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Table 2 Population Health Management reports for the Records for Alcohol Care Enhancement (RACE) study intervention

From: Supporting primary care clinicians in caring for patients with alcohol use disorder: study protocol for Records for Alcohol Care Enhancement (RACE), a factorial four-arm randomized trial

Clinical Care Domain

Report Name

Denominator

Numerator

Alcohol Screening

AUDIT Receipt

Patients on the PCP’s panel who had a positive single-question alcohol screening result in the past calendar month

Patients who completed the AUDIT on the same day as their positive result on the single-question alcohol screening

AUDIT result suggesting harmful use

Patients on the PCP’s panel who received the AUDIT in the past calendar month

Patients who had a positive AUDIT score suggestive of harmful or hazardous alcohol use (score of ≥ 8)

AUDIT result suggesting AUD

Patients on the PCP’s panel who received the AUDIT during the past calendar month

Patients who had a positive AUDIT score suggestive of AUD (score of ≥ 13/15 [male/female] or ≥ 4 on the AUDIT dependence questions)

Alcohol-related diagnosis in the presence of positive AUDIT result

Patients on the PCP’s panel with an AUDIT score ≥ 13/15 or ≥ 4 on AUDIT dependence questions during the past calendar month

Patients with a 100% alcohol attributable diagnosis on their EHR problem list

AUD Care HEDIS-based Quality Metrics

Treatment Initiation

Patients on a PCP’s panel with a newa AUD diagnosis received in the past month

Patients who received a healthcare service for an AUD diagnosis, or were prescribed AUD pharmacotherapy within 14 days of the new AUD diagnosis

Treatment engagement

Patients on a PCP’s panel with newa AUD diagnosis who have initiated treatment in the past month

Patients who receive two additional AUD healthcare services (including visits or medication) within 34 days of initiating treatment

Ongoing Treatment Engagement and Utilization

AUD Pharmacotherapy

Patients on a PCP’s panel with AUD on their EHR problem list who had a visit in GIM the past month

Patients with an active prescription for AUD medication

Specialty AUD Care

Patients on a PCP’s panel with AUD on their EHR problem list who had a visit in GIM in the past month

Patients receiving AUD specialty care in the OBAT clinic (at least one visit in the OBAT clinic in the month preceding or following the patient’s GIM encounter)

  1. AUDIT = Alcohol Use Disorder Identification Test; PCP = Primary Care Provider; AUD = Alcohol Use Disorder; EHR = electronic health record; GIM = General Internal Medicine; OBAT = Office Based Addiction Treatment; HEDIS = Healthcare Effectiveness Data and Information Set. a New AUD diagnosis is defined as a healthcare service in which a patient receives an AUD diagnosis when there has not been an AUD diagnosis for a healthcare service during the prior 194 days excluding diagnoses assigned in the emergency department or detoxification settings
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Addiction Science & Clinical Practice

ISSN: 1940-0640