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integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/develop-shared-care-plan
August 01, 2025 - Team members must act in coordination toward a common goal to provide quality integrated care and avoid … All members of the care team, regardless of their location, have access to the care plan and practice … It is critical that all care team members refer to the care plan when managing and treating patients, … the patient provided to the health system, a list of family members with whom the health system has … One or more members of the team should become skilled at introducing the process of developing health
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integrationacademy.ahrq.gov/sites/default/files/2020-07/Comprehensive_Diabetes_Care_Blood_Pressure.pdf
January 01, 2020 - Comprehensive Diabetes Care: Blood Pressure Control
(<140/90 mm Hg)
Measure Description:
The percentage of members … Numerator Statement:
Members whose most recent BP reading is <140/90 mm Hg during the measurement year … Denominator Statement:
Members 18-75 years of age by the end of the measurement year who had a diagnosis … Exclusions:
Exclude members with a diagnosis of polycystic ovaries who did not have a face -to-face … Exclude members with gestational or steroid-induced diabetes who did not have a face-to-
face encounter
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integrationacademy.ahrq.gov/news-and-events/news/supporting-lgbtq-behavioral-health-during-pride-month
June 20, 2024 - Supporting LGBTQ+ Behavioral Health during Pride Month
Date
06/20/24
During June, members … Members of the LGBTQ+ community face significant health disparities and have an elevated risk of experiencing
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integrationacademy.ahrq.gov/products/substance-use-resources/environmental-scan/substance-use-tools
January 01, 2025 - Format
Guide
Audience
Behavioral Health Providers
Medical Providers
Other Team Members … Paper/Issue Brief
Audience
Behavioral Health Providers
Medical Providers
Other Team Members … Format
Report/Paper/Issue Brief
Audience
Behavioral Health Providers
Other Team Members … Format
Guide
Audience
Communities
Other Team Members
Source
Substance Abuse … disorder care
Format
Web Page
Audience
Behavioral Health Providers
Other Team Members
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integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/patient-centered-care-plans
June 01, 2022 - A care plan is a patient-centered health document designed to facilitate communication among members … All care team members should refer to the care plan when managing and treating patients and record any … Care Team
Team roles and responsibilities —Identifies the members of the patient’s care team and … One or more members of the team should become skilled at introducing the process of developing life and … The shared care plan should function as a living document that members of the care team refer to and
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integrationacademy.ahrq.gov/products/substance-use-resources/environmental-scan/unhealthy-alcohol-use
January 01, 2023 - Families First Responders Graduate Education Medical Providers Organizational Leadership Other Other Team Members … Organizational Leadership
Communities
Behavioral Health Providers
Medical Providers
Other Team Members … Audience
Behavioral Health Providers
Medical Providers
Policymakers and Payers
Other Team Members … Format
Web Page
Audience
Behavioral Health Providers
Medical Providers
Other Team Members … Web Page
Audience
Policymakers and Payers
States
Medical Providers
Other Team Members
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integrationacademy.ahrq.gov/sites/default/files/2020-06/AHRQ_Lexicon_Collateral_Snapshot.pdf
January 01, 2020 - Team members should have well-defined roles and a range of expertise that includes
chronic disease care … Team members don’t necessarily have to
be in the same office space, but they must share workflows, processes … All team members should get formal or on-the-job training in
team building and collaboration.
