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The purpose of this study was to describe the extent to which Electronic Health Records (EHRs) used by 167 primary care practices across 7 states currently include the necessary prompts, clinical support, and performance reporting essential for improving alcohol-related prevention and treatment in primary care.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Materials and Methods<\/jats:title>\n                  <jats:p>Experts from five regional quality improvement programs identified basic EHR features needed to support evidence-based alcohol-related prevention (ie, screening and brief intervention) and treatment of alcohol use disorders (AUD). Data were collected regarding whether EHRs included these features.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>EHRs from 21 vendors were used by the primary care practices. For prevention, 62% of the 167 practices\u2019 EHRs included a validated screening questionnaire, 46% automatically scored the screening instrument, 62% could report the percent screened, and 37% could report the percent screening positive. Only 7% could report the percent offered brief intervention. For alcohol treatment, 49% of practices could report the percent diagnosed with AUD, 58% and 91% allowed documentation of referral and treatment with AUD medication, respectively. Only 3% could report the percent of patients diagnosed with AUD who received treatment.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Most EHRs observed across 167 primary care practices across 7 US states lacked basic functionality necessary to support evidence-based alcohol-related prevention and AUD treatment. Only 3% and 7% of EHRs, respectively, included the ability to report widely recommended quality measures needed to improve the quality of recommended alcohol-related prevention and treatment in primary care.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Improving EHR functionality is likely necessary before alcohol-related primary care can be improved.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jamiaopen\/ooae125","type":"journal-article","created":{"date-parts":[[2024,12,10]],"date-time":"2024-12-10T19:26:35Z","timestamp":1733858795000},"source":"Crossref","is-referenced-by-count":4,"title":["Do electronic health records used by primary care practices support recommended alcohol-related care?"],"prefix":"10.1093","volume":"7","author":[{"given":"Katharine","family":"Bradley","sequence":"first","affiliation":[{"name":"Kaiser Permanente Health Plan of Washington, Kaiser 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