CCM element | Time 1 | Time 2 changes |
---|---|---|
Increase in extent of implementation | ||
Work role redesign | No show procedures Same day access BHIP team meetings A great deal of informal communication | BHIP meetings increase BHIP team composition changes Discussions about improving team functioning, cohesion, coordination Improved communication |
Patient self-management | Evidence-based practices Telephone contact with patients Completing treatment plans with patients | Patients attending BHIP team meetings Creation of additional educational materials |
Clinical information systems | Use of Clinical Reminders Minimal use of patient panels | More discussion about having patient panels More discussion about measurement-based care |
Mixed extent of implementation (some sites increase, some sites decrease) | ||
Community linkages | BHIP team members coordinate resources individually and also consult with staff with more knowledge of available resources | More efforts to coordinate across the BHIP team and have shared information on resources including development and use of team community resource lists |
Organization and leadership support | Leaders broadly support project through resources and messaging Some leaders less directive and involved | Some supportive leaders More discussion of lack of leadership follow-through with resources A few staff mention active non-support for BHIP |
Little to no change in extent of implementation | ||
Provider decision support | Use of evidence-based psychotherapies to treat patients Use of procedures to consult with providers with knowledge outside team members expertise Use of referral procedures to specialty care | Evidence-based trainings still occurring Limited evidence of some improvements in communication with some providers Limited evidence of increased knowledge of provider expertise within the team |