APPENDIX A Sample clinic implementation checklist Below is a table showing a sample clinic implementation checklist. This checklist is designed to lay the general foundation for tasks to be completed to get SBIRT implemented in your clinic. Implementation Steps Topics Key Leaders to Include Meet with clinic Clinic Administrator SBIRT overview management staff to Evidence based prevention practices Medical Director determine how SBIRT Health care reform WASBIRT-PCI might fit clinic flow Meet with clinic staff to Clinic Managers overview MDs assess implementing Comfort with discussion alcohol and drug use SBIRT MAs WASBIRT-PCI (if working with Nurses DSHS) Front Desk Staff Conduct follow up Clinic Administrator Overview of SBIRT meetings with all clinic Review planning documents Clinic Managers to begin defining Begin discussions about MDs implementation plan SBIRT implementation MAs Strategies for phased in Nurses implementation Front Desk Staff Clinic model Other staff? Clinic flow Hiring & Training Contracting Modifying the clinic electronic health record (EHR) Sustainability DSHS specific topics: WASBIRT-PCI overview Business Associate Agreements and Data Sharing Government Performance and Results Act reporting data Schedule SBIRT SBIRT overview Clinic administrator Implementation Team Clinic buy in MD Develop flow IT QA / QI process 1 hour orientation Billing Implementation plan Weekly (15-20 MA Data collection minutes) BHI Change Management 2-4 weeks prior to Medical records implementation Human Resources
APPENDIX A Sample clinic implementation checklist Below is a table showing a sample clinic implementation checklist. This checklist is designed to lay the general foundation for tasks to be completed to get SBIRT implemented in your clinic. Implementation Steps Topics Key Leaders to Include Meet with clinic management staff to determine how SBIRT might fit clinic flow SBIRT overview Evidence based prevention practices Health care reform WASBIRT-PCI Clinic Administrator Medical Director Meet with clinic staff to assess implementing SBIRT overview Comfort with discussion alcohol and drug use WASBIRT-PCI (if working with DSHS) Clinic Managers MDs MAs Nurses Front Desk Staff Conduct follow up meetings with all clinic to begin defining SBIRT implementation Overview of SBIRT Review planning documents Begin discussions about implementation plan Strategies for phased in implementation Clinic model Clinic flow Hiring & Training Contracting Modifying the clinic electronic health record (EHR) Sustainability DSHS specific topics: WASBIRT-PCI overview Business Associate Agreements and Data Sharing Government Performance and Results Act reporting data Clinic Administrator Clinic Managers MDs MAs Nurses Front Desk Staff Other staff? Schedule SBIRT Implementation Team 1 hour orientation Weekly (15-20 minutes) 2-4 weeks prior to implementation SBIRT overview Clinic buy in Develop flow QA / QI process Implementation plan Data collection Change Management Clinic administrator MD IT Billing MA BHI Medical records Human Resources
ClinicImplementationGuideChecklist2013.docx