{"id":41032,"date":"2025-08-01T01:00:47","date_gmt":"2025-08-01T05:00:47","guid":{"rendered":"https:\/\/www.ncqa.org\/?page_id=41032"},"modified":"2026-01-30T08:00:15","modified_gmt":"2026-01-30T13:00:15","slug":"unhealthy-alcohol-use-screening-and-follow-up-asf-e","status":"publish","type":"page","link":"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/unhealthy-alcohol-use-screening-and-follow-up-asf-e\/","title":{"rendered":"Unhealthy Alcohol Use Screening and Follow-Up (ASF-E)"},"content":{"rendered":"<p><span data-contrast=\"auto\">The percentage of persons 18 years of age and older who were screened for unhealthy alcohol use using a standardized instrument and, if screened positive, received appropriate follow-up care.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<ul>\n<li><span data-contrast=\"auto\">Unhealthy Alcohol Use Screening. The percentage of persons who had a systematic screening for unhealthy alcohol use.<\/span><\/li>\n<li><span data-contrast=\"auto\">Follow-Up Care on Positive Screen. The percentage of persons receiving brief counseling or other follow-up care within 60 days (2 months) of screening positive for unhealthy alcohol use.<\/span><\/li>\n<\/ul>\n<p><i><span data-contrast=\"auto\">*<\/span><\/i> <i><span data-contrast=\"auto\">Adapted with financial support from the Substance Abuse and Mental Health Services Administration (SAMHSA) and with permission from the measure developer, the American Medical Association (AMA).<\/span><\/i><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:92,&quot;335559738&quot;:120,&quot;335559739&quot;:80,&quot;335559740&quot;:240,&quot;335559991&quot;:92,&quot;469777462&quot;:[1368],&quot;469777927&quot;:[0],&quot;469777928&quot;:[1]}\">\u00a0<\/span><\/p>\n<h2>Why It Matters?<\/h2>\n<p><span data-contrast=\"none\">Excessive alcohol use leads to 178,000 deaths each year in the United States, but only 7.8% of adults with an alcohol use disorder received treatment in 2022 <sup><a href=\"#ref-1\">1<\/a><\/sup> <sup><a href=\"#ref-2\">2<\/a><\/sup>. Alcohol misuse can lead to chronic conditions such as cancer or cirrhosis of the liver, and is connected to neurological, social and behavioral health issues <sup><a href=\"#ref-3\">3<\/a><\/sup>. Screening for alcohol misuse and timely follow-up after a positive screening is crucial. The Screening, Brief Intervention, and Referral to Treatment model has shown to be an effective and cost-efficient way to identify or halt alcohol misuse in adults.<\/span><\/p>\n<p><span data-contrast=\"none\">The U.S. Preventive Services Task Force\u2019s (USPSTF) grade B recommendation is \u201cscreening for unhealthy alcohol use in primary care settings in adults 18 years or older, including pregnant women, and providing persons engaged in risky or hazardous drinking with brief behavioral counseling interventions to reduce unhealthy alcohol use.\u201d <sup><a href=\"#ref-4\">4<\/a><\/sup> The USPSTF identified two standardized and validated screening tools for alcohol misuse in the primary care setting: The abbreviated Alcohol Use Disorders Identification Test\u2013Consumption (AUDIT-C) and the Single Alcohol Screening Question (SASQ). The USPSTF found that counseling interventions in the primary care setting can reduce weekly alcohol consumption and improve long-term adherence to recommended drinking limits. Screening and brief counseling interventions are also associated with better health outcomes, such as decreasing the probability of traumatic injury or death, especially related to motor vehicles, by decreasing the proportion of persons who engage in episodes of heavy drinking which results in high blood alcohol concentration.<\/span><\/p>\n<p><span data-contrast=\"none\"><i>Adapted with financial support from the Substance Abuse and Mental Health Services Administration (SAMHSA) and with permission from the measure developer, the American Medical Association (AMA).<\/i><\/span><\/p>\n<h2>Historical Results \u2013 National Averages<\/h2>\n","protected":false},"excerpt":{"rendered":"<p>The percentage of persons 18 years of age and older who were screened for unhealthy alcohol use using a standardized instrument and, if screened positive, received appropriate follow-up care.\u00a0 Unhealthy Alcohol Use Screening. The percentage of persons who had a systematic screening for unhealthy alcohol use. Follow-Up Care on Positive Screen. The percentage of persons [&hellip;]<\/p>\n","protected":false},"author":45,"featured_media":0,"parent":733,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page.php","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-41032","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Unhealthy Alcohol Use Screening and Follow-Up (ASF-E) - NCQA<\/title>\n<meta name=\"description\" content=\"Assesses children who turned 15 months old during the measurement year and had 0\u20136 well-child visits with a primary care physician during their first 15 months of life.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/unhealthy-alcohol-use-screening-and-follow-up-asf-e\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Unhealthy Alcohol Use Screening and Follow-Up (ASF-E) - NCQA\" \/>\n<meta property=\"og:description\" content=\"Assesses children who turned 15 months old during the measurement year and had 0\u20136 well-child visits with a primary care physician during their first 15 months of life.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/unhealthy-alcohol-use-screening-and-follow-up-asf-e\/\" \/>\n<meta property=\"og:site_name\" content=\"NCQA\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/NCQA.org\" \/>\n<meta property=\"article:modified_time\" content=\"2026-01-30T13:00:15+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.ncqa.org\/wp-content\/uploads\/2021\/04\/NCQA_cmyk_tag.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"627\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@NCQA\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/unhealthy-alcohol-use-screening-and-follow-up-asf-e\/\",\"url\":\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/unhealthy-alcohol-use-screening-and-follow-up-asf-e\/\",\"name\":\"Unhealthy Alcohol Use Screening and Follow-Up (ASF-E) - NCQA\",\"isPartOf\":{\"@id\":\"https:\/\/www.ncqa.org\/#website\"},\"datePublished\":\"2025-08-01T05:00:47+00:00\",\"dateModified\":\"2026-01-30T13:00:15+00:00\",\"description\":\"Assesses children who turned 15 months old during the measurement year and had 0\u20136 well-child visits with a primary care physician during their first 15 months of life.\",\"breadcrumb\":{\"@id\":\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/unhealthy-alcohol-use-screening-and-follow-up-asf-e\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/unhealthy-alcohol-use-screening-and-follow-up-asf-e\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/unhealthy-alcohol-use-screening-and-follow-up-asf-e\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.ncqa.org\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Report Cards\",\"item\":\"https:\/\/www.ncqa.org\/report-cards\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Health Plans\",\"item\":\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/\"},{\"@type\":\"ListItem\",\"position\":4,\"name\":\"State of Health Care Quality Report\",\"item\":\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/\"},{\"@type\":\"ListItem\",\"position\":5,\"name\":\"Unhealthy Alcohol Use Screening and Follow-Up (ASF-E)\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.ncqa.org\/#website\",\"url\":\"https:\/\/www.ncqa.org\/\",\"name\":\"NCQA\",\"description\":\"Measuring quality. 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