Figure 6. Examples of lexicon-based internal process measures1—drivers of practice performance
- Level of clarity and consistency of the team available to deploy for specific patients depending on their needs. This could be further broken down by the degree to which the team works in a shared or virtual common space, the degree to which they have been trained, and the degree to which they have achieved a common practice culture. These are sub-clauses
A-D in the paradigm case formulation.
- Level that the team demonstrates sharing a common mission. This could be broken down into the degree to which the team is designed to be responsible for the same group of clinic patients and the degree that medical and behavioral health clinicians operate under the mission and scope of primary care (or whatever area of medical care is the subject of the collaboration)
- Level of clinical system design that the team employs. This could be the degree to which there is a population-level identification method in use; the degree to which care plans exist and integrate biological and psychosocial aspects of care and team roles; the degree to which this is all contained in a shared medical record that is instantly available to all team members.
- Level of consistent, reliable support from office practice systems and business model. This could be broken down into reliability and efficiency of the office practice (does it work as intended every day, every time) and level of sustainability of the business model. (Does it financially support the key functions of collaborative care practice?)
- Level of collection and use practice data for decision-making and quality improvement. This could be broken down into the breadth and depth of practice data that are collected and the degree to which the data are routinely used in decision-making to improve effectiveness.
1 Each of these sample internal process measures comes from one of the 5 clauses in the paradigm case formulation (Figure 4, page 34) and the suggested breakdown for each corresponds to the sub-clauses.
Return to Document