PMID- 28045764
OWN - NLM
STAT- MEDLINE
DCOM- 20180220
LR  - 20181117
IS  - 1945-1474 (Electronic)
IS  - 1062-2551 (Print)
IS  - 1062-2551 (Linking)
VI  - 39
IP  - 1
DP  - 2017 Jan/Feb
TI  - Implementation and Quality Improvement of a Screening and Counseling Program for 
      Unhealthy Alcohol Use in an Academic General Internal Medicine Practice.
PG  - 15-27
LID - 10.1097/JHQ.0000000000000069 [doi]
AB  - Unhealthy alcohol use is the third leading cause of preventable death in the 
      United States. The U.S. Preventive Services Task Force (USPSTF) recommends 
      screening for unhealthy alcohol use but little is known about how best to do so. 
      We used quality improvement techniques to implement a systematic approach to 
      screening and counseling primary care patients for unhealthy alcohol use. 
      Components included use of validated screening and assessment instruments; an 
      evidence-based two-visit counseling intervention using motivational interviewing 
      techniques for those with risky drinking behaviors who did not have an alcohol 
      use disorder (AUD); shared decision making about treatment options for those with 
      an AUD; support materials for providers and patients; and training in 
      motivational interviewing for faculty and residents. Over the course of one year, 
      we screened 52% (N = 5,352) of our clinic's patients and identified 294 with 
      positive screens. Of those 294, appropriate screening-related assessments and 
      interventions were documented for 168 and 72 patients, respectively. Although we 
      successfully implemented a systematic screening program and structured processes 
      of care, ongoing quality improvement efforts are needed to screen the rest of our 
      patients and to improve the consistency with which we provide and document 
      appropriate interventions.
FAU - Jonas, Daniel E
AU  - Jonas DE
FAU - Miller, Thomas
AU  - Miller T
FAU - Ratner, Shana
AU  - Ratner S
FAU - McGuirt, Brooke
AU  - McGuirt B
FAU - Golin, Carol E
AU  - Golin CE
FAU - Grodensky, Catherine
AU  - Grodensky C
FAU - Sturkie, Emily
AU  - Sturkie E
FAU - Kinley, Jennifer
AU  - Kinley J
FAU - Dale, Maureen
AU  - Dale M
FAU - Pignone, Michael
AU  - Pignone M
LA  - eng
GR  - P30 AI050410/AI/NIAID NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PL  - United States
TA  - J Healthc Qual
JT  - Journal for healthcare quality : official publication of the National Association 
      for Healthcare Quality
JID - 9202994
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Alcohol Drinking/*psychology
MH  - Counseling/*organization & administration
MH  - Delivery of Health Care/*organization & administration
MH  - Female
MH  - Humans
MH  - Male
MH  - Mass Screening/*organization & administration
MH  - Middle Aged
MH  - North Carolina
MH  - Patient Education as Topic/*methods
MH  - Primary Health Care/*methods
MH  - Quality Improvement/*organization & administration
PMC - PMC5213337
MID - NIHMS817635
COIS- All authors declare that they have no conflict of interest.
EDAT- 2017/01/04 06:00
MHDA- 2018/02/21 06:00
PMCR- 2018/01/01
CRDT- 2017/01/04 06:00
PHST- 2017/01/04 06:00 [entrez]
PHST- 2017/01/04 06:00 [pubmed]
PHST- 2018/02/21 06:00 [medline]
PHST- 2018/01/01 00:00 [pmc-release]
AID - 01445442-201701000-00004 [pii]
AID - 10.1097/JHQ.0000000000000069 [doi]
PST - ppublish
SO  - J Healthc Qual. 2017 Jan/Feb;39(1):15-27. doi: 10.1097/JHQ.0000000000000069.