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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/general-operations
January 01, 2024 - Toxicology Testing and Screening
Establish clear policies and protocols related to toxicology … These protocols may outline expectations around the frequency of testing and the methods used (e.g., … urine versus saliva, point of care versus laboratory testing). … The purpose of testing is to assess progress towards treatment goals—not to punish or terminate care. … State Medicaid agencies may have specific requirements for testing frequency.
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integrationacademy.ahrq.gov/news-and-events/news/integrating-harm-reduction-primary-care-practices
April 22, 2024 - Testing and treatment for HIV and viral hepatitis — including antiretroviral therapy for hepatitis C … sterile injection and reduce infectious disease transmission through injection drug use FDA-approved home testing … Written educational materials on safer injection practices and HIV and viral hepatitis and prevention, testing
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integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/pharmacotherapy
January 01, 2018 - Testing and Screening. … There is no consensus around the frequency of drug testing. … State Medicaid agencies may have specific guidelines around the frequency of testing. … Random testing is typically preferred but hard to implement. … See the American Society for Addiction Medicine report Appropriate Use of Drug Testing in Clinical Addiction
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/monitor-patient-outcomes/approaches-to-quality-improvement
January 01, 2018 - This incremental method of implementing and testing changes helps minimize resources invested until a … test on a larger scale), adapted (modify the change and begin a new PDSA cycle), or abandoned (stop testing … How to Improve: Model for Improvement: Testing Changes. IHI. … Accessed May 2, 2025. https://www.ihi.org/how-improve-model-improvement-testing-changes 9.
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integrationacademy.ahrq.gov/products/topic-briefs/polysubstance-use
February 01, 2025 - This can be accomplished in two ways, self-report, and drug testing. … may not include these substances in their panels or know to look for them in confirmation testing. … Substance testing : 21 substance testing from a biological specimen (urine, blood, saliva, etc.) is … Drug testing should be used as a tool to support ongoing treatment adjustments as needed and not as a … Appropriate Use of Drug Testing in Clinical Addiction Medicine. J Addict Med. 2017;11(3):163-73.
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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 - For example, the Plan-Do-Study-Act (PDSA) process can help guide improvement by systematically testing … Efficiency
Clinical Workflow Plan
(PDF 79 KB)
Useful Resource(s) for testing … Improvement: Implementing Changes
Learn how to tell when a change is ready for implementation after testing
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integrationacademy.ahrq.gov/sites/default/files/2020-07/DAST.pdf
January 01, 2020 - Drug Abuse Screening Test (DAST)
Substance Abuse Screening Instrument (O4/05)
The Drug Abuse Screening Test (DAST) was developed in 1982 and is still an excellent screening tool. It is a 28-item self-report
scale that consists of items that p…
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integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/screening-and-diagnosis
January 01, 2018 - of opioid use; Diagnosis of opioid use disorder; Other relevant medical conditions (i.e., pregnancy testing … , liver function, hepatitis B and C testing, HIV testing); and Other relevant psychiatric disorders,
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integrationacademy.ahrq.gov/sites/default/files/2021-04/Table_of_Opioid_and_Pain_Management_Tools_and_Resources.pdf
January 01, 2021 - Identifying and Testing Strategies for Management of Opioid Use and Misuse in Older Adults in Primary … Care Practices: Opioid and Pain Management Tools and Resources
Identifying and Testing Strategies … Identifying and Testing Strategies for
Management of Opioid Use and Misuse in
Older Adults in Primary … Identifying and Testing Strategies for Management of Opioid Use and Misuse in
Older Adults in Primary … Evidence of psychometric testing was
not found.
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/infectious-diseasees
January 01, 2025 - infectious diseases by asking about substance use behaviors and counseling them on the importance of routine testing … screen based on risk factors rather than waiting for symptoms to develop. 4 Regular infectious disease testing
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integrationacademy.ahrq.gov/sites/default/files/2021-10/Grant_Summary_PA_0.pdf
January 01, 2021 - of primary
care physicians delivering high-
quality MAT in rural
Pennsylvania by implementing
and testing
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integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/monitor-patient-and-program-progress/approaches-quality-improvement
April 01, 2024 - This incremental method of implementing and testing changes helps minimize resources invested until a … test on a larger scale), adapted (modify the change and begin a new PDSA cycle), or abandoned (stop testing
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integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/establish-protocols
January 01, 2024 - For example, the Plan-Do-Study-Act (PDSA) process can help guide improvement by systematically testing … Behavioral Health Integration Workflow Example
(PDF 104 KB)
Useful Resource(s) for testing … Improvement: Implementing Changes
Learn how to tell when a change is ready for implementation after testing
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integrationacademy.ahrq.gov/products/topic-briefs/telehealth
February 01, 2025 - hardware (e.g., telephones, smartphones, tablets, computers, kiosks, wearables, and patient monitoring and testing … clinical decision support Screening, assessment, diagnostic interviewing, diagnostic confirmation, and testing … monitoring of medication adherence At-home/remote bio-specimen sample collection kits for substance use testing … teleconferencing to observe medication use and remote bio-specimen sample collection for substance use testing … Individual or group patient e-visits Virtual observation of BH medication use or sample collection for SU testing
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/challenging-patient-behaviors-and-concerns
January 01, 2021 - validity: Confirm the identity and integrity of urine samples (e.g., temperature checks, confirmation testing … Consider saliva drug testing, which is easier to observe in-person or via telehealth.
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integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/what-not-do
June 01, 2022 - Payers are testing alternative reimbursement methods, and there may be creative approaches such as subsidies
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integrationacademy.ahrq.gov/sites/default/files/2020-07/AUDIT.pdf
January 01, 2020 - Alcohol Use Disorders Identification Test; (Seale et al 2006; Reinert et al 2007)
The Alcohol Use Disorders Identification Test (AUDIT), developed in 1982 by the World
Health Organization, is a simple way to screen and identify people at risk of alcohol
problems.
1. How often do you have a drink containin…
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integrationacademy.ahrq.gov/expert-insight/measures
June 01, 2022 - An official website of the Department of Health & Human Services
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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 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
Careers
Contact Us
Español
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integrationacademy.ahrq.gov/sites/default/files/2020-12/Grantee%20Profile%20MI-SPARC.pdf
January 01, 2020 - EvidenceNOW Managing Unhealthy Alcohol Use: Michigan Sustained Patient-centered Alcohol-Related Care (MI-SPARC)
Michigan
Program Name:
Michigan Sustained Patient-
centered Alcohol-Related Care
(MI-SPARC)
Lead Organizations:
Altarum Institute
Ann Arbor, MI
Kaiser Permanente Washington
Health Research Institute
(…