OBJECTIVE: The strongest evidence for effectiveness of screening, brief intervention, and referral to treatment (SBIRT) programs is in primary care settings. @entity341 ( @entity341 ) studies have shown mixed results. Implementation of SBIRT into @entity341 settings is complicated by the type of @entity1 seen and the fast-paced, high-throughput nature of the @entity341 environment that makes it difficult to reach @entity1 flagged for SBIRT services. This study uses data from an @entity341 -based SBIRT program to examine the relationship between screen-positive rate, @entity341 @entity1 flow, and SBIRT service delivery. METHODS: Data for the study (N = 67137) were derived from weekly reports extracted directly from one hospital's electronic health record. Measures included time and day of @entity1 entry, drug/ @entity167 screen result (positive or negative), and whether the @entity1 was reached by SBIRT specialists. Factorial analysis of variance compared variations in screen-positive rates by day and time and the percentage of @entity1 reached by SBIRT specialists during these periods. RESULTS: Overall, 56% of screen-positive @entity1 received SBIRT services. Only 5% of @entity1 offered SBIRT services refused. Day and time of entry had a significant interaction effect on the reached rate (F12,14166 =3.48, P < .001). Although @entity1 volume was lowest between 11 pm and 7 am, screen-positive rates were highest during this period, particularly on weekends; and @entity1 were least likely to be reached during these periods. CONCLUSIONS: When implementing an @entity341 -based SBIRT program, thoughtful consideration should be given to @entity1 flow and staffing to maximize program impact and increase the likelihood of sustainability.

Using process indicators to optimize service completion of an @entity341 drug and XXXX brief intervention program.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity341 :: ('MESH:D004630', 'Disease') :: ['ED', 'Emergency department'] @entity167 :: ('CHEBI:16236', 'Chemical') :: ['alcohol']
@entity167 :: (CHEBI:16236,Chemical) :: ['alcohol']
