Core Descriptions 2017-10-19T11:47:35+00:00

Models of Integration

Six Levels of Collaboration/Integration (Core Descriptions)

COORDINATED Key Element: Communication

Level 1- Minimal Collaboration

Behavioral health , primary care and other healthcare providers work: In separate facilities where they: Have separate systems Communicate about cases only rarely and under compelling circumstances Communicate, driven by prover need May never meet in person Have limited understanding of each other’s roles In separate facilities where they: Have separate systems Communicate periodically about shared patients Communicate, driven by specific patient issues May meet as part of larger community Appreciate each other’s roles as resources

Level 2 Basic Collaboration at a Distance

In separate facilities where they: Have separate systems Communicate periodically about shared patients Communicate, driven by specific patient issues May meet as part of larger community Appreciate each other’s roles as resources

 

CO-LOCATED Key Element: Physical Proximity

Level 3- Basic Collaboration Onsite

Behavioral health , primary care and other healthcare providers work: In same facility not necessarily same offices, where they: Have separate systems Communicate regularly about shared patients, by phone or e-mail Collaborate, driven by need for each other’s services and more reliable referral Meet occasionally to discuss cases due to close proximity Feel part of a larger yet ill-defined team

Level 4- Close Collaboration Onsite with Some System Integration

Behavioral health , primary care and other healthcare providers work: In same space within the same facility, where they: Share some systems, like scheduling or medical records Communicate in person as needed Collaborate, driven by need for consultation and coordinated plans for difficult patients Have regular face-to-face interactions about some patients have a basic understanding of roles and culture

INTEGRATED Key Element: Practice Change

Level 5 Close Collaboration Approaching an Integrated Practice

Behavioral health , primary care and other healthcare providers work: In same space within the same facility (some shared space), where they: Actively seed system solutions together or develop work-a-rounds Communicate frequently in person Collaborate, driven by desire to be a member of the care team Have regular team meetings to discuss overall patient care and specific patient issues Have an in-depth understanding of roles and culture

Level 6 Full Collaboration in a Transformed/Merged Integrated Practice

In same space within the same facility, sharing all practice space, where they: Have resolved most or all system issues, functioning as one integrated system Communicate consistently at the system, team and individual levels Collaborate, driven by shared concept of team care Have formal and informal meetings to support integrated model of care Have roles and culture that blur or blend