1324 lines
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1324 lines
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Evidence-Based Alcohol Healthcare Resources for Health Plan Quality Improvement Leaders
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<span>Evidence-Based Alcohol Healthcare Resources for Health Plan Quality Improvement Leaders</span>
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<div><h2>Why Should Health Plans Adopt Alcohol-Related Quality Improvement Measures?</h2>
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<div> <img src="/sites/default/files/styles/image_extra_large_900w/public/Core-NICQA-450w.jpg?itok=1KMt5Ml6" width="450" height="321" alt="A brochure titled NCQA Screening and Follow-Up for Unhealthy Alcohol Use: Quality Improvement Change Package for Healthcare Plans with an image of a man in a business suit pushing up an ascending line on a bar graph labeled “quality,” the creation of which was funded by the CDC and SMHSA, positioned next to a laptop computer open to a National Institute on Alcohol Abuse and Alcoholism web page titled The Healthcare Professional’s Core Resource on Alcohol displaying an image of a woman doctor speaking with a patient." loading="lazy">
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<p>Health plans can make a meaningful difference in countless lives by adopting alcohol-related quality improvement measures. Alcohol screening and follow-up are <strong>evidence based, top-ranking clinical preventive services</strong> in terms of <strong>health impact and cost effectiveness</strong>. <sup>1,2</sup></p>
|
||
|
||
<p>Alcohol consumption contributes to more than 200 health conditions and is a leading cause of preventable death in the U.S. <sup>3</sup> Given current spikes in severe alcohol-related liver disease and deaths, <sup>4,5</sup> the need for evidence-based alcohol healthcare has never been more pressing.</p>
|
||
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||
<p>Yet, alcohol-related health issues often go unaddressed in healthcare settings. <sup>6</sup> Outdated screening tools and a lack of follow up are common. <sup>7,8</sup></p>
|
||
|
||
<h2>Pairing Two Free, Evidence-Based Resources Can Help Health Plans Improve Alcohol Healthcare</h2>
|
||
|
||
<p>Now, adopting alcohol-related quality improvement measures can be facilitated by pairing two tools: a “change package for health plans” from the National Committee for Quality Assurance (NCQA) and the new Core Resource on Alcohol from NIAAA, which can help train your entire care team.</p>
|
||
|
||
<h3><strong>NCQA’s </strong><a href="https://www.ncqa.org/wp-content/uploads/2020/09/20200914_NCQA_Change_Package_2020.pdf"><strong>Screening and Follow-Up for Unhealthy Alcohol Use: Quality Improvement Change Package for Health Plans</strong></a></h3>
|
||
|
||
<p>Developed with funding from the U.S. Substance Abuse and Mental Health Services Administration and Centers for Disease Control, the change package provides how-to details and background on:</p>
|
||
|
||
<ul>
|
||
<li>The <strong>necessity and cost effectiveness</strong> of alcohol screening and follow up in routine care</li>
|
||
<li>The <a href="https://www.ncqa.org/hedis/reports-and-research/hedis-measure-unhealthy-alcohol-use-screening-and-follow-up/"><strong>HEDIS Measure</strong></a> for Unhealthy Alcohol Use Screening and Follow Up</li>
|
||
<li>Key <strong>barriers to and facilitators of success</strong> in adopting alcohol-related quality improvement measures</li>
|
||
<li>Strategies for <strong>leveraging existing resources</strong> for evidence-based alcohol care</li>
|
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</ul>
|
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|
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<h3><strong>NIAAA’s</strong> <a href="https://www.niaaa.nih.gov/health-professionals-communities/core-resource-on-alcohol"><strong>Healthcare Professional’s Core Resource on Alcohol</strong></a></h3>
|
||
|
||