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integrationacademy.ahrq.gov/products/ibh-lexicon/method-development
March 01, 2024 - History and Creators
The Lexicon was originally created in 2013 The twenty members … The updated 2023 Lexicon The 2023 NIAC is responsible for this update, with many of the 2013 members … plus a substantial number of new members with different perspectives 2 . … All listed NIAC members have reviewed and approved this update. … This update was first reviewed by a subset of the NIAC, including some new members and some who participated
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integrationacademy.ahrq.gov/products/ibh-lexicon/functional-definition
January 01, 2025 - A short definition loses its brevity if all possible team members are listed and so “clinician” serves … embedded in a larger organization or system. c Some team roles or members will likely be the same in … "Team" as used here does not require that all team members are from the same organization or "network … The term "collaboration" could be used by those who wish to restrict "team" to members of one clinic … The patient should experience the addition of team members (such as a behavioral health clinician) as
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/engaging-and-educating
January 01, 2024 - Family members can be excellent sources of support and are highly influential in setting attitudes about … Be aware that family members may be using substances as well, often with the patient across different … Don't overlook the possibility that the patient's family members also use substances and may use with … Common Questions and Concerns About Medication Assisted Treatment (MAT): A Handout for Family Members … of a Person With Opioid Use Disorder (OUD)
Gives an overview of MAT for family members of a
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/person-centered-care
January 01, 2025 - A shared care plan is a person-centered health document designed to facilitate communication among members … Care Team: Team roles and responsibilities — Identifies the members of the patient's care team and notes … , using, and maintaining a person-centered care plan requires the ongoing participation of multiple members … In addition, one or more members of the team should become skilled at introducing the process of developing … The shared care plan should function as a living document that members of the care team refer to and
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integrationacademy.ahrq.gov/products/topic-briefs/telehealth
February 01, 2025 - to support collaboration, including communication, coordination, and consultation between care team members … Examples of telehealth technologies for collaboration include: E-consultations between care team members … Patient e-visit(s) with DATA-waived care team members Virtual patient education Virtual BH treatment … can dispense methadone, buprenorphine, and naltrexone) Care team members at the hub refer patients to … Before an in-person care visit, care team members typically collect updates, vital signs, and other health
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integrationacademy.ahrq.gov/sites/default/files/2020-09/self_assessment_checklist_1.6.16.pdf
January 01, 2020 - • Consider having all members of your Planning and Implementation Team complete the
checklist and … We have a plan to educate all patients in need of integrated care and their family
members on the benefits … We educate all patients in need of integrated care and their family members on the
benefits of integrated … [If your practice does not have a plan to educate patients and family members, please skip
to question
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integrationacademy.ahrq.gov/about/integrated-behavioral-health/clinicians
September 01, 2024 - clinician role also needs improved communication, collaboration, and care coordination with the other members … review in Annals of Internal Medicine summarized the range of functions needed by all clinical team members … dynamic in which the “whole of the team” is greater than the sum of its parts (e.g., individual team members
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integrationacademy.ahrq.gov/sites/default/files/2021-09/ibhc_atlas_framework_and_measures.pdf
January 01, 2021 - for a specific patient and family
• Develop a unified care plan that builds a team -
with necessary members … implies that the protocols
and workflows specify:
o the roles, functions, and activities of
all team members … types of information that need to
be shared; and
o the standard way to manage the
addition of team members … processes.
• Collaborate toward shared goals using shared
workflows.
• Maximize team roles so that team members … 4) Patient and Family Engagement: The
team engages patients and family (as
appropriate) as active members
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integrationacademy.ahrq.gov/about/integrated-behavioral-health/patients
June 01, 2022 - Patients and family members are partners in making decisions about their health care. … Treatment-seeking behaviors vary across races and ethnicities, as members of many culturally and linguistically
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integrationacademy.ahrq.gov/sites/default/files/2020-06/AHRQ_AcadLitReview.pdf
January 01, 2020 - for her preparation
of an annotated bibliography; and the AHRQ Academy Workforce Task Expert Panel members … when patients need more intensive care;
• Use collaborative treatment approaches and involve family members … Authors
stressed that frequent and clear communication between all staff members is very important … to develop strong listening skills and be open to the ideas, opinions, and feedback that other team members … improvement goals; and
• Developing trusting relationships with patients, families, and other team members
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integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/obtain-training-and-support-providers-and-staff/behavioral-health-services-training
June 01, 2022 - North Star
All members of the clinical team are trained in motivational interviewing. … Any team members who will provide counseling or evidence-based therapeutic interventions have received … Members of the care team may take on some case management roles, particularly if there is a nurse care
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integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/screening-and-assessments
January 01, 2022 - responsibilities for intake will depend on what works best for the practice’s workflows and allows team members … Format
Instrument/Protocol
Audience
Medical Providers
Other Team Members
Source … Format
Instrument/Protocol
Audience
Medical Providers
Other Team Members
Source
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integrationacademy.ahrq.gov/expert-insight/niac-video/22937
January 01, 2013 - Behavioral Health: The Journey to Becoming the Standard of Care
Several members … Panelists include: NIAC Members: CJ Peek, PhD, Professor of Family Medicine and Community Health at