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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/challenging-patient-behaviors-and-concerns
January 01, 2021 - Ensure Patient and Staff Safety
Balance the desire to support patients with the need to ensure … the safety of staff and other patients, and to comply with legal requirements. … Pitfalls
Don't discontinue MOUD for poor behavior, unless it poses a distinct risk to the safety … Remind staff to be patient and professional when patients demonstrate poor behavior. … Patient Progress Assessment
Tracking Patient Outcomes
Collecting and Using Data for
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/suicidality
January 01, 2024 - for safety planning and connect patients with additional care, as appropriate. … Safety Planning: If a patient is at significant risk for suicide (e.g., expressing intent or making … , safety plans, referrals, and follow-ups to support continuity of care. 5,11 Regular contact with patients … Planning
Brown & Stanley Safety Plan Template
Patient safety plan template … to fill out with the patient.
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integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/monitor-patient-and-program-progress/overdose-risk
January 01, 2018 - Overdose Risk
The risk of overdose poses a distinct threat to the safety … Opioid Overdose (PDF—1.59 MB) Naloxone for Opioid Overdose: Life-Saving Science (PDF—199 KB) Opioid Safety … and How To Use Naloxone (PDF—496 KB) Take Care Take Charge: Safety Tips for People Who Use or Inject … Providers can emphasize that these are safety concerns for the patient, rather than judgment. … Patient Progress Assessment
Tracking Patient Outcomes
Recovery Plans for Recurrence
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integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/educate-patients-and-families-about-integrated-care
January 01, 2024 - . 1 Post the tip sheet on the setting's online patient portal or Web site so patients can come to appointments … Sharing patients' experiences can help set patient expectations regarding integration of care and its … Consider starting a patient advisory group and inviting patients to actively participate. … A patient advisory group, which includes patients and caregivers, can help you develop an outreach plan … By incorporating patient perspectives, Kaiser Permanente has improved care quality, safety, and patient
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integrationacademy.ahrq.gov/products/topic-briefs/telehealth
February 01, 2025 - Examples of telehealth technologies for patient management and monitoring include: Remote patient monitoring … and care team Virtual brief behavioral health (BH) interventions Patient e-visits Virtual patient education … DATA-waived care team members Patient e-visit(s) with DATA-waived care team members Virtual patient education … Patient Needs and Safety There are additional clinical considerations for patient needs and safety … AHRQ Patient Safety Network: Telehealth and Patient Safety During the COVID-19 Response HealthIT.gov
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integrationacademy.ahrq.gov/sites/default/files/2024-02/MAT-for-OUD-playbook-tips.pdf
January 01, 2024 - Don’t withhold medication if a patient isn’t ready to engage or lacks access to counseling or
other … “one-size-fits-all” approach to patient care. … to develop patient-centered care plans.
4 Don’t punish patients for poor behavior or continued substance … safety of others. … Don’t discharge a patient who is not making progress or is continuing to use substances.
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integrationacademy.ahrq.gov/sites/default/files/2021-02/ahrq-whatnottodo-infographic.pdf
January 01, 2021 - Don’t withhold medication if a patient isn’t ready to engage or lacks access to counseling or
other … “one-size-fits-all” approach to patient care. … to develop patient-centered care plans.
4 Don’t punish patients for poor behavior or continued substance … safety of others. … Don’t discharge a patient who is not making progress or is continuing to use substances.
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/engaging-patients-in-treatment
January 01, 2023 - of safety, and engagement in treatment; Recognize that a patient's negative experience at your practice … you would with any other patient. … Consider which tasks, such as collecting patient information and assessment data, monitoring patients … Accessed April 24, 2025. https://www.ama-assn.org/delivering-care/physician-patient-relationship/understand-patient-health-priorities-ask-what … Patient Progress Assessment
Tracking Patient Outcomes
Collecting and Using Data for
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integrationacademy.ahrq.gov/news-and-events/news/state-based-healthcare-extension-cooperatives-nofo-released-ahrq
September 13, 2024 - Education & Workforce
Policy & Financing
Clinicians
Patients … Engage key stakeholders such as Medicaid; Medicaid managed care organizations; clinicians and staff from safety-net … health care delivery organizations; and patients, families, and caregivers who receive care from safety-net … payment, community, care delivery, and research organizations to build their capacity to implement patient-centered
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integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/secure-financial-support-behavioral-health-services
September 01, 2025 - These codes are the fundamental language used to describe the services provided to patients. … These metrics can encompass various aspects of care, including clinical outcomes, patient safety, patient … Care
(PDF 307 KB)
Grade B
Understand Payment Models for Safety … integrated care
Toolkit of Promising Practices for Financing Integrated Care in the California Safety … Toolkit of Promising Practices for Financing Integrated Care in the California Safety
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integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/what-not-do
