1. Behavioral Health Clinic Quality Measures (BHCQMs)
NQF 2152: Preventive Care and Screening: Unhealthy Alcohol Use
Screening & Brief Counseling
June 22, 2017

2. Purpose and Benefits
30% of the US population reports misusing alcohol/risky drinking
Approximately 1/3 of these had a primary care appointment during the prior year
Only 8.7% of people identified as “problem drinkers” reported that they had been asked and counseled about their alcohol use in the last 12 months.
Studies show screening and brief counseling reduce alcohol consumption

3. Measure #431 (NQF 2152): Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling- National Quality Strategy Domain: Community/ Population Health
What Outcome is being measured?
The quality of services provided for preventive screening for unhealthy alcohol use
There is NO diagnosis associated with this measure
Measure is reported by clinicians who perform the actions based on services provided and denominator coding

4. What needs to be collected? Tracked?
Patients aged 18 years and older seen twice for any visits or had at least one preventive care visit in last 12 months
Screening Method (once per measurement year)
Brief Counseling Intervention:
One or more counseling sessions, minimum of 5-15 minutes that includes:
Feedback on Alcohol use and harms
Identification of high risk behaviors and situations for drinking
Coping strategies
Increased motivation
Personal plan to quit drinking

5. Systemic Screening Methods:
One of the following Systemic Screening methods must be utilized (with thresholds for defining unhealthy alcohol use)
AUDIT Screening Instrument (Score > or = 8)
AUDIT-C Screening Instrument ( Score > or = 4 for men; score > or = 3 for women)
Single question Screening:
How many times in the past YEAR have you had 5 (for men) or 4 (for women and adults over 65 years of age) or more drinks in a day? (threshold response: > or = 2)

6. Measure Specifications

7. Denominator: Numerator: Check Age Check Service (Encounter) provided
If greater than or equal to 18 on date of service and does NOT report unhealthy use, do not include.
If GT or = 18 on date of service and they DO report unhealthy use, include.
Check Service (Encounter) provided
If listed in encounter check for 2 eligible visits , if yes continue
If No, check for a Preventive Care Visit
If 1 PC visit, include in denominator.
Denominator population all eligible patients.
Numerator:
Check pt. identified as an unhealthy alcohol user and received brief counseling:
If yes: performance met
If no: Check if patient not identified as an unhealthy alcohol user:
If no: check documentation of medical reasons for not screening for unhealthy alcohol use
If documented reasons: performance met
If no: check if not screened or did not get brief counseling, for no reason:
Performance not met
Reporting not met

8. Nutritional assessment
2152 Preventive Care and Screening: Unhealthy Alcohol Use: Screening and Brief Counseling (ASC)
CPT/HCPCS Code
BBT Code
90791
intake
Initial/counseling
90792
Psych eval
90832
Counseling
90834
90837
counseling
90845
96150
Behavior supports
96151
96152
97003
PT/OT eval
97004
OT therapy
97802
Nutritional assessment
97803
Nutritional re-assessment
97804
99201
E&M codes
99202
99203
99204
99205
99212
99213
99214
99215
G0270
G0271
G0438
G0439
G9621
G9622
G9623
G9624