Abstract
This chapter dives into what it takes for a regular primary care practice to integrate behavioral health, starting before the beginning and proceeding to lay a foundation for success. It is a real-world example, and the story is told from the perspectives of both the physician leader and the practice administrator. It calls out the importance of having a concrete vision of what you aim to achieve and how it fits with who you already are and your mission. It candidly shares what an established, physician-owned practice learned about starting the journey to integrated care and highlights particular issues and questions you will want to address as you begin your own journey.
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Notes
- 1.
In 2012, WMC added the Quaternary Aim, physician and staff well-being to the Triple Aim (IHI). Bodenheimer and Sinsky later coined the term, Quadruple Aim https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4226781/. In 2017, we adopted the Quintuple Aim (Frank Reed, M.D. communication) to create a competitive business advantage for employers since businesses provide over 50% of healthcare coverage in the USA.
- 2.
Attributed to Mahatma Gandhi and paraphrased from “…If we could change ourselves, the tendencies in the world would also change. As a man changes his own nature, so does the attitude of the world change towards him…”
- 3.
A 501(c)3, nonprofit foundation founded by individuals at Westminster Medical Clinic
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Hammond, R.S., Barba, C. (2019). A Real-Life Story in Getting Started: Designing a Foundation. In: Gold, S., Green, L. (eds) Integrated Behavioral Health in Primary Care. Springer, Cham. https://doi.org/10.1007/978-3-319-98587-9_3
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