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1. Recovery Management Checkups: An Innovative Approach to Long-Term Substance Use Care Management | The Academy
   integrationacademy.ahrq.gov/news-and-events/calendar/event/22909
   September 11, 2024 - going on: News Events Archive Recovery Management … Checkups: An Innovative Approach to Long-Term Substance Use Care Management Wed, Sep 11 … 30pm EDT Join the Addiction Policy Forum and Chestnut Health Systems for a webinar on Recovery Management … management and support. … to care and treatment engagement, providing a comprehensive approach to SUD management, with real-life

2. Chronic Pain Management | The Academy
   integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/chronic-pain-management
   January 01, 2012 - Email Updates The Academy Integrating Behavioral Health & Primary Care … Products Playbooks Integrating Behavioral Health and Primary Care … and management of pain among individuals with opioid use disorder. … team should engage the patient in a shared decision-making process to discuss pain management options … Expand Plan To Integrate MAT for OUD in Your Ambulatory Care Setting menu.

3. Integrating Comprehensive Pain Management Into Primary Care | The Academy
   integrationacademy.ahrq.gov/expert-insight/webcast/10981
   January 01, 2013 - Email Updates The Academy Integrating Behavioral Health & Primary Care … Products Playbooks Integrating Behavioral Health and Primary Care … NIAC Videos Webcasts Integrating Comprehensive Pain Management … Into Primary Care Drs. … The program was designed to improve both patient care and physician satisfaction.

4. Patient-Centered Care Plans | The Academy
   integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/patient-centered-care-plans
   June 01, 2022 - All care team members should refer to the care plan when managing and treating patients and record any … Patient Education:  Highlights psychoeducation delivered about the treatment and self-management of opioid … Partnering in Self-Management Support: A Toolkit for Clinicians Helps practices support … patients and families in the day-to-day management of chronic conditions. … Health Conditions Suicidality Risk of Infectious Diseases Chronic Pain Management

5. Identifying and Testing Strategies for Management of Opioid Use and Misuse in Older Adults in Primary Care Practices: Opioid and Pain Management Tools and Resources (pdf file)
   integrationacademy.ahrq.gov/sites/default/files/2021-04/Table_of_Opioid_and_Pain_Management_Tools_and_Resources.pdf
   January 01, 2021 - Care Practices: Opioid and Pain Management Tools and Resources Identifying and Testing Strategies … for Management of Opioid Use and Misuse in Older Adults in Primary Care Practices: Opioid and Pain … Care Practices: Opioid and Pain Management Tools and Resources Submitted to: Prepared for: … Care Practices: Opioid and Pain Management Tools and Resources. … To improve the management of opioids in older adults in primary care practices, the Agency for Healthcare

6. AHRQ Older Adult Opioid Initiative | The Academy
   integrationacademy.ahrq.gov/about/initiatives/older-adult-opioid-initiative
   July 01, 2024 - Email Updates The Academy Integrating Behavioral Health & Primary Care … Products Playbooks Integrating Behavioral Health and Primary Care … opioid use disorder in older adults in primary care. … Management of Opioid Use and Misuse in Older Adults in Primary Care Practices Background Overreliance … of opioid use, misuse, and OUD among older adults with chronic pain in primary care practices.

7. Develop a Shared Care Plan | The Academy
   integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/develop-shared-care-plan
   July 01, 2024 - Patient education about conditions, treatments, and self-management. … When possible, staff with care/case management expertise (i.e., those trained to assist and support patients … Additional information for the care plan can be provided by staff who carry out care/case management … health care. … A Web-based registry known as the Care Management Tracking System supports behavioral health integration

8. Optimal Diabetes Care (pdf file)
   integrationacademy.ahrq.gov/sites/default/files/2020-07/Optimal_Diabetes_Care.pdf
   January 01, 2020 - Optimal Diabetes Care                                                                       … Description Composite (“optimal” care) measure of the percentage of adult patients who have type 1 or … Methodology Population identification is accomplished via a query of a practice management system or … Use this date of service range when querying the practice management or EMR system to allow a count …  Documentation in patient’s record (progress notes, etc.), and  ICD‐9 codes (EMR or practice management

9. Other Useful References for Financing Integrated Ambulatory Care (pdf file)
   integrationacademy.ahrq.gov/sites/default/files/2021-10/Useful_Refs_For_Fin_Integra_010516_1.pdf
   January 01, 2021 - Cost analysis of the Geriatric Resources for Assessment and Care of Elders care management intervention … The effect of technology- supported, multidisease care management on the mortality and hospitalization … Budget impact and sustainability of medical care management for persons with serious mental illnesses … Am J Manag Care. 2014;20(9):699-707. … Am J Manag Care. 2014;20(9):699-707.

10. EvidenceNOW: Managing Unhealthy Alcohol Use | The Academy
    integrationacademy.ahrq.gov/about/initiatives/alcohol
    August 01, 2024 - practices to help them implement evidence shown to improve management of unhealthy alcohol use.  … evidence-based approaches shown to improve management of unhealthy alcohol use. … to August 2023, to capture promising practices, strategies, and materials for the identification and management … of unhealthy alcohol use in primary care settings. … about conducting primary care research during the COVID-19 epidemic.

