Standards for public agencies

2020 Edition

Integrated Care; Health Homes (PA-ICHH) 3: Administrative Practices

The agency's administrative practices support effective health care integration.
2020 Edition

Currently viewing: INTEGRATED CARE; HEALTH HOMES (PA-ICHH)

VIEW THE STANDARDS

Purpose

Adults and children who receive integrated care experience improved health care quality, an improved client care experience, and improved clinical and non-clinical outcomes.
1
Full Implementation, Outstanding Performance
A rating of (1) indicates that the agency's practices fully meet the standard and reflect a high level of capacity.  
  • All elements or requirements outlined in the standard are evident in practice, with rare or no exceptions: exceptions do not impact service quality or agency performance. 
2
Substantial Implementation, Good Performance
A rating of (2) indicates that an agency's infrastructure and practices are basically sound but there is room for improvement.
  • The majority of the standards requirements have been met and the basic framework required by the standard has been implemented. 
  • Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality or agency performance.
3

Partial Implementation, Concerning Performance
A rating of (3) indicates that the agency's observed infrastructure and/or practices require significant improvement.  

  • The agency has not implemented the basic framework of the standard but instead has in place only part of this framework.  
  • Omissions or exceptions to the practices outlined in the standard occur regularly, or practices are implemented in a cursory or haphazard manner.  
  • Service quality or agency functioning may be compromised.  
  • Capacity is at a basic level.
4
Unsatisfactory Implementation or Performance
A rating of (4) indicates that implementation of the standard is minimal or there is no evidence of implementation at all.  
  • The agency’s observed service delivery infrastructure and practices are weak or non-existent; or show signs of neglect, stagnation, or deterioration.
Self-Study EvidenceOn-Site EvidenceOn-Site Activities
  • Procedures that outline appropriate terminology and concepts to use for documentation
  • Copies of informational materials provided to clients and other stakeholders
  • Interviews may include:
    1. Program director 
    2. Relevant personnel 
    3. Persons served 
  • Review case records 
  • Observe health information technologies

PA-ICHH 3.01

Documentation techniques utilize common terms and concepts to facilitate clear and effective communication between primary and behavioral health care providers.

Fundamental Practice

PA-ICHH 3.02

The agency clearly defines for its stakeholders: 
  1. the scope of services offered directly by the agency; 
  2. how information will be shared both internally and externally among collaborating providers; and 
  3. the nature of the relationship that exists between providers when direct services are provided through contract or other agreement between separate legal entities.

PA-ICHH 3.03

The agency uses health information technologies to:
  1. link services including shared access to the person's health information; 
  2. organize, track, and analyze critical program information including referrals and needed follow-up; and
  3. satisfy applicable reporting requirements.