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Until the year 2000, PINs were sometimes assigned also to individuals who had not entered into the TPR [ 3], but since that year individuals that do not qualify for a PIN receive a personal coordination number instead (see below).
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A key finding was that personal coordination both between primary care and mental health leaders and between frontline staff is important for resolving barriers related to integrated care implementation.
The current study will examine standardized and personal coordination processes during a period when managers were implementing an intervention to integrate primary care and mental health services.
For example, a co-located psychologist reported that personal coordination between primary care and mental health leaders decreased gatekeeping.
As described in more detail below, there were ten clinics where personal coordination was reported to impact standardized coordination through a feedback loop, such that interpersonal interactions between services were used to adjust standardized coordination procedures to better serve patient and provider needs.
Personal coordination also can occur informally through communication among peers or communication with a person in a designated coordination role.
Results of the current study elaborate this previous empirical work by showing that interventions can cause changes that may limit the utility of standardized procedures or cause a disconnect between standardized procedures and patient needs that can be addressed by personal coordination.
Personal coordination also occurred through formal structures.
Personal coordination consists of interpersonal communication for interdependent tasks.
Promoting personal coordination can facilitate process re-alignment.
Notably, personal coordination is not the same as physical proximity.
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