Integration REACH | Extent to which integrated services are available to practice population | Strategy for identifying patient need (systematic, clinical discretion). Access to integrated care (limited, broad) |
Location of integration workforce | Proximity of the professionals on the integrated care team | Primary care and behavioral health colocated; Psychiatrist co-located; PCCs and BHCs located in same team workspace |
Approach to patient transitions | Strategies that practice employs when introducing and engaging patients with another professional on the care team | Warm-handoffs and referrals |
Establish care pathways | Determining the level and type of care practice can provide, including care requiring referral to outside resources. Establish paths for both. | Care paths for patients with more serious illness (emotional and behavioral) are identified (yes/no) |
Shared mental model | Practice members have shared understanding of practice model for integration | The majority of practice members talk about and behave in ways that reinforce the same model for integration (yes/no) |