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integrationacademy.ahrq.gov/sites/default/files/2021-09/ibhc_atlas_framework_and_measures.pdf
January 01, 2021 - Page | 4
FUNCTIONAL DOMAINS MEASUREMENT CONSTRUCTS MEASURES
9) Data Collection and Use: The … Structure
• Practice-wide systems to collect and use data
for data-driven quality improvement are … Process
• Collect practice-based data on key processes
(e.g., percentage of patients with a shared … • Use the data to inform decisions that improve
quality, effectiveness, and value. … Note: Some quality or process improvement methods
(described in #7) may yield practice data that can
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integrationacademy.ahrq.gov/sites/default/files/2020-07/Grant_Summary_NC.pdf
January 01, 2020 - Opioid Use Disorder
Treatment Service Considered
Medication-Assisted Treatment
Study Design, Data … The evaluation
will use a RE-AIM approach and
mixed-methods to analyze data
from training participation … Strategies Used
• DATA-2000 waiver training
• ECHO case-based learning
• Tools to support successful
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integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/pharmacotherapy-training
January 01, 2020 - Find and Complete a DATA-Waiver Training
For Physicians. … The Drug Addiction Treatment Act of 2000 (DATA 2000) requires qualified physicians to obtain a waiver … These DATA-waiver trainings are offered by various organizations, including the: American Academy of … Seek Training on Naltrexone
While a DATA 2000 waiver is not needed for the prescription of naltrexone … Prevention and Response to Recurrence of Use
Overdose Risk
Collecting & Using Data
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integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/establish-protocols-identify-patients-who-could-benefit-integrated-care
February 01, 2025 - Additional ways to identify patients include reviewing problem lists or schedules, health record data … , patterns of utilization or claims data, provider notes, and patient requests if captured in health … Using registry data, they developed predictive risk modeling to inform depression treatment plans. … and Manage High-Risk and High-Cost Patients
This article reviews the potential of using big data … Establish Operational Systems
Secure Financial Support
Collect and Use Data
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integrationacademy.ahrq.gov/expert-insight/success-stories
February 01, 2024 - Cherokee’s EHR system includes a population-based management system that allows providers to mine data … Primary care clinicians are able to view patient data, use their clinical judgment to determine which … The iPad workflow will reduce the need for duplicate data entry from paper to computer. … hopes that the new iPad efforts will lead to efficient documentation, thorough capture of discrete data … The data is then coded into the electronic medical record and a care plan is developed through provider
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integrationacademy.ahrq.gov/sites/default/files/2020-09/self_assessment_checklist_1.6.16.pdf
January 01, 2020 - No We are working on it Yes
Collect and Use Data for Quality Improvement
11. … We systematically collect data on all patients identified to receive integrated care
services. … We use collected data to improve quality of care provided to all patients in need of
integrated care … [If your practice does not collect data, please skip to question 15.] … We use collected data to improve workflows and processes for delivering integrated care.
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integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/track-patients-and-monitor-their-outcomes
January 01, 2025 - engagement, and can potentially incorporate remote patient monitoring tools for enhanced oversight and data … In Collect and Use Data for Quality Improvement , the Playbook provides tools for monitoring patients … They can involve: Wearable devices : Tracking physiological data relevant to mental health or withdrawal … Mobile applications : Collecting patient-reported outcomes, medication adherence data, and facilitating … Initiative to create a process of matching patients to care team members using patient outreach and data
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integrationacademy.ahrq.gov/products/topic-briefs/age-0-5-behavioral-development
February 01, 2025 - utilization Designing data reports to address disparities of care and health inequities Establishing … data-driven quality assurance and improvement initiatives Designing actionable patient registries to … Additionally, your practice or health system can use these data tools to collect and process outcome … data and monitor whether you are on track to reach the goals in your aim statements. … There is data on the patient’s age, next scheduled primary care provider visit, date the patient was
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/monitor-patient-outcomes
January 01, 2013 - Systematically collecting and analyzing patient data can help you monitor how individual patients are … Monitoring data trends can be useful at both the patient and practice levels, and the measures tracked … Data can be used to demonstrate progress and inform decision-making in relation to both the patient's … Topics
Tracking Patient Outcomes
Collecting and Using Data for Quality Improvement … Patient Progress Assessment
Tracking Patient Outcomes
Collecting and Using Data for
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integrationacademy.ahrq.gov/sites/default/files/2020-07/Optimal_Diabetes_Care.pdf
January 01, 2020 - Data elements are
either extracted from an EMR system or abstracted through medical record review. … codes: 648.0‐648.04)
