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1. 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 - For example, describing the behavioral health provider as a “team member who is an expert on managing … For example, practice staff may learn things about patients that might suggest a benefit from integrated … For example, assess your current depression screening rate and set a goal for improving that rate. … For example, the Plan-Do-Study-Act (PDSA) process can help guide improvement by systematically testing

2. Optimal Vascular Care (pdf file)
   integrationacademy.ahrq.gov/sites/default/files/2020-07/Optimal_Vascular_Care.pdf
   January 01, 2020 - For example, if a three-digit code is listed, it is valid as a three, four, or five-digit code. … For example, if a code is presented to the third digit, any valid fourth or fifth digits may be used … When necessary, a code may be specified with an “x,” which represents a required digit; for example

3. Journey Toward a Lexicon (pdf file)
   integrationacademy.ahrq.gov/sites/default/files/2020-06/Journey%20Toward%20a%20Lexicon.pdf
   January 01, 2020 - For example, the subject matter called “integrated behavioral health” also goes by “collaborative care … not uncommon to hear someone say, “Integrated behavioral health—we already do that,” followed by an example … For example, conference calls were slowed down by observations such as, “I’m not sure we mean the same

4. Chronic Pain Management | The Academy
   integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/chronic-pain-management
   January 01, 2012 - For example, patients may not fully distinguish between pain and suffering, leading them to report higher … For example, the first course of treatment should be nonnarcotic medications such as acetaminophen or … For example, providers may consider adjusting the dose and schedule of buprenorphine in patients with … For example, anxiety can contribute to overall suffering and harm a patient’s quality of life. … For example, patients taking naltrexone should not be prescribed opioids because, as an antagonist, it

5. Engaging Patient Opioid Use Disorder Treatment | The Academy
   integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/engaging-patients-oud-treatment
   June 01, 2022 - For example, walk-in appointment times for MAT services can be an effective strategy to help encourage … For example, a behavioral health provider or nurse care manager can collect most of the patient information … For example, in the Massachusetts Model, the nurse care managers take on many of the responsibilities

6. Tracking Patient Outcomes | The Academy
   integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/monitor-patient-and-program-progress/tracking-patient-outcomes
   February 01, 2024 - For example: Brief Addiction Monitor (BAM) (PDF—111 KB) includes questions about physical health, sleep … For example, patients who continue to use opioids may not be receiving a dosage of medications for opioid … For example, to calculate a 30-day retention rate, a practice needs to include all patients whose admission … For example, providers can track the patient’s attendance at appointments or engagement with external … For example, practices should have a protocol for outreach to patients who do not adhere to the treatment

7. Understanding the Components of MAT | The Academy
   integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/plan-integrate-mat-for-oud/understanding-components-of-mat
   February 01, 2025 - For example, some organizations, such as federally qualified health centers, may have behavioral health … For example, other more experienced local providers may be willing to mentor or provide consultations … For example, some patients may prefer a daily tablet or film, while others may like extended-release … For example, at a minimum, providers can deliver enhanced medication management during routine visits … For example, initial treatment induction might be conducted by the hub OTP, and then the patient could

8. Payment and Reimbursement | The Academy
   integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/payment-and-reimbursement
   January 01, 2018 - For example, some payers may require treatment of patients who continue to use multiple substances to … There may be limitations on the types of providers who can bill for behavioral health services. 1  For example … For example, in 2018, fewer than 70 percent of State Medicaid agencies covered implanted or extended-release … For example, newer brand medications can be very expensive and less likely to be covered by insurance … For example, payers may take a “fail first” approach in which a patient may be required to try a generic

9. 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 - The resources have many different types and formats, including, for example:  Materials that can … For example, although primary care physicians are important providers of health care in rural areas, … For example, individuals with OUD who started misusing opioid analgesics prescribed for chronic pain … For example, patients with more complex needs may be referred to regional OTPs. … For example, Project ECHO only requires use of basic teleconferencing platforms.

10. Start with Hope: Supporting Mothers with SUDs Panel | The Academy
    integrationacademy.ahrq.gov/news-and-events/calendar/event/23204
    January 01, 2013 - For example, pregnant women with SUDs frequently delay or refrain from prenatal care and treatment because

11. Financial Sustainability | The Academy
    integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/financial-sustainability
    January 01, 2019 - For example, your state primary care association 5 (especially for FQHCs and community health clinics … For example, a patient engagement specialist or care coordinator may take on the responsibility of patient … For example, in New Mexico this program is provided by the New Mexico Department of Health. 7 In addition … For example, grant funding can be vital toward an initial investment to start an OUD treatment practice

12. Service Models | The Academy
    integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/service-models
    January 01, 2019 - For example, the West Virginia University Comprehensive Opioid Addiction Treatment (COAT) model uses … For example, a patient engagement specialist or care coordinator may take on the responsibility of patient … For example, the recent opioid crisis has led to an influx of grant funding to States. … For example, one analysis of a treatment model that included physicians, behavioral clinicians, and case

13. 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 - For example, a practice may develop a smoking cessation program or change its policies to allow walk-in … For example, VFAAB recently hosted a successful Little Smiles child development class. … For example, the Vietnamese community in Seattle is different than the Vietnamese community in Vietnam … For example, 62 percent of families served at the Portland site requested support with items such as … For example, when launching the MOMS program, which provides diapers and other essential care items to

14. 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 - For example, PHQ-9 (PDF - 0.16 MB) (Patient Health Questionnaire-9) can track progress for patients … none Source Therapist Aid Patient Tracking Spreadsheet Example … This patient tracking spreadsheet is an example of how practices can track and monitor patients

15. Teaching Patients: Integrated Ambulatory Care | The Academy
    integrationacademy.ahrq.gov/playbooks/behavioral-health-and-primary-care/implementing-plan/educate-patients-and-families-about-integrated-ambulatory-care
    March 01, 2024 - Resources Integrated Care Rack Card An example of a rack card that describes … File Size 333 KB Behavioral Health Services Brochure An example

16. Tracking Patient Outcomes | The Academy
    integrationacademy.ahrq.gov/products/playbooks/moud-playbook/monitor-patient-outcomes/tracking-patient-outcomes
    May 29, 2025 - For example, you already monitor elements such as weight, blood pressure, lab values, and medications … admitted during the period S = Number of patients in treatment at the beginning of the period For example … For example, your practice may maintain a billing dataset that includes diagnosis, dates of service, … For example, the AIMS Center of the University of Washington has developed a Care Management Tracking

17. 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 - For example, patients can indicate if they want to be notified when the practice or system communicates … Institute Treatment Plan – Behavioral Health This is an example

18. Optimal Diabetes Care (pdf file)
    integrationacademy.ahrq.gov/sites/default/files/2020-07/Optimal_Diabetes_Care.pdf
    January 01, 2020 - For example, if a code is presented to the third digit, any valid fourth or fifth digits may be used … When necessary, a code may be specified with an “x,” which represents a required digit; for example,

19. Educating Patients Families & Their Caregivers | The Academy
    integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/engaging-and-educating-families-and-caregivers
    January 01, 2019 - For example, as discussed throughout the Playbook, motivational interviewing can help patients make

20. Create Operational System Support Integration | The Academy
    integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/establish-operational-systems-support-integration
    January 01, 2022 - For example, use similar communication and documentation processes but involve different team configurations … For example, the EMR includes a referral system that supports scheduling patients.  … For example, the behavioral health portion of a patient medical record has limited access.  … Medicare Annual Wellness Visit – Health Risk Assessment An example