care meetings | Promote staff engagement by increasing familiarity and communicate regarding patient treatment status |
Computer-mediated Communication | Use of an “additional signer” process to communicate between providers. | Communicate regarding patient treatment status |
Leadership priorities | Differences in mission and values between primary care and mental health | Limit integration of referral processes |
Training | Training to standardize referral procedures Training to standardize skills that support interactions between primary care and mental health | Tailor referrals to needs of both primary care and mental health Increase flexibility in standardized procedures by increasing the number of staff who can complete tasks related to integrated care |
Unscheduled time | Time slots left open for unanticipated patient needs | Flexibility in standardized procedures allows for curbside consults and same-day access |