Establishing Measurement-based Care in Integrated Primary Care: Monitoring Clinical Outcomes Over Time

  • Lisa K. Kearney
  • Laura O. Wray
  • Katherine M. Dollar
  • Paul R. King


Full implementation of the patient-centered medical home requires the identification and treatment of patients with behavioral health concerns, leading to improved patient outcomes and reduced health care costs. Measurement-based care (MBC) for mental health conditions is an essential step in achieving these goals. Integrated primary care (IPC) administrators and providers are key leaders in MBC that spans initial screening for conditions to monitoring clinical outcomes over time. The purpose of this article is to assist IPC leaders, in partnership with their primary care team, in developing standard operating procedures for screening and follow up evaluations in order to lay a foundation for assessing program outcomes and improving quality of care in their unique settings.


Screening Population health Patient centered medical home Measurement based care Outcomes measurement 


Compliance with Ethical Standards

Conflict of Interest

Lisa Kearney, Laura Wray, Katherine Dollar, and Paul King declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

No animal or human studies were carried out by the authors for this article.


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Copyright information

© Springer Science+Business Media New York (outside the USA) 2015

Authors and Affiliations

  • Lisa K. Kearney
    • 1
    • 2
  • Laura O. Wray
    • 3
    • 4
  • Katherine M. Dollar
    • 5
  • Paul R. King
    • 3
  1. 1.Department of Veterans AffairsVeterans Health Administration, Office of Mental Health OperationsWashington, DCUSA
  2. 2.Department of PsychiatryUniversity of Texas Health Science Center at San AntonioSan AntonioUSA
  3. 3.Department of Veterans AffairsVA Center for Integrated HealthcareBuffaloUSA
  4. 4.Departments of Medicine and PsychologyUniversity at BuffaloBuffaloUSA
  5. 5.Department of Veterans AffairsVA Center for Integrated HealthcareWest HavenUSA

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