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Association of Integrated Team-Based Care With Health Care Quality, Utilization, and Cost
Limited evidence is available to support the utility of medical home and accountable care integration with mental health and primary care teams.1- 4 In 2000, Intermountain Healthcare (hereafter referred to as Intermountain), a fully integrated delivery system, attempted to address this evidence gap by incorporating physical and mental health interdisciplinary teams in patient care.5,6 The Intermountain Mental Health Integration (MHI) program is an essential component of preventive medicine and chronic disease management. This program has been deployed within local clinics7,8 and has been sustained across diverse primary care practices (family medicine, pediatrics, and internal medicine) over the past 16 years. Preliminary evidence suggests that patients treated at MHI clinics compared with traditional practice management (TPM) clinics (ie, usual care) have higher satisfaction, improved quality outcomes, reduced cost for the health care system, and decreased utilization.7,8