Implementation Barriers to and Facilitators of Screening, Brief Intervention, Referral, and Treatment (SBIRT) in Federally Qualified Health Centers (FQHCs). Implementation


Steps taken to introduce and sustain the innovation.

  • Create an FQHC SUD quality enhancement center: An established, recognized national infrastructure composed of subject matter experts, recognized FQHC and primary care association leaders, organizational development consultants, and health information technology and quality improvement experts is needed to integrate substance use into FQHCs. Planning consistent, interoperable recording of substance use screening, psychosocial treatment, and pharmacotherapy in FQHCs' EHRs is essential. Other core components of an implementation system are developing data systems for monitoring, feedback, and performance measurement. The implementation process must be flexible, but it has to include performance measures to motivate leaders and providers nationwide, which, in turn, leads to the commitment of necessary resources. Finally, after the initial funding of innovations, support SBI implementation with ongoing clinical and quality improvement resources.

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