June 01, 2022 - Challenging Patient Behaviors or Concerns Don’t kick a patient out of the program for poor behavior, … unless it poses a distinct risk to the safety of staff and other patients. … Instead, develop patient consent forms that allow sharing of essential information that will keep patients … Engaging and Educating Patients, Families, and Their Caregivers Don’t expect patients or their families … Patient Progress Assessment
Tracking Patient Outcomes Don’t discharge or “fire” a patient who is
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integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/planning-for-integration/develop-your-game-plan
September 01, 2025 - should develop a game plan guided by the following questions: How will you identify and prioritize the patient … Strategies for Achieving Whole-Practice Engagement and Buy-in to the Patient-Centered … Resource Grade
Grade B
In this article, authors describe 13 strategies to obtain practice buy-in to patient-centered … TeamSTEPPS®: Strategies and Tools to Enhance Performance and Patient … Safety
Resource Grade
Grade A
This resource includes materials to help improve communication
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integrationacademy.ahrq.gov/about/initiatives/opioid/grantees/colorado
February 01, 2023 - Education & Workforce
Policy & Financing
Clinicians
Patients … and how to appropriately refer patients to local treatment in their community. … and the number of patients completing at least six months of treatment with buprenorphine for OUD. … 2019
Bethesda, MD
PBRN Conference
June 24-25, 2019
Bethesda, MD
Colorado Opioid Safety … 2018
Bethesda, MD
PHiR
August 29-31, 2018
Copper Mountain, CO
Colorado Opioid Safety
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integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/pharmacotherapy
January 01, 2018 - medications for opioid use disorder, Side effects associated with medications, Evidence base for the safety … evidence of co-occurring substance use that may pose significant risk for patient safety; significant … , or even a lifetime if patients are benefitting.” 1 When patients have met their treatment goals and … The patient should have input into this decision through a shared decisionmaking process between patient … Patient Progress Assessment
Tracking Patient Outcomes
Recovery Plans for Recurrence
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integrationacademy.ahrq.gov/news-and-events/news/new-scorecard-report-us-primary-care-system
June 24, 2025 - Education & Workforce
Policy & Financing
Clinicians
Patients … Primary Care 2025 Scorecard—The Cost of Neglect How Chronic Underinvestment in Primary Care Is Failing US Patients … Ultimately, an unproductive primary care system jeopardizes the health and safety of every community. … 45% of PCPs surveyed reported burnout; of these PCPs, 39% indicated that they planned to stop seeing patients … Primary Care Physicians Plan to Stop Seeing Patients. doi:10.26099/EVWB-8T35 Callaghan KA.
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integrationacademy.ahrq.gov/sites/default/files/2021-02/self-assessment_508_compliant.pdf
January 01, 2021 - We connect patients with community-based recovery support based on patient needs and preferences. … approach to patient care. … Providers deliver brief interventions for safety planning and connect patients with additional care, … Never Sometimes Usually Always
Monitor Patient and Program Progress
PATIENT PROGRESS ASSESSMENT
51 … We provide naloxone to patients at risk and train patients and families in its use.
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integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/obtain-behavioral-health-expertise-and-build-culture-integration
September 01, 2025 - The care team composition is tailored to best meet the needs of each patient. … What are the preferred languages of your patients? … sometimes without directly seeing patients. … Safety
Grade A
Optimize the Use of Integrated Behavioral Health … Safety
Resource Grade
Grade A
This resource includes materials to help improve communication
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integrationacademy.ahrq.gov/products/topic-briefs/age-0-5-behavioral-development
February 01, 2025 - 607 KB), such as having strong, supportive relationships, a sense of belonging, and having a sense of safety … supports, transportation, mental health/caregiver depression, housing stability, housing health and safety … caregivers with children ages 0-5 complete a brief questionnaire that screens for parental wellness, home safety … risk factors for child maltreatment, and that generally jeopardize children's health, development, and safety … Use of the Patient Health Questionnaire (PHQ-9) in practice: interactions between patients and physicians
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/avoiding-common-pitfalls
August 01, 2025 - a distinct risk to the safety of staff and other patients. … Remind staff to be patient and professional when patients demonstrate poor behavior. … Instead, develop patient consent forms that allow sharing of essential information that will keep patients … Patient Progress Assessment
Tracking Patient Outcomes Don't forget to consider a patient's personal … Patient Progress Assessment
Tracking Patient Outcomes
Collecting and Using Data for
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/infectious-diseasees
January 01, 2025 - Educate Patients on the Risks
Talk to your patients about how infectious diseases spread through … description on how to use the test strips is available here: Xylazine Test Strips: Quick Detection for Drug Safety … guidance to providers and administrators in substance use disorder (SUD) treatment programs on screening clients … for hepatitis A, hepatitis B, and hepatitis C infections and educating clients about their risks. … Addiction
This documents designed for treatment providers in behavioral health programs to support clients