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Recommendations for the UBHC and for Other Providers Wishing to Learn from or Replicate the UBHC Model

• Institutionalize and codify the practices that are working: For instance, a liaison role could be formalized to ensure that strong communication between organizations continues, and the VA side of the center should consider formally protecting the time that their providers spend collaborating.
• Facilitate easier and closer collaboration by enhancing communication infrastructure: Collaboration would be further enhanced by integrated treatment plans across the center's two sides, mutual access to patient health records, and the ability to securely send emails between the two health systems.
• Create a physical space that is conducive to collaboration and family friendly.
• Ensure adequate capacity to meet patient needs: The UBHC may benefit from an expansion in both staffing and physical space.
• Provide a continuum of evidence-based services: Community-based organizations and clinical settings should adopt a systematic approach for selecting, training, delivering, supervising, and monitoring the fidelity of evidence-based practices relevant to the population. In selecting evidence-based approaches, organizations wishing to replicate the UBHC model may want to focus on short-term approaches and techniques or services that require less expensive staff.
• Prioritize outcome monitoring and quality improvement for the center as a whole: The UBHC and other similar centers should routinely reevaluate their battery of measures to choose the ones that are least burdensome to patients and most helpful for informing clinical decisionmaking and outcome monitoring. The entire UBHC should implement the same set of patient-reported outcomes measures to inform patient care and enable ongoing quality-improvement efforts across all partnering entities.