Release Notes:
Data Element
Version 2010B
| Data Element Name: | Alcohol Use Status |
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| Collected For: | TAM-05, TAM-06, TAM-07, TAM-08, |
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| Definition: | Documentation of the adult patient’s alcohol use status using a validated screening questionnaire for unhealthy alcohol use. 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), sensitivity (the probability of correctly identifying a patient with the condition), and specificity (the probability of correctly identifying a patient who does not have 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.
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| Suggested Data Collection Question: | What is the patient's alcohol use status? |
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| Format: | | Length: | 1 |
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| Type: | Alphanumeric |
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| Occurs: | 1 |
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| Allowable Values: |
1 The score on the alcohol screening test indicates no risk of alcohol related problems.
2 The score on the alcohol screening test indicates unhealthy alcohol use (low-moderate risk) benefiting from brief intervention.
3 The score on the alcohol screening test indicates high risk benefiting from a referral to brief therapy.
4 The score on the alcohol screening test indicates high risk for alcohol related problems benefiting from a referral for addictions treatment.
5 The patient refused the screen for alcohol use.
6 The patient was not screened for alcohol use during this hospital stay or unable to determine from medical record documentation. |
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| Notes for Abstraction: | |
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| Suggested Data Sources: |
- Consultation notes
- Emergency department record
- History and physical
- Nursing admission assessment
- Nursing Admission Notes
- Physician Progress Notes
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| Additional Notes: |
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| Guidelines for Abstraction: |
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| Inclusion | Exclusion | |
None
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None |
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Alcohol Use Status
Specifications Manual for Joint Commission National Quality Core Measures (2010B)
Discharges 10-01-10 (4Q10) through 03-31-11 (1Q11)
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