In order to improve the quality of alcohol-related care for those with unhealthy alcohol use, the current research will use an evidence-based implementation strategy, practice facilitation, at one VA primary care site to pilot test whether practice facilitation has the potential to improve the quality of primary care-based alcohol-related care . It is hypothesized that primary care providers who take part in the practice facilitation intervention will provide higher quality substance use care to Veterans with unhealthy alcohol use compared to care pre-practice facilitation (e.g., administer evidence-based brief counseling interventions at higher rates, prescribe alcohol use disorder pharmacotherapy at higher rates, increase referrals to specialty substance use disorder clinics).
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Reach of alcohol-related care via electronic health record change
Timeframe: 3- and 6-months post implementation intervention
Adoption of alcohol-related care via electronic health record change
Timeframe: 3- and 6-months post implementation intervention
Adoption of alcohol related care via self-report change
Timeframe: 3- and 6-months post implementation intervention
Maintenance of alcohol-related care via electronic health record
Timeframe: 12-months post implementation intervention