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Volume 10 Supplement 2

INEBRIA 12th Congress,

  • Oral presentation
  • Open Access

SBI and EHR: understanding, adoption, and implementation in family medicine clinics

  • 1Email author,
  • 1,
  • 2,
  • 2 and
  • 1
Addiction Science & Clinical Practice201510 (Suppl 2) :O48

  • Published:


  • Electronic Health Record
  • Intake Process
  • Service Representative
  • Risky Drinking
  • Alcohol Screening


Alcohol screening and brief intervention (SBI) programs have been shown to be effective in reducing risky alcohol consumption among primary care patients [13]. Although various implementation protocols exist, it can be difficult to launch and sustain SBI programs. A number of barriers exist, including those related to clinical workflow, the intake process, and the incorporation of protocols into electronic health records (EHR)[46].

This study aims to present challenges and potential solutions to incorporating SBI as a standard of care into an existing EHR of a family medicine system.

Material and methods

An SBI program was piloted in two underserved family medicine clinical teaching practices. Physicians, residents, nurses, medical assistants and patient service representatives (PSR's) were trained on the protocol for adopting this practice into daily clinic work. Through this implementation, an EHR template was created to complement the workflow.


Utilization of the screening tool provided a mechanism to better assess risky drinking within a regular patient encounter. High rates of completion were appreciated throughout the grant period prior to leadership changes. The EHR template facilitated the intake process, the clinical encounter, and provided a mechanism for billing.


The incorporation of a dedicated EHR template may mitigate providers’ concerns about time constraints and establishes a more effective mechanism for billing for the service.

Strong support from organizational leadership and the use of clinic champions were shown to positively contribute to the success of the SBI programs in this health system by addressing common barriers to implementation.



We would like to thank the Fetal Alcohol Syndrome Prevention Team, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention for their support of this project.

Authors’ Affiliations

Family and Community Medicine, Baylor College of Medicine, Houston, USA
Family and Community Medicine, Meharry Medical College, Nashville, USA


  1. Zoorob R, et al: Screening and brief intervention for risky alcohol use. Curr Probl Pediatr Adolesc Health Care. 2014, 44 (4): 82-7. 10.1016/j.cppeds.2013.12.011.View ArticlePubMedGoogle Scholar
  2. Jonas DE, et al: Behavioral counseling after screening for alcohol misuse in primary care: a systematic review and meta-analysis for the US Preventive Services Task Force. Annals of internal medicine. 2012, 157 (9): 645-654. 10.7326/0003-4819-157-9-201211060-00544.View ArticlePubMedGoogle Scholar
  3. O'Donnell A, et al: The impact of brief alcohol interventions in primary healthcare: a systematic review of reviews. Alcohol Alcohol. 2014, 49 (1): 66-78. 10.1093/alcalc/agt170.PubMed CentralView ArticlePubMedGoogle Scholar
  4. Williams EC, et al: Strategies to implement alcohol screening and brief intervention in primary care settings: a structured literature review. Psychol Addict Behav. 2011, 25 (2): 206-14.View ArticlePubMedGoogle Scholar
  5. Amaral MB, Ronzani TM, Souza-Formigoni ML: Process evaluation of the implementation of a screening and brief intervention program for alcohol risk in primary health care: An experience in Brazil. Drug Alcohol Rev. 2010, 29 (2): 162-8.View ArticlePubMedGoogle Scholar
  6. Tai B, Wu LT, Clark HW: Electronic health records: essential tools in integrating substance abuse treatment with primary care. Subst Abuse Rehabil. 2012, 3: 1-8.PubMed CentralView ArticlePubMedGoogle Scholar


© Zoorob et al 2015

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated.