Accuracy of Primary Care Medical Home Designation in a Specialty Mental Health Clinic

Maria E Garcia; Elizabeth L Goldman; Marilyn Thomas; Stephen Chan; Fumi Mitsuishi; Dean Schillinger; Christina Mangurian

doi:10.1007/s11126-020-09829-z

Accuracy of Primary Care Medical Home Designation in a Specialty Mental Health Clinic

Psychiatr Q. 2021 Jun;92(2):601-607. doi: 10.1007/s11126-020-09829-z.

Authors

Maria E Garcia^#¹, Elizabeth L Goldman^#², Marilyn Thomas³, Stephen Chan⁴, Fumi Mitsuishi⁵, Dean Schillinger², Christina Mangurian⁶

Affiliations

¹ Center for Aging in Diverse Communities, Multiethnic Health Equity Research Center, Division of General Internal Medicine, Department of Medicine, University of California, 1701 Divisadero St. Room 536, San Francisco, CA, USA. maria.garcia@ucsf.edu.
² Division of General Internal Medicine, Department of Medicine, San Francisco General Hospital, University of California, San Francisco, CA, USA.
³ Department of Epidemiology, University of California, Berkeley, CA, USA.
⁴ Department of Medicine, University of California, Davis, CA, USA.
⁵ Department of Psychiatry, University of California, San Francisco, CA, USA.
⁶ Department of Psychiatry, San Francisco General Hospital, University of California, San Francisco, CA, USA.

^# Contributed equally.

Abstract

To assess whether primary care medical homes (PCMHs) are accurately identified for patients receiving care in a specialty mental health clinic within an integrated public delivery system. This study reviewed the electronic records of patients in a large urban mental health clinic. The study defined 'matching PCMH' if the same primary care clinic was listed in both the mental health and medical electronic records. This study designated all others as 'PCMH unknown.' This study assessed whether demographic factors predicted PCMH status using chi-square tests. Among 229 patients (66% male; mean age 49; 36% White, 30% Black, and 17% Asian), 72% had a matching PCMH. Sex, age, race, psychiatric diagnosis, and psychotropic medication use were not associated with matching PCMH. To improve care coordination and health outcomes for people with severe mental illness, greater efforts are needed to ensure the accurate designation of PCMHs in all mental health patient electronic records.

Keywords: Care coordination; Primary care medical home; Serious mental illness.

Publication types

Research Support, N.I.H., Extramural

MeSH terms

Electronic Health Records
Female
Humans
Male
Mental Disorders / therapy*
Mental Health Services*
Middle Aged
Patient-Centered Care
Primary Health Care*

Abstract

Publication types

MeSH terms

Grants and funding