Skip to main content

Main menu

  • HOME
  • ARTICLES
    • Current Issue
    • Ahead of Print
    • Archives
    • Abstracts In Press
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • The Editing Fellowship
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • Other Publications
    • abfm

User menu

Search

  • Advanced search
American Board of Family Medicine
  • Other Publications
    • abfm
American Board of Family Medicine

American Board of Family Medicine

Advanced Search

  • HOME
  • ARTICLES
    • Current Issue
    • Ahead of Print
    • Archives
    • Abstracts In Press
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • The Editing Fellowship
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • JABFM on Bluesky
  • JABFM On Facebook
  • JABFM On Twitter
  • JABFM On YouTube
Research ArticleOriginal Research

Integrating Behavioral Health in Primary Care Using Lean Workflow Analysis: A Case Study

Constance van Eeghen, Benjamin Littenberg, Melissa D. Holman and Rodger Kessler
The Journal of the American Board of Family Medicine May 2016, 29 (3) 385-393; DOI: https://doi.org/10.3122/jabfm.2016.03.150186
Constance van Eeghen
From the Departments of General Internal Medicine Research (CvE, BL) and Family Medicine (RK), and the Center for Clinical and Translational Science (CvE, BL, RK), University of Vermont, Burlington; and the James M. Jeffords Institute for Quality & Operational Effectiveness, Measurement Group, University of Vermont Medical Center, Burlington (MDH).
DrPH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Benjamin Littenberg
From the Departments of General Internal Medicine Research (CvE, BL) and Family Medicine (RK), and the Center for Clinical and Translational Science (CvE, BL, RK), University of Vermont, Burlington; and the James M. Jeffords Institute for Quality & Operational Effectiveness, Measurement Group, University of Vermont Medical Center, Burlington (MDH).
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Melissa D. Holman
From the Departments of General Internal Medicine Research (CvE, BL) and Family Medicine (RK), and the Center for Clinical and Translational Science (CvE, BL, RK), University of Vermont, Burlington; and the James M. Jeffords Institute for Quality & Operational Effectiveness, Measurement Group, University of Vermont Medical Center, Burlington (MDH).
RHIA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Rodger Kessler
From the Departments of General Internal Medicine Research (CvE, BL) and Family Medicine (RK), and the Center for Clinical and Translational Science (CvE, BL, RK), University of Vermont, Burlington; and the James M. Jeffords Institute for Quality & Operational Effectiveness, Measurement Group, University of Vermont Medical Center, Burlington (MDH).
PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • References
  • Info & Metrics
  • PDF
Loading

