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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 - toward paying for value, a key success factor is to target integrated behavioral health services to populations … Taken together, patients with these conditions make up a large proportion of the patient population of … , the general approach is similar regardless of how you define that population. … Don’t forget to monitor the process of linking target populations to integrated behavioral health care … Source
MaineHealth
File Size
50 KB
In Focus: Segmenting Populations
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integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/secure-financial-support-behavioral-health-services
January 01, 2024 - Integrating behavioral health into ambulatory care can add value and lead to improved population health … Determine Your Payer Mix
The first step is to look at your payer mix and target patient population … As you start implementation, your target population for the first iteration of integration may be selected … referred to the integrated behavioral health provider; This includes both reaching into the target population … to make a difference in population health outcomes and ensuring that the behavioral health provider
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integrationacademy.ahrq.gov/sites/default/files/2020-06/Lexicon_ExecSummary.pdf
January 01, 2020 - available
to draw from—so team can be defined at the level of each patient, and in general for targeted
populations … function
and expertise
that can be
mobilized to
address needs of
particular
patients and
target
populations … Target
sub-
population
for
integrated
behavioral
health
A. … risks,
isolation,
financial,
other
Culture,
race,
ethnicity and
language or
other special
populations … situation
(Blount, 2003)
Targeted
Integrated behavioral health program designed for specific
populations
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integrationacademy.ahrq.gov/products/ibh-lexicon/functional-definition
January 01, 2025 - , not as separate medical or behavioral health populations. … Patient, provider, and population attitudes and behavior. … It means helping and empowering individuals, families, communities, and populations to improve their … SSM - Population Health. 2021;15:100905. https://doi.org/10.1016/j.ssmph.2021.100905 . … and monitoring the status of populations tracked in the registry.
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integrationacademy.ahrq.gov/products/ibh-lexicon/practice-differences
July 01, 2024 - Complex or more specialized pharmacologic interventions for the population Extended functions—specialized … expertise for clinic population: Specialized disease experts Specialized population experts Specialized … Target populations or settings selected Practices may establish different target populations or settings … for specific populations based on disease or diagnosis, prevention, risk level, stage of life, social … It is an enduring way of operating that includes the entire population of patients.
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integrationacademy.ahrq.gov/sites/default/files/2021-09/ibhc_atlas_framework_and_measures.pdf
January 01, 2021 - sub-components.
1) Care Team Expertise: The team is
tailored to the needs of particular
patients and populations … and roles are available and can be
tailored into a team to meet the needs of
specific patients and populations … • If desired, select a sub-population of clinic
patients with similar needs, such as geriatric
care … • Aggregate population health (for a population
denominator(s) defined by the practice). … Financial Outcomes • Aggregate total cost of care (or affordability)
for the population (for a population
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integrationacademy.ahrq.gov/sites/default/files/2020-06/Lexicon.pdf
January 01, 2020 - Identification could take place within populations considered high risk or as universal screening. … and to monitor
the status of populations tracked in the registry. … For underserved populations it may also be necessary to look at figures such as improved engagement, … Annotations:
• Identifying individuals in what populations: The target population for integration … behavioral health program designed
for specific populations such as disease,
prevention, at-risk,
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integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/tailor-care-team-meet-needs-identified-patients
June 01, 2022 - Provider
Behavioral health providers may take on a variety of roles in the care of different populations … patient’s needs, the care team must clarify the role of the behavioral health provider based on the population … For MHI this means defining the population through disease registries and administrative databases, gaining … Go beyond provider initiative by using protocols that identify target populations. … Health Solutions
File Size
2063 KB
In Focus: Segmenting Populations
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integrationacademy.ahrq.gov/expert-insight/success-stories
February 01, 2024 - Through this integration, Cherokee is able to systematically screen its entire population for behavioral … Population Management
Cherokee’s EHR system includes a population-based management system that allows … providers to mine data about specific criteria from their patient populations. … have the iPad read the screening forms to the patient to provide an extra tool for low literacy level populations … Additionally, the registry can show caseload summaries so physicians can use a population-based approach
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integrationacademy.ahrq.gov/sites/default/files/2020-07/Comprehensive_Diabetes_Care_Blood_Pressure.pdf
January 01, 2020 - Clinician: Group/Practice, Clinician: Individual, Facility, Health Plan, Integrated Delivery
System, Population … : National, Population: Regional, Population: State
Measure Type:
Process
Target Population:
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integrationacademy.ahrq.gov/products/topic-briefs/community-engagement-for-whole-person-care
February 01, 2025 - barrier to ASD screening, as most autism screening tools were developed in Western, predominantly White populations … fifty different countries through its residency programs, ensuring a broad reach to diverse patient populations … from partnerships with community organizations to achieve whole-person care, especially for high-need populations … Screening tools for autism in culturally and linguistically diverse paediatric populations: a systematic … Pennsylvania Population Hit 13 Million in 2020.
