Alcohol Use Screening Clinical Reminder
Date: January 2008
The national VA clinical reminder for alcohol use screening is reproduced below. The VA performance measure for alcohol use screening requires that patients are screened with the AUDIT-C annually.
The AUDIT-C is a 3-question screen that measures a patient's alcohol consumption in the past year. It is scored on a scale of 0-12 with 4 or more considered a positive screen (3 or more for women).
Figure 1 shows the main clinical reminder screen. The help text describes the screening tool and then guides the user to either administer the AUDIT-C or enter a reason they are unable to screen that day.
Figure 2 shows the questions of the AUDIT-C in CPRS. When the user clicks on the "AUDIT-C" button (shown in Figure 1), the three questions of the screen appear. The user completes the screen by clicking an answer for each question then clicks OK.
A score is automatically generated based on the responses checked. If the answer to question one = never, the user may complete the screen by clicking OK without answering the other two questions, and the AUDIT-C score of zero will be sent to the system.
As seen in Figure 3, the results and score of the screen show in the bottom half of the clinical reminder after the user hits the "OK" button. This text will be transferred to the CPRS progress note when the user completes the clinical reminder by clicking the "Finish" button.
Figure 4 shows the expanded "unable to screen" section with three options listed. Note that not screening due to cognitive impairment requires documentation with a valid screening measure.
At the bottom of the dialog box is a hyperlink to the AUDIT-C Questionnaire so the three AUDIT-C questions can be printed out to administer the alcohol screen on paper.