RT Journal Article
SR Electronic
T1 Successful Implementation of Integrated Behavioral Health
JF The Journal of the American Board of Family
                Medicine
JO J Am Board Fam Med
FD American Board of Family Medicine
SP jabfm.2024.240081R1
DO 10.3122/jabfm.2024.240081R1
A1 Dickinson, W. Perry
A1 Gritz, Mark
A1 Knierim, Kyle E.
A1 Kirchner, Stephanie
A1 Fernald, Douglas H.
A1 Gottsman, Allyson
A1 Wiggins, Kimberly
A1 Dickinson, L. Miriam
YR 2025
UL http://www.jabfm.org/content/early/2025/04/22/jabfm.2024.240081R1.abstract
AB Introduction: The Colorado State Innovation Model (SIM) initiative aimed to support primary care practices in implementing behavioral health integration and other aspects of advanced primary care. This project evaluated implementation of behavioral health integration and the Building Blocks of High Performing Primary Care in primary care practices.Methods: A total of 334 practices participated in SIM in 3 cohorts for 1 year (cohort 3) or 2 years (cohorts 1 and 2). Practice transformation support for implementation of advanced primary care and behavioral health integration was provided. Measures included 1) Comprehensive Primary Care Practice Monitor, completed at baseline, 12, and 24 months to assess implementation of the building blocks of primary care and behavioral integration, and 2) Behavioral health clinical quality measures, reported quarterly.Results: Practices improved on implementation of all building blocks, including leadership, data driven improvement, empanelment, team-based care, patient-team partnerships, population management, continuity of care access to care, care coordination, resource utilization, behavioral health integration, and general behavioral health improvement (all P < .0001). Onsite behavioral health integration was implemented by 78% of practices by the end of the intervention. Practices improved on depression screening and monitoring (P < .0001) and maternal depression screening (P < .001). Implementation of several building blocks mediated improvement in depression screening and monitoring and maternal depression screening (P < .05).Discussion: Practices in the SIM initiative successfully implemented behavioral health integration and the building blocks of high performing primary care, yielding improved behavioral clinical quality measures. Implementation of the building blocks mediated improvements in clinical quality measures.