Beyond Implementation: Making CoCM Sustainable in the Real World
Implementing the Collaborative Care Model (CoCM) is challenging, yet when done correctly, has profound benefits for both patients and providers. As a psychologist and clinical lead at Mirah, I’ve implemented CoCM programs across the country. Below are a few of my key takeaways.
1. Think Iteratively: Strong Programs Are Always Improving
Sustainability isn’t static—it’s iterative. The most effective CoCM programs treat improvement as an ongoing process, guided by continuous learning and stakeholder input.
What this looks like in practice:
Review program data regularly to monitor clinical outcomes, caseload management, and operational efficiency.
Engage all stakeholders, including clinical leaders, primary care providers, behavioral health care managers (BHCMs), front-office staff, and—critically—patients and caregivers.
Foster a feedback culture, where insights from every team member (and patient) are actively used to shape program enhancements.
Pro Tip: Establish simple, repeatable feedback loops—such as standing agenda items in provider or team meetings—to keep improvement top of mind.
2. Leverage Reputation: Peer Influence Shapes Engagement
In both clinical and community settings, reputation matters. Word-of-mouth—whether from patients or providers—can significantly impact referrals, enrollment, and buy-in.
Strategies to boost your program’s visibility and credibility:
Include your BHCMs in patient communications. Help patients understand the value of behavioral health as a core part of their care team.
Celebrate success. Share anonymized patient success stories (with consent), acknowledge provider contributions, and spotlight improvements in access or outcomes.
Encourage patients to share positive experiences. Testimonials can be powerful drivers of engagement.
Tell your story. Many primary care clinics are still unfamiliar with CoCM. Sharing lessons learned—even challenges—can inspire other providers and support the broader adoption of collaborative care.
Pro Tip: Integrate CoCM updates into existing communication channels—like provider meetings, patient newsletters, or system-level reports—to keep the model visible and valued.
3. Build for Resilience: Adaptability is Key
Healthcare is in a constant state of flux—whether it’s staff turnover, changes in reimbursement, or shifts in community needs. Sustainable CoCM programs are those that can adapt without losing their core structure or purpose.
Resilient CoCM programs:
Respond swiftly to operational and clinical challenges without compromising care quality.
Use real-time data and feedback to guide agile decision-making.
Practice collaborative leadership, where team members at every level—including patients—have a voice in shaping the program’s direction.
Pro Tip: When changes happen, clearly articulate them to your team. Identify new barriers, goals, or circumstances and engage key stakeholders to adapt workflows and redistribute responsibilities without disrupting care.
