Table 3.
Element | Definition | Benefits |
---|---|---|
Patient-centered team care | Effective collaboration between a multi-professional health team using shared care plans that incorporate the patient’s specific health needs and desired health outcomes | ● Address both physical and mental health concurrently ● Coordinated care that reduces duplicate assessments and prescription of medications ● Increased patient engagement, improved care experience and health outcomes |
Population-based care | Care team uses a registry to actively identify and track patients in need of care | ● Care team can reach out to patients who are not improving or responding well to treatment and provide individualized consultation |
Measurement-based treatment | Treatment decisions are guided by clinical outcomes routinely assessed by validated measurement tools | ● Ongoing monitoring of treatment effectiveness and adherence ● Alter treatment approach when health outcomes do not improve as expected |
Evidence-based care | Applying findings from well-designed research studies to patient care and clinical decision-making | ● Provide accessible and effective treatment for the patient’s specific clinical context |
Accountable care | Providers are incentivized to provide high-quality care and improved clinical outcomes instead of the volume of care | ● Ensure high quality care ● Reduce downstream healthcare costs (eg, hospitalization, emergency room) |
Note: Adapted from American Psychiatric Association: Learn about the Collaborative Care Model.131