Table 7 |.

Core structures for integrated behavioral health

#	Structure Short Description	Structure Definition	Important (% agreeda)	Feasible to Measure (% agreeda)	PIP	PCMH/BH
1	Financial billing strategies that net sustainability of staff and providers on the IBH team	The clinic has effective fiscal strategies for sustaining IBH provider and staff time	100%	56%	X	X
2	Administrative support and supervision for IBH team	The clinic provides administrative support and supervision to all IBH providers and staff as needed (e.g., clinical supervision for nurses, mid-level providers providing behavioral interventions and medication adherence support)	92%	52%	X	X
3	Routine examination of provider and clinic outcomes for quality improvement	The clinic regularly (e.g., quarterly) reviews provider and clinic level outcomes to improve care as needed (e.g., via quality improvement initiatives)	88%	80%	X	**
4	Interoperable EHR access for all of the IBH team	IBH team providers share access across the electronic health record systems in the practice	100%	84%	**	**
5	IBH team has available and appropriate space	IBH team providers have reasonable and appropriate work space allocated within the practice that supports productive work space and collaboration	100%	72%	**	*
6	Behavioral health provider (BHP) available to the clinic	IBH includes a qualified behavioral health provider (BHP) licensed / trained to provide evidence based behavioral interventions	92%	84%	X	**
7	BHP team has protected time to do outreach and follow-ups as needed	BHP team has protected time to review and manage the caseload, conduct outreach and follow-ups as needed (e.g., identifying cases at risk, triage to the right level of care / intensify treatment, do outreach)	96%	52%	X	*
8	BHP team has accountability for access and outcomes	Patient panels are monitored for timely access to care and outcomes are evaluated to drive care improvements	96%	68%	*	*
9	Tracking system for panel management	Clinic tools (e.g., registry, real time reports) are in place to support identifying, tracking, and monitoring IBH related cases	92%	76%	**	X

^aRespondents rated the question as either “agree” or “strongly agree.

^*weak match;

^**strong match; X did not match.