|
Site ID
|
Team Members*
|
Facility Type
|
Complexity Level***
|
Staffing (FTE) †
|
Intakes per Month ††
|
Total Patient Census †††
|
Implementation Scores
|
Final Implementation Category
|
|---|
| | | | | | | |
Baseline
|
Month 1
|
Month 3
|
Month 6
| |
|
1
|
CNS
|
CBOC**
|
N/A
|
4.5
|
3
|
58
|
4
|
6
|
7
|
- (missing data)
|
High
|
|
2
|
RN
|
Medical Center
|
1A
|
5.5
|
10
|
-
|
1
|
-
|
3
|
-
|
Low
|
|
3
|
CSW, CNS, PA, NP
|
Medical Center
|
1B
|
20.5
|
8
|
447
|
2
|
4
|
4
|
5
|
Low
|
|
4
|
NP, RN
|
Medical Center
|
1A
|
20
|
80
|
65
|
7
|
6
|
8
|
-
|
High
|
|
5
|
NP, MD
|
Medical Center
|
1C
|
8
|
-
|
165
|
2
|
6
|
6
|
6
|
High
|
|
6
|
CSW
|
Medical Center
|
2
|
21
|
30
|
227
|
3
|
4
|
-
|
-
|
Low
|
|
7
|
CNS, RN
|
Medical Center
|
3
|
6
|
-
|
-
|
5
|
5
|
6
|
5
|
Low
|
|
8
|
AT, NP
|
Medical Center
|
2
|
11
|
40
|
40
|
6
|
7
|
7
|
-
|
High
|
|
9
|
CNS, NP
|
Medical Center
|
1B
|
9
|
40
|
142
|
2
|
2
|
2
|
3
|
Low
|
- *CNS = Clinical Nurse Specialist; RN = Registered Nurse; CSW = Clinical Social Worker; PA = Physician's Assistant; NP = Nurse Practitioner; MD = Medical Doctor; AT = Addiction Therapist
- **CBOC = Community-Based Outpatient Clinic
- *** 1 = High Complexity (A representing highest level in this category followed by B and C); 2 = Medium Complexity; 3 = Low Complexity
- † FTE = Full-Time Equivalent
- †† Average number of new patients seen in one month.
- ††† Total number of patients receiving any services from the clinic at the time of baseline.
