Methods: 26 clinics volunteered to participate in the [name] initiative and committed to participate in a year-long learning collaborative. Data captured: (1) clinic characteristics (size, volume, populations served); and (2) three performance measures: net operating costs, productivity, and no-show rates over time.
Findings: Analysis of participating clinics and performance indicators suggests that technical assistance, through the organization of an intensive learning community, facilitated the process by which clinic leaders were able to identify strategies in order to improve their business and clinical practices to strengthen their ability to provide behavioral health safety net services.
Conclusions and Implications: Rigorous studies of macro-level strategies for promoting performance changes in business and organizational practices are needed. Linking viable business practices to evidence-based clinical care is likely to result in a stronger community-based system for behavioral health the public sector.