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integrationacademy.ahrq.gov/sites/default/files/2020-06/AHRQ_Lexicon_Collateral_Snapshot.pdf
January 01, 2020 - families, using a systematic and cost-effective approach to provide patient centered care for
a defined population … ■ Shared responsibility to provide whole-person care for a defined population. … You might use the integrated approach with the practice’s entire patient population
or just a subset … Your integrated
behavioral health
practice should
be supported by:
■ A community, population, or
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integrationacademy.ahrq.gov/news-and-events/news/new-tribal-healthcare-initiatives
February 21, 2025 - 78.8-year, and 76.3-year life expectancies of Asian/Pacific Islander, Hispanic, and non-Hispanic White populations … , respectively. 1 Notably, AIAN populations experience an increased risk of mortality from drug and … Enhance Wellness (N CREW) , will address overdose, substance use, mental health, and pain in AIAN populations … These waiver approvals have the potential to greatly benefit AIAN populations as Medicaid already plays … Care Strategies’ report, “Strengthening Medicaid and Tribal Relationships to Better Support Native Populations
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integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/planning-for-integration/develop-your-game-plan
January 01, 2024 - develop a game plan guided by the following questions: How will you identify and prioritize the patient population … Define triage processes for the identified sub-population (e.g., use of registry, claims, clinical algorithms … protocols for collaboration between behavioral health providers and medical clinicians based on the target population … integration in the fee-for-service payment model, while considering how integration could be financed in a population-based
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integrationacademy.ahrq.gov/sites/default/files/2021-04/State_of_Opioid_Use_Among_Older_Adults.pdf
January 01, 2021 - Accessed 9/1/2020.
5 Concurrent Use of Opioids and Benzodiazepines in a Medicare Part D Population … PrescriptionDrugCovContra/Downloads/Concurrent-Use-of-Opioids-and-
Benzodiazepine s-in-a-Medicare-Part-D-Population-CY … PrescriptionDrugCovContra/Downloads/Concurrent-Use-of-Opioids-and-Benzodiazepine s-in-a-Medicare-Part-D-Population-CY … PrescriptionDrugCovContra/Downloads/Concurrent-Use-of-Opioids-and-Benzodiazepine s-in-a-Medicare-Part-D-Population-CY
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integrationacademy.ahrq.gov/sites/default/files/2020-12/Grantee%20Profile%20North%20Carolina.pdf
January 01, 2020 - Characteristics of the Region
North Carolina has a population of over 10 million people and is the
10th … The
practices recruited for this study will be skewed toward rural areas and
have patient populations … strategies implemented.
• Implementation effectiveness: number and percentage of patients in target population … counseling, received MAT, or were referred for AUD.
• Contextual factors: practice characteristics, patient population
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integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/obtain-behavioral-health-expertise-and-build-culture-integration
February 01, 2023 - Determine What Behavioral Health Functions Would Be Most Useful for Your Setting’s Population … Earlier, the Playbook guided you in identifying the patient population in your setting that needs integrated … The primary diagnoses or clinical needs of your patient population will help inform your decision. … Be sure the person you bring in has experience with your population. … The answers depend on the patient population you serve, the vision for your practice, and the available
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integrationacademy.ahrq.gov/sites/default/files/2020-07/Optimal_Diabetes_Care.pdf
January 01, 2020 - Methodology Population identification is accomplished via a query of a practice management system or … Electronic
Medical Record (EMR) to identify the population of eligible patients (denominator). … Submission of total
patient population is preferred. Submission of a sample is an option. … /2011
Denominator Established patient who meets each of the following criteria is included in the population
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integrationacademy.ahrq.gov/about/academy-team/niac-bios
June 01, 2022 - The Clinics serve a diverse population while providing an excellent platform for primary care medical … serves diverse communities, including rural Appalachian, inner-city/urban, Refugee and New American populations … Korsen is a physician scientist at the Center for Interdisciplinary Population and Health Research, part … She conducts research focused on how health policies affect populations with complex health and social … experience and personal perspective of the impact and efficacy of programs targeting disadvantaged populations
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integrationacademy.ahrq.gov/sites/default/files/2020-12/Grantee%20Profile%20Colorado.pdf
January 01, 2020 - technology (HIT) assistance: Project staff will offer
support in developing alcohol registries for population … Characteristics of the Region
Colorado’s population is approximately 5.6 million, with an ethnic makeup … Adults over age 65 make up 13.8 percent of the
population and 22.5 percent are under age 18. … model implementation).
• Internal practice context, including practice organization, staffing, patient population