Evidence map›Paper›PMID 30439791›Full record

ArticleMedical care2019

Care Coordination and Population Health Management Strategies and Challenges in a Behavioral Health Home Model.

Gail L Daumit, Elizabeth M Stone, Alene Kennedy-Hendricks, Seema Choksy, Jill A Marsteller, Emma E McGinty

Abstract read
In one paragraph

Article in Medical care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Strengthening the Delivery of Physical Healthcare for Adults Living With Serious Mental Illness - A Qualitative Description of Patient and Family Member Perspectives.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  6. Article
  7. Review
  8. Engaging Veterans With Serious Mental Illness in Primary Care.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2022
    Article
  9. Article
  10. Article
  11. Article
  12. Observational
  13. Article
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  15. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Gail L DaumitDivision of General Internal Medicine, Johns Hopkins School of Medicine.
Elizabeth M StoneDivision of General Internal Medicine, Johns Hopkins School of Medicine.
Alene Kennedy-HendricksDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.
Seema ChoksyDivision of General Internal Medicine, Johns Hopkins School of Medicine.
Jill A MarstellerDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.
Emma E McGintyDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.
Johns Hopkins University · US

Funding

Using an innovative quality improvement process to increase delivery of evidenced-based CVD risk factor care in community mental health organizationsP50MH115842 · NIMH · JOHNS HOPKINS UNIVERSITY · PI Gail L. Daumit · 2018 to 2026
$16.2M
Developing and Translating Interventions to Decrease Mortality Disparities in SMIK24MH093763 · NIMH · JOHNS HOPKINS UNIVERSITY · PI DAUMIT, GAIL L. · 2012 to 2016
$830k
Improving Evidence-based Behavioral, Somatic and Social Service Delivery for SMIK01MH106631 · NIMH · JOHNS HOPKINS UNIVERSITY · PI MCGINTY, EMMA ELIZABETH · 2015 to 2018
$711k
Statewide Implementation of Health Homes for SMI:Building Research InfrastructureR24MH102822 · NIMH · JOHNS HOPKINS UNIVERSITY · PI DAUMIT, GAIL L. · 2013 to 2013
$342k
NIMH NIH HHS K01 MH106631NIMH NIH HHS K24 MH093763NIMH NIH HHS P50 MH115842NIMH NIH HHS R24 MH102822
6 · The paper itself

Abstract

objectivesBehavioral health home (BHH) models have been developed to integrate physical and mental health care and address medical comorbidities for individuals with serious mental illnesses. Previous studies identified population health management capacity and coordination with primary care providers as key barriers to BHH implementation. This study examines the BHH leaders' perceptions of and organizational capacity to conduct these functions within the community mental health programs implementing BHHs in Maryland.

methodsInterviews and surveys were conducted with 72 implementation leaders and 627 front-line staff from 46 of 48 Maryland BHH programs. In-depth coding of the population health management and primary care coordination themes identified subthemes related to these topics.

resultsBHH staff described cultures supportive of evidence-based practices, but limited ability to effectively perform population health management or primary care coordination. Tension between population health management and direct, clinical care, lack of experience, and state regulations for service delivery were identified as key challenges for population health management. Engaging primary care providers was the primary barrier to care coordination. Health information technology and staffing were barriers to both functions.

conclusionsBHHs face a number of barriers to effective implementation of core program elements. To improve programs' ability to conduct effective population health management and care coordination and meaningfully impact health outcomes for individuals with serious mental illness, multiple strategies are needed, including formalized protocols, training for staff, changes to financing mechanisms, and health information technology improvements.

Indexed as

Population Health ManagementCommunity Mental Health ServicesComorbidityContinuity of Patient CareEvidence-Based PracticeFemaleHealth PersonnelHumansMarylandPhysicians, Primary CarePrimary Health CarePsychiatrySurveys and Questionnaires

Identifiers

PMID30439791
PMCPMC6289741
OpenAlexW2900789892

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.