Authors

  1. Davis, Melinda M. PhD
  2. Gunn, Rose MA
  3. Cifuentes, Maribel BSN, RN
  4. Khatri, Parinda PhD
  5. Hall, Jennifer MPH
  6. Gilchrist, Emma MPH
  7. Peek, C. J. PhD
  8. Klowden, Mindy MNM
  9. Lazarus, Jeremy A. MD
  10. Miller, Benjamin F. PsyD
  11. Cohen, Deborah J. PhD

Abstract

Integrating primary care and behavioral health is an important focus of health system transformation. Cross-case comparative analysis of 19 practices in the United States describing integrated care clinical workflows. Surveys, observation visits, and key informant interviews analyzed using immersion-crystallization. Staff performed tasks and behaviors-guided by protocols or scripts-to support 4 workflow phases: (1) identifying; (2) engaging/transitioning; (3) providing treatment; and (4) monitoring/adjusting care. Shared electronic health records and accessible staffing/scheduling facilitated workflows. Stakeholders should consider these workflow phases, address structural features, and utilize a developmental approach as they operationalize integrated care delivery.