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Table 3 Description of collaborative chronic care model element implementation attributed to the BHIP Enhancement Project

From: Collaborative chronic care model implementation within outpatient behavioral health care teams: qualitative results from a multisite trial using implementation facilitation

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