Table 4 |.

Principle 3—“Use Evidence-based Behavioral Treatments” related processes, evaluation ratings, and crosswalk to PIP and NCQA measures

#Process Short Description	Process Definition	Important (% agreeda)	Feasible to Measure (% agreeda)	Measurable in the EHR (% yes)	PIP	PCMH/BH
1Deliver care that maximizes evidence based treatment	Health conditions are treated with a combination of all available evidence based treatments (e.g., behavioral, pharmacological, surgical, etc.) in a coordinated fashion (i.e., coordinate behavioral interventions with medication treatments, care plan is developed and updated regularly) - routine consideration of behavioral health treatments in context of other treatments within the context of patient preference	100%	52%	67%	*	**
2Provide evidence-based behavioral treatments that are reinforced across the team	IBH team provides evidence-based behavioral health interventions (e.g., behavioral activation, questioning unhelpful thinking, problem solving, communication skills training, relaxation training, health behavior change for obesity, physical activity, insomnia, tobacco use, substance misuse, chronic pain, etc.) by licensure/training, tailored case management (e.g., housing applications, community resource linkages, etc.), and coordinates psychotropic medications and physical medicine across the team, integrating psychiatric consultation as needed; IBH providers use appropriate interventions to common primary care issues (e.g., diabetes, obesity, chronic pain, tobacco use, chronic conditions, substance misuse, insomnia, depression, anxiety, personal conflict, etc.); IBH providers help patients learn strategies to minimize symptoms and improve function that can be used by the patient outside of the primary care clinic (e.g., skills for self-management strategies that address health and quality of life improvements, engaging family and support as appropriate); IBH providers support medication adherence and relapse prevention planning	92%	28%	50%	**	**
3Provide psychoeducation: Team provides education to the patient about the benefits and details of relevant behavioral health interventions	IBH providers share evidence concerning core elements of treatment (e.g., brief behavioral strategies that can address chronic pain, depression, lifestyle change, etc.) to achieve behavioral health related outcomes; this includes cross-sharing information with the patient and between disciplines of providers	92%	48%	72%	X	**

^aRespondents rated the question as either “agree” or “strongly agree.

^*weak match;

^**strong match; X did not match.