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Showing results for "diabetes screening".
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1. Establish Protocols to Identify Patients Who Could Benefit From Integrated Care | The Academy
   integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/establish-protocols
   January 01, 2024 - mental health conditions such as depression and anxiety. 1,2 Common chronic medical conditions such as diabetes … You can use these recommendations to help determine which screenings to implement in your practice. … (s) for, you'll need reliable and validated tools to conduct those screenings. … member who is an expert on managing stress" or a "team member who is good at helping people with their diabetes … You can use these recommendations to help determine which screenings to implement in your practice.

2. 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 - Common chronic medical conditions such as diabetes and heart disease, with or without co-morbid mental … See the Measures on the Academy portal for a list of publicly available screening instruments. … member who is an expert on managing stress” or a “team member who is good at helping people with their diabetes … Assess your current workflow for behavioral health screening (e.g., depression screening). … Annual screening is less of a burden on patients and providers.

3. Clinical Outcome Measures | The Academy
   integrationacademy.ahrq.gov/expert-insight/measures
   June 01, 2022 - The literature search was limited to common comorbid physical and mental health conditions, such as diabetes … Zung Self-Rating Depression Scale (PDF 107.20kb ) Diabetes Optimal Diabetes Care Specifications … Comprehensive Diabetes Care: Hemoglobin A1c (HbA1c) Control (<8.0%) (PDF 156.12kb ) Reproduced with … Comprehensive Diabetes Care: Blood Pressure Control (<140/90 mm Hg) (PDF 154.77kb ) Reproduced with … Quality of Life Brief Instrument (PDF 1.4 MB) Substance Use/Substance Abuse Drug Abuse Screening

4. Success Stories | The Academy
   integrationacademy.ahrq.gov/expert-insight/success-stories
   February 01, 2024 - Health IT helps providers communicate and can promote systematic screenings through clinical decision … In addition to checking patient blood pressure, height, and weight, nurses conduct patient screenings … If there is a positive screening, the primary care provider will inform the BHC, and the BHC will come … These are often used in relation to behavioral health for diabetes care plans, hypertension management … Intermountain extends from primary care to specialty care clinics including sleep disorder clinics, diabetes

5. Principles of Person-Centered OUD Treatment | The Academy
   integrationacademy.ahrq.gov/products/playbooks/moud-playbook/principles-person-centered-oud-treatment
   January 01, 2023 - Principle #1: Implement Routine Screening to Identify Individuals with or at Risk for Opioid Use Disorder … Universal screening for unhealthy drug use (including OUD) should be integrated into routine … care in primary care and other ambulatory care settings for adults aged 18 or older: 4 Screening helps … often present with physical health problems such as chronic pain, sleep disorders, infectious diseases, diabetes … Unhealthy Drug Use: Screening. U.S. Preventive Services Task Force. 2020.

6. Build Culture of IBH by Obtaining Expertise | The Academy
   integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/obtain-behavioral-health-expertise-and-build-culture-integration
   September 01, 2025 - When planning to integrate behavioral health in a specialty diabetes center, practice leaders thought … with the health behavior changes necessary for them to successfully manage their diabetes. … Some patients also were struggling with the emotional impact of living with diabetes. … and how the integrated behavioral health providers can help people with diabetes. … Screening & Assessment : The ability to conduct brief, evidence-based screenings and arranging further

7. Collect and Use Data for Quality Improvement | The Academy
   integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/collect-and-use-data-quality-improvement
   September 01, 2025 - Is there routine screening for behavioral health conditions that can identify patients who need referrals … Clinical Outcomes & Patient Progress Data: Screening Positivity Rates : Percentage of patients screening … patients with comorbid chronic conditions, tracking improvements in medical markers (e.g., A1c for diabetes

8. Tracking Patient Outcomes | The Academy
   integrationacademy.ahrq.gov/products/playbooks/moud-playbook/monitor-patient-outcomes/tracking-patient-outcomes
   August 01, 2025 - This aggregation can be done for any condition (e.g., high blood pressure, depression, diabetes, OUD) … item; Anxiety: Generalized Anxiety Disorder 2-item (GAD-2) - Mental Health Screening - National HIV … Screening and Assessment Tools Chart. SAMHSA. 2025. … Accessed April 29, 2025. https://www.samhsa.gov/resource/dbhis/screening-assessment-tools-chart 29. … Operational Systems and Workflows Screening and Diagnosis Engaging Patients in Treatment

9. 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
   January 01, 2025 - conditions (e.g., depression or anxiety) as it is for chronic medical conditions such as hypertension or diabetes … Also, screening tools like the Tobacco, Alcohol, Prescription medication, and other Substance use (TAPS … Doing It At UPMC Matilda Theiss Health Center, a social worker visited a patient's home with her diabetes

10. 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 - services, those who used primary care and nonmedical services had lower risk of: Hypertension Obesity Diabetes … (from 78% to 93%) Increased the colorectal screening rate for those over 50 (from 49% to 59%) Reduced … . 42 Language is a common barrier to ASD screening, as most autism screening tools were developed in … providers at the HopeCentral Clinic began having concerns when administering routine developmental screenings … , in tandem with developmental screening, across all practices serving children.

