Table 1.

Screening Facilitators

	CHC 1 (CA)	CHC 2 (OR)	CHC 3 (OR)	CHC 4 (NC)	CHC 5 (OR)	CHC 6 (OR)	CHC7 (MN)	CHC 8 (IN)
Facilitator 1: external incentives and motivators	Grant requirement	OPCA and APCM clinic	OPCA and APCM clinic	Grant requirement	OPCA and APCM clinic	OPCA and APCM clinic	Not present	1) PCMH certification 2) State grant
Facilitator 2: role of the advocate(s)	Clinical informatics specialist	Medical intern and QI director	Community engagement supervisor	QI coordinator and ACO care manager	None	Behavior health lead	Behavior health lead	1) QI coordinator 2) Behavior health lead
Facilitator 3: flexible approach	Changed screening questionnaires and moved from paper to EHR-based screening	Changed target population and who conducts screening	Changed screening questionnaires	Prioritized data collection over action	Changed screening tools and let individual CHWs use screening questionnaire they preferred	Changed target population	Prioritized data collection and action through BH staff	Devised different workflows within CHC 1) assess 1 question for all patients only 2) assess entire questionnaire for BH patients only

ACO, Accountable Care Organization; APCM, Alternative Payment and Advanced Care Model; BH, behavioral health; CHC, community health center; CHW, community health worker; EHR, electronic health record; OPCA, Oregon Primary Care Association; PCMH, patient-centered medical home; QI, quality improvement.