<p>The Core Resource on Alcohol provides current, evidence-based content written and reviewed by <a href="https://www.niaaa.nih.gov/health-professionals-communities/core-resource-on-alcohol/contributors"><strong>70 contributors</strong></a>, including practicing healthcare professionals and leaders in the fields of clinical and basic alcohol research. This definitive resource offers your healthcare team:</p>
|
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<ul>
|
||
<li><strong>14 brief, free CME/CE articles</strong> on alcohol and health (.75 to 1 credit each; 10.75 total) for physicians, physician associates, nurses, psychologists, and pharmacists</li>
|
||
<li><strong>User-friendly, practical content on alcohol and health</strong> covering basic principles, clinical impacts, and streamlined patient care from screening through recovery</li>
|
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<li><strong>An article devoted to</strong> <a href="https://www.niaaa.nih.gov/health-professionals-communities/core-resource-on-alcohol/promote-practice-change-take-manageable-steps-toward-better-care"><strong>promoting practice change</strong></a> <strong>by taking small, manageable steps</strong>, including 4 steps to build a better system of care and 4 steps to support the success of your new system</li>
|
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</ul>
|
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|
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<p>In addition, the NIAAA Core Resource provides <a href="https://www.niaaa.nih.gov/health-professionals-communities/core-resource-on-alcohol/additional-links-patient-care#healthcare-systems"><strong>links for healthcare systems and plans</strong></a> from federal health agencies and other authoritative sources, including:</p>
|
||
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||
<ul>
|
||
<li>The U.S. Preventive Services Task Force recommendation for alcohol screening and brief intervention</li>
|
||
<li>Guides for practice- and system-level implementation of alcohol healthcare, including telehealth services</li>
|
||
<li>Resources for cultural adaptation and stigma reduction in alcohol healthcare delivery</li>
|
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<li>Reimbursement information for alcohol screening and brief intervention</li>
|
||
</ul>
|
||
|
||
<p><strong>Quality alcohol healthcare can make a difference not only for individual patients, but for entire families</strong>. With the NCQA change package and NIAAA’s Core Resource on Alcohol, your health plan has what it needs to begin.</p>
|
||
|
||
<h3><strong>References</strong></h3>
|
||
|
||
<p>1) O'Connor EA, Perdue LA, Senger CA, Rushkin M, Patnode CD, Bean SI, Jonas DE. Screening and Behavioral Counseling Interventions to Reduce Unhealthy Alcohol Use in Adolescents and Adults: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force. JAMA. 2018 Nov 13;320(18):1910-1928.</p>
|
||
|
||
<p>2) Maciosek MV, LaFrance AB, Dehmer SP, et al. Updated Priorities Among Effective Clinical Preventive Services. Ann Fam Med. 2017;15(1):14-22.</p>
|
||
|
||
<p>3) Rehm J, et al. The relation between different dimensions of alcohol consumption and burden of disease: an overview. Addiction. 2010 May;105(5):817-43.</p>
|
||
|
||
<p>4) Dang K, Hirode G, Singal AK, Sundaram V, Wong RJ. Alcoholic Liver Disease Epidemiology in the United States: A Retrospective Analysis of 3 US Databases. Am J Gastroenterol. 2020 Jan;115(1):96–104.</p>
|
||
|
||
<p>5) White AM, Castle IP, Powell PA, Hingson RW, Koob GF. Alcohol-Related Deaths During the COVID-19 Pandemic. JAMA. 2022 May 3;327(17):1704-1706.</p>
|
||
|
||
<p>6) Chatterton B, Agnoli A, Schwarz EB, Fenton JJ. Alcohol Screening During US Primary Care Visits, 2014-2016. J Gen Intern Med. 2022 Jan 19.</p>
|
||
|
||
<p>7) Tan CH, Hungerford DW, Denny CH, McKnight-Eily LR. Screening for Alcohol Misuse: Practices Among U.S. Primary Care Providers, DocStyles 2016. Am J Prev Med. 2018;54(2):173-180.</p>
|
||
|
||
<p>8) McKnight-Eily LR, Okoro CA, Turay K, Acero C, Hungerford D. Screening for Alcohol Use and Brief Counseling of Adults - 13 States and the District of Columbia, 2017. MMWR Morb Mortal Wkly Rep. 2020;69(10):265-270</p>
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