Documentation that diagnosis was coded in error
Email: support@mncm.org ∙ Data … Email: support@mncm.org ∙ Data Portal: https://data.mncm.org/login
© MN Community Measurement, 2010 … DMII UNSPF UNCNTRLD
250.43 DMI RENAL UNCNTRLD 250.93 DMI UNSPF UNCNTRLD
Email: support@mncm.org ∙ Data … – 444.9 Arterial embolism and thrombosis
445 ‐ 445.8 Atheroembolism
Email: support@mncm.org ∙ Data
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integrationacademy.ahrq.gov/products/ibh-lexicon/functional-definition
January 01, 2025 - to improve the practice
Periodic examination and reporting of outcomes
Scale of practice data … What you see in place: Routine collection and use of practice-based data to improve outcomes and the … This includes quality improvement or program evaluation data. 37 Other data on total cost of care, hospital … Accessed August 23, 2023. 37 Practice-based data. … . 38 Collection of uniform demographic data such as race/ethnicity and language as outlined in the
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integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan-integrating-behavioral-health-your-ambulatory-care-setting
June 01, 2022 - to Support Integration
Secure Financial Support for Behavioral Health Services
Collect and Use Data … Success of your integrated care program relies on effective use of data and maintaining patient engagement … Establish Operational Systems
Secure Financial Support
Collect and Use Data
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integrationacademy.ahrq.gov/news-and-events/news/opioid-epidemic-and-covid-19-pandemic-deepening-disparities
December 23, 2020 - numbers of COVID-19 cases, hospitalizations, and deaths for racial/ethnic minorities (as shown in CDC data … symptoms of anxiety or depressive disorder, traumatic stress, and suicidal ideation (as shown in CDC data … Prepandemic AHRQ data show that overdose deaths involving synthetic opioids were contributing heavily
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integrationacademy.ahrq.gov/news-and-events/news/opioid-epidemic-and-covid-19-pandemic-dual-crises
December 23, 2020 - Preliminary data for 2019 show more than 50,000 opioid overdose deaths. … Real-time data on opioid overdoses and overdose deaths are not available, but preliminary data from
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integrationacademy.ahrq.gov/sites/default/files/2020-12/Grantee%20Profile%20Oregon.pdf
January 01, 2020 - Our intervention will feel like quality
improvement at the clinic level, while providing research data … evaluation will seek to identify:
• How CCOs are working with clinics to generate SBIRT performance data … how clinic size relates to CCO TA support,
• Each clinic’s ability to implement SBI and MAT and use data … Data collection will include both qualitative and quantitative data from: (1) key informant interviews
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integrationacademy.ahrq.gov/about/initiatives/other-initiatives
May 01, 2024 - Provisional Drug Overdose Death Counts This data visualization from the Centers for Disease Control and … United States through January 2019. 2018 National Survey on Drug Use and Health (NSDUH) Report and Data … reports and tables from the Substance Abuse and Mental Health Services Administration (SAMHSA) present data … Disorder From 2011 to 2018 This brief from the Urban Institute examines Medicaid State drug utilization data
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integrationacademy.ahrq.gov/sites/default/files/2020-07/Ischemic_Vascular_Disease_Blood_Pressure_Control.pdf
January 01, 2020 - Cardiovascular, Cardiovascular: Ischemic Heart Disease, Coronary Artery Disease
Cross-Cutting Area:
Data … Source:
Administrative claims, Electronic Clinical Data, Paper Medical Records
Level of Analysis:
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integrationacademy.ahrq.gov/products/topic-briefs/telehealth
February 01, 2025 - This page presents the available research evidence, including peer-reviewed outcomes data and experiences … e.g., 12-step recovery programs and mental health support groups) Predictive analytics using patient data … access and use Remote Patient Monitoring (RPM) Real-time, electronic transmission of patient health data … an in-person care visit, care team members typically collect updates, vital signs, and other health data … For instance, practices may also want to consider liability coverage to protect against data breaches
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integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/establish-protocols
January 01, 2024 - This can be based on positive screening results, specific diagnoses from past visits, or even claims data … Additional ways to identify patients include reviewing problem lists or schedules, health record data … , patterns of utilization or claims data, provider notes, and patient requests if captured in health … Using registry data, they developed predictive risk modeling to inform depression treatment plans. … food insecurity, housing insecurity) using screening tools (e.g., the PRAPARE tool ) and available data
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integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/establish-operational-systems-support-integration
January 01, 2022 - At the core is an electronic health record system capable of providing patient-reported outcomes data … Determine Necessary System Modifications for Data Collection and Reporting
See Track Patients … and Monitor Their Outcomes and Collect and Use Data for Quality Improvement for more information. … Data Utilization for Improvement : Understanding your data is crucial for monitoring the impact of your … Facilitators can help you identify relevant metrics, establish data collection processes, and use data