Measuring Variation Across Dimensions of Integrated Care: The Maryland Medicaid Health Home Model

Research output: Contribution to journalArticle

Abstract

Despite the proliferation of initiatives to integrate services for people with serious mental illness (SMI), measures of distinct dimensions of integration, such as spatial arrangement and care team expertise, are lacking. Such measures are needed to support organizations’ assessment of progress toward integrated service delivery. We developed measures characterizing integration of behavioral, somatic, and social services to operationalize the integrated care dimensions conceived by the Agency for Healthcare Research and Quality. In a survey fielded to 46 Maryland Medicaid health homes (response rate: 96%) serving adults with SMI during 2015–2016, we found that these measures provided a useful description of variation across dimensions of integration.

Original languageEnglish (US)
Pages (from-to)888-899
Number of pages12
JournalAdministration and Policy in Mental Health and Mental Health Services Research
Volume45
Issue number6
DOIs
StatePublished - Nov 1 2018

Keywords

  • Integrated delivery systems
  • Measure development
  • Mental disorders

ASJC Scopus subject areas

  • Phychiatric Mental Health
  • Health Policy
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

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