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integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/collect-and-use-data-quality-improvement
August 01, 2025 - A practice can use patient-level data to identify patients who may benefit from integrated behavioral … North Star
The practice uses data (1) at the patient level to identify, treat, and manage patients … Consider these questions: Do the available data help you identify, track, and manage patients in need … Plan : Identify a specific aim for improvement and develop a plan to test a change. … Identify metrics that you are interested in and decide what level of improvement would be considered
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integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/establish-protocols
January 01, 2024 - Learn more about selecting and using registries to identify patients for integrated behavioral health … Additional ways to identify patients include reviewing problem lists or schedules, health record data … As part of this initiative, BFHC developed a screening program to identify patients with depression, … Map your community resources : Identify community-based organizations and agencies offering relevant … Develop referral pathways : Define how to identify patients needing support (e.g., screening tools) and
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integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/screening-and-diagnosis
January 01, 2018 - Screening and Diagnosis
Systematic screening can help identify … Practices should implement systematic protocols to identify patients who may need medication-assisted … This model aims to identify individuals at risk for substance use disorders and intervene early before … PDMPs can help identify patients who may be misusing or diverting prescription opioids. … Identify Steps To Take When a Patient Screens Positive
Conduct a followup assessment for opioid
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integrationacademy.ahrq.gov/sites/default/files/2020-07/debbie_cohen.docx
January 01, 2020 - Systematic Screening is Essential to Identify the Full Range of Patient Needs
Debbie Cohen Transcript
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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 - Registries are another common way to identify patients. … Additional ways to identify patients include reviewing problem lists or schedules, health record data … As part of this initiative, BFHC developed a screening program to identify patients with depression, … Develop Workflows and Protocols to Reliably Identify and Engage Your Target Population
Now that … Resources
Scope of Integrated Behavioral Health - What Kinds of Cases to Identify
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integrationacademy.ahrq.gov/sites/default/files/2020-09/self_assessment_checklist_1.6.16.pdf
January 01, 2020 - Never Sometimes Usually Always
Page 5 of 7
Establish Protocols to Identify Patients Who Could … We have developed a protocol to identify patients who could benefit from integrated care. … We use the established protocol to identify patients who could benefit from integrated
care. … We monitor all integrated care patients who have improved to quickly identify signs of a
setback. … We use the plan to identify integrated care patients who do not adhere to the followup
schedule.
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integrationacademy.ahrq.gov/expert-insight/niac-video/10876
January 01, 2013 - NIAC Videos
Webcasts
Systematic Screening is Essential to Identify … Full Range of Patient Needs
Systematic screening is essential to identify
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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 - the Tobacco, Alcohol, Prescription medication, and other Substance use (TAPS) and CRAFFT can help identify … effects, and how treatments are fitting the patient's life, goals, and priorities, the care team can identify … Care
Telehealth and Behavioral Health Integration
Identify … Identify Patients Who May Benefit From Adjustments to Their Care Plan
If a patient is not responding … same registry or tracking system that is used to monitor response to treatment also can be used to identify
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integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/self-assessment-checklist
July 01, 2025 - your setting, use the checklist responses and discussion with the Planning and Implementation Team to identify … integration into your setting, use the Integration Self-Assessment Checklist to assess your progress and identify … Patients and Families
Obtain Behavioral Health Expertise
Establish Protocols to Identify
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integrationacademy.ahrq.gov/news-and-events/news/ahrq-commits-priority-actions-suicide-prevention
May 22, 2024 - Services (CMS), Office of the Assistant Secretary for Planning and Evaluation (ASPE), and AHRQ will identify … individuals with suicide risk, describe how they are currently being used in quality reporting, and identify … AHRQ will conduct a systematic review of the management of suicidal thoughts and behaviors in youth to identify
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integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/monitor-patient-and-program-progress/tracking-patient-outcomes
February 01, 2024 - Measurement-based care refers to the use of standardized measures to assess progress, identify problems … Providers should also identify the patient’s personal goals for treatment and monitor how their ability … Track Select Outcome Measures
Medication-assisted treatment (MAT) programs should identify which … Monitoring all of these retention rates can allow programs to identify trends or potential issues.
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integrationacademy.ahrq.gov/sites/default/files/2021-02/self-assessment_508_compliant.pdf
January 01, 2021 - MAT in your setting, use the checklist and discussion with the
Planning and Implementation Team to identify … We have developed methods to identify opioid use disorder, including a protocol to incorporate
standardized … We have developed an assessment process to identify the patient’s unique needs, preferences, and
barriers … We have trained all staff on how to identify signs of an overdose and respond accordingly. … We educate patients and families on how to identify signs of an overdose and respond accordingly.
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/pre-implementation-planning
June 02, 2025 - Identify Champions and a Pre-Implementation Planning Team
Support from clinic leadership, providers … Identify champions within the practice and consider who will serve in various necessary roles. … In these cases, it is important to identify and connect patients with appropriate community resources … It is important to identify what resources are available to address these or other needs in your area … Ongoing quality improvement to identify problems and address them in real time is extremely helpful.
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integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/monitor-patient-and-program-progress/approaches-quality-improvement
April 01, 2024 - The areas for improvement that practices identify, quality measures tracked, and methods of change may … However, at a minimum, staff should try to identify realistic and feasible improvements given their programs … Practices should consider the program’s strengths and weaknesses and identify areas with room for improvement … Implementation —Programs may need to improve their processes to identify patients with opioid use disorder … It can identify areas for improvement and provide motivation to change.
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integrationacademy.ahrq.gov/news-and-events/calendar/event/23269
May 22, 2025 - Join them for a 1-hour interactive session to better identify, understand, and address perinatal anxiety
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integrationacademy.ahrq.gov/news-and-events/calendar/event/23433
August 13, 2025 - advocates, state policymakers, and system stakeholders to explore best practices, share challenges, and identify
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integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/establish-operational-systems-support-integration
January 01, 2022 - Workflows related to integration should specify how to: Identify patients who might benefit from integration … providers and staff : See Obtain Behavioral Health Expertise and Build a Culture of Integration to identify … This will allow you to identify workflows that maximize patient and provider outcomes before proceeding … They act as coaches, helping you identify challenges and develop effective solutions tailored to your … Facilitators can help you identify relevant metrics, establish data collection processes, and use data
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integrationacademy.ahrq.gov/products/ibh-lexicon/method-development
March 01, 2024 - The purpose of alternatives is to identify additional cases that we as a group also believe qualify as … Next, the entire 2023 NIAC reviewed via email, with the general instruction to identify where the content … was good enough to reuse, knowing it will evolve, and to identify what needs to change. … Participants look at the paradigm case formulation (the extended definition) and identify the dimensions
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integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/build-patient-understanding-setbacks-and-how-deal-them
June 01, 2022 - sure to consider the patient’s unique beliefs, learning preferences, literacy, and cultural factors to identify … The care team should continue monitoring patients even after symptoms have improved to help identify … Patients and Families
Obtain Behavioral Health Expertise
Establish Protocols
Identify
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integrationacademy.ahrq.gov/news-and-events/news/center-financing-reform-innovation
March 04, 2024 - Administration (SAMHSA) contract that seeks to understand financing mechanisms of behavioral healthcare to identify