11. Behavioral Health Apps in Primary Care | The Academy
    integrationacademy.ahrq.gov/products/topic-briefs/behavioral-health-apps
    July 01, 2024 - and integrated care settings. … and integrated care settings. … Automated Reinforcement Management System: Feasibility study findings of an app-based contingency management … Contingency management treatments: Controversies and challenges. … Automated reinforcement management system: Feasibility study findings of an app-based contingency management

12. Track Patients and Monitor Their Outcomes | The Academy
    integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/track-patients-and-monitor-their-outcomes
    July 01, 2024 - How Others Are Doing It Community Health Plan of Washington uses a Care Management Tracking System … team can start educating patients on self-management and relapse prevention plans. … You can find more information about relapse prevention and self-management in  Build Patient Understanding … If assist and support services are available, such as through a care/case management program, assist … depression care management.

13. Referrals and Care Coordination | The Academy
    integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/referrals-and-care-coordination
    December 01, 2023 - all of the participants concerned with a patient’s care to achieve safer and more effective care.” 1 … The practice acts as part of an extended care team that includes the patient, a care coordinator, and … Care coordination is more important than ever at times of transition between care settings. … should, at a minimum, address continuation of medications for opioid use disorder and chronic pain management … Health Conditions Suicidality Risk of Infectious Diseases Chronic Pain Management

14. The Academy for Integrating Behavioral Health and Primary Care (pdf file)
    integrationacademy.ahrq.gov/sites/default/files/2025-04/AHRQ_Integration_Academy_Overview-508.pdf
    January 01, 2025 - Collaborative care to improve the management of depressive disorders: A community guide systematic review … Physicians' satisfaction with a collaborative disease management program for late-life depression in … primary care. … Economics of collaborative care for management of depressive disorders: A community guide systematic … Randomized trial of an integrated behavioral health home: The health outcomes management and evaluation

15. The Academy for Integrating Behavioral Health and Primary Care (pdf file)
    integrationacademy.ahrq.gov/sites/default/files/2025-05/AHRQ-Integration-Academy-Overview.pdf
    January 01, 2025 - Collaborative care to improve the management of depressive disorders: A community guide systematic review … Physicians' satisfaction with a collaborative disease management program for late-life depression in … primary care. … Economics of collaborative care for management of depressive disorders: A community guide systematic … Randomized trial of an integrated behavioral health home: The health outcomes management and evaluation

16. Polysubstance Use & Integrated Behavioral Health | AHRQ
    integrationacademy.ahrq.gov/products/topic-briefs/polysubstance-use
    February 01, 2025 - , such as the nurse care manager model 33 and the collaborative care model 34 (CoCM). … Management. … This is due to the need to support both psychosocial interventions and deal with care management issues … Giving more time for care management and care coordination efforts is often needed. … Implementing the Chronic Care Model for Opioid and Alcohol Use Disorders in Primary Care.

17. Optimal Vascular Care (pdf file)
    integrationacademy.ahrq.gov/sites/default/files/2020-07/Optimal_Vascular_Care.pdf
    January 01, 2020 - Optimal Vascular Care … Dates of Service: 01/01/2009 – 12/31/2009 Description Composite ( “optimal” care) measure o f … Please use the two-year dates of service (01/01/2008 – 12/31/2009) when querying your practice management … Include provider types who manage care: MD, Physician Assistant, Nurse Practitioner, etc. … MNCM Documentation We are using the standard HEDIS coding conventions from HEDIS 2010, Cholesterol Management

18. Grantees | The Academy
    integrationacademy.ahrq.gov/about/initiatives/alcohol/grantees
    June 01, 2024 - Download (pdf 608.34 KB) Virginia Practice Facilitation to Promote Evidence-based Screening and Management … Practice Facilitation to Promote Evidence-based Screening and Management of Unhealthy Alcohol Use in … https://doi.org/10.1186/s12875-020-01147-4 Download (pdf 611.4 KB) North Carolina Screening and Management … study protocol for an adaptive randomized trial on dissemination and implementation of screening and management … of unhealth alcohol use in primary care.

19. Telehealth and Behavioral Health Integration | The Academy
    integrationacademy.ahrq.gov/products/topic-briefs/telehealth
    February 01, 2025 - and Monitoring: Practices can use telehealth for patient management and monitoring, including tracking … of Integrated Behavioral Health Care (IBHC) Screening and Assessment Treatment Management and Monitoring … and management, education,brief intervention, treatment support, and/or care coordination Care managers … , care management, and/or wraparound services (e.g., OBOTs where care team members can supervise buprenorphine … : Telemedicine Risk Management Considerations (PDF – 235 KB) Maryland Health Care Commission: Medical

20. A Workforce Innovation for Behavioral Health Integration: Insights from the Idaho Health Neighborhood Center | The Academy
    integrationacademy.ahrq.gov/news-and-events/news/workforce-innovation-behavioral-health-integration-insights-idaho-health
    October 28, 2024 - can have on patient management and professional satisfaction. … Furthermore, he may involve the clinical pharmacist for patients struggling with medication management … Overall, this PA's testimony emphasizes how the team-based care model not only enhances patient care … a primary care practice is crucial. … They play a pivotal role in ensuring smooth operations, financial management, and staff coordination.