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integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/establish-operational-systems-support-integration
January 01, 2022 - At the core is an electronic health record system capable of providing patient-reported outcomes data … Determine Necessary System Modifications for Data Collection and Reporting
See Track Patients … Modifications
When adopting a new operational system, it is important to start small. … Pay attention to what works and what doesn't as you expand the operational system. … Give providers and staff an opportunity to provide suggestions on how to enhance the new system.
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integrationacademy.ahrq.gov/news-and-events/news/new-scorecard-report-us-primary-care-system
June 24, 2025 - Primary Care System
Date
06/24/25
In 2021, the National Academies for Sciences, … focuses on the downward trend in primary care financing, flaws in the fee-for-service (FFS) payment system … Ultimately, an unproductive primary care system jeopardizes the health and safety of every community. … Challenge 1: Primary care clinicians cannot meet patient needs because of the FFS payment system and … Calls for primary care payment reform arise partly from frustrations with the existing FFS payment system
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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 - This tracking and monitoring system enables providers to adjust patients' care plans when needed and … North Star
The setting has a system to track all patients receiving integrated behavioral health … These tools may be used independently or in conjunction with your electronic health record system. … A monitoring system allows your practiceto reassess the resources and providers needed to manage the … How Others Are Doing It
Community Health Plan of Washington uses a Care Management Tracking System
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integrationacademy.ahrq.gov/news-and-events/news/strengthening-primary-care-new-reimbursement-models
October 22, 2024 - Models
Date
10/22/24
Primary care is a crucial cornerstone of the U.S. healthcare system … The U.S. primary care system falls behind other countries on a number of metrics, including long-standing
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integrationacademy.ahrq.gov/expert-insight/success-stories
February 01, 2024 - Population Management
Cherokee’s EHR system includes a population-based management system that allows … To address this challenge, the CMTS is not linked to a specific EMR system. … Shifting to a New System
Intermountain acknowledges that it is a constant challenge to develop a system … to ensure that the new system will meet provider needs. … For example, the EMR includes a referral system that supports scheduling patients.
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integrationacademy.ahrq.gov/news-and-events/calendar/event/23459
January 01, 2013 - of people with serious mental illness and substance use disorder moving through the criminal justice system … improve health outcomes and reduce recidivism for people who become involved in the criminal justice system
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integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/develop-shared-care-plan
August 01, 2025 - , a list of family members with whom the health system has permission to share information, profession … Cherokee aims to maintain an EHR system and a unified workflow to facilitate integration. … The EHR system, health information exchange system, and population registries are all linked. … MaineHealth's system promotes shared medical decision-making by allowing providers to easily store and … For example, patients can indicate if they want to be notified when the practice or system communicates
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integrationacademy.ahrq.gov/news-and-events/calendar
January 01, 2025 - important;float:none;font-family:fira-sans, -apple-system, system-ui, BlinkMacSystemFont, "Segoe … important;float:none;font-family:fira-sans, -apple-system, system-ui, BlinkMacSystemFont, "Segoe … important;float:none;font-family:fira-sans, -apple-system, system-ui, BlinkMacSystemFont, "Segoe … important;float:none;font-family:fira-sans, -apple-system, system-ui, BlinkMacSystemFont, "Segoe … important;float:none;font-family:fira-sans, -apple-system, system-ui, BlinkMacSystemFont, "Segoe
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integrationacademy.ahrq.gov/news-and-events/calendar/event/23298
June 09, 2025 - Network , has developed a dynamic, four-part, interactive series for behavioral health providers and system … sector, including health care, child welfare and schools, highlighting real-world challenges, cross-system … This session highlights trauma-informed, cross-agency strategies to strengthen families and prevent system
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integrationacademy.ahrq.gov/lam/templates/selfService/selfServiceLogin.php?scope=user&name=onc-self-service
HHS System Login
This warning banner provides privacy and security notices consistent with applicable … all devices/storage media attached to this system. … This system is provided for Government-authorized use only. … Unauthorized or improper use of this system is prohibited and may result in disciplinary action and/or … Any communication or data transiting or stored on this system may be disclosed or used for any lawful
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integrationacademy.ahrq.gov/news-and-events/calendar/event/23433
August 13, 2025 - bring together healthcare administrators, clinical leaders, peer advocates, state policymakers, and system
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integrationacademy.ahrq.gov/sites/default/files/2021-09/ibhc_atlas_framework_and_measures.pdf
January 01, 2021 - • A follow-up system (with detail on
components) and workflows to use the system
are documented. … System Experience • Health system administrator, leader, or
institutional experience with integrated … behavioral health care as an aspect of the
overall system of care. … Broader, system-wide changes, such as reimbursement reform, are acknowledged as highly influential on … a practice’s business model; however,
measurement of system-wide structures and processes is beyond
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integrationacademy.ahrq.gov/sites/default/files/2020-07/cj_peek.docx
January 01, 2020 - It takes all three to run a care system. … whole thing has to be financially sustainable in the end so that it’s possible to have a successful system
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integrationacademy.ahrq.gov/news-and-events/calendar/event/23431
January 01, 2013 - bring together healthcare administrators, clinical leaders, peer advocates, state policymakers, and system
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integrationacademy.ahrq.gov/news-and-events/calendar/event/23315
January 01, 2018 - associations and behavioral health associations to advance policy and practice change for a better integrated system
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integrationacademy.ahrq.gov/products/ibh-lexicon/practice-differences
July 01, 2024 - Health system indicators (other than screening) Demographic, registry, claims, utilization referral, … health disparities, or other system data that point at risk for complex needs or special needs likely … via demographic, registry, claims, utilization referral, health disparities, social context, or other system … both tracking and shaping patient care and quality improvement Minimum—less than 40% of patients A system … reporting of "triple aim" outcomes and their use in decision-making to improve effectiveness at the system
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integrationacademy.ahrq.gov/sites/default/files/2020-07/Grant_Summary_CO.pdf
January 01, 2020 - comprehensive and team-based certified
MAT educational program, a robust web-based MAT registry and
tracking system … and ECHO
(telehealth)
• Opisafe, a web-based opioid
and MAT patient engagement
and monitoring system
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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 … Data elements are
either extracted from an EMR system or abstracted through medical record review. … Use this date of service range when querying the practice
management or EMR system to allow a count … Documentation in patient’s record (progress notes, etc.), and
ICD‐9 codes (EMR or practice management system
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integrationacademy.ahrq.gov/sites/default/files/2020-07/HbA1c.pdf
January 01, 2020 - Effective Communication and Care Coordination
Use in Federal Program:
Physician Quality Reporting System … Level of Analysis:
Clinician: Group/Practice, Clinician: Individual, Health Plan, Integrated Delivery System
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integrationacademy.ahrq.gov/products/topic-briefs/community-engagement-for-whole-person-care
February 01, 2025 - in Anchorage, Alaska Compared with the prior system of traditional government-managed tribal health, … A donation system was introduced in 2023 to offer additional support for the program. … Accessing care in the system is difficult and often delayed, resulting in worse patient outcomes. … Case Study 3: Supporting Families Growing Together Initiative, MaineHealth System
Fast … System of Care.