KEY RESOURCES

Integration, Care Coordination, and Person-Centered Health Home

CARE COORDINATION
IHI White Paper on Care Coordination
Craig C, Eby D, Whittington J.Care Coordination Model: Better Care at Lower Cost for People with Multiple Health and Social Needs. IHI Innovation Series white paper. Cambridge, Massachusetts: Institute for Healthcare Improvement, 2011. (Available on

Reducing Care Fragmentation: A Toolkit for Coordinating Care; ICIC, MacColl Center
Also see in GENERAL, the Care Coordination section of the ICIC, MacColl Center website

Team Care, Collaborative Care, Treat to Target [Wayne Katon, MD, et al.]

THE CARE MODEL
The Chronic Care Model on the MacColl Center website

PERSON-CENTERED HEALTH HOME
Behavioral Health Homes for People with Mental Health & Substance Use Conditions: The Core Clinical Features; SAMHSA HRSA [Druss & Alexander], May 2012

10 Building Blocks of High Performing Primary Care – Center for Excellence in Primary Care

National Center for Quality Assurance Pathway to Recognition

Excellence in Mental Health Act –Criteria for Certified Community Behavioral Health Centers

Summary of the National Demonstration Project and Recommendations for the Patient-Centered Medical Home. BF Crabtree, PA Nutting, et al., The Annals of Family Medicine, May 1, 2010 vol. 8

PC/MH INTEGRATION
AHRQ Integration Academy
Agency for Healthcare Research and Quality

CalMHSA IBHP Integrated Behavioral Health Project

Evolving Models of BH Integration, Milbank, May 2010

Integrated Mental Health Solutions Implementation Tools, AIMS Center

Partners in Health: MH, PC & SU Interagency Collaborative Toolkit

SAMSHA HRSA Integration site

TRIPLE AIM
IHI Triple Aim Initiative

Stiefel M, Nolan K.A Guide to Measuring the Triple Aim: Population Health, Experience of Care, and Per Capita Cost. IHI Innovation Series white paper. Cambridge, Massachusetts: Institute for Healthcare Improvement; 2012.

Triple Aim Concept Design

GENERAL
AIMS Center
Advancing Integrated Mental Health Solutions

CiMH PC/BH Integration Initiative
  • Promising Practices Toolkit
  • Business Case on Integration
  • Integration Policy Initiative Report (IPI)

The Faces of Medicare III: Refining the Portrait of People with Multiple Chronic Conditions
Kronick, R., Bella, M., et al. Center for Health Care Strategies, Inc. October 2009

IHI [Institute for Healthcare Improvement]

Improving Chronic Illness Care (ICIC), MacColl Center

Integrated Substance Abuse Programs (UCLA)

Barriers to Physical Health Care for the Mentally Ill and Recommendations for System and Individual Change
M. De Hert, D. Cohen, et al. Physical illness in patients with severe mental disorders. II.Barriers to care, monitoring and treatment guidelines, plus recommendations at the system and individual level. World Psychiatry. Vol. 11, No. 2, June 2011

Kaiser Family Foundation Issues Brief
People with Disabilities and Medicaid Managed Care

Oregon’s Transforming Care toward the Triple Aim

SAMHSA Substance Abuse and Mental Health Services Administration

SAMHSA – HRSA Integration SAMHSA and Health Resources and Services Administration

Suicide Prevention Resource Center and Western Interstate Commission for Higher Education Training Resource Guide for Suicide Prevention in Primary Care Settings