| Site ID | Measure of Reach | No. Target Patients | No. Patients Assessed | Screening REACHa (%) |
|---|---|---|---|---|
| 4 | Completion of PHQ9, GAD7, and AUDIT | 65 | 51 | 78.5 |
| 7 | Completion of PHQ9, GAD7, AUDIT, and to assess tobacco use | 1876 | 287 | 15.3 |
| 10 | Completion of PHQ9, GAD7, AUDIT, and HbA1c | 1868 | 1609 | 86.0 |
| 9 | Completion of PHQ2 followed by PHQ9 if PHQ2 is positive | 546 | 498 | 91.0 |
| 17 | Completion of PHQ9 and SBIRT | 2519 | 1491 | 59.2 |
| 19 | Completion of PHQ9, GAD7, AUDIT, BMI, and HbA1c | 440 | 396 | 90.0 |
| 16 | Completion of a newly developed “Improve your Health” survey | 887 | 182 | 20.5 |
| 12 | Completion of a newly developed cognitive screening tool called CaPS | 942 | 34 | 3.6 |
| 13 | Referral to behavioral health provider | 1700 | 206 | 12.1 |
| 14 | Referral to a behavioral health counselor | 14,879 | 169 | 1.1 |
| 18 | Referral to the primary care team | 773 | 17 | 2.2 |
| Total | 24,906 | 6529 | 26.2 | |
CaPS, Cognitive and Psychological Screen; AUDIT, Alcohol Use Disorders Identification Test; PHQ, patient health questionnaire; GAD, generalized anxiety disorder; BMI, body mass index; SBIRT, screening, brief intervention, and referral to treatment.
↵a Screening REACH is defined as percentage of target patients who were assessed for integrated care.