Name
C1 - Contextual Interviewing: A Strategic Lens for Assessing Integrated Care Across Time Horizons
Speakers
Maria Jesus (Chus) Arrojo, MA, LMFT, LMHC, Sr BH Integration Manager, Pediatric Physician's Organization at Children's (PPOC) - Boston Children's Hospital, Northampton
Abigail Sallila, MS., LMHC, Lead Integrated Behavioral Health Provider, Pediatric Physician's Organization at Children's (PPOC) - Boston Children's Hospital, Leominster, MA
Toby Lipson, BHIP Intern, Pediatric Physician's Organization at Children's (PPOC) - Boston Children's Hospital, Canton
David Steele, MD, BH Champion, Pediatric Physician's Organization at Children's (PPOC) - Boston Children's Hospital, Northampton, MA
Maria Jesus (Chus) Arrojo Abigail Sallila Toby Lipson David Steele
Date & Time
Wednesday, May 6, 2026, 3:00 PM - 4:00 PM
Description

This session will propose Contextual Interviewing as a tool for examining past decisions, current challenges, and opportunities to enhance integrated care across Peek’s Three World View—clinical, operational, and financial—while aligning actions with values.

Abstract
Integrated care systems are complex and dynamic, requiring continuous evaluation of past performance, current state, and future readiness. Contextual interviewing offers a human-centered approach to uncovering insights that traditional metrics often miss. This session presents a practical, values-led approach to contextual interviewing that helps leaders assess the past (origin story, decisions, legacy constraints), present (current state, pain points, bright spots), and future (desired capabilities, risks, and readiness) of their integrated programs. Grounded in Peek’s Three World View—clinical, operational, and financial—we will demonstrate how to design, conduct, and analyze interviews that surface cross-world misalignments and opportunities.
Session Type
Concurrent
Objective 1
Define contextual interviewing and explain its role in organizational assessment
Objective 2
Demonstrate how this approach uncovers systemic patterns and cultural factors influencing integrated care
Objective 3
Present a practical framework for applying interviews across past, present, and future states of integrated care.
Content Reference 1

Cahill, A., Martin, M., Beachy, B., Bauman, D., & Howard-Young, J. (2024). The contextual interview: a cross-cutting patient-interviewing approach for social context. Medical education online, 29(1), 2295049. https://doi.org/10.1080/10872981.2023.2295049

Content Reference 2

Hunter, C. L., & Goodie, J. L. (2010). Operational and clinical components for integrated-collaborative behavioral healthcare in the patient-centered medical home. Families, systems & health: the journal of collaborative family healthcare, 28(4), 308–321. https://doi.org/10.1037/a0021761

Content Reference 3

Muse, A. R., Lamson, A. L., Didericksen, K. W., Hodgson, J. L., & Schoemann, A. M. (2022). Clinical, operational, and financial evaluation practices in integrated behavioral health care. Families, Systems, & Health, 40(3), 312–321. https://doi.org/10.1037/fsh0000683

Content Reference 4

Human Factors for Healthcare Engineers. (2026). Github.io. https://jaop-ucl.github.io/contextinquiry.html