References

  1. 1.↵
    1. Kathol RG,
    2. Degruy F,
    3. Rollman BL
    . Value-based financially sustainable behavioral health components in patient-centered medical homes. Ann Fam Med 2014;12:172–5.
    OpenUrlAbstract/FREE Full Text
  2. 2.↵
    1. Kessler LG,
    2. Cleary PD,
    3. Burke JD Jr.
    . Psychiatric disorders in primary care. Results of a follow-up study. Arch Gen Psychiatry 1985;42:583–7.
    OpenUrlCrossRefPubMedWeb of Science
  3. 3.↵
    Mental disorders in general medical practice an opportunity to add value to healthcare. Behav Healthc Tomorrow 1996;5:55–62, 72.
    OpenUrlPubMed
  4. 4.↵
    1. Katon W
    . The epidemiology of depression in medical care. Int J Psychiatry Med 1987;17:93–112.
    OpenUrlCrossRefPubMedWeb of Science
  5. 5.↵
    1. Kessler R,
    2. Stafford D
    1. Kessler R,
    2. Stafford D
    . Primary care is the de facto mental health system. In: Kessler R, Stafford D, eds. Collaborative medicine case studies: evidence in practice. New York: Springer; 2008:9–21.
  6. 6.↵
    1. Cunningham PJ
    . Beyond parity: primary care physicians' perspectives on access to mental health care. Health Aff (Millwood) 2009;28:w490–501.
    OpenUrlAbstract/FREE Full Text
  7. 7.↵
    1. Kessler R
    . Mental health care treatment initiation when mental health services are incorporated into primary care practice. J Am Board Fam Med 2012;25:255–9.
    OpenUrlAbstract/FREE Full Text
  8. 8.↵
    1. Baird M,
    2. Blount A,
    3. Brungardt S,
    4. et al
    . Joint principles: integrating behavioral health care into the patient-centered medical home. Ann Fam Med 2014;12:184–5.
    OpenUrl
  9. 9.↵
    1. Kessler R,
    2. Miller BF,
    3. Kelly M,
    4. et al
    . Mental health, substance abuse, and health behavior services in patient-centered medical homes. J Am Board Fam Med 2014;27:637–44.
    OpenUrlAbstract/FREE Full Text
  10. 10.↵
    1. Hunter CL,
    2. Goodie JL
    . Operational and clinical components for integrated-collaborative behavioral healthcare in the patient-centered medical home. Fam Syst Health 2010;28:308–21.
    OpenUrlPubMed
  11. 11.↵
    1. Hunter C,
    2. Goodie J,
    3. Oordt MS,
    4. Dobmeyer AC
    . Integrated behavioral health in primary care: step-by-step guidance for assessment and intervention. Washington, DC: American Psychological Association; 2009.
  12. 12.↵
    1. Butler M,
    2. Kane RL,
    3. McAlpine D,
    4. et al
    . Integration of mental health/substance abuse and primary care. Evid Rep Technol Assess (Full Rep) 2008;(173):1–362.
  13. 13.↵
    1. Curtis R,
    2. Christian E
    1. Kessler R
    . An outcome and clinical research focus in an integrated care patient-centered medical home. In: Curtis R, Christian E, ed. Integrated care: applying theory to practice. Oxford, UK: Routledge; 2012;297–310.
  14. 14.↵
    1. Jimmerson C,
    2. Weber D,
    3. Sobek DK 2nd.
    . Reducing waste and errors: piloting lean principles at Intermountain Healthcare. Jt Comm J Qual Patient Saf 2005;31:249–57.
    OpenUrlPubMed
  15. 15.↵
    1. Womack JP,
    2. Jones DT
    . Lean thinking: banish waste and create wealth in your corporation. New York: Simon & Schuster; 1996.
  16. 16.↵
    1. Gamm L,
    2. Kash B,
    3. Bolin J
    . Organizational technologies for transforming care: measures and strategies for pursuit of IOM quality aims. J Ambul Care Manage 2007;30:291–301.
    OpenUrlPubMed
  17. 17.↵
    1. Kenney C
    . Transforming health care: Virginia Mason Medical Center's pursuit of the perfect patient experience. New York: Productivity Press; 2011.
  18. 18.↵
    1. van Eeghen C
    . Improving the quality of quality improvement: case studies of provider office practices in the use of assisted office systems analysis within a quality improvement project. Chapel Hill, NC: Health Management and Policy, University of North Carolina; 2012.
  19. 19.↵
    1. Kessler R
    . Identifying and screening for psychological and comorbid medical and psychological disorders in medical settings. J Clin Psychol 2009;65:253–67.
    OpenUrlPubMed
  20. 20.↵
    1. Bate P,
    2. Mendel P,
    3. Robert G
    . Organizing for quality: the improvement journeys of leading hospitals in Europe and the United States. Oxon, UK: Radcliffe Publishing; 2008.
  21. 21.↵
    1. Young J,
    2. Gilwee J,
    3. Holman M,
    4. Messier R,
    5. Kelly M,
    6. Kessler R
    . Mental health, substance abuse, and health behavior intervention as part of the patient-centered medical home: a case study. Transl Behav Med 2012;2:345–54.
    OpenUrlPubMed
  22. 22.↵
    1. Auxier A,
    2. Runyan C,
    3. Mullin D,
    4. Mendenhall T,
    5. Young J,
    6. Kessler R
    . Behavioral health referrals and treatment initiation rates in integrated primary care: a Collaborative Care Research Network study. Transl Behav Med 2012;2:337–44.
    OpenUrlCrossRefPubMed
  23. 23.↵
    1. Zidel TG
    . A Lean guide to transforming healthcare. Milwaukee, WI: American Society for Quality, Quality Press; 2006.
  24. 24.↵
    1. Davis FD
    . Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Q 1989;13:319–40.
    OpenUrlCrossRefWeb of Science
  25. 25.↵
    1. Young T,
    2. Brailsford S,
    3. Connell C,
    4. Davies R,
    5. Harper P,
    6. Klein JH
    . Using industrial processes to improve patient care. BMJ 2004;328:162–4.
    OpenUrlFREE Full Text
  26. 26.↵
    1. Boat TF,
    2. Chao SM,
    3. O'Neill PH
    . From waste to value in health care. JAMA 2008;299:568–71.
    OpenUrlCrossRefPubMedWeb of Science
  27. 27.↵
    1. Fischer LR,
    2. Solberg LI,
    3. Kottke TE
    . Quality improvement in primary care clinics. Jt Comm J Qual Improv 1998;24:361–70.
    OpenUrlPubMed
  28. 28.↵
    1. Sinsky CA
    . Improving office practice: working smarter, not harder. Fam Pract Manag 2006;13:28–34.
    OpenUrlPubMed
PreviousNext
Back to top