11. Leverage Technology for Integrated Behavioral Health | The Academy
    integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/leverage-technology-for-ibh
    January 01, 2024 - Customize workflows to seamlessly support integrated care : You can embed screening tools for mental … protocols : You can configure clinical decision support rules to create reminders for behavioral health screenings … of data for specific patient populations receiving integrated care (e.g., patients with co-occurring diabetes … Intermountain's new EHR system emphasizes user-friendliness and aims to incorporate alerts for screenings … Clinical implementation of AI-based screening for risk for opioid use disorder in hospitalized adults

12. 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.pdf
    January 01, 2020 - other Medical conditions Patients with one or more medical diseases or conditions, e.g., diabetes … conditions or chronic illnesses (Example: Major depression in a person with poorly regulated diabetes … who considers diabetes their main health issue) Evidence basis, e.g., from USPSTF. … Screening and identification: “Screening” means disease screening according to evidence-based protocols … , other Medical conditions Patients with one or more medical diseases or conditions, e.g., diabetes

13. Introduction to Medication-Assisted Treatment | The Academy
    integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/introduction-medication-assisted-treatment
    February 01, 2025 - treated and managed. 19 Primary care providers already know how to treat other chronic diseases, such as diabetes … Delivering Effective, Low Barrier Treatment Operational System & Workflows Screening … Service Models Payment & Reimbursement Patient-Centered Care Screening

14. Quick Start Guide to Medications for Opioid Use Disorder | The Academy
    integrationacademy.ahrq.gov/products/playbooks/moud-playbook/quick-start-guide
    January 01, 2021 - additional training and supports are available for free: Like managing other chronic conditions such as diabetes … Adults aged 18 years or older The USPSTF recommends screening by asking questions about unhealthy drug … (Screening refers to asking questions about unhealthy drug use, not testing biological specimens). 53 … If the initial screening indicates opioid misuse, you may want to determine if the person meets the … Screening for Unhealthy Drug Use: US Preventive Services Task Force Recommendation Statement.

15. Define Your Vision | The Academy
    integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/planning-for-integration/define-your-vision
    January 01, 2024 - of implementing evidence-based behavioral health integration strategies, including population-based screening … and assessment, amounted to approximately $5 per primary care visit with screening, or $38 per visit … Assessment and Care : The BHCM or PCP, often a physician, PA, or nurse practitioner, administers the screening … depressive symptoms in patients with multimorbidity involving depression and either cardiovascular disease, diabetes … Pediatric Provider Experiences with Implementation of Routine Mental Health Screening.

16. 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 - clinician identification done in a non-systematic fashion Health system indicators (Other than patient screening … Demographic, registry, claims, or other system data, at risk for complex needs or special needs Universal screening … other Medical conditions Patients with one or more medical diseases or conditions, e.g., diabetes

17. 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 - Providers need to be skilled at selecting evidence-based, brief screening tools to identify patients … knowledge, covering topics such as:9,10,16 — Common chronic illnesses in primary care (e.g., asthma, diabetes … described in the literature include:11,13,19,21,22,24,26,31,32 • Clear workflows that support regular screening … cases.24,31 Care managers enroll patients in services, complete patient intakes, provide patients with screening … record system.22 An electronic health record system can help practices manage data related to patient screening

18. Innovations In Behavioral Health Integration Transcript (doc file)
    integrationacademy.ahrq.gov/sites/default/files/2025-06/Innovations%20in%20Behavioral%20Health%20Integration_Transcript.docx
    January 01, 2025 - The 1st was, does systematic screening for opioid use disorder, help us identify more people with Oud … How many new diagnoses of opioid use disorder are there after we have routine screening in place. … What kind of screening are you doing what patients have unmet needs. … 80% of them also had hypertension, and then, you see, about half had depression all close to half had diabetes … Stephens: You see various things for diabetes management.

19. Implementing Medication-Assisted Treatment for Opioid Use Disorder in Rural Primary Care: Environmental Scan Volume 1 (pdf file)
    integrationacademy.ahrq.gov/sites/default/files/2020-06/mat_for_oud_environmental_scan_volume_1_1.pdf
    January 01, 2020 - Thus, in many ways, it is similar to the treatment they already provide for patients with asthma, diabetes … environments."31 Primary care physicians are trained to treat chronic medical conditions such as asthma, diabetes … representatives.96 States and localities can also implement child welfare policies that incorporate screenings … Conducts an initial screening and assessment of the patient's appropriateness for OBOT-B, 2. … These tools cover the entire MAT process, including conducting initial screenings, assessing withdrawal

20. Charting The Future Of Integrated Behavioral Health Transcript (doc file)
    integrationacademy.ahrq.gov/sites/default/files/2025-08/Charting%20the%20Future%20of%20Integrated%20Behavioral%20Health_Transcript.docx
    January 01, 2025 - -> 00:27:05.040 Jurgen Unutzer: cost 10 to 20 times more health related disability than things like diabetes … Your diabetes is going these days. … Those things are more like cancer, you know, or like diabetes, they really need ongoing care. … So people started screening for cancer, people started trying to prevent cancer, people started saying … Maybe it's your diabetes. Maybe it's your sleep.