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Total Results: 78 records

Showing results for "clinical condition or care plan".

21. 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 - or care plans need adjusting. … Although scores on these scales need to be correlated with clinical observations to confirm depression … The patient is not following some or all of the treatment plan. The diagnosis is incorrect. … adjust the care plan. … The patient is not engaged in his or her own care plan.

22. Identifying Patients Who Benefit from IBH | The Academy
    integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/establish-protocols-identify-patients-who-could-benefit-integrated-care
    February 01, 2025 - records or patient portals. … Minute Count: Tools to Improve Office Efficiency Clinical Workflow Plan (PDF 79 KB) … Workflow Plan This template can be used to map how collaborative care tasks will be accomplished … the Plan menu. … Team Develop a Shared Care Plan Build Patient Understanding of Setbacks

23. Define Your Vision | The Academy
    integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/planning-for-integration/define-your-vision
    July 01, 2024 - out a game plan. … Approaches for integrating behavioral health in primary or ambulatory care share a common goal, but may … You may need a short sentence or several sentences to capture your goals for integrated care. … Manage or control total ambulatory care costs through well-integrated services and population health … with routine care or alternative treatments for depression and anxiety.

24. Executive Summary - Lexicon for Behavioral Health and Primary Care Integration Concepts and Definitions Developed by Expert Consensus (pdf file)
    integrationacademy.ahrq.gov/sites/default/files/2020-06/Lexicon_ExecSummary.pdf
    January 01, 2020 - Using an explicit, unified, and shared care plan E. … Having had formal or on-the-job training for the clinical roles and relationships of integrated behavioral … (See full lexicon for specific markers of such follow-up and care plan adjustment.) … plan, making joint follow-up appointments or other collaborative care functions. … starter ”test of change” with limited number of patients or clinical scope Project scale Significant

25. Atlas of Integrated Behavioral Health Care Quality Measures: Framework and Core Measures (pdf file)
    integrationacademy.ahrq.gov/sites/default/files/2021-09/ibhc_atlas_framework_and_measures.pdf
    January 01, 2021 - plan that builds a team - with necessary members and functions - to care for a given patient … Structure • Clinical protocols and workflows are clearly documented. … Structure • Protocols or workflows for patient and family engagement are documented for care teams … plan, percentage of patients with follow-up monitoring and treatment adjustment or outcomes of care … Clinical Outcomes • Individual patient clinical improvements due to integrated behavioral health care

26. Literature Collection | The Academy
    integrationacademy.ahrq.gov/products/literature-collection
    January 01, 2024 - limit your searches by Authors, Keywords, or Titles and by Year, Type, or Topic. … Exercise- or self-care-based CAMs were most acceptable to GPs. … Irish opiate community treatment services View details 15 ‘Treat my whole person, not just my condition … topic collection Reference Links: View the DOI record for ‘Treat my whole person, not just my condition …        Export Citation: Download the RIS reference file for ‘Treat my whole person, not just my condition

27. Strategies To Support Staff | The Academy
    integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/obtain-training-and-support-providers-and-staff/strategies-support-staff
    January 01, 2019 - monitor their work, ensure high-quality care is delivered, and address challenging clinical situations … The following models may help: Team meetings or “huddles” —members of the clinical care team can hold … worker or nurse care manager) on the clinical care team to coordinate care for each patient and intensively … Online Self-Assessment Plan To Integrate MAT for OUD in Your Ambulatory Care Setting … Expand Plan To Integrate MAT for OUD in Your Ambulatory Care Setting menu.

28. Delivering Effective, Low Barrier Treatment | The Academy
    integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/delivering-effective-low-barrier-treatment
    October 01, 2023 - medications on the same day they are first seen by providers improves retention in treatment. 3 Originally, clinical … Different substances may require different treatment strategies or clinical approaches. … system or through carefully coordinated care across different providers. 1 Most individuals who enter … Online Self-Assessment Plan To Integrate MAT for OUD in Your Ambulatory Care Setting … Expand Plan To Integrate MAT for OUD in Your Ambulatory Care Setting menu.

29. Risk of Infectious Diseases | The Academy
    integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/risk-infectious-diseases
    February 01, 2025 - Patients with infectious diseases should either be treated onsite or referred to care elsewhere.   … Providers Clinical Support System. Opioid Addiction With Medical Co-Morbidities. … East Providence, RI: Providers Clinical Support System; 2017.  … Online Self-Assessment Plan To Integrate MAT for OUD in Your Ambulatory Care Setting … Expand Plan To Integrate MAT for OUD in Your Ambulatory Care Setting menu.

30. Pregnant & Postpartum Behavioral Health Integration | AHRQ
    integrationacademy.ahrq.gov/products/topic-briefs/pregnant-postpartum-women
    December 01, 2024 - encourage them to actively participate in their care and care plan ning . … Developing a shared care plan can ease the exchange of clinical information, medication reconciliation … to locate OBGYN, primary care and behavioral health care team members in the same space or in different … risks and benefits, create an individualized, patient-centered treatment plan, make clinical decisions … Available at: https://www.bccsu.ca/clinical-care-guidance/ . Accessed August 18, 2022. 113.

31. Pregnant & Postpartum Behavioral Health Integration | AHRQ
    integrationacademy.ahrq.gov/products/topic-briefs/pregnant-postpartum-women
    December 01, 2024 - encourage them to actively participate in their care and care plan ning . … Developing a shared care plan can ease the exchange of clinical information, medication reconciliation … to locate OBGYN, primary care and behavioral health care team members in the same space or in different … risks and benefits, create an individualized, patient-centered treatment plan, make clinical decisions … Available at: https://www.bccsu.ca/clinical-care-guidance/ . Accessed August 18, 2022. 113.

