Name: | Alcohol Use Status | ||||||
---|---|---|---|---|---|---|---|
Collected For: | SUB-2, SUB-3 | ||||||
Definition: | Documentation of the adult patient’s alcohol use status using a validated screening questionnaire for unhealthy alcohol use within the first day of admission (by end of Day 1). A validated screening questionnaire is an instrument that has been psychometrically tested for reliability (the ability of the instrument to produce consistent results), validity (the ability of the instrument to produce true results), and sensitivity (the probability of correctly identifying a patient with the condition). Validated screening questionnaires can be administered by pencil and paper, by computer or verbally. The screening questionnaire should be at a comprehension level or reading level appropriate for the patient population and in the appropriate language for non-English speaking patients.
An example of a validated questionnaire for alcohol screening is the 10 item Alcohol Use Disorder Identification Tests (AUDIT). The first three questions of the AUDIT, the AUDIT-C, ask about alcohol consumption, and can be used reliably and validly to identify unhealthy alcohol use. The four-item CAGE questionnaire is generally inappropriate for screening general populations, as it aims to identify only severely alcohol dependent patients. | ||||||
Question: | What is the patient's alcohol use status? | ||||||
Format: |
| ||||||
Allowable Values: |
1 The patient was screened with a validated tool within the first day of admission (by end of Day 1) and the score on the alcohol screen indicates no or low risk of alcohol related problems. 2 The patient was screened with a validated tool within the first day of admission (by end of Day 1) and the score on the alcohol screen indicates unhealthy alcohol use (moderate or high risk) benefiting from brief intervention. 3 The patient was screened with a non-validated tool within the first day of admission (by end of Day 1) and the score on the alcohol screen indicates no or low risk of alcohol related problems. 4 The patient was screened with a non-validated tool within the first day of admission (by end of Day 1) and the score on the alcohol screen indicates unhealthy alcohol use (moderate or high risk) benefiting from brief intervention. 5 The patient refused the screen for alcohol use within the first day of admission (by end of Day 1). 6 The patient was not screened for alcohol use within the first day of admission (by end of Day 1) or unable to determine from medical record documentation. 7 The patient was not screened for alcohol use within the first day of admission (by end of Day 1) because of cognitive impairment. | ||||||
Notes for Abstraction: |
| ||||||
Suggested Data Sources: |
| ||||||
Additional Notes: | |||||||
Guidelines for Abstraction: | |||||||
|