Public health organizations struggle to identify strategies that successfully implement Screening, Brief Intervention, and Referral to Treatment (SBIRT) on a broad scale. This presentation will describe how the state of Oregon, as part of a larger Medicaid reform effort, created a performance metric that correlated with dramatic increases in SBIRT implementation statewide. The latest performance data will be presented, as well as an analysis of the metric’s strengths and limitations. The presenter will discuss what lessons states, health systems, and public health organizations can draw from Oregon’s experience.

Learning Objectives
• Describe how Oregon’s Medicaid performance metric incentivizes and tracks SBIRT implementation in primary care settings.
• Explain the impact of the performance metric on SBIRT implementation statewide.
• Analyze the metric’s strengths and limitations towards measuring SBIRT implementation.


Jim Winkle, MPH, has trained hundreds of medical and behavioral health clinicians how to sustainably implement SBIRT in medical settings. As the creator behind the website, Jim has designed clinic tools, screening forms, and video demonstrations that have been widely adopted by health professionals around the country.

Additional Resources