32. 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 - health plans, patients, communities, researchers, and policymakers seeking to understand, implement, or … for Planning and Preparation Playbooks Self-guided feasibility assessments and how- to manuals to plan … Plan/Year 2025 2026 2027 2028 2029 Vision To understand changes in the field and major players and … Journal of Clinical Psychology in Medical Settings. 2019 Mar;26(1):59-67. https://doi.org/10.1007/s10880 … randomized clinical trial.

33. Why Define Integrated Behavioral Health (IBH)? | The Academy
    integrationacademy.ahrq.gov/products/ibh-lexicon
    February 01, 2025 - "What should I require clinical systems to provide to health plan members and what will I look at to … to implement or facilitate greater integration of primary care and behavioral health care. … to integration with specialty medical care or “bi-directional” integration where primary care is brought … We are implicitly "scored" on behavioral health contributors to good primary care via clinical outcomes … Journal of Clinical Psychology in Medical Settings. 2022;29(2):274-84.

34. Increasing Access to Medication-Assisted Treatment (MAT) in Rural Primary Care Practices—R18 Grants (pdf file)
    integrationacademy.ahrq.gov/sites/default/files/2021-10/Grant_Summary_PA_0.pdf
    January 01, 2021 - facilitate coordination among the broader health system and community-based resources, provide access to clinical … Health Condition Considered Opioid Use Disorder Treatment Service Considered MAT Study Design, … Flexible provider recruitment allows PCPs to choose preference for which MAT drugs (buprenorphine or … Practices—R18 Grants naltrexone, or both, or are currently in training to do so. … practices reporting during the most recent quarter, over 500 patients are receiving buprenorphine or

35. Integrated Behavioral Health & Primary Care: Snapshot of an Integrated Practice (pdf file)
    integrationacademy.ahrq.gov/sites/default/files/2020-06/AHRQ_Lexicon_Collateral_Snapshot.pdf
    January 01, 2020 - If you or your colleagues plan to transform your practice into an integrated behavioral health … practice, here are the key defining features you’ll need to build or develop: ■ A practice team … All team members should get formal or on-the-job training in team building and collaboration. … ■ A systematic clinical approach. … The plan sets goals, outlines treatments (including patient self-management), and documents progress

36. Ischemic Vascular Disease (IVD): Blood Pressure Control (pdf file)
    integrationacademy.ahrq.gov/sites/default/files/2020-07/Ischemic_Vascular_Disease_Blood_Pressure_Control.pdf
    January 01, 2020 - were discharged alive with acute myocardial infarction (AMI), coronary artery bypass graft (CABG) or … Cardiovascular Disease Use in Federal Program: Physician Quality Reporting System (PQRS) Actual/Planned Use: Care … Setting: Ambulatory Care: Clinician Office/Clinic Condition: Cardiovascular, Cardiovascular: Ischemic … Disease, Coronary Artery Disease Cross-Cutting Area: Data Source: Administrative claims, Electronic Clinical … , Clinician: Individual Measure Type: Outcome Target Population: Populations at Risk, Senior Care

37. Provider- and Practice-Level Competencies for Integrated Behavioral Health in Primary Care: A Literature Review (pdf file)
    integrationacademy.ahrq.gov/sites/default/files/2020-06/AHRQ_AcadLitReview.pdf
    January 01, 2020 - social support; • Use behavioral contracts to promote consensus on the patient’s goals and treatment plan … • Regularly implementing process improvement strategies to enhance teamwork and clinical care. … age and education level, to facilitate understanding of the rationale for treatment techniques and plan … care, and using decision supports for clinical care.11,22,29 Practices also should work to create unified … Barriers to physical and mental condition integrated service delivery.

38. Pharmacotherapy | The Academy
    integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/pharmacotherapy
    January 01, 2018 - she fails to adhere to the plan (including the intensity of services or referrals to other providers … With this information, the provider can determine any next steps or adjustments to the treatment plan … Guidelines A set of clinical guidelines for providers offering MAT through a nurse care manager … Online Self-Assessment Plan To Integrate MAT for OUD in Your Ambulatory Care Setting … Expand Plan To Integrate MAT for OUD in Your Ambulatory Care Setting menu.

39. Medication-Assisted Treatment for Opioid Use Disorder Self-Assessment Checklist (pdf file)
    integrationacademy.ahrq.gov/sites/default/files/2021-02/self-assessment_508_compliant.pdf
    January 01, 2021 - Plan to Integrate Medication-Assisted Treatment for Opioid Use Disorder in Your Ambulatory Care Setting … We have developed a plan to support staff through continuing education, clinical supervision, and consulting … We emphasize continuity of care during any transition in setting or level of care to minimize the risk … We have developed a financial sustainability plan that identifies practice models or other strategies … We use care registries to track patient progress over time and prompt changes to the treatment plan if

40. How Community Engagement Can Support Whole-Person Primary Care | The Academy
    integrationacademy.ahrq.gov/products/topic-briefs/community-engagement-for-whole-person-care
    February 01, 2025 - preferences of people, families, and communities. 3 No one primary care clinician or practice has the … Ensuring that patients with OUD remain in treatment with a plan in place for follow-up care, following … the example of any other chronic condition and putting treatment first. … Build a community strategic plan and strong relationships to earn the community's trust, as well as the … Stigma-Free Approach: Treat OUD like any other chronic condition.