Expert Panel Nominations

Post new nomination... Cancel

Draft Standards

(0 comments)

Standard 0001: Inpatient and emergency department patients are routinely screened at intake or appropriate point by means of standardized verbal or written questionnaire screener to identify patients who require clinical intervention related to their substance use beyond routine education about prevention of relapse.

Performance Requirements for 0001

• .0001 - Percent of inpatients annually screened for risk of problems due to drinking or substance use (including non-medical use of prescription medications). Numerator: Eligible adult inpatients with medical record documentation of screening for alcohol use with AUDIT-C or full AUDIT and the NIDA one question drug use screener. Denominator: Adult patients admitted to the hospital. Scoring: numerator divided by the denominator multiplied by 100 to convert to a percent.

• .0002 - Percent of emergency department annually screened for risk of problems due to drinking or substance use (including non-medical use of prescription medications). Numerator: Eligible adult emergency department patients with medical record documentation of screening for alcohol use with AUDIT-C or full AUDIT and the NIDA one question drug use screener. Denominator: Adult emergency department patients. Scoring: numerator divided by the denominator multiplied by 100 to convert to a percent.

(0 comments)

Standard 0002: Inpatient and emergency department patients who screen positive for unhealthy alcohol or drug use receive brief motivational enhancement-oriented counseling to encourage reduced hazardous use of alcohol and other drugs and prevent future complications or dependence.

Performance Requirements for 0002

• .0001 - Percent of adult inpatients who receive a brief intervention for unhealthy or dependent alcohol use or substance use (including non-medical use of prescription medications). Numerator: Eligible inpatients with medical record documentation of brief counseling for unhealthy alcohol and/or drug use. Denominator: Adult inpatients. Scoring: numerator divided by the denominator, multiplied by 100 to convert ot a percent. Rationale: Brief intervention is a separate procedure from screening. Although the proportion of adults patients who receive a brief intervention depends on the prevalence of unhealthy and dependent alcohol and drug use (including prescription medication misuse) in the base population, medical records documentation of brief interventions for substance use problems ought not be rare phenomena (~7.5% in general, non-psychiatric inpatients, according to an NIAAA epidemiologic survey)

• .0002 - Percent of adult emergency department patients who receive a brief intervention for unhealthy or dependent alcohol use or substance use (including non-medical use of prescription medications). Numerator: Eligible adult emergency department patients with medical record documentation of brief counseling for unhealthy alcohol and/or drug use. Denominator: Adult emergency department patients. Scoring: numerator divided by the denominator, multiplied by 100 to convert to a percent.

(0 comments)

Standard 0003: For patients who are medically unstable (e.g., acute trauma, myocardial infarction, and stroke) or psychiatrically unstable (e.g., delirium and imminent risk of harm to self and/or others) or acutely intoxicated, the program makes appropriate referrals for urgent and specialty substance use care or secures substance use consultation to manage the acute episode, and to provide continued care management.

Performance Requirements for 0003

Add new Standard... Cancel

Draft Performance Requirements

Add new Performance Requirement... Cancel

Comments

23 Jul 08 22:35 | EricGoplerud said...:
Screening and brief intervention standards for critical access hospitals must recognize that these facilities may need to use telemedicine, paper and pencil intake screening questions to provide SBI services. The aim of SBI accreditation standards for critical access hospitals is to improve patient care without placing undue burdens on these facilities.

Please Login or register to post comments.