In this issue

The Journal of the American Board of Family     Medicine: 29 (3)
The Journal of the American Board of Family Medicine
Vol. 29, Issue 3
May-June 2016
  • Table of Contents
  • Table of Contents (PDF)
  • Cover (PDF)
  • Index by author
  • Back Matter (PDF)
  • Front Matter (PDF)
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on American Board of Family Medicine.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Integrating Behavioral Health in Primary Care Using Lean Workflow Analysis: A Case Study
(Your Name) has sent you a message from American Board of Family Medicine
(Your Name) thought you would like to see the American Board of Family Medicine web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
1 + 1 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Citation Tools
Integrating Behavioral Health in Primary Care Using Lean Workflow Analysis: A Case Study
Constance van Eeghen, Benjamin Littenberg, Melissa D. Holman, Rodger Kessler
The Journal of the American Board of Family Medicine May 2016, 29 (3) 385-393; DOI: 10.3122/jabfm.2016.03.150186

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Integrating Behavioral Health in Primary Care Using Lean Workflow Analysis: A Case Study
Constance van Eeghen, Benjamin Littenberg, Melissa D. Holman, Rodger Kessler
The Journal of the American Board of Family Medicine May 2016, 29 (3) 385-393; DOI: 10.3122/jabfm.2016.03.150186
Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • Background
    • Methods
    • Results
    • Discussion
    • Conclusions
    • Notes
    • References
  • Figures & Data
  • References
  • Info & Metrics
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • Intervention Stage Completion and Behavioral Health Outcomes: An Integrated Behavioral Health and Primary Care Randomized Pragmatic Trial
  • Effects of intervention stage completion in an integrated behavioral health and primary care randomized pragmatic intervention trial
  • A Cluster Randomized Trial of Primary Care Practice Redesign to Integrate Behavioral Health for Those Who Need It Most: Patients With Multiple Chronic Conditions
  • Initial Antidepressant Choice by Non-Psychiatrists: Learning from Large-scale Electronic Health Records
  • A New Quality Improvement Toolkit to Improve Opioid Prescribing in Primary Care
  • Content Usage and the Most Frequently Read Articles of 2016
  • Social Determinants of Health and Beyond: Information to Help Family Physicians Improve Patient Care
  • Google Scholar

More in this TOC Section

  • Identifying and Addressing Social Determinants of Health with an Electronic Health Record
  • Integrating Adverse Childhood Experiences and Social Risks Screening in Adult Primary Care
  • A Pilot Comparison of Clinical Data Collection Methods Using Paper, Electronic Health Record Prompt, and a Smartphone Application
Show more Original Research

Similar Articles

Keywords

  • Behavioral Medicine
  • Delivery of Health Care
  • Integrated
  • Primary Health Care
  • Quality Improvement

Navigate

  • Home
  • Current Issue
  • Past Issues

Authors & Reviewers

  • Info For Authors
  • Info For Reviewers
  • Submit A Manuscript/Review

Other Services

  • Get Email Alerts
  • Classifieds
  • Reprints and Permissions

Other Resources

  • Forms
  • Contact Us
  • ABFM News

© 2025 American Board of Family Medicine

Powered by HighWire