Colorado's continuing journey to integrated care: Progress!
Stephanie B GoldLarry A GreenPublished in: Families, systems & health : the journal of collaborative family healthcare (2020)
This commentary discusses the journey to integrated behavioral health and primary care in the state of Colorado. The authors discuss integrated care, and the lessons learned by early adopters can help those just getting started. They argue integration is possible in practice settings of all types despite the barriers that exist - but these barriers must continue to be broken down for further scaling and long-term sustainability. While adequate payment, workforce, and data-sharing infrastructure and policy are necessary for scaling and sustainability, they are not sufficient: practice transformation support is crucial for a change this fundamental. Finally, scaling and sustaining integration takes a village; diverse stakeholders across sectors, including payers, clinicians, patients, public health, philanthropy, and policymakers, all have a role to play. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
Keyphrases
- public health
- healthcare
- primary care
- quality improvement
- palliative care
- end stage renal disease
- chronic kidney disease
- newly diagnosed
- ejection fraction
- affordable care act
- global health
- mental health
- prognostic factors
- health information
- peritoneal dialysis
- health insurance
- pain management
- patient reported outcomes
- electronic health record
- emergency department
- deep learning
- adverse drug
- life cycle
- machine learning