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

Name Value
NAME ZZVA-*PROBLEM DRINKING SCREEN
PRINT NAME ZZ Problem Drinking Screen
DO IN ADVANCE TIME FRAME 1M
RELATED REMINDER GUIDELINE ZZVA-*PROBLEM DRINKING SCREEN
INACTIVE FLAG INACTIVE
INACTIVE CHANGE DATE 2005-03-11 12:42:50
CLASS NATIONAL
USAGE C
DESCRIPTION
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
FINDINGS
  1. FINDING ITEM:   VA-ALCOHOL ABUSE SCREENING
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
    USE IN RESOLUTION LOGIC:   OR
  2. FINDING ITEM:   ZZVA-ALCOHOLISM SCREENING
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
    USE IN RESOLUTION LOGIC:   OR
  3. 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
  4. FINDING ITEM:   ACTIVATE PROBLEM DRINKING SCREEN
    NO. OF FOUND TEXT LINES:   0
    NO. NOT FOUND TEXT LINES:   0
TECHNICAL DESCRIPTION
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
INTERNAL PATIENT COHORT LOGIC (SEX)&(AGE)&'FI(3)
PATIENT COHORT FINDINGS COUNT 3
PATIENT COHORT FINDINGS LIST SEX;AGE;3
INTERNAL RESOLUTION LOGIC (0)!FI(1)!FI(2)
RESOLUTION FINDINGS COUNT 2
RESOLUTION FINDINGS LIST 1;2
AGE FINDINGS COUNT 1
AGE FINDINGS LIST 3
INFORMATION FINDINGS COUNT 1
INFORMATION FINDINGS LIST 4
# OF GEN. COHORT FOUND LINES 0
# GEN. COHORT NOT FOUND LINES 0
# GEN. RES. FOUND LINES 0
# GEN. RES. NOT FOUND LINES 0
RESCISSION DATE 2005-02-04 00:00:00
BASELINE AGE FINDINGS
  1. 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
# SUM. COHORT FOUND LINES 0
# SUM. COHORT NOT FOUND LINES 0
# SUM. RES. FOUND LINES 0
# SUM. RES. NOT FOUND LINES 0