ZZVA-*PROBLEM DRINKING SCREEN (2)    REMINDER DEFINITION (811.9)

The "VA-*Problem Drinking Screening" education reminder is based on the
                       attributable to alcohol use.
 
    Recommendation:    Primary care clinicians should routinely ask their
                       patients to describe their use of alcohol.
                       High risk patients (3 or more drinks daily)  
                       should be referred for counseling.
 
    Goals for FY 2000: 100% of VHA facilities have an alcohol treatment
                       program or access to one. 75% of primary
                       care providers should screen for alcohol
following "Problem Drinking and Alcohol Moderation Counseling" guidelines
                       problems yearly and provide counseling and
                       referral as needed.
specified in the VHA HANDBOOK 1101.8, APPENDIX A.
 
    Target Conditions: Problem drinking, alcohol dependence,
                       medical complications of alcohol use,
                       accidents and violence.
 
    Target Group:      Outpatient experiencing medical or social problems

• FINDING ITEM:   VA-ALCOHOL ABUSE SCREENING
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN RESOLUTION LOGIC:   OR
• FINDING ITEM:   ZZVA-ALCOHOLISM SCREENING
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  USE IN RESOLUTION LOGIC:   OR
• FINDING ITEM:   INACTIVATE PROBLEM DRINKING SCREEN
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0
  REMINDER FREQUENCY:   0Y
  USE IN PATIENT COHORT LOGIC:   AND NOT
• FINDING ITEM:   ACTIVATE PROBLEM DRINKING SCREEN
  NO. OF FOUND TEXT LINES:   0
  NO. NOT FOUND TEXT LINES:   0

If this reminder is not going to be used at your facility, the INACTIVE
in the "VA-ALCOHOL ABUSE EDUCATION" reminder. This reminder includes a
check for a diagnoses documented for the patient that would indicate the
patient has a problem related to alcohol abuse.  It also references all of
the alcohol abuse education topics that are distributed by PCE, which
could satisfy the reminder. 
 
Please review both of these reminder definitions, choose one of them to
use.  If local modifications need to be made, copy the preferred reminder
to a new reminder and make your reminder modifications.
FLAG should be set to inactive.
 
This reminder represents the minimum criteria for checking if the
patient has been screened for problem drinking.  The "VA-ALCOHOL ABUSE
SCREENING" education topic is the result finding that will satisfy this
reminder.
 
The Ambulatory Care EP recommends a variation on this reminder represented

• REMINDER FREQUENCY:   1Y
  AGE MATCH TEXT:   

  Screen for alcohol problems yearly for all patients.
  

  NO. OF AGE MATCH LINES:   1
  NO. OF AGE NO MATCH LINES:   0