SHM Converge Scientific Abstract ePoster Gallery-An Electronic Best Practice Advisory to Increase Sti Screening Among Hospitalized Patients With Substance Use Disorders

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This project evaluated whether an electronic medical record best-practice advisory (BPA) could improve STI and blood-borne virus screening for hospitalized patients with substance use disorders (SUDs). The authors note that patients with SUDs are at elevated risk for HIV, hepatitis B, hepatitis C, and syphilis, yet screening rates are often low despite hospitalization being a “reachable moment.”<br /><br />At Barnes-Jewish Hospital, the team created an automated BPA that alerted hospital providers to screen patients with SUDs. The alert fired when a patient had an ICD-10 diagnosis code for alcohol, opioid, cocaine, stimulant, or other substance-related disorders (F10.x, F11.x, F14.x, F15.x, or F19.x) and had not had prior HIV, hepatitis B surface antigen, or hepatitis C antibody testing within the past 12 months. Positive results were reviewed by an RN navigator with an infectious disease specialist.<br /><br />The intervention was assessed by comparing screening rates before implementation (December 2023–January 2024) and after implementation (February 2024–August 2024). Screening increased substantially after the BPA was introduced: HIV testing rose from 28% to 64%, syphilis testing (RPR) from 18% to 59%, hepatitis B surface antigen testing from 23% to 57%, and hepatitis C antibody testing from 19% to 56%. All changes were statistically significant (p=0.001).<br /><br />Overall, the study concludes that automated electronic alerts can meaningfully improve screening for BBVs and syphilis among hospitalized patients with SUDs and may help reduce missed opportunities to diagnose and treat infections in this vulnerable population.

Asset Subtitle

Benjamin Hoemann

Meta Tag

Author List Benjamin Hoemann, Laura Marks, Madeline McCrary, Tracey Habrock-Bach

Category Innovations

Concept Substance Use Disorder

Concept Screening

Concept Best Practice Advisory

Concept Blood-Borne Virus

Concept Sexually Transmitted Infection

Distinguished Non-Finalist

Presenter Organization Washington University in St. Louis

Presenting Author Benjamin Hoemann

Track Quality Improvement

Keywords

electronic medical record

best-practice advisory

substance use disorders

STI screening

blood-borne virus screening

hospitalized patients

HIV testing

hepatitis B

hepatitis C

syphilis screening

Substance Use Disorder

Screening

Best Practice Advisory

Blood-Borne Virus

Sexually Transmitted Infection