An Integration Of Care Study

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Description of Setting
An integration of care study was conducted by a Doctor of Behavioral Health Intern at Michael R. Zent (MRZ)Healthcare Clinic in Phoenix, Arizona. MRZ is a reverse co-located integrated medical and behavioral clinic that provides services to about 4000 children and 4000 adults annually. MRZ provides laboratory, pharmacy, behavioral and physical health services together under one roof. The clinic utilizes an integrated electronic health record to document the treatment of members. The focus of the integration of care study was to understand and assess the barriers and challenges of the integration of care methodology at MRZ.
Description of Population or Study
The Vermont Practice Integration Profile (PIP) tool was
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2. What is your understanding of triple aim?
3. What is your perception of the primary care program at the clinic?
4. What challenges have you experienced with referring to the PCP?
5. Would you coordinate care or collaborate with the PCP?
6. What recommendations do you have to improve collaboration and the number of referrals to the PCP?
The survey responses were categorized by job title and roles. Based on the respondent data, common factors contributing to low care coordination, referral and collaboration from the behavioral health teams to the primary care program were identified as follows:
1. Time constraints with calling the insurance company to change the member’s PCP to the MRZ PCP.
2. The limited rapport between the PCP and the behavioral health teams.
3. Lack of understanding of the referral process and services offered by the PCP
4. Limited understanding of the benefit and need to integrate care
5. Limited information on the number and names of health plans accepted by the PCP.
80% of respondents reported that the lack of knowledge about the insurances accepted by the PCP is a major deterrent to why they have never referred to the PCP. 75 % reported the limited rapport with the PCP influences their limited or lack of referral to the PCP program. 85% of employees reported the limited understanding of the services offered by the PCP and their understanding of integration of care influences their decision not to refer to the PCP. 85% of the
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